Published online November 30, 2007
PEDIATRICS Vol. 120 Supplement December 2007, pp. S229-S253 (doi:10.1542/peds.2007-2329E)
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SUPPLEMENT ARTICLE


Recommendations for Prevention of Childhood Obesity

Matthew M. Davis, MD, MAPPa, Bonnie Gance-Cleveland, PhD, RNC, PNPb, Sandra Hassink, MD, FAAPc, Rachel Johnson, PhD, RDd, Gilles Paradis, MD, MSc, FRCPC, FACPM, FAHAe and Kenneth Resnicow, PhDf

a Child Health Evaluation and Research Unit, Division of General Pediatrics, Division of General Internal Medicine, and Gerald R. Ford School of Public Policy
b College of Nursing and Healthcare Innovation, Arizona State University, Phoenix, Arizona
c Weight Management Program, Alfred I. duPont Hospital, Wilmington, Delaware
d Nutrition and Food Sciences, College of Agriculture and Life Sciences, University of Vermont, Burlington, Vermont
e Department of Epidemiology, Biostatistics, and Public Health, McGill University, Montreal, Quebec, Canada;
f Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, Michigan

The majority of US youth are of healthy weight, but the majority of US adults are overweight or obese. Therefore, a major health challenge for most American children and adolescents is obesity prevention—today, and as they age into adulthood. In this report, we review the most recent evidence regarding many behavioral and practice interventions related to childhood obesity, and we present recommendations to health care providers. Because of the importance, we also suggest approaches that clinicians can use to encourage obesity prevention among children, including specific counseling strategies and practice-based, systems-level interventions. In addition, we suggest how clinicians may interact with and promote local and state policy initiatives designed to prevent obesity in their communities.

Key Words: obesity • prevention

Abbreviations: ADA—American Dietetic Association • PE—physical education • YRBS—Youth Risk Behavior Survey • MI—motivational interviewing • OR—odds ratio • CI—confidence interval




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Insufficient Evidence for Committee Recommendations on Obesity
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