Published online July 1, 2005
PEDIATRICS Vol. 116 No. 1 July 2005, pp. 240-241 (doi:10.1542/peds.2005-0383)
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COMMENTARY

Spanning the Boundary Between Clinics and Communities to Address Overweight and Obesity in Children

Steven M. Teutsch, MD, MPH

Outcomes Research and Management
Merck & Company, Inc
West Point, PA 19486-0004

Peter A. Briss, MD, MPH

Community Guide Branch
Centers for Disease Control and Prevention
Atlanta, GA 30341

The first 20% of the full text of this article appears below.

The epidemic of obesity and its related health consequences are growing concerns for Americans. As noted by Whitlock and colleagues in this issue of Pediatrics,1 providers have an important part to play in addressing overweight and obesity in children, although the scientific jury is still out on what approaches will be most successful.

Faced with a major health concern and limited evidence of effective interventions that can be delivered in clinical settings, practitioners will nevertheless feel compelled to take action. They may choose to implement clinical strategies, either in the hope that they will be effective or that recommendations from clinicians can help to motivate individual behavior change. Whatever benefits may occur from clinical approaches, providers working one patient at a time cannot address this epidemic alone.

Population-based interventions involving families, schools, and communities, which are proven to be effective in addressing nutrition, physical activity, obesity, or a combination of these but have been underutilized, could also be channeled toward this public health problem. As leading authorities on the health of children in their communities, pediatricians . . . [Full Text of this Article]

Address correspondence to Steven M. Teutsch, MD, MPH, Outcomes Research and Management, Merck & Company, Inc, PO Box 4, WP39-130, West Point, PA 19486-0004. E-mail: steven_teutsch@merck.com




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