Recommendations From the Academy of Nutrition and Dietetics
Pediatric Weight Management Evidence-Based Nutrition Practice Guidelines
RecommendationStrength
Interventions to reduce pediatric obesity should be multicomponent and include diet, physical activity, nutritional counseling, and parent or caregiver participation.Strong
A nutrition prescription should be formulated as part of the dietary intervention in a multicomponent pediatric weight management program.Strong
Dietary factors that may be associated with an increased risk of overweight are increased total dietary fat intake and increased intake of calorically sweetened beverages.Strong
Dietary factors that may be associated with a decreased risk of overweight are increased fruit and vegetable intake.Strong
A balanced macronutrient diet that contains no fewer than 900 kcal per day is recommended to improve weight status in children aged 6–12 y who are medically monitored.Strong
A balanced macronutrient diet that contains no fewer than 1200 kcal per day is recommended to improve weight status in adolescents aged 13–18 y who are medically monitored.Strong
Family diet behaviors that are associated with an increased risk of pediatric obesity are parental restriction of highly palatable foods, consumption of food away from home, increased meal portion size, and skipping breakfast.Fair