Childhood Obesity
Causes, Consequences, and Intervention Approaches
Michael I. Goran, Michael I. Goran
- 502 pages
- English
- ePUB (mobile friendly)
- Available on iOS & Android
Childhood Obesity
Causes, Consequences, and Intervention Approaches
Michael I. Goran, Michael I. Goran
About This Book
Childhood obesity has reached epidemic proportions in the United States and continues to increase in prevalence in almost all countries in which it has been studied, including developed and developing countries around the globe. The causes of obesity are complex and multi-factorial. Childhood obesity becomes a life-long problem in most cases and is associated with long term chronic disease risk for a variety of diseases including type 2 diabetes, cardiovascular disease, non-alcoholic fatty liver disease, as well as psychosocial as issues and obesity seems to affect almost every organ system in the body.
In recent years there has been tremendous progress in the understanding of this problem and in strategies for prevention and treatment in the pediatric years. Childhood Obesity: Causes, Consequences, and Intervention Approaches presents current reviews on the complex problem of obesity from the multi-level causes throughout early life before adulthood and the implications for this for long-term disease risk. It reviews numerous types of strategies that have been used to address this issue from conventional clinical management to global policy strategies attempting to modify the global landscape of food, nutrition, and physical activity. Each chapter is written by a global authority in his or her respective field with a focus on reviewing the current status and recent developments.
The book features information on contributing factors to obesity, including developmental origins, social/family, birth cohort studies, influence of ethnicity, and global perspectives. It takes a life-course approach to the subject matter and includes exhaustive treatment of contributing factors to childhood obesity, such as assessment, environmental factors, nutrition and dietary factors, host factors, interventions and treatment, consequences, and further action for future prevention. This broad range of topics relevant to the rapidly changing field of childhood obesity is suitable for students, health care professionals, physicians, and researchers.
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29 | Family-Based Behavioral Treatment for Childhood Obesity |
Authors | Type of Review and Number of Studies | Target Population | Conclusions |
Altman et al., 2015 | Systematic review of 53 studies | Children (2–18 years) with overweight and obesity | This review found that multicomponent treatments that include a parent component are the most efficacious. |
Epstein et al., 2007 | Targeted systematic review of 8 studies | Children (5–12 years) with overweight and obesity | This review demonstrates a consistent pattern of weight loss results across efficacy studies across time, an important step in preparing interventions for translation to wider-spread clinical care. |
Hayes et al., 2015 | Systematic review of 22 studies | Children and adolescents (2–18 years) with overweight and obesity | This review found that behavioral interventions that include individual family sessions achieve a greater magnitude of weight loss than those with only group sessions. |
Ho et al., 2013 | Systematic review of 38 randomized control trials | Children and adolescents (≤18 years) with overweight and obesity | This review concluded that weight loss was greater when the duration of treatment was longer than 6 months. |
Janicke et al., 2014 | Meta-analysis of 20 randomized control trials | Children and adolescents (≤19 years) with overweight and obesity | This meta-analysis found that dose (duration, number of sessions, time in treatment) was positively related to effect size, and individual and in-person comprehensive family interventions were associated with larger effect sizes. |
Whitlock et al., 2010 | Targeted systematic review of 16 studies | Children (5–18 years) with overweight and obesity | This review confirmed that comprehensive moderate-to-high intensity behavioral interventions can be effective at producing significant weight loss in children. |
Wilfley et al., 2007 | Meta-analysis of 14 randomized control trials | Children (≤19 years) with overweight | This meta-analysis concluded that lifestyle interventions produce significant changes in weight status in the short term, with evidence suggesting results persist in the long term. |
Young et al., 2007 | Meta-analysis of 16 studies | Children (5–12 years) with overweight and obesity | This meta-analysis found that interventions with a family component achieve a greater magnitude of weight loss than those using an alternative treatment approach. |
Goal | Strategies |
Dietary Modification | |
Decrease caloric intake | • Define appropriate calorie range. • Increase intake of Green foods (i.e., highly nutritious, low-calorie-dense foods). • Decrease intake of Red foods (i.e., high-fat, high-sugar foods). |
Energy Expenditure Modification | |
Increase energy expenditure | • Increase physical activity (goal: 60 min/day, 5 days/week). • Decrease sedentary activity (goal: <2 h/day outside of school time). |
Behavior Modification | |
Goal setting | • Dietary goals (e.g., <15 Red foods/week, calorie range 1200–1500). • Physical activity goals (e.g., >60 min activity/day, reduce sedentary activity by 50%). • Weight goals (e.g., weight loss of 0.5 lb/week). |
Self-monitoring | • Record daily food intake (e.g., calorie intake, number of Red foods, fruit and vegetable i... |