Abstract A growing body of literature supports the use of outpatient multidisciplinary interventions as an effective strategy for the treatment of obesity among children and adolescents. New findings support this approach for at-risk/increased risk populations, such as ethnic minority youth. Emerging ideas in the literature on multidisciplinary interventions for pediatric obesity include the use of developmentally sensitive interventions, alternative settings for treatment delivery, and use of meal replacements as an alternative dietary intervention. This review examines pediatric outpatient weight control interventions delivered by a multidisciplinary team, including a summary of key findings, new ideas in the field, and practical suggestions regarding what to look for in a high-quality outpatient program.
{"title":"Outpatient multidisciplinary interventions for the treatment of pediatric obesity 2009: practical suggestions from lessons learned.","authors":"Amy F. Sato, E. Jelalian","doi":"10.1089/OWM.2010.0108","DOIUrl":"https://doi.org/10.1089/OWM.2010.0108","url":null,"abstract":"Abstract A growing body of literature supports the use of outpatient multidisciplinary interventions as an effective strategy for the treatment of obesity among children and adolescents. New findings support this approach for at-risk/increased risk populations, such as ethnic minority youth. Emerging ideas in the literature on multidisciplinary interventions for pediatric obesity include the use of developmentally sensitive interventions, alternative settings for treatment delivery, and use of meal replacements as an alternative dietary intervention. This review examines pediatric outpatient weight control interventions delivered by a multidisciplinary team, including a summary of key findings, new ideas in the field, and practical suggestions regarding what to look for in a high-quality outpatient program.","PeriodicalId":93479,"journal":{"name":"Obesity and weight management","volume":"6 1","pages":"31-34"},"PeriodicalIF":0.0,"publicationDate":"2010-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/OWM.2010.0108","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60514405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract Managing pediatric obesity in primary care requires the ability to identify the problem in a timely fashion. Once a high BMI is identified, a primary care physician can help patients control their weight better by taking a detailed history appropriate for the child’s age and psychosocial environment. A complete history, examination, and laboratory tests will identify comorbid conditions frequently associated with obesity, especially dyslipidemia, steatohepatitis, and insulin resistance. Use of the Seven Step Model for guidance will then encourage the family to take the necessary steps to manage this chronic disease.
{"title":"Medical Management of Pediatric Obesity 2009","authors":"P. Nieman, T. L. McKnight","doi":"10.1089/OWM.2010.0107","DOIUrl":"https://doi.org/10.1089/OWM.2010.0107","url":null,"abstract":"Abstract Managing pediatric obesity in primary care requires the ability to identify the problem in a timely fashion. Once a high BMI is identified, a primary care physician can help patients control their weight better by taking a detailed history appropriate for the child’s age and psychosocial environment. A complete history, examination, and laboratory tests will identify comorbid conditions frequently associated with obesity, especially dyslipidemia, steatohepatitis, and insulin resistance. Use of the Seven Step Model for guidance will then encourage the family to take the necessary steps to manage this chronic disease.","PeriodicalId":93479,"journal":{"name":"Obesity and weight management","volume":"6 1","pages":"27-30"},"PeriodicalIF":0.0,"publicationDate":"2010-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/OWM.2010.0107","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60514395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Understanding and addressing obesity and victimization in youth.","authors":"W. Craig, J. Sue, A. Murphy, J. Bauer","doi":"10.1089/OWM.2010.0103","DOIUrl":"https://doi.org/10.1089/OWM.2010.0103","url":null,"abstract":"","PeriodicalId":93479,"journal":{"name":"Obesity and weight management","volume":"6 1","pages":"12-16"},"PeriodicalIF":0.0,"publicationDate":"2010-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/OWM.2010.0103","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60514743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Managing Obesity in Healthcare Settings: Stigma or Support?","authors":"S. Kirk, Tarra L Penney","doi":"10.1089/OWM.2010.0105","DOIUrl":"https://doi.org/10.1089/OWM.2010.0105","url":null,"abstract":"","PeriodicalId":93479,"journal":{"name":"Obesity and weight management","volume":"6 1","pages":"21-24"},"PeriodicalIF":0.0,"publicationDate":"2010-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/OWM.2010.0105","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60514310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract Weight-loss surgery is increasingly recognized as a safe and effective tool for the treatment of morbid obesity. In this article, we discuss recent results, surgical options, and selection...
{"title":"Adolescent Bariatric Surgery in 2009","authors":"D. DeUgarte, Wendy M Slusser","doi":"10.1089/OWM.2010.0110","DOIUrl":"https://doi.org/10.1089/OWM.2010.0110","url":null,"abstract":"Abstract Weight-loss surgery is increasingly recognized as a safe and effective tool for the treatment of morbid obesity. In this article, we discuss recent results, surgical options, and selection...","PeriodicalId":93479,"journal":{"name":"Obesity and weight management","volume":"6 1","pages":"39-42"},"PeriodicalIF":0.0,"publicationDate":"2010-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/OWM.2010.0110","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60514454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract Obese children have attended weight loss camps and residential programs for more than 40 years. For this review, 22 studies met inclusion criteria (targeted and assessed change in weight status; minimal stay of 10 days and nights). Compared to results in a recent metaanalysis of outpatient treatments, these immersion programs produced an average of 197% greater reductions in percent-overweight at posttreatment and 130% greater reduction at follow-up. Furthermore, mean attrition rates were much lower when compared to standard outpatient treatment. Inclusion of a cognitive behavior therapy (CBT) component seem especially promising; followup evaluations showed decreased percent-overweight at follow-up by an average of 30% for CBT immersion programs versus 9% for programs without CBT. Explanations for the potentially greater impact of immersion relative to outpatient treatments are presented, including possibly differential effects on self-efficacy for both children and their parents.
{"title":"The Promise of Immersion Treatment for Obese Children and Adolescents in 2009: A Review","authors":"K. Kelly, D. Kirschenbaum","doi":"10.1089/OWM.2010.0109","DOIUrl":"https://doi.org/10.1089/OWM.2010.0109","url":null,"abstract":"Abstract Obese children have attended weight loss camps and residential programs for more than 40 years. For this review, 22 studies met inclusion criteria (targeted and assessed change in weight status; minimal stay of 10 days and nights). Compared to results in a recent metaanalysis of outpatient treatments, these immersion programs produced an average of 197% greater reductions in percent-overweight at posttreatment and 130% greater reduction at follow-up. Furthermore, mean attrition rates were much lower when compared to standard outpatient treatment. Inclusion of a cognitive behavior therapy (CBT) component seem especially promising; followup evaluations showed decreased percent-overweight at follow-up by an average of 30% for CBT immersion programs versus 9% for programs without CBT. Explanations for the potentially greater impact of immersion relative to outpatient treatments are presented, including possibly differential effects on self-efficacy for both children and their parents.","PeriodicalId":93479,"journal":{"name":"Obesity and weight management","volume":"6 1","pages":"35-38"},"PeriodicalIF":0.0,"publicationDate":"2010-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/OWM.2010.0109","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60514417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Focus on Obesity in Healthcare Reform","authors":"G. Blackburn","doi":"10.1089/OWM.2010.0100","DOIUrl":"https://doi.org/10.1089/OWM.2010.0100","url":null,"abstract":"","PeriodicalId":93479,"journal":{"name":"Obesity and weight management","volume":"6 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2010-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/OWM.2010.0100","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60514703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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