Progress in Pediatric Cardiology
Volume 25, Issue 2 , Pages 129-136 , September 2008

The pediatric multidisciplinary obesity program: An update

  • Ihuoma U. Eneli

      Affiliations

    • Center for Healthy Weight and Nutrition, Nationwide Children's Hospital, Columbus, OH, United States
    • The Ohio State University, United States
    • Corresponding Author InformationCorresponding author. Center for Healthy Weight and Nutrition, Nationwide Children's Hospital, 700 Columbus Children's Dr, Columbus OH 43205, United States. Tel.: +1 614 722 4811; fax: +1 614 722 3099.
    • ,
  • Anna Cunningham

      Affiliations

    • Center for Healthy Weight and Nutrition, Nationwide Children's Hospital, Columbus, OH, United States
    • ,
  • Susan J. Woolford

      Affiliations

    • Pediatric Comprehensive Weight Management Center, Mott Children's Hospital, United States
    • Child Health Evaluation and Research Unit, University of Michigan, United States
    • Clinical Pediatrics, University of Michigan, Ann Arbor, MI.

References 

  1. Hedley AA, Ogden CL, Johnson CL, Carroll MD, Curtin LR, Flegal KM. Prevalence of overweight and obesity among US children, adolescents, and adults, 1999–2002. JAMA. 2004;291(23):2847–2850
  2. Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM. Prevalence of overweight and obesity in the United States, 1999–2004. JAMA. 2006;295(13):1549–1555
  3. Troiano RP, Flegal KM, Kuczmarski RJ, Campbell SM, Johnson CL. Overweight prevalence and trends for children and adolescents. The National Health and Nutrition Examination Surveys, 1963 to 1991. Arch Pediatr Adolesc Med. 1995;149(10):1085–1091
  4. Ogden CL, Flegal KM, Carroll MD, Johnson CL. Prevalence and trends in overweight among US children and adolescents, 1999–2000. JAMA. 2002;288(14):1728–1732
  5. Dietz WH. Health consequences of obesity in youth: childhood predictors of adult disease. Pediatrics. 1998;101(3 Pt 2):518–525
  6. Freedman DS, Dietz WH, Srinivasan SR, Berenson GS. The relation of overweight to cardiovascular risk factors among children and adolescents: the Bogalusa Heart Study. Pediatrics. 1999;103(6 Pt 1):1175–1182
  7. Lavine JE, Schwimmer JB. Nonalcoholic fatty liver disease in the pediatric population. Clin Liver Dis. 2004;8(3):549–558viii–ix
  8. Cook S, Weitzman M, Auinger P, Nguyen M, Dietz WH. Prevalence of a metabolic syndrome phenotype in adolescents: findings from the Third National Health and Nutrition Examination Survey, 1988–1994. Arch Pediatr Adolesc Med. 2003;157(8):821–827
  9. Baker JL, Olsen LW, Sørensen TI. Childhood body-mass index and the risk of coronary heart disease in adulthood. N Engl J Med. Dec 6 2007;357(23):2329–2337
  10. Strauss RS, Pollack HA. Social marginalization of overweight children. Arch Pediatr Adolesc Med. 2003;157:746–752
  11. Goodman E, Whitaker RC. A prospective study of the role of depression in the development and persistence of adolescent obesity. Pediatrics. 2002;110:497–504
  12. Wang G, Dietz WH. Economic burden of obesity in youths aged 6 to 17 years: 1979–1999. Pediatrics. 2002;109(5):E81
  13. Hampl SE, Carroll CA, Simon SD, Sharma V. Resource utilization and expenditures for overweight and obese children. Arch Pediatr Adolesc Med. 2007;161(1):11–14
  14. Woolford SJ, Gebremariam A, Clark SJ, Davis MM. Incremental hospital charges associated with obesity as a secondary diagnosis in children. Obesity. Silver Spring) 2007;15(7):1895–1901
  15. Barlow SE, Expert Committee . Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report. Pediatrics. Dec 2007;120(Suppl 4):S164–S192
  16. Institute of Medicine Committee on Prevention of Obesity in Children and Youth . Preventing childhood obesity: health in the balance. Washington, D.C.: National Academies Press; 2005;
  17. ADA American Dietetic Association (ADA) . Position of the American Dietetic Association: individual-, family-, school-, and community-based interventions for pediatric overweight. J Am Diet Assoc. Jun 2006;106(6):925–945
  18. Centers for Disease Control and Prevention Available as http://www.cdc.gov/nccdphp/dnpa/obesity/state_programs/se_model.htm. Accessed on 3/5/08.
  19. Bronfenbrenner U. The ecology of human development: experiments by nature and design. Cambridge, MA: Harvard University Press; 1979;
  20. Ory MG, Jordan PJ, Bazzarre T. The Behavior Change Consortium: setting the stage for a new century of health-behavior change research. Health Behav Res. 2002;17(4):500–511
  21. Stokols K. Translating social ecological theory into guidelines for community health promotion. Am J Health Promot. 1996;10(4):282–298
  22. Eneli IU, Kalogiros ID, McDonald KA, Todem D. Parental preferences on addressing weight-related issues in children. Clin Pediatr (Phila). 2007;46(7):612–618
  23. Saelens BE, Jelalian E, Kukene DM. Physician weight counseling for adolescents. Clin Pediatr (Phila). 2002;41(8):575–585
  24. Galuska DA, Will JC, Serdula MK, Ford ES. Are health care professionals advising obese patients to lose weight?. JAMA. 1999;282(16):1576–1578
  25. Walker O, Strong M, Atchinson R, Saunders J, Abbott J. A qualitative study of primary care clinicians' views of treating childhood obesity. BMC Fam Pract. 2007;8:50
  26. Alexander SC, Ostbye T, Pollak KI, Gradison M, Bastian LA, Brouwer RJ. Physicians' beliefs about discussing obesity: results from focus groups. Am J Health Promot. 2007;21(6):498–500
  27. Kushner RF. Barriers to providing nutrition counseling by physicians: a survey of primary care practitioners. Prev Med. 1995;24(6):546–552
  28. Bandura A. Health promotion by social cognitive means. Health Educ Behav. 2004;31(2):143–164
  29. Dietz WH, Robinson TN. Clinical practice. Overweight children and adolescents. N Engl J Med. 2005;352(20):2100–2109
  30. Golan M, Weizman A, Apter A, Fainaru M. Parents as the exclusive agents of change in the treatment of childhood obesity. Am J Clin Nutr. 1998;67(6):1130–1135
  31. Golan M, Kaufman V, Shahar DR. Childhood obesity treatment: targeting parents exclusively v. parents and children. Br J Nutr. 2006;95(5):1008–1015
  32. Epstein LH, Squires S. The stoplight diet for children. Boston, MA: Little, Brown and Company; 1988;
  33. Sothern MS, Schumacher H, von Almen TK, Carlisle LK, Udall JN. Committed to kids: an integrated, 4-level team approach to weight management in adolescents. J Am Diet Assoc. 2002;102(3 Suppl):S81–S85
  34. Sothern MS, von Almen TK, Schumacher HD, Suskind RM, Blecker U. A multidisciplinary approach to the treatment of childhood obesity. Del Med J. 1999;71(6):255–261
  35. Sothern , Udall JN, Suskind RM, Vargas A, Blecker U. Weight loss and growth velocity in obese children after very low calorie diet, exercise, and behavior modification. Acta Paediatr. 2000;89(9):1036–1043
  36. Ebbeling CB, Leidig MM, Feldman HA, Lovesky MM, Ludwig DS. Effects of a low-glycemic load vs low-fat diet in obese young adults: a randomized trial. JAMA. 2007;297(19):2092–2102
  37. Ebbeling CB, Leidig MM, Sinclair KB, Seger-Shippee LG, Feldman HA, Ludwig DS. Effects of an ad libitum low-glycemic load diet on cardiovascular disease risk factors in obese young adults. Am J Clin Nutr. 2005;81(5):976–982
  38. Suskind RM, Blecker U, Udall JN, von Almen TK, Schumacher HD, Carlisle L, et al. Recent advances in the treatment of childhood obesity. Pediatr Diabetes. 2000;1(1):23–33
  39. Epstein LH, Roemmich JN, Robinson JL, Paluch RA, Winiewicz DD, Fuerch JH, et al. A randomized trial of the effects of reducing television viewing and computer use on body mass index in young children. Arch Pediatr Adolesc Med. 2008;162(3):239–245
  40. Goldfield GS, Epstein LH, Kilanowski CK, Paluch RA, Kogut-Bossler B. Cost-effectiveness of group and mixed family-based treatment for childhood obesity. Int J Obes Relat Metab Disord. 2001;25(12):1843–1849
  41. Minniti A, Bissoli L, Di Francesco V, Fantin F, Mandragona R, Olivieri M, et al. Individual versus group therapy for obesity: comparison of dropout rate and treatment outcome. Eat Weight Disord. 2007;12(4):161–167
  42. Hipsky J, Kirk S. HealthWorks! weight management program for children and adolescents. J Am Diet Assoc. 2002;102(3 Suppl):S64–67
  43. Kirk S, Zeller M, Claytor R, Santangelo M, Khoury PR, Daniels SR. The relationship of health outcomes to improvement in BMI in children and adolescents. Obes Res. 2005;13(5):876–882
  44. Berkowitz RI, Fujioka K, Daniels SR, Hoppin AG, Owen S, Perry AC, et al Effects of sibutramine treatment in obese adolescents: a randomized trial. Ann Intern Med. 2006;145(2):81–90
  45. Berkowitz RI, Wadden TA, Tershakovec AM, Cronquist JL. Behavior therapy and sibutramine for the treatment of adolescent obesity: a randomized controlled trial. JAMA. 2003;289(14):1805–1812
  46. McDuffie JR, Calis KA, Uwaifo GI, Sebring NG, Fallon EM, Hubbard VS, et al. Three-month tolerability of orlistat in adolescents with obesity-related comorbid conditions. Obes Res. 2002;10(7):642–650
  47. Ozkan B, Bereket A, Turan S, Keskin S. Addition of orlistat to conventional treatment in adolescents with severe obesity. Eur J Pediatr. 2004;163(12):738–741
  48. Chanoine JP, Hampl S, Jensen C, Boldrin M, Hauptman J. Effect of orlistat on weight and body composition in obese adolescents: a randomized controlled trial. JAMA. 2005;293(23):2873–2883
  49. Lawson ML, Kirk S, Mitchell T, Chen MK, Loux TJ, Daniels SR, et al. One-year outcomes of Roux-en-Y gastric bypass for morbidly obese adolescents: a multicenter study from the Pediatric Bariatric Study Group. J Pediatr Surg. 2006;41(1):137–143discussion 137–143
  50. Sugerman HJ, Sugerman EL, DeMaria EJ, Kellum JM, Kennedy C, Mowery Y, et al. Bariatric surgery for severely obese adolescents. J Gastrointest Surg. 2003;7(1):102–107discussion 107–108
  51. Inge TH, Zeller MH, Lawson ML, Daniels SR. A critical appraisal of evidence supporting a bariatric surgical approach to weight management for adolescents. J Pediatr. 2005;147(1):10–19
  52. Inge TH, Krebs NF, Garcia VF, Skelton JA, Guice KS, Strauss RS, et al Bariatric surgery for severely overweight adolescents: concerns and recommendations. Pediatrics. 2004;114(1):217–223
  53. Tsai AG, Wadden TA. Systematic review: an evaluation of major commercial weight loss programs in the United States. Ann Intern Med. 2005;142(1):56–66
  54. Epstein LH, Valoski AM, Kalarchian MA, McCurley J. Do children lose and maintain weight easier than adults: a comparison of child and parent weight changes from six months to ten years. Obes Res. 1995;3(5):411–417
  55. Epstein LH, Valoski A, Wing RR, McCurley J. Ten-year outcomes of behavioral family-based treatment for childhood obesity. Health Psychol. 1994;13(5):373–383
  56. Valverde MA, Patin RV, Oliveira FL, Lopez FA, Vitolo MR. Outcomes of obese children and adolescents enrolled in a multidisciplinary health program. Int J Obes Relat Metab Disord. 1998;22(6):513–519
  57. Denzer C, Reithofer E, Wabitsch M, Widhalm K. The outcome of childhood obesity management depends highly upon patient compliance. Eur J Pediatr. 2004;163(2):99–104
  58. Jelalian E, Hart CN, Mehlenbeck RS, Lloyd-Richardson EE, Kaplan JD, Flynn-O'Brien KT, et al. Predictors of attrition and weight loss in an adolescent weight control program. (Obesity Silver Spring). 2008 Jun;16(6):1318–1323[Electronic publication ahead of print 2008 Mar 20]
  59. Savoye M, Shaw M, Dziura J, Tamborlane WV, Rose P, Guandalini C, et al Effects of a weight management program on body composition and metabolic parameters in overweight children: a randomized controlled trial. JAMA. 2007;297(24):2697–2704
  60. Young PC. Efficacy of a weight management program in overweight children. JAMA. 2007;298(16):1860;author reply 1860–1861
  61. Reinehr T, Temmesfeld M, Kersting M, de Sousa G, Toschke AM. Four-year follow-up of children and adolescents participating in an obesity intervention program. Int J Obes (Lond). 2007;31(7):1074–1077
  62. Sothern MS, Schumacher H, von Almen TK, Carlisle LK, Udall JN. Committed to kids: an integrated, 4-level team approach to weight management in adolescents. J Am Diet Assoc. 2002;102(3 Suppl):S81–S85
  63. Reed J, VanVrancken C, Loftin M, Singley C, Udall J, Sothern M. Self-reported increases in physical activity in obese youth after a 10 week specialized moderate intensity exercise program. Obes Res. 2001;9:101S–101S
  64. Sothern MS, Loftin M, Suskind RM, Udall JN, Blecker U. The impact of significant weight loss on resting energy expenditure in obese youth. J Investig Med. 1999;47(5):222–226
  65. Sothern MS, Torres MT, Loftin MJ, Udall JN. A family weight management program reduces body mass index and improves body composition in obese parents and children. Pediatr Res. 2000;47(4):228A–228A
  66. Sothern MS, von Almen TK, Schumacher H, Zelman M, Farris RP, Carlisle L, et al. An effective multidisciplinary approach to weight reduction in youth. Ann NY Acad Sci. 1993;699:292–294
  67. Mellin LM, Frost L. Child and adolescent obesity: the nurse practitioner's use of the SHAPEDOWN method. J Pediatr Health Care. 1992;6(4):187–193
  68. Mellin LM, Slinkard LA, Irwin CE. Adolescent obesity intervention: validation of the SHAPEDOWN program. J Am Diet Assoc. 1987;87(3):333–338
  69. Thomas-Dobersen DA, Butler-Simon N, Fleshner M. Evaluation of a weight management intervention program in adolescents with insulin-dependent diabetes mellitus. J Am Diet Assoc. 1993;93(5):535–540
  70. Walker M. “Shapedown” targets teens for weight management program. Tex Hosp. 1987;43(5):24–25
  71. Reinehr T, de Sousa G, Toschke AM, Andler W. Long-term follow-up of cardiovascular disease risk factors in children after an obesity intervention. Am J Clin Nutr. 2006;84(3):490–496
  72. Savoye M, Berry D, Dziura J, Shaw M, Serrecchia JB, Barbetta G, et al. Anthropometric and psychosocial changes in obese adolescents enrolled in a Weight Management Program. J Am Diet Assoc. 2005;105(3):364–370
  73. Kirk S, Zeller M, Claytor R, Santangelo M, Khoury PR, Daniels SR. The relationship of health outcomes to improvement in BMI in children and adolescents. Obes Res. 2005;13(5):876–882
  74. Dreimane D, Safani D, MacKenzie M, Halvorson M, Braun S, Conrad B, et al. Feasibility of a hospital-based, family-centered intervention to reduce weight gain in overweight children and adolescents. Diabetes Res Clin Pract. 2007;75(2):159–168
  75. Lowry KW, Sallinen BJ, Janicke DM. The effects of weight management programs on self-esteem in pediatric overweight populations. J Pediatr Psychol. 2007;32(10):1179–1195
  76. Tershakovec AM, Watson MH, Wenner WJ, Marx AL. Insurance reimbursement for the treatment of obesity in children. J Pediatr. 1999;134(5):573–578
  77. Griffith J, Gantz S, Lowry J, Dai H, Bada H. Insurance reimbursement in a university-based pediatric weight management clinic. J Natl Med Assoc. 2007;99(9):1037–1041
  78. Harris RT. The payer perspective: Blue Cross and Blue Shield of North Carolina's approach to the obesity epidemic. N C Med J. 2006;67(4):313–316
  79. Singh AS, Mulder C, Twisk JW, van Mechelen W, Chinapaw MJ. Tracking of childhood overweight into adulthood: a systematic review of the literature. Obes Rev. 2008;[Electronic publication ahead of print Mar 5]
  80. Cote MP, Byczkowski T, Kotagal U, Kirk S, Zeller M, Daniels S. Service quality and attrition: an examination of a pediatric obesity program. Int J Qual Health Care. 2004;16(2):165–173
  81. Zeller M, Kirk S, Claytor R, Khoury P, Grieme J, Santangelo M, et al. Predictors of attrition from a pediatric weight management program. J Pediatr. 2004;144(4):466–470
  82. Rice J, Thombs D, Leach R, Rehm R. Successes and barriers for a youth weight-management program. Clin Pediatr (Phila). 2008;47(2):143–147
  83. A survey of Children's Hospitals . Obesity services strive to give children a healthier start. In: Children's Hospital Today. Winter 2008;

PII: S1058-9813(08)00034-9

doi: 10.1016/j.ppedcard.2008.05.011

Progress in Pediatric Cardiology
Volume 25, Issue 2 , Pages 129-136 , September 2008

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