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Future Directions in Pediatric Obesity Prevention and Intervention: Research and Practice

  • Elissa Jelalian
  • Ric G. Steele
  • Chad D. Jensen
Part of the Issues in Clinical Child Psychology book series (ICCP)

Almost before our eyes, pediatric obesity has grown to epidemic proportions in the United States and elsewhere, and is now known to be associated with a number of medical and psychosocial comorbidities that may last a lifetime. Within the span of less than two generations, the number of children and youth with obesity and overweight has more than doubled in some age groups, and has tripled in others (Centers for Disease Control and Prevention [CDC], 2007). If estimates of the trajectory are correct, by 2010 approximately 50 percent of children in North America and 38 percent of children in the European Union will be overweight or obese (Wang & Lobstein, 2006).

The alarming increase in the prevalence of obesity is likely due to a constellation of factors, including biological, behavioral, sociological, and economic. Correspondingly, just as there are multiple etiological factors for the condition, we argue that the solutions to the problem are likely to require changes within multiple and interacting systems within society. These include changes at the individual level, changes in local and regional policy, and perhaps changes in values at the national level.

Keywords

Parenting Style Childhood Overweight Pediatric Obesity Socioecological Model Family Base Treatment 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Bronfenbrenner, U. (1979).The Ecology of Human Development. Cambridge, MA: Harvard University PressGoogle Scholar
  2. Centers for Disease Control and Prevention. (2006). Overweight among students in grades K-12-Arkansansas, 2003–04 and 2004–05 school years.Morbidity and Mortality Weekly Report,13, 5–8Google Scholar
  3. Centers for Disease Control and Prevention. (2007).Prevalence of Overweight among Children and Adolescents: United States, 2003–2004. Rockville, MD: National Center for Health Statistics. Retrieved September 19, 2007 fromhttp://www.cdc.gov/nchs/ products/pubs/pubd/hestats/overweight/overwght_child_03.htm#Table%201
  4. Eliakim, A., Kaven, G., Berger, I., Friedland, O., Wolach, B., & Nemet, D. (2002). The effect of a combined intervention on body mass index and fitness in obese children and adolescents — a clinical experience.European Journal of Pediatrics,161, 449–454PubMedCrossRefGoogle Scholar
  5. Epstein, L. H., Paluch, R. A., Roemmich, J. N., & Beecher, M. D. (2007). Family-based obesity treatment, then and now: Twenty-five years of pediatric obesity treatment.Health Psychology,26, 381–391PubMedCrossRefGoogle Scholar
  6. Flodmark, C. E., Marcus, E., & Britton, M. (2006). Interventions to prevent obesity in children and adolescents: A systematic literature review.International Journal of Obesity,30, 579–589PubMedCrossRefGoogle Scholar
  7. Goldfield, G. S., Epstein, L. H., Kilanowski, C. K., Paluch, R. A., & Kogut-Bossler, B. (2001). Cost-effectiveness of group and mixed family-based treatment for childhood obesity.International Journal of Obesity,25, 1843–1849PubMedCrossRefGoogle Scholar
  8. Hurling, R., Fairley, B. W., & Dias M. B. (2006). Internet-based exercise interventions: Are more interactive designs better?Psychological Health,21, 757–772CrossRefGoogle Scholar
  9. Jelalian, E., Boergers, J., Alday, C. S., & Frank, R. (2003). Survey of physician attitudes and practices related to pediatric obesity.Clinical Pediatrics,42, 235–245PubMedCrossRefGoogle Scholar
  10. Jelalian, E., Mehlenbeck, R., Lloyd-Richardson, E. E., Birmaher, V., & Wing, R. R., (2006). ‘Adventure therapy’ combined with cognitive-behavioral treatment for overweight adolescents.International Journal of Obesity,30, 31–39PubMedCrossRefGoogle Scholar
  11. Jelalian, E., Wember, Y. M., Bungeroth, H., & Birmaher, V. (2007). Practitioner review: Bridging the gap between research and clinical practice in pediatric obesity.Journal of Child Psychology and Psychiatry,48, 115–127PubMedCrossRefGoogle Scholar
  12. Johnson, D. B., Gerstein, D. E., Evans, A. E., & Woodward-Lopez, G. (2006). Preventing obesity: A life cycle perspective.Journal of the American Dietetic Association,106, 97–102PubMedCrossRefGoogle Scholar
  13. Johnston, C. A., & Steele, R. G. (2007). Treatment of pediatric obesity: An examination of effectiveness in an applied clinical setting.Journal of Pediatric Psychology,32, 106–110PubMedCrossRefGoogle Scholar
  14. Kazak, A. E., Rourke M. T., & Crump, T. A. (2003). Families and other systems in pediatric psychology. In M.C. Roberts (Ed.),Handbook of Pediatric Psychology, (3rd ed., pp. 159–175). New York: GuilfordGoogle Scholar
  15. Kliegerman, M., Sallis, J. F., Ryan, S., Frank, L. D., & Nader, P. R. (2007). Association of neighborhood design and recreation environment variables with physical activity and body mass index in adolescents.American Journal of Health Promotion,21, 274–277Google Scholar
  16. Mercer, S. L., Green, L. W., Rosenthal, A. C., Husten, C. G., Khan, L. K., & Dietz, W. H. (2003). Possible lessons from the tobacco experience for obesity control.American Journal of Clinical Nutrition,77, 1073S–1082SPubMedGoogle Scholar
  17. Moyers, P., Bugle, L., & Jackson, E. (2005). Perceptions of school nurses regarding obesity in school-age children.The Journal of School Nursing,21, 86–93PubMedCrossRefGoogle Scholar
  18. Neumark-Sztainer, D., Story, M., Hannan, P. J., & Rex, J. (2003). New moves: A school-based obesity prevention program for adolscent girls.Prevention Medicine,37, 41–51CrossRefGoogle Scholar
  19. O'Brien, M., Nader, P. R., Houts, R. M., Bradley, R.,Friedman, S. L., Belsky, J. et al., (2007). The ecology of childhood overweight: A 12-year longitudinal analysis.International Journal of Obesity,31, 1469–1478PubMedCrossRefGoogle Scholar
  20. Ogden, C. L., Carroll, M. D., Curtin, L. R., McDowell, M. A., Tabak, C. J., & Flegal, K. M. (2006). Prevalence of overweight and obesity in the United States, 1999–2004.Journal of the American Medical Association,295, 1549–1555PubMedCrossRefGoogle Scholar
  21. Patrick, K., Sallis, J. F., Prochaska, J. J., Lydston, D. D., Calfas, K. J., Zabinski, M. F., et al., (2001). A multicomponent program for nutrition and physical activity change in primary care.Pediatric and Adolescent Medicine,155, 940–946Google Scholar
  22. Power, T., DuPaul, G., Shapiro, E., & Kazak, A. (2003).Promoting Children's Health: Integrating School, Family, and Community. New York: GuilfordGoogle Scholar
  23. Rhee, K. E., Lumeng, J. C., Appugliese, D. P., Kaciroti, N., & Bradley, R. H. (2006). Parenting styles and overweight status in first grade.Pediatrics,117, 2047–2054PubMedCrossRefGoogle Scholar
  24. Saelens, B. E., & Liu, L. (2007). Clinician's comment on treatment of childhood overweight meta-analysis.Health Psychology,26, 533–536PubMedCrossRefGoogle Scholar
  25. Saelens, B. E., Sallis, J. F., Wilfey, D. E., Patrick, K., Cella, J. A., & Butcha, R. (2002). Behavioral weight control for overweight adolescents initiated in primary care.Obesity Research,10, 22–32PubMedCrossRefGoogle Scholar
  26. Sallis, J. F., & Glanz, K. (2006). The role of built environments in physical activity, eating, and obesity in childhood.Future of Children,16, 89–108PubMedCrossRefGoogle Scholar
  27. Steele, R. G., Mize Nelson, J. A., & Nelson, T. D. (2008). Methodological issues in the evaluation of therapies. In R.G. Steele, T.D. Elkin, & M.C. Roberts (Eds.)Handbook of Evidence-Based Therapies for Children and Adolescents. Berlin Heidelberg New York: SpringerGoogle Scholar
  28. Steele, R. G., Nelson, T. D., & Cole, B. P. (2007). The psychosocial adjustment of children and adolescents with HIV: Review from a socio-ecological perspective.Journal of Developmental and Behavioral Pediatrics,28, 58–69PubMedCrossRefGoogle Scholar
  29. Story, M. T., Neumark-Stzainer, D. R., Sherwood, N. E., Holt, K., Sofka, D., Trowbridge, F. L., et al. (2002). Management of child and adolescent obesity: Attitudes, barrier, skills, and training needs among health care professionals.Pediatrics,110, 210–214PubMedGoogle Scholar
  30. Strauss, R. S., & Pollack, H. A. (2003). Social marginalization of overweight children.Archives of Pediatric and Adolescent Medicine,157, 746–752CrossRefGoogle Scholar
  31. Wang, Y., & Lobstein, T. (2006). Worldwide trends in childhood overweight and obesity.International Journal of Pediatric Obesity,1, 11–25PubMedCrossRefGoogle Scholar
  32. Wilfley, D. E., Tibbs, T. L., Van Buren, D. J., Reach, K. P., Walker, M. S., & Epstein, L. H. (2007). Lifestyle interventions in the treatment of childhood overweight: A meta-analytic review of randomized control trials.Health Psychology,26, 521–532PubMedCrossRefGoogle Scholar
  33. Williamson, D. A., Walden, H. M., White, M. A., York-Crowe, E., Newton, Jr., R. L., Alfonso, A., et al., (2006). Two-year internet-based randomized controlled trial for weight loss in African-American girls.Obesity Research,14, 1231–1243CrossRefGoogle Scholar
  34. Zeller, M., Kirk, S., Claytor, R., Khoury, P., Grieme, J., Santangelo, M., & Daniels, S. (2004). Predictors of attrition from a pediatric weight management program.Journal of Pediatrics,144, 466–470PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science + Business Media, LLC 2008

Authors and Affiliations

  • Elissa Jelalian
    • 1
  • Ric G. Steele
    • 2
  • Chad D. Jensen
    • 2
  1. 1.Warren Alpert Medical School of Brown UniversityProvidence
  2. 2.University of KansasLawrence

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