Innovations in Preventing and Treating Obesity in Children and Adolescents: The Role of Physical Activity Interventions



Physical Activity Sedentary Behavior Obesity Prevention Physical Activity Intervention American Dietetic Association 
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.



This article was support by a grant (R01 HD 045693) funded by the National Institutes of Child Health and Human Development to Dawn K. Wilson, Ph.D. Send reprint requests to Dawn K. Wilson, Ph.D., professor, Department of Psychology, Barnwell College, University of South Carolina, Columbia, SC 29208; email address:


  1. American Dietetic Association. (2006). Position of the American Dietetic Association: Individual-, family-, school-, and community-based interventions for pediatric overweight. Journal of the American Dietetic Association, 106, 925–945.CrossRefGoogle Scholar
  2. Atlantis, E., Barnes, E. H., & Singh, M. A. (2006) Efficacy of exercise for treating overweight in children and adolescents: A systematic review. International Journal of Obesity, 30, 1027–1040.CrossRefPubMedGoogle Scholar
  3. Bluford, D. A. A., Sherry, B., & Scanlon, K. S. (2007). Interventions to prevent or treat obesity in preschool children: A review of evaluated programs. Obesity, 15, 1356–1372.CrossRefPubMedGoogle Scholar
  4. Brownell, K. D., Kelman, J. H., & Stunkard, A. J. (1983). Treatment of obese children with and without their mothers: Changes in weight and blood pressure. Pediatrics, 71, 515–523.PubMedGoogle Scholar
  5. Budd, G. M., & Volpe, S. L. (2006). School-based obesity prevention: Research, challenges, and recommendations. Journal of School Health, 76, 485–495.CrossRefPubMedGoogle Scholar
  6. Center for Disease Control and Prevention. (2000). Physical activity and good nutrition: Essential elements for good health. Atlanta, BA. Retrieved from:
  7. Cook, S., Weitzman, M., Auinger, P., Nguyen, M., & Deitz, W. H. (2003). Prevalence of a metabolic syndrome phenotype in adolescents: findings from the Third National Health and Nutrition Examination Survey, 1988–1994. Archives of Pediatric Medicine, 157, 821–827.CrossRefGoogle Scholar
  8. Doak, C. M., Visscher, T. L. S., Renders, C. M., & Seidell, J. C. (2006). The prevention of overweight and obesity in children and adolescents: A review of interventions and programmes. Obesity Reviews, 7, 111–136.CrossRefPubMedGoogle Scholar
  9. Epstein, L. H., Valoski, A., Wing, R. R., & McCurley, J. (1994). Ten-year outcomes of behavioral family-based treatment for childhood obesity. Health Psychology, 13, 373–383.CrossRefPubMedGoogle Scholar
  10. Epstein, L. H., Wing, R. R., Koeske, R., Andrasik, F., & Ossip, D. J. (1981). Child and parent weight loss in family-based behavioral modification programs. Journal of Consulting and Clinical Psychology, 49, 674–685.CrossRefPubMedGoogle Scholar
  11. Epstein, L. H., Wing, R. R., Koeske, R., & Valoski, A. (1984). The effects of diet plus exercise on weight change in parents and children. Journal of Consulting and Clinical Psychology, 52, 429–437.CrossRefPubMedGoogle Scholar
  12. Fitzgibbon, M., Stolley, M., Schiffer, L., Van Horn, L., Kauf erChristoffel, K., & Dyer, A. (2005). Two-year follow-up results for Hip-Hop to Health Jr.: A randomized controlled trial for overweight prevention in preschool minority children. Journal of Pediatrics, 146, 618–625.CrossRefPubMedGoogle Scholar
  13. Flynn, M. A. T., McNeil, D. A., Maloff, B., Mutasingwa, D., Wu, M., Ford, C., et al. (2006). Reducing obesity and related chronic disease risk in children and youth: A synthesis of evidence with ‘best practice’ recommendations. Obesity Reviews, 7(Supp. 1), 7–66CrossRefPubMedGoogle Scholar
  14. Freedman, D. S., Khan, L. K., Serdula, J. K., Ogden, C. L., & Dietz, W. H. (2006). Racial and ethnic differences in secular trends for childhood BMI, weight, and height. Obesity, 14(2), 301–308.CrossRefPubMedGoogle Scholar
  15. French, S. A., Story, M., Neumark-Sztainer, D., Fulkerson, J. A., & Hannan, P., (2001). Fast food restaurant use among adolescents: associations with nutrient intake, food choices and behavioral and psychosocial variables. International Journal of Obesity and Related Metabolic Disorders,25(12), 1823–1833.CrossRefPubMedGoogle Scholar
  16. Golan, M., & Crow, S. (2004). Targeting parents exclusively in the treatment of childhood obesity: Long-term results. Obesity Research, 12, 357–361.CrossRefPubMedGoogle Scholar
  17. Golan, M., Weizman, A., Apter A., & Fainaru, M. (1998). Parents as the exclusive agents of change in the treatment of childhood obesity. American Journal of Clinical Nutrition, 67, 1130–1135.PubMedGoogle Scholar
  18. Gortmaker, S. L., Peterson, K., Wiecha, J., Sobol, A. M., Dixit, S., Fox, M. K.,et al. (1999). Reducing obesity via a school-based interdisciplinary intervention among youth: Planet Health. Archives of Pediatrics and Adolescent Medicine, 153, 409–418.PubMedGoogle Scholar
  19. Hanevold, C., Waller, J., Daniels, S., Portman, R., & Sorof, J. (2005). The effects of obesity, gender, and ethnic group on left ventricular hypertrophy and geometry in hypertensive children: A collaborative study of the International Pediatric Hypertension Association. Pediatrics, 113, 328–333.CrossRefGoogle Scholar
  20. Harrell, J. S., McMurray, R. G., Bangdiwala, S. I., Frauman, A. C., Gansky, S. A., & Bradley, C. B. (1996). Effects of a school-based intervention to reduce cardiovascular risk factors in elementary-school children: The cardiovascular health in children (CHIC) study. The Journal of Pediatrics, 128, 797–805.CrossRefPubMedGoogle Scholar
  21. Jahns, L., Siega-Riz, A. M., & Popkin, B. M. (2001). The increasing prevalence of snacking among US children from 1977 to 1996. Journal of Pediatrics,138, 493–498.CrossRefGoogle Scholar
  22. 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, 115–127.CrossRefPubMedGoogle Scholar
  23. Kimm, S., Glynn, N. W., Kriska, A. M., Fitzgerald, S. L., Aaron, D. J., Similo, S. L., et al. (2000). Longitudinal changes in physical activity in a biracial cohort during adolescence. Medicine & Science in Sports & Exercise, 32, 1445–1454.CrossRefGoogle Scholar
  24. LeMura, L. M., & Maziekas, M. T. (2002). Factors that alter body fat, body mass, and fat-free mass in pediatric obesity. Medicine & Science in Sports & Exercise, 34, 487–496.CrossRefGoogle Scholar
  25. Luepker, R. V., Perry, C. L., McKinlay, S. M., Nader, P. R., Parcel, G. S., Stone, E. J., et al. (1996). Outcomes of a field trial to improve children's dietary patterns and physical activity: The Child and Adolescent Trial for Cardiovascular Health (CATCH). JAMA, 275, 768–776.CrossRefPubMedGoogle Scholar
  26. Manios, Y., Moschandreas, J., Hatzis, C., & Kafatos, A. (2002). Health and nutrition education in primary schools of Crete: Changes in chronic disease risk factors following a 6-year intervention programme. British Journal of Nutrition, 88, 315–324.CrossRefPubMedGoogle Scholar
  27. Manson, J. E., Nathan, D. M., Krolewski, A. S., Stampfer, M. J., Willett, W. C., & Hennekens, C. H. (1992). A prospective study of exercise and incidence of diabetes among US male physicians. Journal of the American Medical Association, 268, 63–67.CrossRefPubMedGoogle Scholar
  28. Manson, J. E., Rimm, E. B., Stampfer, M. J., Colditz, G. A., Willett, W. C., Krolewski, A. S., et al. (1991). Physical activity and incidence of non-insulin dependent mellitus in women. Lancet, 338, 774–778.CrossRefGoogle Scholar
  29. Must, A., & Strauss, R. S. (1999). Risks and consequences of childhood and adolescent obesity. International Journal of Obesity Related Metabolic Disorders, 23, S2–S11.CrossRefGoogle Scholar
  30. Nemet, D., Barkan, S., Epstein, Y., Friedland, O., Kowen, G., & Eliakim, A. (2005). Short- and long-term beneficial effects of a combined dietary-behavioral-physical activity intervention for the treatment of childhood obesity. Pediatrics, 115, 443–449.CrossRefGoogle Scholar
  31. Nicklas, T. A., Demory-Luce, D., Yang, S. J., Baranowski, T., Zakeri, I., & Berenson, G. (2004a). 1973–1994: The Bogalusa Heart Study. Journal of American Dietetic Association, 104, 1127–1140.Google Scholar
  32. Nicklas, T. A., Elkasabany, A., Srinivasan, S. R., & Berenson, G. S. (2001). Trends in nutrient intake of 10-year-old children over two decades (1973–1994): The Bogalusa Heart Study. American Journal of Epidemiology, 153, 969–977.CrossRefPubMedGoogle Scholar
  33. Nicklas, T. A., Morales, M., Linares, A., Yang, S. J., Baranowski, T., De Moor, C., et al. (2004b). Children’s meal patterns have changed over a 21-year period: The Bogalusa Heart Study. Journal of American Dietetic Association, 104, 753–761.Google Scholar
  34. 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 American Medical Association, 295, 1549–1555.CrossRefGoogle Scholar
  35. Pate, R. R., Pratt, M., Blair, S. N., Haskell, W. L., Macera, C. A., & Bouchard, C. (1995). Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. Journal of American Medical Association, 273, 402–407.CrossRefGoogle Scholar
  36. Pate, R. R., Ward, D. S., Saunders, R. P., Felton, G., Dishman, R. K., & Dowda, M. (2005). Promotion of physical activity in high school girls: A randomized controlled trial. American Journal of Public Health, 95, 1582–1587.CrossRefPubMedGoogle Scholar
  37. Prochaska, J. J., & Sallis, J. F. (2004). A randomized controlled trial of single versus multiple health behavior change: Promoting physical activity and nutrition among adolescents. Health Psychology, 23, 314–318.CrossRefPubMedGoogle Scholar
  38. Sääkslahti, A., Numminen, P., Salo, P., Tuominen, J., Helenius, H., & Välimäki, I. (2004). Effects of a three-year intervention on children’s physical activity from age 4 to 7. Pediatric Exercise Science, 16, 167–80.Google Scholar
  39. Saelens, B. F., Sallis, J. F., Wilfey, D. E., Patrick, K., Cella, J. A., & Buchta, R. (2002). Behavioral weight control for overweight adolescents initiated in primary care. Obesity Research, 10, 22–32.CrossRefPubMedGoogle Scholar
  40. Sallis, J. F., McKenzie, T. L., Conway, T. L., Elder, J. P., Prochaska, J. J., Brown, M., et al. (2003). Environmental interventions for eating and physical activity: A randomized controlled trial in middle schools. American Journal of Preventive Medicine, 24, 209–217.CrossRefPubMedGoogle Scholar
  41. Salmon, J., Booth, M. L., Phongsavan, P., Murphy, N., & Timperio, A. (2007). Promoting physical activity among children and adolescents. Epidemiological Reviews, 29, 144–159.CrossRefGoogle Scholar
  42. Savoye, M., Shaw, M., Dziura, J., Tamborlane, W. V., Rose, P., Guandalini, C., et al. (2007). Effects of a weight management program on body composition and metabolic parameters in overweight children: A randomized controlled trial. JAMA, 297, 2967–2704.CrossRefGoogle Scholar
  43. Snethen, J. A., Broome, M. E., & Cashin, S. E. (2006). Effective weight loss for overweight children: A meta-analysis of intervention studies. Journal of Pediatric Nursing, 21, 45–56.CrossRefPubMedGoogle Scholar
  44. Stice, E., Shaw, H., & Marti, C. N. (2006). A meta-analytic review of obesity prevention programs for children and adolescents: The skinny on interventions that work. Psychological Bulletin, 132, 667–691.CrossRefPubMedGoogle Scholar
  45. Taylor, R. W., McAuley, K. A., Barbezat, W., Strong, A., Williams, S. M., & Mann, J. I. (2007). APPLE Project: 2-y findings of a community-based obesity prevention program in primary school-age children. American Journal of Clinical Nutrition, 86, 735–742.PubMedGoogle Scholar
  46. Taylor, W. C., & Sallis, J. F. (1997). Determinants of physical activity in children. In A. P. Simopoulos & K. N. Pavlou, (Eds.), Nutrition and fitness: Metabolic and behavioral aspects in health and disease (pp. 159–167). Washington, DC: American Psychological Association.CrossRefGoogle Scholar
  47. Thomas, H. (2006). Obesity prevention programs for children and youth: Why are their results so modest? Health Education Research, 21, 783–795.CrossRefPubMedGoogle Scholar
  48. Tsiros, M. D., Sinn, N., Coates, A. M., Howe, P. R. C., & Buckley, J. D. (2008). Treatment of adolescent overweight and obesity. European Journal of Pediatrics, 167, 9–16.CrossRefPubMedGoogle Scholar
  49. US DHHS. (1999). Child health USA. Rockville, MD: Human Services.Google Scholar
  50. US DHHS. (2000). Healthy People 2010: Understanding and improving health, (2nd ed.). Washington, DC: U.S. Government Printing Office.Google Scholar
  51. van Sluijs, E. M. F., McMinn, A. M., & Griffin, S. J. (2008). Effectiveness of intervention to promote physical activity in children and adolescents: Systematic review of controlled trials. British Medical Journal, 335, 703–715.CrossRefGoogle Scholar
  52. Wabitsch, M. (2000). Overweight and obesity in European children: definition and diagnostic procedures, risk factors and consequences for later health outcome. European Journal of Pediatrics, 159, S8–S13.CrossRefPubMedGoogle Scholar
  53. Wadden, T. A., Stunkard, A. J., Rich, .L, Rubin, C. J., Sweidwl, G., & McKinney, S. (1990). Obesity in black adolescent girls: A controlled clinical trial of treatment by diet, behavior modification, and parental support. Pediatrics, 85, 345–352.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  1. 1.Department of Psychology, Barnwell CollegeUniversity of South CarolinaColumbiaUSA

Personalised recommendations