Pediatric Weight Management

Pediatric Overweight (PWM) Systematic Review (2011-2012)

Welcome to the Pediatric Weight Management project site.  Highlights from this project include:
  • Target audience is children.
  • Systematic reviews from the Childhood Oberweight Project (2006-2007) and Pediataric Overweight Project (2005-2006)
  • Evidence-based guidelines were published in 2007 and updated in 2013.
  • Expand the Project Resource section below for products developed from these projects.


 
  • Project Team - Pediatric Overweight
    The following individuals contributed their valuable time and expertise to this project:

    Workgroup Members
    • Healther Holden, MEd, RD, LDN, Chair
    • Linda Arpino, MA, RD, CDN
    • Nancy Copperman, MS, RD, CDN
    • Dana Gerstein,MPH, RD
    • Beverly Henry, PhD, RD, LDn
    • Jodie Shield, MEd, RD
    Project Managers
    • J. Scott Parrott, PhD
    • Mei Chung, PhD, MPH
    Evidence Analysts
    • Carol Klitzke, MS, RD
    • Ellen K. Bowser, MS, LDN, CSP
    • Elizabeth Droke, PhD, RD
    Association Positions Committee Workgroup
    • Carol Berg Sloan, RD
    • Diane Sowa, MBA, RD
    • Karen P. Lacey, MS, RD, CD
    Academy Staff
    • Deborah Cummins, PhD
    • Kari Kren, MPH, RD
    • Marla Richards, MS, RD, LD
    • Joan Schwaba, MS, RD, LDN
    • Esther Myers, PhD, RD
    Financial Contributor
    • Academy of Nutrition and Dietetics

    Disclosures of Potential Conflicts of Interest: In the interest of full disclosure, the Academy has adopted the policy of revealing relationships workgroup members have with companies that sell products or services that are relevant to this topic. Workgroup members are required to disclose potential conflicts of interest by completing the Academy Conflict of Interest Form. It should not be assumed that these financial interests will have an adverse impact on the content, but they are noted here to fully inform readers.
    • None of the workgroup members listed above disclosed potential conflicts

     
  • Project Team - Childhood Overweight
    The following individuals contributed their valuable time and expertise to this project:

    Workgroup Members (Treatment)
    • Christina W. Biesemeier, MS, RD, LD, FADA, Chair
    • Joyce B. Bittle, PhD, RD, LDN
    • Nancy Copperman, MS, RD, CND
    • Heather S. Holden, Med RD, LD, CDE
    • Shelley Kirk, PhD, RD, LD
    • Aida C. G. Miles, MMSc, RD, LD
    • Lorrene D. Ritchie, PhD, RD
    • Denise Sofka, MPH, RD
    Workgroup Members (Prevention)
    • Patricia B. Crawford, DrPH, RD
    • Dana E. Gerstein, MPH, RD
    • Karen E. Peterson, PhD, RD
    • Lorrene D. Ritchie, PhD, RD
    • Greg Welk, PhD
    Project Directors
    • J. Scott Parrott, PhD
    • Esther F. yers, PhD, RD
    Evidence Analysts
    • Debby K. Demory-Luce, PhD, RD, LD
    • Michelle Ihmels, MS
    • Sarah Kim , MPH
    • Sarah Krathwohl, MPH
    • Jodee Schaben, PhD
    Position Paper Authors
    • Lorrene D. Ritchie, PhD, RD
    • Patricia B. Crawford, DrPH, RD
    • Deanna M. Hoelscher, PhD, RD
    • Melinda S. Sothern, PhD
    Academy Staff
    • Deborah Cummins, PhD
    • Cathy Devlin, RD
    • Kari Kren, MPH, RD
    • Esther F. Myers, PhD, RD
    Financial Contributors
    • Academy of Nutrition and Dietetics 
    • Academy of Nutrition and Dietetics Foundation
    • Centers for Disease Control and Prevention
    • Dairy Management, Inc.
    • National Dairy Council


    Disclosures of Potential Conflicts of Interest: In the interest of full disclosure, the Academy has adopted the policy of revealing relationships workgroup members have with companies that sell products or services that are relevant to this topic. Workgroup members are required to disclose potential conflicts of interest by completing the Academy Conflict of Interest Form. It should not be assumed that these financial interests will have an adverse impact on the content, but they are noted here to fully inform readers.
    • None of the workgroup members listed above disclosed potential conflicts.
  • Project Team - Pediatric Weight Management
    The following individuals contributed their valuable time and expertise to this project:

    Workgroup Members
    • Christina W. Biesemeier, MS, RD, LD, FADA, Chair
    • Joyce B. Bittle, PhD, RD, LDN
    • Nancy M. Copperman, MS, RD, CND
    • Heather S. Holden, RD, LDN
    • Shelley Kirk, PhD, RD, LD
    Project Manager/Lead Analyst
    • J. Scott Parrott, PhD
    Evidence Analysts
    • Lisa A. Davis, MS, RD
    • Debby K. Demory-Luce, PhD, RD, LD
    • Sarah Krathwohl, MPH
    Association Positions Committee Workgroup
    • Lorrene D. Ritchie, PhD, RD
    • Denise Sofka, MPH
    Guideline Reviewers
    • William H. Dietz, MD, PhD
    • David Frankenfield, MS, RD
    • Marion J. Franz, MS, RD, CDE
    • M. Patricia Fuhrman, MS, RD, LD, FADA
    • Van S. Hubbard, MD, PhD
    • Marc S. Jacobson, MD
    • Donna B. Johnson, PhD, RD
    • Elvira Q. Johnson, MS, RD, CDE, LDN
    • Rita M. Johnson, PhD, RD, LDN, FADA
    • Capt. Audrey M. Koertvelsyessy, MSN, MA, FNP
    • Nancy M. Lewis, PhD, RD, FADA
    • Kathleen C. Niedert, MBA, RD, LD, FADA
    • Kimberly Robien, PhD, RD, FADA, CNSD
    • Dennis Styne, MD
    • Margaret J. Tate, MS, RD
    Academy Staff
    • Deborah Cummins, PhD
    • Kari Kren, MPH, RD
    • Esther F. Myers, PhD, RD
    Financial Contributor
    • Academy of Nutrition and Dietetics

    Disclosures of Potential Conflicts of Interest: In the interest of full disclosure, the Academy has adopted the policy of revealing relationships workgroup members have with companies that sell products or services that are relevant to this topic. Workgroup members are required to disclose potential conflicts of interest by completing the Academy Conflict of Interest Form. It should not be assumed that these financial interests will have an adverse impact on the content, but they are noted here to fully inform readers.
    • Nancy M. Copperman - recieved and honorarium for the Certificate of Training in Child and Adolescent Weight Managaement Course.
    • Lorrene ritchie - received grants/resarch support from Iacocca Foundation, Atkins Foundation, Gilbert

  • Project Resources
    The following resources were developed from these projects:
     
    • Postion Paper: Interventions for the Prevention and TGreatment of Pediatric Overweight and Obesity - Abstract:  It is the position of the Academy of Nutrition and Dietetics that prevention and treatment of pediatric overweight and obesity require systems-level approaches that include the skills of registered dietitians, as well as consistent and integrated messages and environmental support across all sectors of society to achieve sustained dietary and physicalactivity behavior change. This position paper provides guidance and recommendations for levels of intervention targeting overweight and obesity prevention and treatment from preschool age through adolescence. Methods included a review of the literature from 2009 to April 2012, including the Academy’s 2009 evidence analysis school-based reviews. Multicomponent interventions show the greatest impact for primary prevention; thus, early childhood and school-based interventions should integrate behavioral and environmental approaches that focus on dietary intake and physical activity using a systems-level approach targeting the multilevel structure of the socioecological model as well as interactions and relationships between levels. Secondary prevention and tertiary prevention/treatment should emphasize sustained family-based, developmentally appropriate approaches that include nutrition education, dietary counseling, parenting skills, behavioral strategies, and physical-activity promotion. For obese youth with concomitant serious comorbidities, structured dietary approaches and pharmacologic agents should be considered, and weight-loss surgery can be considered for severely obese adolescents. Policy and environmental interventions are recommended as feasible and sustainable ways to support healthful lifestyles for children and families. The Academy supports commitment of resources for interventions, policies, and research that promote healthful eating and physical-activity behaviors to ensure that all youth have the opportunity to achieve and maintain a weight that is optimal for health.  J Acade Nutr Diet 2013;113:1375-1394 (PDF)
       
    • Position of the American Dietetic Association: Individual, Family, School and Community-based Intervention Programs for Pediatric Overweight - Abstract: The American Dietetic Association (ADA), recognizing that overweight is a significant problem for children and adolescents in the United States, takes the position that pediatric overweight
      intervention requires a combination of family-based and school-based multicomponent programs that include the promotion of physical activity, parent training/modeling, behavioral counseling, and nutrition education. Furthermore, although not yet evidence-based, community-based and environmental interventions are recommended as among the most feasible ways to support healthful lifestyles for the greatest numbers of children and their families. ADA supports the commitment of resources for programs, policy development, and research for the efficacious promotion of healthful eating habits and increased physical activity in all children and adolescents, regardless of weight status. This is the first position paper of ADA to be based on a rigorous systematic evidence-based analysis of the pediatric
      overweight literature on intervention programs. The research showed positive effects of two specific kinds of overweight interventions: a) multicomponent, family-based programs for children between the ages of 5 and 12 years, and b) multicomponent, school-based programs for adolescents. Multicomponent programs include behavioral counseling, promotion of physical activity, parent training/modeling, dietary counseling, and nutrition education. Analysis of the literature to date points to the need for further investigation of promising strategies not yet adequately evaluated. Furthermore, this review highlights the need for research to develop effective and innovative overweight prevention programs for various sectors of the population, including those of varying ethnicities, young children, and  adolescents. To support and enhance the efficacy of family- and school-based weight interventions, community-wide interventions should be undertaken; few such interventions have been conducted and even fewer evaluated. J Am Diet Assoc. 2006;106:925-945. (PDF)
       
    • Fighting Childhood Obesity - How to Achieve and Maintain a Healthy Weight in Children and Teens - This brochure, designed for the general public, provides practical tips to encurage healthy eating habits in children. It includes a comprehensive list of resources.  Click to order.
       
    • Pediatric Weight Management Toolkit - this toolkit is designed to assist the registered dietitian in applying the Academy's Pediatric Weight Management Evidence-Based Nutrition Practice Guideline. The toolkit includes resources such as the MNT summary of recommendations for critical illness, MNT encounter process, MNT protocol, sample documentation forms, client education resources an doutcomes monitoring forms. It also incorporates the Academy Nutrition Care Process and Standardized Language for patient/client care.  Click to order.
       
    • PWM Guideline Presentation - this 76-slide MS PowerPoint presentation includes all the recommendations and ratings of the Critical Illness 2012 Evidence-based Nutrition Practice Guideline. Ideal for you to use for meetings, in-service presentations and classes (not designed for the consumer). Click to order.