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CORE Tools and Patient Information: Kids’ Healthy Breakfasts 核心工具和患者信息:儿童健康早餐
Obesity management Pub Date : 2009-04-26 DOI: 10.1089/OBE.2009.0210
K. Gorman, S. Kirk
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引用次数: 0
Primary Care Perspective 初级保健观点
Obesity management Pub Date : 2009-02-16 DOI: 10.1089/OBE.2009.0102
T. L. McKnight, J. Herrin
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引用次数: 5
Tertiary care - surgical center perspective. 三级护理-外科中心视角。
Obesity management Pub Date : 2009-02-16 DOI: 10.1089/OBE.2009.0105
Wendy M Slusser, F. Frankel, D. DeUgarte
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引用次数: 1
Seven steps to success: a handout for parents of overweight children and adolescents. 成功的七个步骤:给超重儿童和青少年父母的讲义。
Obesity management Pub Date : 2009-02-16 DOI: 10.1089/OBE.2009.0107
D. Kirschenbaum, D. DeUgarte, F. Frankel, J. Germann, T. L. McKnight, P. Nieman, R. Sandler, Wendy M Slusser
{"title":"Seven steps to success: a handout for parents of overweight children and adolescents.","authors":"D. Kirschenbaum, D. DeUgarte, F. Frankel, J. Germann, T. L. McKnight, P. Nieman, R. Sandler, Wendy M Slusser","doi":"10.1089/OBE.2009.0107","DOIUrl":"https://doi.org/10.1089/OBE.2009.0107","url":null,"abstract":"© Mary Ann Liebert, Inc. February 2009 Obesity Management 29 The Expert Panel recommended four stages of treatment for overweight children (and their families).1 They used the principle of least intervention, starting slowly with a basic educational approach and then adding stages (steps) if necessary to achieve substantial improvement. That step-wise method is sensible and clear. However, we believe an expanded set of steps, from four to seven, will prove more useful, making it even clearer to parents of overweight children and teens what they can do to help their children. The seven steps defined below all make one very important assumption: pediatric obesity is a family affair. Parents who want their children to succeed must become fully involved, knowledgeable, and participate very actively in major lifestyle changes for themselves as well as their children. The illustration, “Seven Steps to Success,” can serve as a useful handout for the families with whom you work, summarizing seven levels of intensity of intervention. As shown in the illustration, each step could lead to favorable outcomes (notice the directional arrow pointing to “Health and Wellness” from each step), for some families some of the time. For example, by providing explicit feedback about BMI percentile and category (e.g., 97%–obese), clear suggestions for changing diet and activities, and appropriate parent guidebooks, some highly motivated families may be able to make substantial lifestyle changes and produce significant weight loss in their overweight children. However, most families with obese children or teens will find it necessary to go from the first step up to the second and often higher, adding levels of intensity to get the knowledge, skills, and support necessary to master this challenging problem. You will help your families with overweight children tremendously by doing what you can to promote an attitude of persistence. One, two, or even five steps may not produce healthier weights (and modified lifestyles), but you can make the following points:","PeriodicalId":88288,"journal":{"name":"Obesity management","volume":"5 1","pages":"29-32"},"PeriodicalIF":0.0,"publicationDate":"2009-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/OBE.2009.0107","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60513191","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}
引用次数: 18
Comprehensive Multidisciplinary Program Perspective 综合多学科项目视角
Obesity management Pub Date : 2009-02-16 DOI: 10.1089/OBE.2009.0103
J. Germann
{"title":"Comprehensive Multidisciplinary Program Perspective","authors":"J. Germann","doi":"10.1089/OBE.2009.0103","DOIUrl":"https://doi.org/10.1089/OBE.2009.0103","url":null,"abstract":"ment of child and adolescent overweight and obesity1,2 provide specific and detailed guidance for a staged approach to address childhood weight concerns in primary practice. During 6 years as the clinical director of the FitMatters Weight Control Program, a comprehensive multidisciplinary intervention (such as would be recommended in Stage 3 of the expert recommendations), in which the average child BMI was 45,3 it became evident that earlier interventions were needed to truly address the obesity epidemic. FitMatters implemented empirically supported behavioral approaches (problem solving, contingency management, environmental control),2 including child and parental self-monitoring.3,4 Many of the participants joined the program without prior basic interventions, and thus lacked basic knowledge about healthy habits and the risks of obesity. Because the program served primarily a low-income, minority population, additional barriers included numerous psychosocial stressors, which often impeded participation in the program and implementation of specific weight management strategies on a day-to-day basis. The combination of already being severely overweight for many years, the lack of a foundation of health knowledge, and numerous psychosocial barriers made it difficult for many participants to manage their weight successfully, despite the intensive intervention, although some were successful despite these barriers.3–6 Primary care settings are ideally poised to provide primary interventions for eliminating racial/ethnic and socioeconomic-associated health disparities7 (a goal of Healthy People 2010). Since obesity treatment is rarely reimbursed, economically disadvantaged families may not have access to expensive specialized treatment programs. A staged approach, which begins with assessment and education for all children and families, provides the opportunity to spread health messages to all families, regardless of weight status, at an early stage of the child’s life, hopefully before excessive weight is evident; provide basic education about health habits; and increase families’ awareness of the risks associated with excessive weight. Based on experience in a comprehensive, multidisciplinary program, the following is a perspective on the most and least valuable recommendations, as well as suggestions for improving the recommendations.","PeriodicalId":88288,"journal":{"name":"Obesity management","volume":"5 1","pages":"14-16"},"PeriodicalIF":0.0,"publicationDate":"2009-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/OBE.2009.0103","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60513095","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}
引用次数: 1
Review of Seven Popular Books on Pediatric Weight Loss 七本关于儿童减肥的畅销书综述
Obesity management Pub Date : 2009-02-16 DOI: 10.1089/OBE.2009.0109
K. Boutelle, Taya Cromley, Roxanne E. Rockwell
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引用次数: 3
Childhood Obesity Action Network’s Website: Answering the Key Question for Pediatric Healthcare Practitioners—“Where Should I Begin?” 儿童肥胖行动网络网站:回答儿科保健从业者的关键问题-“我应该从哪里开始?”
Obesity management Pub Date : 2009-02-16 DOI: 10.1089/OBE.2009.0108
K. Edwards
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引用次数: 0
Tertiary care - immersion program perspective. 三级护理浸入式方案的观点。
Obesity management Pub Date : 2009-02-16 DOI: 10.1089/OBE.2009.0104
D. Kirschenbaum, P. Nieman, R. Sandler, T. J. Brady
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引用次数: 2
2007 Expert Committee Recommendations About the Treatment of Pediatric Obesity 2007年专家委员会关于儿童肥胖治疗的建议
Obesity management Pub Date : 2009-02-16 DOI: 10.1089/OBE.2009.0100
D. Kirschenbaum
{"title":"2007 Expert Committee Recommendations About the Treatment of Pediatric Obesity","authors":"D. Kirschenbaum","doi":"10.1089/OBE.2009.0100","DOIUrl":"https://doi.org/10.1089/OBE.2009.0100","url":null,"abstract":"© Mary Ann Liebert, Inc. February 2009 Obesity Management 1 Epidemiologic analyses leave no doubt that we have witnessed a global epidemic of childhood and adolescent obesity over the past three decades. In the United States, prevalence rates of overweight and obesity have tripled for children aged 6–19 (from approximately 10% to 34%) and projections suggest that by 2015, just 6 years from the date of this publication, that rate could quintuple—getting frighteningly close to 50%.1 Obesityassociated hospital costs (adjusted for inflation) more than tripled over just two of the prior decades (1979–1999),2 with far greater healthcare costs likely to emerge over the ensuing decades. The human costs, measured in terms of","PeriodicalId":88288,"journal":{"name":"Obesity management","volume":"5 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2009-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/OBE.2009.0100","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60513050","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}
引用次数: 1
Comments on the comments: Substantial agreement on three points and a couple of disagreements 对评论的评论:在三点上基本一致,但也有一些分歧
Obesity management Pub Date : 2009-02-01 DOI: 10.1089/OBE.2009.0106
D. Kirschenbaum, J. Germann, T. L. McKnight, Wendy M Slusser, F. Frankel
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引用次数: 0
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