Journal articles: 'Child weight management'

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El-Mubasher, Abeer, and Jennette L. Palcic. "Children and Families: Partners for Child Weight Management." Obesity Management 4, no. 3 (June 2008): 130–31. http://dx.doi.org/10.1089/obe.2008.0170.

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Pratt, Keeley J., Emily B. Hill, Haley M. Kiser, Catherine E. VanFossen, Ashlea Braun, Chris A. Taylor, and Colleen Spees. "Changes in Parent and Child Skin Carotenoids, Weight, and Dietary Behaviors over Parental Weight Management." Nutrients 13, no. 7 (June 29, 2021): 2227. http://dx.doi.org/10.3390/nu13072227.

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(1) The objective was to determine changes in parent–child (ages 7–18) dyad skin carotenoids spanning parental participation in a medical weight management program (WMP), and associations with parent BMI, child BMIz, fruit/vegetable intake, and family meals and patterns. (2) The study design was a longitudinal dyadic observational study with assessment at WMP initiation, mid-point (3-months), and conclusion (6-months). Twenty-three dyads initiated the study, 16 provided assessments at 3 months, and 11 at program conclusion. Associations between parent and child carotenoids (dependent variables) and parent BMI, child BMIz, increases in fruit/vegetable intake, and family meals and patterns were analyzed using Pearson’s correlations and independent samples t-tests. Repeated measures ANOVA assessed changes in weight status and carotenoids. (3) Parents experienced significant declines in BMI and skin carotenoid levels over 6 months. Parent and child carotenoids were correlated at each assessment. At initiation, parent BMI and carotenoids were inversely correlated, child carotenoids were associated with increased family meals, and never consuming an evening fast food or restaurant meal were associated with increased parent and child carotenoids. (4) Results demonstrate skin carotenoids are strongly correlated within dyads and may be associated with lower parental BMI and positive family meal practices.

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Leary, Janie M., Christa L. Ice, William A. Neal, and Lesley Cottrell. "Parent and child weight status predict weight-related behavior change." Journal of Communication in Healthcare 6, no. 2 (July 2013): 115–21. http://dx.doi.org/10.1179/1753807612y.0000000021.

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Williams, G. M. G., Maria Bredow, John Barton, Rebekah Pryce, and J. P. H. Shield. "Can foster care ever be justified for weight management?" Archives of Disease in Childhood 99, no. 3 (November 13, 2013): 297–99. http://dx.doi.org/10.1136/archdischild-2013-304654.

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Article nine of the UN Convention of the Rights of the Child states that ‘Children must not be separated from their parents unless it is in the best interests of the child.’ We describe the impact that placing a child into care can have on long-standing and intractable obesity when this is a component of a child safeguarding strategy. Significant weight loss was documented in a male adolescent following his placement into foster care due to emotional harm and neglect within his birth family. The child's body mass index (BMI) dropped from a peak of 45.6 to 35 over 18 months. We provide brief details of two further similar cases and outcomes. Childhood obesity is often not the sole concern during safeguarding proceedings. Removal from an ‘obesogenic’ home environment should be considered if failure by the parents/carers to address the obesity is a major cause for concern. It is essential that all other avenues have been explored before removing a child from his birth family. However, in certain circumstances we feel it may be justified.

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Odar Stough, Cathleen, Katrina Poppert Cordts, Meredith L. Dreyer Gillette, Kelsey Borner, Kelsey Dean, Sarah Hampl, James Peugh, and Ann M. Davis. "Caregiver hope and child outcomes following pediatric weight management programs." Children's Health Care 47, no. 2 (June 28, 2017): 184–97. http://dx.doi.org/10.1080/02739615.2017.1327357.

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Daniels, Stephen R. "Abnormal weight gain and weight management: Are carbohydrates the enemy?" Journal of Pediatrics 142, no. 3 (March 2003): 225–27. http://dx.doi.org/10.1067/mpd.2003.114.

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Goldschmidt, A. B., R. I. Stein, B. E. Saelens, K. R. Theim, L. H. Epstein, and D. E. Wilfley. "Importance of Early Weight Change in a Pediatric Weight Management Trial." PEDIATRICS 128, no. 1 (June 20, 2011): e33-e39. http://dx.doi.org/10.1542/peds.2010-2814.

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Upton, P., C. E. Taylor, D. M. Peters, R. Erol, and D. Upton. "The effectiveness of local child weight management programmes: an audit study." Child: Care, Health and Development 39, no. 1 (April 20, 2012): 125–33. http://dx.doi.org/10.1111/j.1365-2214.2012.01378.x.

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Kitscha, Catherine E., Kim Brunet, Anna Farmer, and Diana R. Mager. "Reasons for Non-Return to A Pediatric Weight Management Program." Canadian Journal of Dietetic Practice and Research 70, no. 2 (July 2009): 89–94. http://dx.doi.org/10.3148/70.2.2009.89.

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Purpose: Obesity in childhood has become a major public health concern because of increasing rates of overweight and obesity. To address this epidemic, effective dietetic interventions must be developed. We examined parent/caregiver and/or patient reasons for not returning for follow-up clinical care in the Alberta Health Services, Edmonton Area's Nutrition Services Pediatric Weight Management Program (NS PWMP) in Edmonton, Alberta. Methods: A qualitative telephone survey was developed to identify reasons for non-return to the NS PWMP. Face validity was evaluated by five pediatric registered dietitians (RDs). Results: The survey was administered to parents/caregivers of children or adolescents aged 2.5 to 14.2 years (n=21) who attended fewer than two appointments in the NS PWMP. The major reasons for non-return included physical barriers (scheduling, parking, location), organizational barriers (clinic environment), and program educational content (type of educational tools, the focus of lifestyle education on the individual rather than the family, physical activity interventions, and appropriateness of information for the parent or child). Conclusions: Development and delivery of effective dietetic interventions for children and adolescents at risk of overweight and obesity may be achieved by emphasizing skill building within the child and the family. Analysis of child and family feedback on clinical RD services is critical to optimization of care in a pediatric weight management program.

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Gorman, Kim. "Children’s Hospitals’ Weight Management Services." Childhood Obesity 7, no. 2 (April 2011): 155–57. http://dx.doi.org/10.1089/chi.2011.07.02.1013.webwatch.

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Davis, Ann M., Cathleen Odar Stough, William R. Black, Kelsey Dean, Marilyn Sampilo, Shanna Simpson, and Yasuko Landrum. "Outcomes of a weight management program conjointly addressing parent and child health." Children's Health Care 45, no. 2 (February 6, 2015): 227–40. http://dx.doi.org/10.1080/02739615.2014.979923.

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Kolotourou, Maria, Duncan Radley, Catherine Gammon, Lindsey Smith, Paul Chadwick, and Paul M. Sacher. "Long-Term Outcomes following the MEND 7–13 Child Weight Management Program." Childhood Obesity 11, no. 3 (June 2015): 325–30. http://dx.doi.org/10.1089/chi.2014.0092.

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Hayes, Jacqueline F., Lauren A. Fowler, Katherine N. Balantekin, Sophia A. Rotman, Myra Altman, and Denise E. Wilfley. "Child and family predictors of relative weight change in a low-income, school-based weight management intervention." Families, Systems, & Health 39, no. 2 (June 2021): 316–26. http://dx.doi.org/10.1037/fsh0000586.

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Bradbury, Daisy, Lorna Porcellato, Hannah Timpson, Gillian Turner, Shirley Goodhew, Ruth Young, Nabil Isaac, and Paula M. Watson. "Multiple stakeholder views of pre-school child weight management practices: A mixed-methods study." Health Education Journal 78, no. 7 (May 8, 2019): 798–811. http://dx.doi.org/10.1177/0017896919848019.

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Objective: With the increasing prevalence of unhealthy weight status in pre-school children, this study sought to understand pre-school child weight management practices in Blackburn with Darwen, UK, with a view to informing appropriate intervention strategies. Design: Mixed-methods study (semi-structured interviews, quantitative survey). Setting: Urban–rural borough with high ethnic diversity in the North West of England. Methods: Phase 1 involved 15 semi-structured interviews with public health/service managers, health professionals and children’s centre staff to explore current pre-school weight management practices, challenges and perceived training needs. Phase 2 involved a quantitative survey of multi-disciplinary health professionals ( n = 30) who work with pre-school children. Data were analysed thematically and perceived challenges organised into individual, interpersonal and organisational levels of the socio-ecological model. Results: Current pre-school child weight management practices appeared to be inconsistent, and staff were unable to locate clear protocols or referral pathways. Challenges most commonly related to individual family factors (e.g. families not perceiving child’s weight status to be a problem) and organisational factors (e.g. lack of time). Perceived training needs differed between professions and included body mass index calculation and interpretation, weight-related communication and pre-school nutrition/physical activity guidelines. Conclusion: Inconsistencies in practice and a lack of clear pathways limited pre-school child weight management practices in Blackburn with Darwen. Although many challenges were attributed as external to the individual, potential steps to help practitioners cope with these demands are outlined.

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Coccia, Carlo, Marco Pezzani, Guido E. Moro, and Iolanda Minoli. "Management of extremely low-birth-weight infants." Acta Paediatrica 81, s382 (October 1992): 10–12. http://dx.doi.org/10.1111/j.1651-2227.1992.tb12358.x.

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Woolford, Susan J., Bethany J. Sallinen, Sarah J. Clark, and Gary L. Freed. "Results From a Clinical Multidisciplinary Weight Management Program." Clinical Pediatrics 50, no. 3 (October 6, 2010): 187–91. http://dx.doi.org/10.1177/0009922810384845.

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Halvorson, Elizabeth E., and Joseph A. Skelton. "Appointment Attendance in a Pediatric Weight Management Clinic." Clinical Pediatrics 51, no. 9 (May 27, 2011): 888–91. http://dx.doi.org/10.1177/0009922811410876.

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Rice, Kerrilynn G., Riana B. Jumamil, Sarah M. Jabour, and Jennifer Kimberly Cheng. "Role of Health Coaches in Pediatric Weight Management." Clinical Pediatrics 56, no. 2 (July 20, 2016): 162–70. http://dx.doi.org/10.1177/0009922816645515.

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This study aims to describe patients’ and families’ perspectives regarding the ideal role and responsibilities of a health coach to facilitate pediatric weight management in the primary care setting. Systematic thematic analysis of semistructured interviews with overweight children and their parents was performed. The majority of participants self-identified as racial/ethnic minorities and were Medicaid eligible. Desired health coaching elements included ( a) customized support and encouragement, including goal setting and maintenance, cultural sensitivity, and consideration of budget and lifestyle; ( b) nutritional guidance, including meal planning, assistance obtaining healthy food, and education and counseling; and ( c) linkage to resources, including social services, physical activity support, and programs for children with special health care needs. We conclude that families’ specific needs should be holistically considered in the design of health coaching programs targeting pediatric obesity. Such support may help overcome social and financial barriers to changing health behaviors related to weight management.

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Ratcliff, Megan B., Perry A. Catlin, James L. Peugh, Robert M. Siegel, Shelley Kirk, and Leanne Tamm. "Psychosocial Screening Among Youth Seeking Weight Management Treatment." Clinical Pediatrics 57, no. 3 (July 11, 2017): 277–84. http://dx.doi.org/10.1177/0009922817715936.

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The objectives of this study were to identify rates of, and factors associated with, “at-risk” scores on a brief psychosocial screener among overweight/obese youth seeking weight management treatment, as well as concordance between youth and caregiver reports. A retrospective chart review of 1443 consecutive patients ages 4 to 18 years and their caregivers was conducted. Almost 1 in 4 youth with overweight/obesity presented with psychosocial symptoms in the at-risk range for significant mental health issues based on caregiver report on the Pediatric Symptom Checklist (PSC) and 1 in 6 based on youth self-report on the Youth Pediatric Symptom Checklist (Y-PSC). Concordance between caregiver and youth was fair (agreement 24% to 40%). Higher scores were associated with male sex and older age on the PSC and with indication of depressive disorder in the electronic medical record on the Y-PSC. Conducting a brief psychosocial screen in comprehensive weight management programs is feasible and clinically indicated.

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Lotrean, Lucia Maria, Ioana Popa, Mira Florea, Cecilia Lazea, Ana Maria Alexandra Stanescu, and Codruta Lencu. "Actual Weight, Perceived Weight and Desired Weight of Romanian School Children by Parents and Children." Medicina 57, no. 4 (April 1, 2021): 333. http://dx.doi.org/10.3390/medicina57040333.

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Background and Objectives: The perception of the body weight by children and parents influences the consequent actions undertaken for children’s body weight management. This study investigated the correspondence between objective evaluations of Romanian school children (actual weight) and perceptions about weight (perceived weight), preoccupation with body weight management (desired weight) and parents’ perceptions on children’s weight. Materials and Methods: A cross sectional study was performed among 344 children aged 11 to 14 and 147 parents from Cluj-Napoca, Romania. We made anthropometric measurements of children, and short questionnaires were completed by the children and the parents. Results: The results show that 3.8% of children were underweight, 68.3% had a normal weight and 27.9% were overweight. Of this sample, 61.5% of underweight children, 20% of normal weight children and 43.7% of overweight children had misperceptions about their weight. The percentage of parents who did not estimate their children’s weight correctly was 50%, 11.9% and 41.5%, respectively, for each of the three weight groups. The results of the logistic regression analyses showed that several factors were associated with the misclassification of their own body weight by the children, such as body mass index, gender, weight management practices, misclassification by the parents as well as parent–child discussions on these issues. Conclusions: Education for both Romanian parents and children is needed with regard to correctly identifying and managing children’ body weight.

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Golley, Rebecca K., Anthea M. Magarey, and Lynne A. Daniels. "Children's food and activity patterns following a six-month child weight management program." International Journal of Pediatric Obesity 6, no. 5-6 (October 2011): 409–14. http://dx.doi.org/10.3109/17477166.2011.605894.

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Darling, Katherine E., Elizabeth B. Ruzicka, Amy J. Fahrenkamp, Geoffrey E. Putt, and Amy F. Sato. "Parent-perceived barriers to child weight management: Measure validation in a clinical sample." Families, Systems, & Health 38, no. 2 (June 2020): 130–38. http://dx.doi.org/10.1037/fsh0000480.

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Shehu-Brovina, S., C. Chamay Weber, and F. Narring. "The weight of the weight! including the parents in the adolescent weight centered group follow up." European Psychiatry 26, S2 (March 2011): 1328. http://dx.doi.org/10.1016/s0924-9338(11)73033-4.

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The weight gain prevalence in child and adolescents is rapidly increasing and presents a major health problem with also the psychiatric impact. In Switzerland, one child of five is in weight excess. The parents of the obese adolescents are also in sufferance.In 2007, the Federal Commission aprouved the project of the Swiss Society of the Pediatrics, applied in the Geneva University Hospitals as Contrepoids - pediatric weight management programe. It includes the psycho-educative groups (14 to 18 groups), one or two sport activities a weak and the “parents” groups (8–14 groups).The effect of these programs is measured mainly by the weight evolution.As far as we know, there are no other criteria of the evaluation of these programs. Or, it is known that just à small number of these children regain their normal weight.PurposeTo explore the parents’ representations of te wheight problem after one year To evaluate if this changement of the representations has un effect in the well being of the adolescents, their parents and their family relations.MethodsTwo focus groups were conducted at the end of a one year Family-Based Behavioural Treatment (FBBT) for obese teenagers (12–18 years), involving 16 parents. Four Open-ended questions were used.ResultsParents reported that the participation in a group program allowed them to reduce their sense of isolation. It helped them to decrease their sense of guilt and also in the transition from childhood to adolescence. Less attention was payed to the diet.

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Normand, Matthew P., and Joshua Logan Gibson. "Behavioral Approaches to Weight Management for Health and Wellness." Pediatric Clinics of North America 67, no. 3 (June 2020): 537–46. http://dx.doi.org/10.1016/j.pcl.2020.02.008.

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Rice, Jeffrey, David Thombs, Rick Leach, and Richard Rehm. "Successes and Barriers for a Youth Weight-Management Program." Clinical Pediatrics 47, no. 2 (March 2008): 143–47. http://dx.doi.org/10.1177/0009922807306168.

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Jalili, Firooz, Stewart Gordon, Melinda S. Sothern, Tom Ewing, John N. Udall, Robert M. Suskind, and Uwe Blecker. "Reproducibility of a multidisciplinary pediatric weight management program.† 550." Pediatric Research 41 (April 1997): 94. http://dx.doi.org/10.1203/00006450-199704001-00570.

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Drouin, Olivier, Mona Sharifi, Monica Gerber, Christine Horan, E. John Orav, Richard Marshall, and Elsie M. Taveras. "Parents’ Willingness to Pay for Pediatric Weight Management Programs." Academic Pediatrics 19, no. 7 (September 2019): 764–72. http://dx.doi.org/10.1016/j.acap.2019.05.124.

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Sallis, A., L. Porter, K. Tan, R. Howard, L. Brown, A. Jones, L. Ells, et al. "Improving child weight management uptake through enhanced National Child Measurement Programme parental feedback letters: A randomised controlled trial." Preventive Medicine 121 (April 2019): 128–35. http://dx.doi.org/10.1016/j.ypmed.2019.01.023.

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O’Brien, Daniel R., Vivian Szymczuk, and Cecilia A. Albaro. "Weight loss supplement causing acute heart block in a child." Cardiology in the Young 30, no. 1 (January 2020): 131–33. http://dx.doi.org/10.1017/s104795111900283x.

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AbstractA 16-year-old male was admitted to the paediatric ICU with acute onset of vomiting, somnolence, and chest pain, and electrocardiogram showing 2nd degree heart block after ingesting an Aleurites moluccana (Candlenut) seed as a herbal weight loss supplement. Electrocardiogram showed progressively worsening heart block with down-sloping of the ST segments, resembling digoxin toxicity. After 2 days of ICU observation, his symptoms began to improve and eventually resolved. The side effects of herbal supplements are often unknown but by analysing cases such as these, physicians can develop a better understanding of these substances to help guide management.

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Ibrahim, Chadi, Samer S. El-Kamary, Jason Bailey, and Diane M. St George. "Inaccurate Weight Perception Is Associated With Extreme Weight-Management Practices in US High School Students." Journal of Pediatric Gastroenterology and Nutrition 58, no. 3 (March 2014): 368–75. http://dx.doi.org/10.1097/mpg.0000000000000231.

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Kuhle, Stefan, Rachel Doucette, Helena Piccinini-Vallis, and Sara F. L. Kirk. "Successful childhood obesity management in primary care in Canada: what are the odds?" PeerJ 3 (October 13, 2015): e1327. http://dx.doi.org/10.7717/peerj.1327.

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Background.The management of a child presenting with obesity in a primary care setting can be viewed as a multi-step behavioral process with many perceived and actual barriers for families and primary care providers. In order to achieve the goal of behavior change and, ultimately, clinically meaningful weight management outcomes in a child who is considered obese, all steps in this process should ideally be completed. We sought to review the evidence for completing each step, and to estimate the population effect of secondary prevention of childhood obesity in Canada.Methods.Data from the 2009/2010 Canadian Community Health Survey and from a review of the literature were used to estimate the probabilities for completion of each step. A flow chart based on these probabilities was used to determine the proportion of children with obesity that would undergo and achieve clinically meaningful weight management outcomes each year in Canada.Results.We estimated that the probability of a child in Canada who presents with obesity achieving clinically meaningful weight management outcomes through secondary prevention in primary care is around 0.6% per year, with a range from 0.01% to 7.2% per year. The lack of accessible and effective weight management programs appeared to be the most important bottleneck in the process.Conclusions.In order to make progress towards supporting effective pediatric obesity management, efforts should focus on population-based primary prevention and a systems approach to change our obesogenic society, alongside the allocation of resources toward weight management approaches that are comprehensively offered, equitably distributed and robustly evaluated.

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Brown, Callie L., Keeley Pratt, Sarah Martin, Hannah Hulshult, and Joseph A. Skelton. "Weight Control Practices in Children of Parents Participating in Weight Management Programs." Childhood Obesity 15, no. 7 (October 1, 2019): 451–58. http://dx.doi.org/10.1089/chi.2019.0089.

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Cain, Kathryn S., Gail M. Cohen, Joseph A. Skelton, Lauren V. Crawford, and Callie L. Brown. "Assessing Parents' Communication of Weight and Weight Management from Clinic to Home." Childhood Obesity 16, no. 7 (October 1, 2020): 510–19. http://dx.doi.org/10.1089/chi.2019.0207.

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Bushman, Elisa T., Norris Thompson, Meredith Gray, Robin Steele, Sheri M. Jenkins, Alan T. Tita, and Lorie M. Harper. "Influence of Estimated Fetal Weight on Labor Management." American Journal of Perinatology 37, no. 03 (August 20, 2019): 252–57. http://dx.doi.org/10.1055/s-0039-1695011.

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Abstract Objective Prior studies suggest knowledge of estimated fetal weight (EFW), particularly by ultrasound (US), increases the risk for cesarean delivery. These same studies suggest that concern for macrosomia potentially alters labor management leading to increased rates of cesarean delivery. We aimed to assess if shortened labor management, as a result of suspected macrosomia (≥4,000 g), leads to an increased rate of cesarean delivery. Study Design This is a secondary analysis of a retrospective cohort study at a single tertiary center in 2015 of women with singleton pregnancies ≥36 weeks with documented EFW by US within 3 weeks or physical exam on admission. Women were excluded if an initial cervical exam was ≥6 cm or no attempt was made to labor. In addition, patients were excluded for the diagnosis of hypertension, diabetes, or prior cesarean delivery, as these comorbidities influence the use of US, labor management, and cesarean delivery independent of fetal weight. Patients were classified as EFW of ≥4,000 and <4,000 g. Secondary analysis examined the impact of US within 3 weeks of admission when compared with physical exam at the time of admission. The primary maternal outcomes were duration of labor and cesarean delivery. Duration of labor was evaluated as total time from 4 cm to delivery (with 4-cm dilation being a surrogate marker for active labor), length of time allowed from 4 cm until the first documented cervical change (or delivery), and time in second stage of labor (complete dilation to delivery). Cesarean delivery for arrest of labor was a secondary outcome. Student's t-test, Mann–Whitney U-test, chi-squared test, and Fisher's exact test were used for univariate data analysis as appropriate. Results Of 1,506 patients included, 54 (3.5%) had EFW of ≥4,000 g. Women with EFW of ≥4,000 g had a larger body mass index, higher fetal birth weight, were more likely to be undergoing induction of labor, had a more advanced gestational age, and were more likely to have had an US within 3 weeks of delivery. They were more likely to undergo cesarean delivery (29.6 vs. 9.3%, adjusted odds ratio [AOR]: 2.7, 95% confidence interval [CI]: 1.3–5.5) despite not having shortened labor times. When analyzing this population by method of obtaining EFW, those with EFW based on US rather than external palpation were more likely to undergo cesarean delivery (13.1 vs. 7.9%, AOR: 1.5, 95% CI: 1.01–2.12), again without having shortened labor times. Conclusion EFW of ≥4,000 g and use of US to estimate fetal weight do not appear to shorten labor management despite being associated with an increased risk of cesarean delivery.

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Pratt, Keeley J., Joseph A. Skelton, Ihuoma Eneli, David N. Coliler, and Suzanne Lazorick. "Providers’ Involvement of Parents, Families, and Family Dynamics in Youth Weight Management Programs." Global Pediatric Health 5 (January 2018): 2333794X1881713. http://dx.doi.org/10.1177/2333794x18817134.

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Family-based interventions are the current standard for the treatment of pediatric obesity, yet the details of how providers are involving family members, and the barriers to family involvement, are largely unknown. The objective of this study is to describe how providers in pediatric weight management (PWM) involve family members, identify barriers to family involvement, and how they address challenging family dynamics. A cross-sectional survey was administered to PWM centers/clinics and their providers in the United States and Canada. Analyses included descriptive statistics at the participant (N = 71) and clinic/center (N = 47) levels. Providers indicated that they assessed patients and parents’ perspectives, not other family members, motivation, weight/medical history, dietary and activity behaviors, goals, and barriers. Providers also reported that they asked patients’ perspectives about their parents’ aforementioned behaviors, and siblings’ dietary, activity, and sedentary/screen time behaviors, and weight/medical history. Providers reported that the balance between the patient and parent changed as children aged, with more focus given to the child, and less to the parent, as the child grew older. The most frequent barrier to involving family members in treatment included challenging family dynamics. The most challenging family dynamics were divorce/separation and parent-child conflicts. Providers often refer to and rely on mental/behavioral health providers to address barriers to family involvement and challenging family dynamics. Further research is needed to determine adequate provider training and comfort in dealing with family dynamics in treatment, and ways to mitigate barriers to involving families in PWM.

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Daley, Amanda J., Kate Jolly, Natalie Ives, Susan A. Jebb, Sarah Tearne, Sheila M. Greenfield, Lucy Yardley, et al. "Practice nurse-supported weight self-management delivered within the national child immunisation programme for postnatal women: a feasibility cluster RCT." Health Technology Assessment 25, no. 49 (August 2021): 1–130. http://dx.doi.org/10.3310/hta25490.

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Background Pregnancy is a high-risk time for excessive weight gain. The rising prevalence of obesity in women, combined with excess weight gain during pregnancy, means that there are more women with obesity in the postnatal period. This can have adverse health consequences for women in later life and increases the health risks during subsequent pregnancies. Objective The primary aim was to produce evidence of whether or not a Phase III trial of a brief weight management intervention, in which postnatal women are encouraged by practice nurses as part of the national child immunisation programme to self-monitor their weight and use an online weight management programme, is feasible and acceptable. Design The research involved a cluster randomised controlled feasibility trial and two semistructured interview studies with intervention participants and practice nurses who delivered the intervention. Trial data were collected at baseline and 3 months later. The interview studies took place after trial follow-up. Setting The trial took place in Birmingham, UK. Participants Twenty-eight postnatal women who were overweight/obese were recruited via Birmingham Women’s Hospital or general practices. Nine intervention participants and seven nurses were interviewed. Interventions The intervention was delivered in the context of the national child immunisation programme. The intervention group were offered brief support that encouraged self-management of weight when they attended their practice to have their child immunised at 2, 3 and 4 months of age. The intervention involved the provision of motivation and support by nurses to encourage participants to make healthier lifestyle choices through self-monitoring of weight and signposting to an online weight management programme. The role of the nurse was to provide regular external accountability for weight loss. Women were asked to weigh themselves weekly and record this on a record card in their child’s health record (‘red book’) or using the online programme. The behavioural goal was for women to lose 0.5–1 kg per week. The usual-care group received a healthy lifestyle leaflet. Main outcome measures The primary outcome was the feasibility of a Phase III trial to test the effectiveness of the intervention, as assessed against three traffic-light stop–go criteria (recruitment, adherence to regular self-weighing and registration with an online weight management programme). Results The traffic-light criteria results were red for recruitment (28/80, 35% of target), amber for registration with the online weight loss programme (9/16, 56%) and green for adherence to weekly self-weighing (10/16, 63%). Nurses delivered the intervention with high fidelity. In the qualitative studies, participants indicated that the intervention was acceptable to them and they welcomed receiving support to lose weight at their child immunisation appointments. Although nurses raised some caveats to implementation, they felt that the intervention was easy to deliver and that it would motivate postnatal women to lose weight. Limitations Fewer participants were recruited than planned. Conclusions Although women and practice nurses responded well to the intervention and adherence to self-weighing was high, recruitment was challenging and there is scope to improve engagement with the intervention. Future work Future research should focus on investigating other methods of recruitment and, thereafter, testing the effectiveness of the intervention. Trial registration Current Controlled Trials ISRCTN12209332. Funding This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 25, No. 49. See the NIHR Journals Library website for further project information.

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Zahn, Kristen, Quazi Ibrahim, Geoff D. C. Ball, Annick Buchholz, Jill Hamilton, Josephine Ho, Anne-Marie Laberge, et al. "Variability in How Canadian Pediatric Weight Management Clinics Deliver Care: Evidence from the CANadian Pediatric Weight Management Registry." Childhood Obesity 17, no. 6 (September 1, 2021): 420–26. http://dx.doi.org/10.1089/chi.2021.0011.

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Darling, Katherine E., Amy F. Sato, Manfred van Dulmen, Christopher Flessner, and Geoffrey Putt. "Development of a Measure to Assess Parent Perceptions of Barriers to Child Weight Management." Childhood Obesity 14, no. 2 (February 2018): 89–98. http://dx.doi.org/10.1089/chi.2017.0171.

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Staiano, Amanda E., Jenelle R. Shanley, Holly Kihm, Keely R. Hawkins, Shannon Self-Brown, Christoph Höchsmann, Melissa C. Osborne, Monique M. LeBlanc, John W. Apolzan, and Corby K. Martin. "Digital Tools to Support Family-Based Weight Management for Children: Mixed Methods Pilot and Feasibility Study." JMIR Pediatrics and Parenting 4, no. 1 (January 7, 2021): e24714. http://dx.doi.org/10.2196/24714.

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Background Family-based behavioral therapy is an efficacious approach to deliver weight management counseling to children and their parents. However, most families do not have access to in-person, evidence-based treatment. We previously developed and tested DRIVE (Developing Relationships that Include Values of Eating and Exercise), a home-based parent training program to maintain body weight among children at risk for obesity, with the intent to eventually disseminate it nationally alongside SafeCare, a parent support program that focuses on parent-child interactions. Currently the DRIVE program has only been tested independently of SafeCare. This study created the “mHealth DRIVE” program by further adapting DRIVE to incorporate digital and mobile health tools, including remotely delivered sessions, a wireless scale that enabled a child-tailored weight graph, and a pedometer. Telehealth delivery via mHealth platforms and other digital tools can improve program cost-effectiveness, deliver long-term care, and directly support both families and care providers. Objective The objective of this study was to examine preliminary acceptability and effectiveness of the mHealth DRIVE program among children and parents who received it and among SafeCare providers who potentially could deliver it. Methods Study 1 was a 13-week pilot study of a remotely delivered mHealth family-based weight management program. Satisfaction surveys were administered, and height and weight were measured pre- and post-study. Study 2 was a feasibility/acceptability survey administered to SafeCare providers. Results Parental and child satisfaction (mean of 4.9/6.0 and 3.8/5.0, respectively) were high, and children’s (N=10) BMI z-scores significantly decreased (mean –0.14, SD 0.17; P=.025). Over 90% of SafeCare providers (N=74) indicated that SafeCare families would benefit from learning how to eat healthily and be more active, and 80% of providers reported that they and the families would benefit from digital tools to support child weight management. Conclusions Pediatric mHealth weight management interventions show promise for effectiveness and acceptability by families and providers. Trial Registration Clinicaltrials.gov NCT03297541, https://clinicaltrials.gov/ct2/show/NCT03297541.

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Bonham, Maxine P., Aimee L. Dordevic, Robert S. Ware, Leah Brennan, and Helen Truby. "Evaluation of a Commercially Delivered Weight Management Program for Adolescents." Journal of Pediatrics 185 (June 2017): 73–80. http://dx.doi.org/10.1016/j.jpeds.2017.01.042.

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Perez, Arnaldo J., Maryna Yaskina, Katerina Maximova, Maryam Kebbe, Chenhui Peng, Tanmay Patil, Charlene Nielsen, et al. "Predicting Enrollment in Multidisciplinary Clinical Care for Pediatric Weight Management." Journal of Pediatrics 202 (November 2018): 129–35. http://dx.doi.org/10.1016/j.jpeds.2018.06.038.

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Thomason, Diane L., Nada Lukkahatai, Jennifer Kawi, Kirsten Connelly, and Jillian Inouye. "A Systematic Review of Adolescent Self-Management and Weight Loss." Journal of Pediatric Health Care 30, no. 6 (November 2016): 569–82. http://dx.doi.org/10.1016/j.pedhc.2015.11.016.

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Gorecki, Michelle C., Joseph M. Feinglass, and Helen J. Binns. "Characteristics Associated with Successful Weight Management in Youth with Obesity." Journal of Pediatrics 212 (September 2019): 35–43. http://dx.doi.org/10.1016/j.jpeds.2019.05.039.

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Byrne, Jillian L. S., Kathleen O’Connor, Chenhui Peng, Cailyn L. Morash, and Geoff D. C. Ball. "Weight up? Changes in children’s anthropometry from time of referral to baseline assessment for paediatric weight management." Paediatrics & Child Health 23, no. 6 (January 11, 2018): 377–82. http://dx.doi.org/10.1093/pch/pxx191.

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Kim, Kisook, and Yoonyoung Lee. "Family-based child weight management intervention in early childhood in low-income families: A systematic review." Journal of Child Health Care 24, no. 2 (May 5, 2019): 207–20. http://dx.doi.org/10.1177/1367493519847036.

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Child obesity is more common in low-income families. Early childhood is highly influenced by the family-based environment that mostly includes parents. This systematic review synthesized and examined the effects of family-based intervention for early childhood (two to five years) weight management among low-income families. Electronic databases (MEDLINE, Cumulative Index to Nursing and Allied Health Literature, EMBASE, Cochrane electronic databases, and Google scholar databases) and published literature were searched for empirical studies and seven articles were included based on inclusion criteria. For each study, quality assessment, data extraction, and synthesis were conducted as guidelines Cochrane and Preferred Reporting Items for Systematic Reviews and Meta-Analyses. In four randomized controlled trials, two before and two after intervention studies, and one quasi-experimental study, 890 participants were included in the family-based child weight management intervention. There was significant reduction in early childhood weight in four studies. The evidence for revealing the effect of family-based intervention was insufficient and inconsistent. However, the findings suggest limitations of family-based children weight management intervention in low-income families and could contribute as an indicator for future effective intervention development.

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Owings, Elizabeth, and Keith Georgeson. "Management of Cholestasis in Infants With Very Low Birth Weight." Seminars in Pediatric Surgery 9, no. 2 (May 2000): 96–102. http://dx.doi.org/10.1016/s1055-8586(00)70024-2.

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Grimes-Robison, Cindy, and Retta R. Evans. "Benefits and barriers to medically supervised pediatric weight-management programs." Journal of Child Health Care 12, no. 4 (December 2008): 329–43. http://dx.doi.org/10.1177/1367493508096319.

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Miller, Margaret, Lydia Hearn, Paige van der Pligt, Jane Wilcox, and Karen J. Campbell. "Preventing maternal and early childhood obesity: the fetal flaw in Australian perinatal care." Australian Journal of Primary Health 20, no. 2 (2014): 123. http://dx.doi.org/10.1071/py13080.

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Almost half of Australian women of child-bearing age are overweight or obese, with a rate of 30–50% reported in early pregnancy. Maternal adiposity is a costly challenge for Australian obstetric care, with associated serious maternal and neonatal complications. Excess gestational weight gain is an important predictor of offspring adiposity into adulthood and higher maternal weight later in life. Current public health and perinatal care approaches in Australia do not adequately address excess perinatal maternal weight or gestational weight gain. This paper argues that the failure of primary health-care providers to offer systematic advice and support regarding women’s weight and related lifestyle behaviours in child-bearing years is an outstanding ‘missed opportunity’ for prevention of inter-generational overweight and obesity. Barriers to action could be addressed through greater attention to: clinical guidelines for maternal weight management for the perinatal period, training and support of maternal health-care providers to develop skills and confidence in raising weight issues with women, a variety of weight management programs provided by state maternal health services, and clear referral pathways to them. Attention is also required to service systems that clearly define roles in maternal weight management and ensure consistency and continuity of support across the perinatal period.

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Twiddy, Maureen, Inga Wilson, Maria Bryant, and Mary Rudolf. "Lessons learned from a family-focused weight management intervention for obese and overweight children." Public Health Nutrition 15, no. 7 (January 5, 2012): 1310–17. http://dx.doi.org/10.1017/s1368980011003211.

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AbstractObjectiveTreatment for childhood obesity is characterised by high attrition rates and failure to achieve weight maintenance. It is therefore important to develop more effective programmes. The aim of the present qualitative study was to explore the views of parents, children and health trainers to identify issues which can inform the development of more effective programmes.DesignA qualitative study combining in-depth interviews and focus groups. Participants were selected purposively from current and past attendees.SettingWATCH-IT, a UK-based community child weight management programme.SubjectsTwenty-three families who had previously attended (or were currently attending) WATCH-IT were interviewed. Focus groups with ten trainers explored their views of the intervention.ResultsParents and children had different goals for involvement, with parents focusing on psychological benefits, while children concentrated on goals relating to weight loss and physical fitness. Parents were found to struggle to provide consistent support to their children and this was exacerbated by family dynamics. The child's commitment to lose weight, support from their family and a good relationship between the child and their trainer were viewed as important keys to successful weight management.ConclusionsThe study will guide the design of existing and future programmes by providing insights into issues that challenge successful engagement. It highlights the possible value of exploring the therapeutic relationship between trainers and participants.

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Skelton, Joseph A., David C. Goff, Edward Ip, and Bettina M. Beech. "Attrition in a Multidisciplinary Pediatric Weight Management Clinic." Childhood Obesity 7, no. 3 (June 2011): 185–93. http://dx.doi.org/10.1089/chi.2011.0010.

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Journal articles on the topic 'Child weight management'

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