Acknowledgments
This evidence summary was funded by the Agency for Healthcare Research and Quality (AHRQ) for the U.S. Preventive Services Task Force (USPSTF). The investigators acknowledge the contributions of Daphne Plaut, M.L.S.; Tracy Beil, M.S.; Betsy Garlitz, M.D.; and Kevin Lutz, M.F.A., for their assistance in the preparation of this manuscript. The authors also acknowledge the reviewers of the full evidence report for their contributions to this project. The authors also relied on guidance from the USPSTF members at key points throughout the review process: Janet Allan, Ph.D., R.N., C.S., FAAN; Mark Johnson, M.D., M.P.H.; Jonathan Klein, M.D., M.P.H.; Virginia Moyer, M.D., M.P.H.; Judith Ockene, Ph.D.; and Steven Teutsch, M.D., M.P.H.; and former USPSTF member, C. Tracy Orleans, Ph.D.
This study was conducted by the Oregon Evidence-based Practice Center under contract to the Agency for Healthcare Research and Quality (AHRQ) Contract No. 290-02-0024, Rockville, MD.
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References
1. Flegal KM. The obesity epidemic in children and adults: current evidence and research issues. Med Sci Sports Exerc 1999; 31(11 Suppl):S509-S514.
2. Kohn M, Booth M. The worldwide epidemic of obesity in adolescents. Adolescent Medicine State of the Art Reviews 2003; 14(1):1-9.
3. Sokol RJ. The chronic disease of childhood obesity: the sleeping giant has awakened. J Pediatr 2000; 136(6):711-3.
4. Lobstein T, Baur L, Uauy R. Obesity in children and young people: a crisis in public health. Obes Rev 2004; 5 Suppl 1:4-85.:4-85.
5. Barlow SE, Dietz WH. Obesity evaluation and treatment: Expert Committee recommendations. The Maternal and Child Health Bureau, Health Resources and Services Administration and the Department of Health and Human Services. Pediatrics 1998; 102(3):E29.
6. Himes JH, Dietz WH. Guidelines for overweight in adolescent preventive services: recommendations from an expert committee. The Expert Committee on Clinical Guidelines for Overweight in Adolescent Preventive Services. Am J Clin Nutr 1994; 59(2):307-16.
7. Troiano RP, Flegal KM. Overweight children and adolescents: description, epidemiology, and demographics. Pediatrics 1998; 101(3 Pt 2):497-504.
8. Koplan JP, Dietz WH. Caloric imbalance and public health policy. JAMA 1999; 282(16):1579-81.
9. Dwyer JT, Stone EJ, Yang M, Webber LS, Must A, Feldman HA, et al. Prevalence of marked overweight and obesity in a multiethnic pediatric population: findings from the Child and Adolescent Trial for Cardiovascular Health (CATCH) study. J American Dietetic Association 2000; 100(10):1149-56.
10. Must A, Strauss RS. Risks and consequences of childhood and adolescent obesity. Int J Obes Relat Metab Disord 1999; 23 Suppl 2:S2-11.:S2-11.
11. Must A. Morbidity and mortality associated with elevated body weight in children and adolescents. Am J Clin Nutr 1996; 63(3 Suppl):445S-447S.
12. Reilly JJ, Methven E, McDowell ZC, Hacking B, Alexander D, Stewart L, et al. Health consequences of obesity. Arch Dis Child 2003; 88(9):748-52.
13. Zametkin AJ, Zoon CK, Klein HW, Munson S. Psychiatric aspects of child and adolescent obesity: a review of the past 10 years. J Am Acad Child Adolesc Psychiatry 2004; 43(2):134-50.
14. Must A, Anderson SE. Effects of obesity on morbidity in children and adolescents. Nutr Clin Care 2003; 6(1):4-12.
15. Rodriguez MA, Winkleby MA, Ahn D, Sundquist J, Kraemer HC. Identification of population subgroups of children and adolescents with high asthma prevalence: findings from the Third National Health and Nutrition Examination Survey. Arch Pediatr Adolesc Med 2002; 156(3):269-75.
16. Kelsey JL. Epidemiology of slipped capital femoral epiphysis: a review of the literature. Pediatrics 1973; 51(6):1042-50.
17. Silvestri JM, Weese-Mayer DE, Bass MT, Kenny AS, Hauptman SA, Pearsall SM. Polysomnography in obese children with a history of sleep-associated breathing disorders. Pediatr Pulmonol 1993; 16(2):124-9.
18. Mallory GB, Jr., Fiser DH, Jackson R. Sleep-associated breathing disorders in morbidly obese children and adolescents. J Pediatr 1989; 115(6):892-7.
19. Tominaga K, Kurata JH, Chen YK, Fujimoto E, Miyagawa S, Abe I, et al. Prevalence of fatty liver in Japanese children and relationship to obesity. An epidemiological ultrasonographic survey. Dig Dis Sci 1995; 40(9):2002-9.
20. Franzese A, Vajro P, Argenziano A, Puzziello A, Iannucci MP, Saviano MC, et al. Liver involvement in obese children. Ultrasonography and liver enzyme levels at diagnosis and during follow-up in an Italian population. Dig Dis Sci 1997; 42(7):1428-32.
21. Chan DF, Li AM, Chu WC, Chan MH, Wong EM, Liu EK, et al. Hepatic steatosis in obese Chinese children. Int J Obes Relat Metab Disord 2004.
22. Rosenbloom AL, Joe JR, Young RS, Winter WE. Emerging epidemic of type 2 diabetes in youth. Diabetes Care 1999; 22(2):345-54.
23. Dabelea D, Hanson RL, Bennett PH, Roumain J, Knowler WC, Pettitt DJ. Increasing prevalence of Type II diabetes in American Indian children. Diabetologia 1998; 41(8):904-10.
24. Sinha R, Fisch G, Teague B, Tamborlane WV, Banyas B, Allen K, et al. Prevalence of impaired glucose tolerance among children and adolescents with marked obesity. N Engl J Med 2002; 346(11):802-10.
25. Freedman DS, Srinivasan SR, Berensen GS. Risk of cardiovascular complication. In: Burniat W, Cole T, Lissau I, Poskitt EME, editors. Child and Adolescent Obesity Causes and Consequences, Prevention and Management. Cambridge: Cambridge University Press, 2002: 221-39.
26. Cook S, Weitzman M, Auinger P, Nguyen M, Dietz WH. Prevalence of a metabolic syndrome phenotype in adolescents: findings from the third National Health and Nutrition Examination Survey, 1988-1994. Arch Pediatr Adolesc Med 2003; 157(8):821-7.
27. Weiss R, Dziura J, Burgert TS, Tamborlane WV, Taksali SE, Yeckel CW, et al. Obesity and the metabolic syndrome in children and adolescents. N Engl J Med 2004; 350(23):2362-74.
28. Dietz WH. Health consequences of obesity in youth: childhood predictors of adult disease. Pediatrics 1998; 101(3 Pt 2):518-25.
29. Figueroa-Colon R, Franklin FA, Lee JY, Aldridge R, Alexander L. Prevalence of obesity with increased blood pressure in elementary school-aged children. South Med J 1997; 90(8):806-13.
30. Dietz WH. Childhood weight affects adult morbidity and mortality. J Nutrition 1998; 128(2 Suppl):411S-414S.
31. French SA, Story M, Perry CL. Self-esteem and obesity in children and adolescents: a literature review. Obesity Res 1995; 3(5):479-90.
32. Strauss RS. Childhood obesity and self-esteem. Pediatrics 2000; 105(1):e15.
33. Strauss RS, Pollack HA. Social marginalization of overweight children. Arch Pediatr Adolesc Med 2003; 157(8):746-52.
34. U.S. Preventive Services Task Force. Guide to Clinical Preventive Services, 2nd ed. Washington, DC: Office of Disease Prevention and Health Promotion; 1996.
35. Harris RP, Helfand M, Woolf SH, Lohr KN, Mulrow CD, Teutsch SM, et al. Current methods of the U.S. Preventive Services Task Force: a review of the process. Am J Prev Med 2001; 20(3 Suppl):21-35.
36. Whitlock EP, Williams SB, Gold R, Smith P, Shipman S. Screening and Interventions for Childhood Overweight: A Systematic Review for the U.S. Preventive Services Task Force. Systematic Evidence Review, 2005. Rockville, MD, Agency for Healthcare Research and Quality. Available at http://www.preventiveservices.ahrq.gov.
37. Haddock CK, Shadish WR, Klesges RC, Stein RJ. Treatments for childhood and adolescent obesity. Ann Behav Med 1994; 16(3):235-44.
38. Epstein LH, Roemmich JN, Raynor HA. Behavioral therapy in the treatment of pediatric obesity. Pediatr Clin North Am 2001; 48(4):981-93.
39. Glenny AM, O'Meara S, Melville A, Sheldon TA, Wilson C. The treatment and prevention of obesity: a systematic review of the literature. Int J Obes Relat Metab Disord 1997; 21(9):715-37.
40. Summerbell CD, Ashton V, Campbell KJ, Edmunds L, Kelly S, Waters E. Interventions for treating obesity in children. Cochrane Database of Systematic Reviews 2003;(1).
41. Reilly JJ, Wilson ML, Summerbell CD, Wilson DC. Obesity: diagnosis, prevention, and treatment; evidence based answers to common questions. Arch Dis Child 2002; 86(6):392-4.
42. Reilly JJ, McDowell ZC. Physical activity interventions in the prevention and treatment of paediatric obesity: systematic review and critical appraisal. Proceedings of the Nutrition Society 2003; 62(3):611-9.
43. McLean N, Griffin S, Toney K, Hardeman W. Family involvement in weight control, weight maintenance and weight-loss interventions: a systematic review of randomised trials. Int J Obes Relat Metab Disord 2003; 27(9):987-1005.
44. Kuczmarski RJ. Trends in body composition for infants and children in the U.S. Crit Rev Food Sci Nutr 1993; 33(4-5):375-87.
45. Ogden CL, Flegal KM, Carroll MD, Johnson CL. Prevalence and trends in overweight among U.S. children and adolescents, 1999-2000. JAMA 2002; 288(14 Oct 9):1728-32.
46. Use and interpretation of anthropometric indicators of nutritional status. WHO Working Group. Bull World Health Organ 1986; 64(6):929-41.
47. Ogden CL, Carroll MD, Flegal KM. Epidemiologic trends in overweight and obesity. Endocrinology & Metabolism Clinics of North America 2003; 32(4):741-60, vii.
48. Kuczmarski RJ, Ogden CL, Guo SS, Grummer-Strawn LM, Flegal KM, Mei Z, et al. 2000 CDC Growth Charts for the United States: methods and development. Vital Health Stat 11 2002;(246):1-190.
49. Hedley AA, Ogden CL, Johnson CL, Carroll MD, Curtin LR, Flegal KM. Prevalence of overweight and obesity among US children, adolescents, and adults, 1999-2002. JAMA 2004; 291(23):2847-50.
50. Freedman DS, Khan LK, Serdula MK, Dietz WH, Srinivasan SR, Berenson GS. Inter-relationships among childhood BMI, childhood height, and adult obesity: the Bogalusa Heart Study. Int J Obes Relat Metab Disord 2004; 28(1):10-6.
51. Hulman S, Kushner H, Katz S, Falkner B. Can cardiovascular risk be predicted by newborn, childhood, and adolescent body size? An examination of longitudinal data in urban African Americans. J Pediatrics 1998; 132(1):90-7.
52. Wattigney WA, Webber LS, Srinivasan SR, Berenson GS. The emergence of clinically abnormal levels of cardiovascular disease risk factor variables among young adults: the Bogalusa Heart Study. Preventive Medicine 1995; 24(6):617-26.
53. Garn SM, Lavelle M. Two-decade follow-up of fatness in early childhood. Am J Dis Child 1985; 139(2):181-5.
54. Lauer RM, Clarke WR, Burns TL. Obesity in childhood: the Muscatine Study. Chung-Hua Min Kuo Hsiao Erh Ko i Hsueh Hui Tsa Chih 1997; 38(6):432-7.
55. Guo SS, Roche AF, Chumlea WC, Gardner JD, Siervogel RM. The predictive value of childhood body mass index values for overweight at age 35 y. Am J Clin Nutr 1994; 59(4):810-9.
56. Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH. Predicting obesity in young adulthood from childhood and parental obesity. N Engl J Med 1997; 337(13):869-73.
57. Freedman DS, Khan LK, Dietz WH, Srinivasan SR, Berenson GS. Relationship of childhood obesity to coronary heart disease risk factors in adulthood: the Bogalusa Heart Study. Pediatrics 2001; 108(3):712-8.
58. Guo SS, Wu W, Chumlea WC, Roche AF. Predicting overweight and obesity in adulthood from body mass index values in childhood and adolescence. Am J Clin Nutr 2002; 76(3):653-8.
59. Freedman DS, Shear CL, Burke GL, Srinivasan SR, Webber LS, Harsha DW, et al. Persistence of juvenile-onset obesity over eight years: the Bogalusa Heart Study. American JPublic Health 1987; 77(5):588-92.
60. Casey VA, Dwyer JT, Coleman KA, Valadian I. Body mass index from childhood to middle age: a 50-y follow-up. Am J Clin Nutr 1992; 56(1):14-8.
61. Lauer RM, Lee J, Clarke WR. Factors affecting the relationship between childhood and adult cholesterol levels: the Muscatine Study. Pediatrics 1988; 82(3):309-18.
62. Lauer RM, Clarke WR. Childhood risk factors for high adult blood pressure: the Muscatine Study. Pediatrics 1989; 84(4):633-41.
63. Clarke WR, Lauer RM. Does childhood obesity track into adulthood? Crit Rev Food Sci Nutr 1993; 33(4-5):423-30.
64. Valdez R, Greenlund KJ, Wattigney WA, Bao W, Berenson GS. Use of weight-for-height indices in children to predict adult overweight: the Bogalusa Heart Study. Int J Obes Relat Metab Disord 1996; 20(8):715-21.
65. Sinaiko AR, Donahue RP, Jacobs DR, Jr., Prineas RJ. Relation of weight and rate of increase in weight during childhood and adolescence to body size, blood pressure, fasting insulin, and lipids in young adults. The Minneapolis Children's Blood Pressure Study. Circulation 1999; 99(11):1471-6.
66. Gortmaker SL, Must A, Perrin JM, Sobol AM, Dietz WH. Social and economic consequences of overweight in adolescence and young adulthood. N Engl J Med 1993; 329(14):1008-12.
67. Srinivasan SR, Bao W, Wattigney WA, Berenson GS. Adolescent overweight is associated with adult overweight and related multiple cardiovascular risk factors: the Bogalusa Heart Study. Metabolism: Clinical & Experimental 1996; 45(2):235-40.
68. Lauer RM, Clarke WR, Mahoney LT, Witt J. Childhood predictors for high adult blood pressure. The Muscatine Study. Pediatric Clinics of North America 1993; 40(1):23-40.
69. Webber LS, Cresanta JL, Croft JB, Srinivasan SR, Berenson GS. Transitions of cardiovascular risk from adolescence to young adulthood—the Bogalusa Heart Study: II. Alterations in anthropometric blood pressure and serum lipoprotein variables. J Chronic Diseases 1986; 39(2):91-103.
70. Power C, Lake JK, Cole TJ. Body mass index and height from childhood to adulthood in the 1958 British born cohort. Am J Clin Nutr 66(5):1094-101, 1997.
71. Parsons TJ, Power C, Logan S, Summerbell CD. Childhood predictors of adult obesity: a systematic review. Int J Obes Relat Metab Disord 1999; 23 Suppl 8:S1-107.
72. Power C, Lake JK, Cole TJ. Measurement and long-term health risks of child and adolescent fatness. Int J Obes Relat Metab Disord 1997; 21(7):507-26.
73. Must A, Jacques PF, Dallal GE, Bajema CJ, Dietz WH. Long-term morbidity and mortality of overweight adolescents. A follow-up of the Harvard Growth Study of 1922 to 1935. N Engl J Med 1992; 327(19):1350-55.
74. Nieto FJ, Szklo M, Comstock GW. Childhood weight and growth rate as predictors of adult mortality. Am J Ep 1992; 136(2):201-13.
75. Lauer RM, Lee J, Clarke WR. Predicting adult cholesterol levels from measurements in childhood and adolescence: the Muscatine Study. Bulletin of the New York Academy of Medicine 1989; 65(10):1127-42.
76. Srinivasan SR, Myers L, Berenson GS. Predictability of childhood adiposity and insulin for developing insulin resistance syndrome (syndrome X) in young adulthood: the Bogalusa Heart Study. Diabetes 2002; 51(1):204-9.
77. Bao W, Srinivasan SR, Wattigney WA, Bao W, Berenson GS. Usefulness of childhood low-density lipoprotein cholesterol level in predicting adult dyslipidemia and other cardiovascular risks. The Bogalusa Heart Study. Arch Int Med 1996; 156(12):1315-20.
78. Kaplan KM, Wadden TA. Childhood obesity and self-esteem. J Pediatrics 1986; 109(2):367-70.
79. Davison KK, Birch LL. Weight status, parent reaction, and self-concept in five-year-old girls. Pediatrics 2001; 107(1):46-53.
80. Cameron JW. Self-esteem changes in children enrolled in weight management programs. Issues in Comprehensive Pediatric Nursing 1999; 22(2-3):75-85.
81. Erickson SJ, Robinson TN, Haydel KF, Killen JD. Are overweight children unhappy?: Body mass index, depressive symptoms, and overweight concerns in elementary school children [comment]. Arch Pediatr Adolesc Med 2000; 154(9):931-35.
82. Berkey CS, Rockett HR, Gillman MW, Field AE, Colditz GA. Longitudinal study of skipping breakfast and weight change in adolescents. Int J Obes Relat Metab Disord 2003; 27(10):1258-66.
83. Strauss RS, Mir HM. Smoking and weight loss attempts in overweight and normal-weight adolescents. Int J Obes Relat Metab Disord 2001; 25(9):1381-5.
84. Fulkerson JA, French SA. Cigarette smoking for weight loss or control among adolescents: gender and racial/ethnic differences. J Adolescent Health 2003; 32(4):306-13.
85. Whitlock EP, Orleans CT, Pender N, Allan J. Evaluating primary care behavioral counseling interventions: an evidence-based approach. Am J Prev Med 2002; 22(4):267-84.
86. Berkowitz RI, Wadden TA, Tershakovec AM, Cronquist JL. Behavior therapy and sibutramine for the treatment of adolescent obesity: a randomized controlled trial. JAMA 2003; 289(14):1805-12.
87. Duffy G, Spence SH. The effectiveness of cognitive self-management as an adjunct to a behavioural intervention for childhood obesity: a research note. J Child Psychol Psychiatry 1993; 34(6):1043-50.
88. Ebbeling CB, Leidig MM, Sinclair KB, Hangen JP, Ludwig DS. A reduced-glycemic load diet in the treatment of adolescent obesity. Arch Pediatr Adolesc Med 2003; 157(8):773-9.
89. Epstein LH, Wing RR, Koeske R, Valoski A. A comparison of lifestyle exercise, aerobic exercise, and calisthenics on weight loss in obese children. Behavior Therap 1985; 16(4):356.
90. Epstein LH, Wing RR, Penner BC, Kress MJ. Effect of diet and controlled exercise on weight loss in obese children. J Pediatr 1985; 107(3):358-61.
91. Epstein LH. Effects of family-based behavioral treatment on obese 5-to-8-year-old children. Behavior Therapy 16(2):Mar 1985;212.
92. Epstein LH, McKenzie SJ, Valoski A, Klein KR, Wing RR. Effects of mastery criteria and contingent reinforcement for family-based child weight control 3838. Addictive Behaviors 1994; 19(2):135-45.
93. Epstein LH, Valoski AM, Vara LS, McCurley J, Wisniewski L, Kalarchian MA, et al. Effects of decreasing sedentary behavior and increasing activity on weight change in obese children 3814. Health Psychology 1995; 14(2):109-15.
94. Epstein LH, Paluch RA, Gordy CC, Dorn J. Decreasing sedentary behaviors in treating pediatric obesity. Arch Pediatr Adolesc Med 2000; 154(3):220-6.
95. Epstein LH, Paluch RA, Gordy CC, Saelens BE, Ernst MM. Problem solving in the treatment of childhood obesity. J Consult Clin Psychol 2000; 68(4):717-21.
96. Epstein LH, Paluch RA, Raynor HA. Sex differences in obese children and siblings in family-based obesity treatment. Obesity Res 2001; 9(12):746-53.
97. Flodmark CE, Ohlsson T, Ryden O, Sveger T. Prevention of progression to severe obesity in a group of obese schoolchildren treated with family therapy. Pediatrics 1993; 91(5):880-4.
98. Golan M, Weizman A, Apter A, Fainaru M. Parents as the exclusive agents of change in the treatment of childhood obesity. Am J Clin Nutr 1998; 67:1130-35.
99. Graves T, Meyers AW, Clark L. An evaluation of parental problem-solving training in the behavioral treatment of childhood obesity. J Consult Clin Psychol 1988; 56(2):246-50.
100. Israel AC, Shapiro LS. Behavior problems of obese children enrolling in a weight reduction program. J Pediatr Psychol 1985; 10(4):449-60.
101. Israel AC, Guile CA, Baker JE, Silverman WK. An evaluation of enhanced self-regulation training in the treatment of childhood obesity. J Pediatric Psychology 1994; 19(6):737-49.
102. Gutin B, Barbeau P, Owens S, Lemmon CR, Bauman M, Allison J, et al. Effects of exercise intensity on cardiovascular fitness, total body composition, and visceral adiposity of obese adolescents. Am J Clin Nutr 2002; 75(5):818-26.
103. Kang HS, Gutin B, Barbeau P, Owens S, Lemmon CR, Allison J, et al. Physical training improves insulin resistance syndrome markers in obese adolescents. Medicine & Science in Sports & Exercise 2002; 34(12):1920-7.
104. Mellin LM, Slinkard LA, Irwin CE, Jr. Adolescent obesity intervention: validation of the SHAPEDOWN program 3987. J American Dietetic Association 1987; 87(3):333-8.
105. Saelens BE, Sallis JF, Wilfley DE, Patrick K, Cella JA, Buchta R. Behavioral weight control for overweight adolescents initiated in primary care. Obesity Res 2002; 10(1):22-32.
106. Senediak C, Spence SH. Rapid versus gradual scheduling of therapeutic contact in a family based behavioural weight control programme for children. Behavioural Psychotherap 1985; 13(4):287.
107. Wadden TA, Stunkard AJ, Rich L, Rubin CJ, Sweidel G, McKinney S. Obesity in black adolescent girls: a controlled clinical trial of treatment by diet, behavior modification, and parental support 3928. Pediatrics 1990; 85(3):345-352.
108. White MA. Mediators of weight loss in an internet-based intervention for African-American adolescent girls (Dissertation). Baton Rouge: Louisiana State University, 2003.
109. Strauss RS, Pollack HA. Epidemic increase in childhood overweight, 1986-1998. JAMA 2001; 286(22):2845-8.
110. Epstein LH, Paluch RA, Saelens BE, Ernst MM, Wilfley DE. Changes in eating disorder symptoms with pediatric obesity treatment. J Pediatrics 2001; 139(1):58-65.
111. Inge TH, Garcia V, Daniels S, Langford L, Kirk S, Roehrig H, et al. A multidisciplinary approach to the adolescent bariatric surgical patient. J Pediatric Surger 2004; 39(3):442-7; discussion 446-7.
112. Stanford A, Glascock JM, Eid GM, Kane T, Ford HR, Ikramuddin S, et al. Laparoscopic Roux-en-Y gastric bypass in morbidly obese adolescents. J Pediatric Surger 2003; 38(3):430-3.
113. Strauss RS, Bradley LJ, Brolin RE. Gastric bypass surgery in adolescents with morbid obesity. J Pediatr 2001; 138(4):499-504.
114. Charney E. Childhood obesity: the measurable and the meaningful. J Pediatr 1998; 132(2):193-5.
115. Institute of Medicine (U.S.). Committee on Prevention of Obesity in Children and Youth. Preventing Childhood Obesity: Health in the Balance. Washington, D.C.: National Academies Press, 2005.
116. Stettler N. Comment: the global epidemic of childhood obesity: is there a role for the paediatrician? Obes Rev 2004; 5 Suppl 1:1-3.:1-3.
117. Gruen RL, Pearson SD, Brennan TA. Physician-citizens—public roles and professional obligations. JAMA 2004; 291(1):94-8.
118. Reilly JJ, Dorosty AR, Emmett PM. Identification of the obese child: adequacy of the body mass index for clinical practice and epidemiology. Int J Obes Relat Metab Disord 2000; 24(12):1623-7.
119. Dietz WH, Robinson TN. Use of the body mass index (BMI) as a measure of overweight in children and adolescents. J Pediatr 1998; 132(2):191-3.
120. Pi-Sunyer FX. Medical hazards of obesity. Ann Intern Med 1993; 119(7 Pt 2):655-60.
121. Daniels S. Pharmacological treatment of obesity in paediatric patients. Paediatric Drugs 2001; 3(6):405-10.
122. Stunkard A. Diet, exercise and behavior therapy: A cautionary tale. Obes Res 1996; 4:293-94.
123. Whitaker RC. Obesity prevention in pediatric primary care: four behaviors to target. Arch Pediatr Adolesc Med 2003; 157(8):725-7.
124. Campbell K, Waters E, O'Meara S, Kelly S, Summerbell C. Interventions for preventing obesity in children. Cochrane Database of Systematic Reviews 2003;(1).
125. Krempf M, Louvet JP, Allanic H, Miloradovich T, Joubert JM, Attali JR. Weight reduction and long-term maintenance after 18 months treatment with orlistat for obesity. Int J Obes Relat Metab Disord 2003; 27(5):591-7.
126. Sopher AB, Thornton JC, Wang J, Pierson RN, Jr., Heymsfield SB, Horlick M. Measurement of percentage of body fat in 411 children and adolescents: a comparison of dual-energy X-ray absorptiometry with a four-compartment model. Pediatrics 2004; 113(5):1285-90.
127. Robinson TN. Defining obesity in children and adolescents: clinical approaches. Critical Reviews in Food Science & Nutrition 1993; 33(4-5):313-20.
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Notes
Author Affiliations
aWhitlock, Gold, Smith: Oregon Evidence-based Practice Center, Portland, OR; Center for Health Research, Kaiser Permanente, Portland, OR.
bWhitlock, Williams, Gold, Smith: Oregon Health & Science University, Portland, OR.
cShipman: Oregon Health & Science University, Portland, OR.
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Source: U.S. Preventive Services Task Force. This article first appeared in Pediatrics 2005;116(1)125-44. Available at: www.pediatrics.org/cgi/content/full/116/1/e125.
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AHRQ Publication No. 05-0582-B-EF
Current as of July 2005
Internet Citation:
Whitlock EP, Williams SB, Gold R, Smith PR, Shipman SA. Screening and Interventions for Childhood Obesity: A Summary of the Evidence for the U.S. Preventive Services Task Force. AHRQ Publication No. 05-0582-B-EF, July 2005. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/clinic/uspstf05/choverwt/choversum.htm
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