Multicomponent Behavioral Treatment of Obesity and Overweight in Children and Adolescents

Publication Date: March 1, 2018
Last Updated: April 11, 2022

RECOMMENDATIONS

Family-Based Multicomponent Interventions

For child and adolescent patients aged 2-18 with overweight or obesity, the panel strongly recommends that clinicians provide:
  • Family-based multicomponent behavioral interventions with at least 26 contact hours initiated at the earliest age possible.
(Recommendation)
335982

Comparative Effectiveness of Components

For child and adolescent patients with overweight or obesity, the panel concludes that there is insufficient evidence to recommend for or against clinicians offering any selected strategies of family-based multicomponent behavioral interventions over another, including:
  • Goals and planning
  • Comparison of outcomes
  • Self-monitoring of behavior
  • Self-monitoring of outcome
  • Contingent reward or threat
  • Stimulus control
  • Modeling of healthy lifestyle behaviors by parents
  • Motivational interviewing
  • Parenting skills training
(Insufficient evidence)
335982
For child and adolescent patients with overweight or obesity, the panel concludes that there is insufficient evidence to determine if specific intervention characteristics or strategies are associated with adherence, engagement, or retention, or if adherence was associated with efficacy. (Insufficient evidence)
335982
For child and adolescent patients with overweight or obesity, the panel concludes that there is insufficient evidence to determine whether specific intervention strategies were needed with patients or families having specific characteristics. (Insufficient evidence)
335982
For child and adolescent patients with overweight or obesity, the panel concludes that there is either no association or insufficient evidence to determine whether other population characteristics other than age were associated with outcome. (Insufficient evidence)
335982

Recommendation Grading

Overview

Title

Multicomponent Behavioral Treatment of Obesity and Overweight in Children and Adolescents

Authoring Organizations

Endorsing Organization

American Academy of Family Physicians

Publication Month/Year

March 1, 2018

Last Updated Month/Year

January 22, 2024

Document Type

Guideline

External Publication Status

Published

Country of Publication

US

Inclusion Criteria

Male, Female, Adolescent, Child

Health Care Settings

Ambulatory

Intended Users

Nurse, nurse practitioner, physician, physician assistant, psychologist

Scope

Treatment, Management

Diseases/Conditions (MeSH)

D063766 - Pediatric Obesity

Keywords

pediatric obesity, childhood obesity, Behavioral Treatment

Supplemental Methodology Resources

Systematic Review Document