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.
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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
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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)
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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)
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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)
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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