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Cited by 690

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Treatment of Pediatric Obesity

Epstein, Leonard H., Myers, Michelle D., Raynor, Hollie A., Saelens, Brian E.·1998·Pediatrics
DOI 10.1542/peds.101.s2.554
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Abstract

The primary goal of childhood obesity interventions is regulation of body weight and fat with adequate nutrition for growth and development. Ideally, these interventions are associated with positive changes in the physiologic and psychological sequelae of obesity. To contribute to long-term weight maintenance, interventions should modify eating and exercise behaviors such that new, healthier behaviors develop and replace unhealthy behaviors, thereby allowing healthier behaviors to persist throughout development and into adulthood. This overview of pediatric obesity treatment, using predominantly randomized, controlled studies, highlights important contributions and developments in primarily dietary, activity, and behavior change interventions, and identifies characteristics of successful treatment and maintenance interventions. Potential positive (eg, reduction in blood pressure, serum lipids, and insulin resistance) and negative (eg, development of disordered eating patterns) side effects of treatment also are described. Recommendations for improving implementation of childhood obesity treatments, including application of behavioral choice theory, improving knowledge of response extinction and recovery in regards to behavior relapse, individualization of treatment, and integration of basic science with clinical outcome research, are discussed.

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Cited by

Metadata

Authors
Epstein, L. H., Myers, M. D., Raynor, H. A., & Saelens, B. E.
Venue
Pediatrics
Publisher
American Academy of Pediatrics (AAP)
Published
1998-03-01
Volume
101
Issue
Supplement_2
Pages
554-570
ISSN
  • 0031-4005 (ISSN-L)
  • 1098-4275
DOI
10.1542/peds.101.s2.554
OpenAlex
W2108492381
Cited by
690
References
2
FWCI
23.36
Type
journal article
Language
en
Open access
closed

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