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Updated: May 27, 2026

Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Counseling and behavior change in pediatric obesity
Denise E Wilfley1, Andrea E Kass, Rachel P Kolko
1Department of Psychiatry, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8134, St Louis, MO 63110, USA. wilfleyd@psychiatry.wustl.edu
Primary care providers and behavioral experts should collaborate to support families in adopting healthy habits for overweight and obese youth. This partnership enhances social support, promoting sustainable weight loss and improved eating and activity behaviors.
Area of Science:
- Pediatrics
- Public Health
- Behavioral Science
Background:
- Childhood obesity is a significant public health concern requiring effective intervention strategies.
- Current office-based practices for managing pediatric weight status need evidence-based enhancements.
- Interventions must address socioenvironmental factors influencing family health behaviors.
Purpose of the Study:
- To review current office-based counseling for overweight and obese youth.
- To provide evidence-based recommendations for pediatric weight management.
- To identify strategies for encouraging behavior change in children and families through enhanced social support.
Main Methods:
- Review of current office-based counseling practices.
- Synthesis of evidence-based recommendations for weight status intervention.
- Focus on strategies to increase social support for behavior change.
Main Results:
- Collaborative efforts between primary care providers and behavioral interventionists are crucial.
- Consistent health messages and support across multiple contexts improve intervention effectiveness.
- Increased social support facilitates the implementation of healthy eating and activity behaviors.
Conclusions:
- Integrated interventions enhance the ability of families to implement healthy behaviors.
- Targeted, collaborative efforts lead to sustainable weight loss outcomes in youth.
- Strengthening social support is key to successful pediatric weight management.
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