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Addressing Pediatric Obesity in Ambulatory Care: Where Are We and Where Are We Going?
Carine M Lenders1, Aaron J Manders2, Joanna E Perdomo3
1Nutrition and Fitness for Life Program, Department of Pediatrics, Boston Medical Center, Boston University School of Medicine, Vose Hall-3, 88, East Newton Street, Boston, MA, 02118, USA. carine.lenders@bmc.org.
Insights
This review identifies pediatric obesity interventions in primary care settings. It highlights treatment approaches, challenges, and successes, offering solutions for future research and practice.
Area of Science:
- Pediatric Endocrinology
- Public Health
- Primary Care Medicine
Background:
- Childhood obesity remains a significant public health concern.
- Previous meta-analyses have excluded primary care studies due to specific criteria.
- The 2007 Barlow report spurred numerous pediatric obesity intervention studies.
Purpose of the Study:
- To identify randomized controlled trials (RCTs) for pediatric obesity treatment in primary care settings.
- To analyze treatment approaches, challenges, and successes reported in these studies.
- To identify research gaps and propose actionable solutions.
Main Methods:
- Systematic literature search for RCTs in pediatric ambulatory care.
- Inclusion of studies focusing on obesity intervention.
- Thematic analysis of treatment strategies, barriers, and outcomes.
Main Results:
- Identified various treatment modalities used in primary care settings.
- Documented common challenges faced during intervention implementation.
- Reported successes and areas for improvement in pediatric obesity management.
- Highlighted significant gaps in current research and practice.
Conclusions:
- Primary care settings are crucial for pediatric obesity interventions.
- Addressing identified gaps requires targeted research and practical strategies.
- Urgent action items are needed to improve treatment efficacy and accessibility.
Abstract:
Since the "2007 summary report of child and adolescent overweight and obesity treatment" published by Barlow, many obesity intervention studies have been conducted in pediatric ambulatory care. Although several meta-analyses have been published in the interim, many studies were excluded because of the focus and criteria of these meta-analyses. Therefore, the primary goal of this article was to identify randomized case-control trials conducted in the primary care setting and to report on treatment approaches, challenges, and successes. We have developed four themes for our discussion and provide a brief summary of our findings. Finally, we identified major gaps and potential solutions and describe several urgent key action items.
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