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Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Childhood Obesity Prevalence and Prevention Strategies in Primary Care: A Comprehensive Review
Vignesh Gunasekaran1, Vishali Kapoor2, Venkata Sushma Chamarthi3
1Neonatology, West Virginia University (WVU) Medicine - Berkeley Medical Center, Martinsburg, USA.
Insights
Childhood obesity is a major public health issue. Primary care can effectively manage it through behavioral strategies and early screening, despite provider challenges.
Area of Science:
- Public Health
- Pediatrics
- Preventive Medicine
Background:
- Childhood obesity is a significant, multifactorial public health challenge with long-term complications.
- Primary care settings are crucial for early identification and management but are underutilized.
- Obesity in children leads to metabolic, cardiovascular, and psychosocial issues extending into adulthood.
Purpose of the Study:
- To review current primary care approaches for childhood obesity prevention and management.
- To highlight effective behavioral interventions and strategies for clinicians.
- To address challenges faced by primary care providers in managing childhood obesity.
Main Methods:
- Review of evidence-based strategies for childhood obesity in primary care.
- Focus on family-based behavioral interventions, motivational interviewing, nutrition counseling, and physical activity promotion.
- Discussion of implementation facilitators and barriers in primary care settings.
Main Results:
- Routine screening and comprehensive behavioral interventions are evidence-supported.
- Effective strategies include family-based approaches, motivational interviewing, nutrition counseling, and physical activity promotion.
- Multi-component, long-term interventions yield the best weight-related outcomes.
Conclusions:
- Primary care is vital for addressing childhood obesity through early detection and intervention.
- Overcoming challenges like time limits and training requires integrated care and structured models.
- Enhanced clinician support and community resource integration are key to successful management.
Abstract:
Childhood obesity has become one of the most significant public health challenges of the modern era. This chronic and multifactorial condition contributes to numerous metabolic, cardiovascular, and psychosocial complications, many of which extend into adulthood. The primary care setting provides a key opportunity for early identification, prevention, and management, but remains underutilized in practice. Evidence supports routine screening from early childhood, accompanied by comprehensive behavioral interventions for children identified as overweight or obese. Effective prevention approaches in primary care include family-based behavioral strategies, motivational interviewing (MI), nutrition-focused counseling, promotion of regular physical activity, and reduction of sedentary behaviors. Multi-component interventions delivered over an extended period tend to produce the most meaningful improvements in weight-related outcomes. Despite these advances, primary care providers continue to face challenges such as time limitations, inadequate training, lack of community resources, and difficulties maintaining family engagement. Integrating team-based care, leveraging electronic health record (EHR) tools, and following structured, staged treatment models can enhance implementation. This review highlights current approaches to childhood obesity prevention and management in primary care and offers practical strategies to support clinicians in addressing this ongoing epidemic.
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