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.

Cureus
|January 5, 2026
PubMed

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.

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