title: A Review of Primary Care-Based Childhood Obesity Prevention and Treatment Interventions.
abstract: Effective obesity prevention and treatment interventions targeting children and their families are needed to help curb the obesity epidemic. Pediatric primary care is a promising setting for these interventions, and a growing number of studies are set in this context. This review aims to identify randomized controlled trials of pediatric primary care-based obesity interventions. A literature search of 3 databases retrieved 2947 publications, of which 2899 publications were excluded after abstract (n=2722) and full-text review (n=177). Forty-eight publications, representing 31 studies, were included in the review. Eight studies demonstrated a significant intervention effect on child weight outcomes (e.g., BMI z-score, weight-for-length percentile). Effective interventions were mainly treatment interventions, and tended to focus on multiple behaviors, contain weight management components, and include monitoring of weight-related behaviors (e.g., dietary intake, physical activity, or sedentary behaviors). Overall, results demonstrate modest support for the efficacy of obesity treatment interventions set in primary care.
authors.affiliation: HealthPartners Institute for Education and Research, 8170 33rd Ave. S., Mailstop 23301A, Minneapolis, MN 55440, USA.
authors.forename: Elisabeth M
authors.initials: EM
authors.lastname: Seburg
authors.affiliation: HealthPartners Institute for Education and Research, 8170 33rd Ave. S., Mailstop 23301A, Minneapolis, MN 55440, USA.
authors.forename: Barbara A
authors.initials: BA
authors.lastname: Olson-Bullis
authors.affiliation: HealthPartners Institute for Education and Research, 8170 33rd Ave. S., Mailstop 23301A, Minneapolis, MN 55440, USA.
authors.forename: Dani M
authors.initials: DM
authors.lastname: Bredeson
authors.affiliation: HealthPartners Institute for Education and Research, 8170 33rd Ave. S., Mailstop 23301A, Minneapolis, MN 55440, USA.
authors.forename: Marcia G
authors.initials: MG
authors.lastname: Hayes
authors.affiliation: HealthPartners Institute for Education and Research, 8170 33rd Ave. S., Mailstop 23301A, Minneapolis, MN 55440, USA.
authors.forename: Nancy E
authors.initials: NE
authors.lastname: Sherwood
mesh_terms: D001835:Body Weight; D015438:Health Behavior; D006801:Humans; D008019:Life Style; D063766:Pediatric Obesity / Q000517:prevention & control*; D011320:Primary Health Care; D011322:Primary Prevention
keywords: Childhood obesity; Prevention; Primary care; Treatment