title: Addressing Pediatric Obesity in Ambulatory Care: Where Are We and Where Are We Going?
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.
authors.affiliation: Nutrition 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.
authors.forename: Carine M
authors.initials: CM
authors.lastname: Lenders
authors.affiliation: Nutrition 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.
authors.forename: Aaron J
authors.initials: AJ
authors.lastname: Manders
authors.affiliation: Boston Combined Residency Program, Boston University School of Medicine and Harvard Medical School, Dowling 3-870 Harrison Avenue, Boston, MA, 02118, USA.
authors.forename: Joanna E
authors.initials: JE
authors.lastname: Perdomo
authors.affiliation: Nutrition 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.
authors.forename: Kathy A
authors.initials: KA
authors.lastname: Ireland
authors.affiliation: Division of Pediatric Gastroenterology, Nutrition, and Hepatology, Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, 6701 Fannin St. Suite 1010, Houston, TX, 77030, USA.
authors.forename: Sarah E
authors.initials: SE
authors.lastname: Barlow
mesh_terms: D000293:Adolescent; D000553:Ambulatory Care / Q000639:trends*; D015992:Body Mass Index; D016022:Case-Control Studies; D002648:Child; D019317:Evidence-Based Medicine; D006293:Health Promotion / Q000379:methods* / Q000639:trends; D006801:Humans; D010290:Parents / Q000193:education; D063766:Pediatric Obesity / Q000517:prevention & control*; D010372:Pediatrics; D011320:Primary Health Care / Q000639:trends*; D016032:Randomized Controlled Trials as Topic; D015431:Weight Loss
keywords: Adolescents; Obesity; Pediatrics; Randomized case–control studies; Review; Weight management