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Recommendations Summary

Pediatric Weight Management (PWM) Assessing Family Climate Factors

Click here to see the explanation of recommendation ratings (Strong, Fair, Weak, Consensus, Insufficient Evidence) and labels (Imperative or Conditional). To see more detail on the evidence from which the following recommendations were drawn, use the hyperlinks in the Supporting Evidence Section below.


  • Recommendation(s)

    PWM: Family Climate - Increased Risk of Overweight or Obesity

    Family climate factors that may be associated with an increase in the risk of pediatric obesity and should be included in Nutrition Assessment are: Parental dietary disinhibition and restraint, negative aspects of family functioning (such as lack of parental support or over-possessiveness) and parental concern about child’s weight status. ADA Evidence Analysis has shown that these factors are positively associated with childhood overweight or obesity.

    Rating: Fair
    Imperative

    PWM: Family Climate - Decreased Risk of Overweight or Obesity

    Family climate factors that may be associated with a decrease in the risk of pediatric obesity and should be included in Nutrition Assessment are: Positive aspects of family functioning (such as family cohesion, expressiveness, democratic style, parental support and cognitive stimulation at home). ADA Evidence Analysis has shown that these factors may be negatively associated with childhood overweight or obesity.

    Rating: Fair
    Imperative

    PWM: Family Climate - Relationship Unclear

    Dietitians should be aware of the research on the following family climate factor when carrying out their Nutrition Assessment: Household food insecurity. ADA Evidence Analysis has found that this factor may not be related to pediatric overweight or obesity or that the research is still unclear on the relationship.

    Rating: Fair
    Imperative