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Recommendations Summary

Pediatric Weight Management (PWM) Assessing Physical Activity and Sedentary Behaviors

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: Sedentary Behaviors that Increase the Risk of Pediatric Overweight and Obesity

    Sedentary behaviors that may be associated with an increase in the risk of pediatric overweight and pediatric obesity and that should be included in Nutrition Assessment are: Excessive television viewing and excessive use of video games. ADA Evidence Analysis has shown that these factors are positively associated with childhood overweight and obesity.

    Rating: Fair
    Imperative

    PWM: Physical Activity Behaviors that Decrease the Risk of Pediatric Overweight and Obesity

    Physical activity behaviors that may be associated with a decrease in the risk of pediatric overweight and pediatric obesity and that should be included in Nutrition Assessment are: Regular physical activity and sports participation. ADA Evidence Analysis has shown that these factors may be negatively associated with childhood overweight and obesity.

    Rating: Fair
    Imperative

    • Risks/Harms of Implementing This Recommendation

      None.

    • Conditions of Application

      The above topics were selected for evidence analysis. However:

      • The practitioner should not limit their assessment to these factors
      • Modification of these factors should be considered when developing the nutrition prescription
      • Evidence analysis on other factors is currently underway and will be added to the guideline as they are finished.

    • Potential Costs Associated with Application

      None.

    • Recommendation Narrative

      • Evidence analysis was carried out on several physical activity and sedentary behavior factors associated with pediatric overweight and obesity
      • All factors are based only on observational (association) research and do not include research on interventions
      • The following physical activity and sedentary behavior factors were associated with an increased risk of pediatric overweight and obesity:
      • The following physical activity and sedentary behavior factors were associated with a decreased risk of pediatric overweight and obesity:

    • Recommendation Strength Rationale

      No direct research was analyzed regarding the benefits of knowledge-based assessment and intervention practices. However, the work group felt strongly that knowledge of relevant scientific research is indispensable for responsible dietetic practice.

      The grades for the physical activity and sedentary behavior factors associated with childhood overweight and obesity were evenly split between Grade II and Grade III. However, while there is no risk to the patient or client, with respect to the practitioner's knowledge of these factors, the dietitian's ignorance of this research could result in substantial risk to the patient or client.

    • Minority Opinions

      None.