Pediatric Weight Management

Pediatric Weight Management

Welcome to the Pediatric Weight Management (PWM) Guideline and supporting Systematic Review  

A review of the available science on treatment of childhood obesity in a multicomponent, multidisciplinary context resulted in the release of the 2007 PWM evidence-based guides for practice.  A second systematic review, targeting aspects of the built environment, food access, and school-based interventions was published on the EAL in 2011 and 2012.

More recently (2012-2015), a panel of experts appointed by the Academy, reviewed the EAL pediatric weight management content and developed guidelines based on new science. A highly structured data extraction tool, developed by the Academy, was used in the systematic review process  to conduct a more rigorous analysis and in-depth syntheses of the evidence.  

The workgroup focused on two topic areas:
  • Multicomponent PWM Interventions and Weight Status Outcomes (BMI, Waist Circumference, BMI Z-score, BMI Percentile)
  • Treatment Context in Multicomponent PWM Interventions [Family participation, length of treatment, treatment setting (clinic vs. outside the clinic), group sessions (vs. individual sessions only] and Weight Status Outcomes
The 2015 PWM guideline complements and supports the 2007 guideline. Download the PWM Guideline Comparison Table to see changes between the newly published and previous guideline. Since not all of the 2007 recommendations were updated/reviewed, the results of the previous systematic reviews remain an accessible resource.  

Use the left navigation bar to view the 2015 guidelines and supporting evidence.  Expand the sections below for a listing of individuals who contributed to the development of these projects.

About the Archive:  The EAL is designed so that the most current information is available at the top of the left navigation bar. The older content remains accessible as a resource. Click on the tab titled PWM Archive to access all of the archived content.

Expand the Project Resources section to learn how to purchase the 2015 Pediatric Weight Management (PWM) Failure Evidence-Based Nutrition Recommendations Pocket Card.






 
  • Project Team (2009-2012)
    The following individuals contributed their valuable time and expertise to this project:

    Workgroup Members
    • Heather Holden, MEd, RD, LDN, Chair
    • Linda Arpino, MA, RD, CDN
    • Nancy Copperman, MS, RD, CDN
    • Dana Gerstein, MPH, RD
    • Beverly Henry, PhD, RD, LDN
    • Jodie Shield, MEd, RD
    Project Manager
    • J. Scott Parrott, PhD
    • Chung, PhD, MPH
    Evidence Analysts
    • Carol Klitzke, MS, RD
    • Ellen K. Bowser, MS, LDN, CSP
    • Elizabeth Droke, PhD, RD
    Association Positions Committee Workgroup
    • Carol Berg Sloan, RD
    • Diane Sowa, MBA, RD
    • Karen P. Lacey, MS, RD, CD
    Academy Staff
    • Deborah Cummins, PhD
    • Kari Kren, MPH, RD
    • Marla Richards, MS, RD, LD
    • Joan Schwaba, MS, RD, LDN
    • Esther Myers, PhD, RD, FADA 
    Financial Contributor
    • Academy of Nutrition and Dietetics

    Disclosures of Potential Conflicts of Interest: In the interest of full disclosure, the Academy has adopted the policy of revealing relationships workgroup members have with companies that sell products or services that are relevant to this topic. Workgroup members are required to disclose potential conflicts of interest by completing the Academy Conflict of Interest Form. It should not be assumed that these financial interests will have an adverse impact on the content, but they are noted here to fully inform readers.
    • None of the workgroup members listed above disclosed potential conflicts
  • Project Team (2012-2015)
    The following individuals contributed their valuable time and expertise to this project:

    Workgroup Members
    • Nancy Copperman, MS, RDN, CND, Chair 
    • Beverly Henry, PhD, RDN, LDN
    • Melanie Hingle, PhD, MPH, RDN (through 12/2014)
    • Dana E. Gerstein, MPH, RDN
    • Linda Arpino, MA, RDN, CDN
    • Jodie Shield, MEd, RDN
    • Jane Ziegler, DCN, RDN, LDN, CNSD 
    Project Manager
    • Mujahed Khan, MBA, RDN* (through 11/2014)
    • Tami Piemonte, MS, RDN, LDN  (beginning 12/2014)
    Lead Analysts
    • Sue Benson-Davies, PhD, DCN, MPH, RDN (through 11/2014)
    • Deepa Handu, PhD, RD, LDN* 
    • J. Scott Parrott, PhD
     Evidence Analysts
    • Ellen Bowser, MS, RD, LD/N
    • Christina Campbell, PhD, RD, LN
    • Micah Lancman, MS, RD
    • Megan Majernik, RD, LDN, MS
    * Indicates Academy Staff Member
    Guideline Reviewers
    • Christina K. Biesemeier, MS, RDN, FADA, FAND
    • Heather Burns, MEd, RDN, LD, CDE
    • Marion J. Franz, MS, RDN, CDE
    • Marc Jacobson, MD
    • Mary Mullen, MS, RDN, LDN
    • Theresa Loomis, DCN, RD
    • Pamela Reichert-Anderson, MA, RD, CDN
    • Denise Sofka, MPH, RD
    • Josefine Wendel, MS, RDN, CDN
    Academy Staff
    • Paula J. Ziegler, PhD, RD, CFS (through June 2015)

    Financial Contributor
    • Academy of Nutrition and Dietetics


    Disclosures of Potential Conflicts of Interest: In the interest of full disclosure, the Academy has adopted the policy of revealing relationships workgroup members have with companies that sell products or services that are relevant to this topic. Workgroup members are required to disclose potential conflicts of interest by completing the Academy Conflict of Interest Form. It should not be assumed that these financial interests will have an adverse impact on the content, but they are noted here to fully inform readers.
    • Nancy Copperman:  received honorarium by Commission on Dietetic Registration for work at CDR Certificate of Training in Pediatric Weight Management program.
    • Dana Gerstein: received honorarium by Commission on Dietetic Registration for work at CDR Certificate of Training in Pediatric Weight Management program.
    • Jane Ziegler: awarded Academy of Nutrition and Dietetics Foundation Colgate Award
  • Project Team (2003-2009)
    The following individuals contributed their valuable time and expertise to the Childhood Overweight projects:

    Workgroup Members (Treatment)
    • Christina W. Biesemeier, MS, RD, LD, FADA, Chair
    • Joyce B. Bittle, PhD, RD, LDN
    • Nancy Copperman, MS, RD, CND
    • Heather S. Holden, Med RD, LD, CDE
    • Shelley Kirk, PhD, RD, LD
    • Aida C. G. Miles, MMSc, RD, LD
    • Lorrene D. Ritchie, PhD, RD
    • Denise Sofka, MPH, RD
    Workgroup Members (Prevention)
    • Patricia B. Crawford, DrPH, RD
    • Dana E. Gerstein, MPH, RD
    • Karen E. Peterson, PhD, RD
    • Lorrene D. Ritchie, PhD, RD
    • Greg Welk, PhD
    Project Manager/Lead Analst
    • J. Scott Parrott, PhD 
    Project Director
    • Esther F. Myers, PhD, RD, FADA
    Evidence Analysts
    • Lisa A. Davis, MS, RD
    • Debby K. Demory-Luce, PhD, RD, LD
    • Michelle Ihmels, MS
    • Sarah Kim , MPH
    • Sarah Krathwohl, MPH
    • Jodee Schaben, PhD
    Association Positions Committee Workgroup
    • Lorrene D. Ritchie, PhD, RD
    • Denise Sofka, MPH
    Position Paper Authors
    • Lorrene D. Ritchie, PhD, RD
    • Patricia B. Crawford, DrPH, RD
    • Deanna M. Hoelscher, PhD, RD
    • Melinda S. Sothern, PhD
    Guideline Reviewers
    • William H. Dietz, MD, PhD
    • David Frankenfield, MS, RD
    • Marion J. Franz, MS, RD, CDE
    • M. Patricia Fuhrman, MS, RD, LD, FADA
    • Van S. Hubbard, MD, PhD
    • Marc S. Jacobson, MD
    • Donna B. Johnson, PhD, RD
    • Elvira Q. Johnson, MS, RD, CDE, LDN
    • Rita M. Johnson, PhD, RD, LDN, FADA
    • Capt. Audrey M. Koertvelsyessy, MSN, MA, FNP
    • Nancy M. Lewis, PhD, RD, FADA
    • Kathleen C. Niedert, MBA, RD, LD, FADA
    • Kimberly Robien, PhD, RD, FADA, CNSD
    • Dennis Styne, MD
    • Margaret J. Tate, MS, RD
    Academy Staff
    • Deborah Cummins, PhD
    • Cathy Devlin, RD
    • Kari Kren, MPH, RD
    • Esther F. Myers, PhD, RD
    Financial Contributors
    • Academy of Nutrition and Dietetics
    • Academy of Nutrition and Dietetics Foundation
    • Centers for Disease Control and Prevention
    • Dairy Management, Inc.
    • National Dairy Council
    Disclosures of Potential Conflicts of Interest: In the interest of full disclosure, the Academy has adopted the policy of revealing relationships workgroup members have with companies that sell products or services that are relevant to this topic. Workgroup members are required to disclose potential conflicts of interest by completing the Academy Conflict of Interest Form. It should not be assumed that these financial interests will have an adverse impact on the content, but they are noted here to fully inform readers.
    • Nancy M. Copperman - recieved and honorarium for the Certificate of Training in Child and Adolescent Weight Managaement Course
    • Lorrene Ritchie - received grants/resarch support from Iacocca Foundation, Atkins Foundation, Gilbert
  • Project Resources
    The following resources were developed from these projects:
    • Fighting Childhood Obesity - How to Achieve and Maintain a Healthy Weight in Children and Teens - This brochure, designed for the general public, provides practical tips to encurage healthy eating habits in children. It includes a comprehensive list of resources. Click to order.
       
    • Pediatric Weight Management 2007 GuideiineToolkit - this toolkit is designed to assist the registered dietitian in applying the Academy's Pediatric Weight Management 2007 Evidence-Based Nutrition Practice Guideline. The toolkit includes resources such as the MNT summary of recommendations for critical illness, MNT encounter process, MNT protocol, sample documentation forms, client education resources an doutcomes monitoring forms. It also incorporates the Academy Nutrition Care Process and Standardized Language for patient/client care. Click to order.  
       
    • PWM 2015 Guideline Presentation - this 32-slide MS PowerPoint presentation includes all the recommendations and ratings of the PWM 2015 Evidence-based Nutrition Practice Guideline. Ideal for you to use for meetings, in-service presentations and classes (This product is not designed for the consumer). Click to order.
       
    • Pediatric Weight Management 2015 Evidence-Based Nutrition Recommendations Pocket Guide - This practical quick-reference pocket guide contains the 2015 PWM evidence-based graded recommendations. Available in print and digital format:
      • Print format: 4.25"x7.25" multifold. Learn more...
      • Digital format: compatible with iPhone and iPad and Android products. Learn more ...