Pediatric Weight Management

PWM: Nutrition Counseling of Parents (2006)

• Intervention
  What is the evidence that interventions targeting only parents may contribute to the effective treatment of childhood obesity in children ages 6-12?

  • Conclusion

    Targeting only parents with a multi-component nutritional-behavioral-physical activity intervention for pediatric obesity may contribute to short-term decreases in obesity among children ages six to 12.

  • Grade: III
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Evidence Summary: What is the evidence that interventions targeting only parents may contribute to the effective treatment of childhood obesity?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Epstein LH, Gordy CC, Raynor HA, Beddome M, Kilanowski CK, Paluch R. Increasing fruit and vegetable intake and decreasing fat and sugar intake in families at risk for childhood obesity. Obes Res. 2001 Mar;9(3):171-8.
      • Golan M, Crow S. Targeting parents exclusively in the treatment of childhood obesity: long-term results. Obes Res 2004;12:357-361.
      • Golan M, Weizman A, Apter A, Fainaru M. Parents as the exclusive agents of change in the treatment of childhood obesity. Am J Clin Nutr 1998;67:1130-1135.
  • Search Plan and Results: Treatment Format: Targeting Parents Only for Pediatric Overweight 2004
     
  What is the evidence that interventions targeting only parents may contribute to the effective treatment of obesity in adolescents?

  • Conclusion

    There is insufficient evidence to determine whether targeting only parents as a way to address obesity among adolescents is more effective than targeting adolescents only.

  • Grade: V
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Evidence Summary: What is the evidence that interventions targeting only parents may contribute to the effective treatment of childhood obesity?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Epstein LH, Gordy CC, Raynor HA, Beddome M, Kilanowski CK, Paluch R. Increasing fruit and vegetable intake and decreasing fat and sugar intake in families at risk for childhood obesity. Obes Res. 2001 Mar;9(3):171-8.
      • Golan M, Crow S. Targeting parents exclusively in the treatment of childhood obesity: long-term results. Obes Res 2004;12:357-361.
      • Golan M, Weizman A, Apter A, Fainaru M. Parents as the exclusive agents of change in the treatment of childhood obesity. Am J Clin Nutr 1998;67:1130-1135.
  • Search Plan and Results: Treatment Format: Targeting Parents Only for Pediatric Overweight 2004
     
  What is the evidence that interventions targeting only parents may contribute to the effective treatment of obesity in young children, ages 2-5?

  • Conclusion

    There were no studies that met the inclusion criteria for child-only weight-loss interventions with young children (ages two to five).

    Therefore, there is insufficient evidence to determine whether weight-loss interventions with young children (ages two to five) that target only parents are effective.

    Effectiveness aside, weight loss (in contrast to weight maintenance) in this population may be appropriate only under certain circumstances. However, these circumstances have not been identified in the research.

  • Grade: V
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Search Plan and Results: Treatment Format: Targeting Parents Only for Pediatric Overweight 2004