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Pediatric Weight Management

PWM: Comparing Treatment Formats for Children Ages 2-5 (2006)

  • Intervention
    How does child-only treatment of obesity compare to interventions with both children (ages 2-5) and their parents (separately)?
    • Conclusion

      There was no research meeting the inclusion criteria comparing child-only interventions vs. interventions that included both parent and child (separately) for children ages two to five.

      However, given the evidence that child-only interventions are not effective for children ages six to 12, it is unlikely that child-only interventions with young children (ages two to five) are effective.

      See Is counseling children (ages 6-12) for weight loss in the absence of their parents 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: IV
      • Grade I means there is good evidence supporting the statement;
      • Grade II is Fair;
      • Grade III is Limited;
      • Grade IV is Expert Opinion;
      • Grade V is Not Assignable.
    • Search Plan and Results: Treatment Format: Family Format 2004
       
    How does child-only treatment of obesity compare to interventions with both children (ages 2-5) and their parents (together)?
    • Conclusion

      There was no research meeting the inclusion criteria comparing child-only interventions vs. interventions that included both parent and child (together) for children ages two to five.

      However, given the evidence that child-only interventions are not effective for children ages six to 12, it is unlikely that child-only interventions with young children (ages two to five) are effective.

      See Is counseling children (ages 6-12) for weight loss in the absence of their parents 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: IV
      • Grade I means there is good evidence supporting the statement;
      • Grade II is Fair;
      • Grade III is Limited;
      • Grade IV is Expert Opinion;
      • Grade V is Not Assignable.
    • Search Plan and Results: Treatment Format: Family Format 2004
       
    How does child-only treatment of obesity in children ages 2-5 compare to treating both child and parent in a mixed treatment format (sometimes together sometimes separate)?
    • Conclusion

      No studies meeting the inclusion criteria for this question were found for treatment of children ages two to five for obesity using a mixed treatment or child-only format.

      However, given the evidence that child-only interventions are not effective for children ages six to 12, it is unlikely that child-only interventions with young children (ages two to five) are effective.
       

      See Is counseling children (ages 6-12) for weight loss in the absence of their parents 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: IV
      • Grade I means there is good evidence supporting the statement;
      • Grade II is Fair;
      • Grade III is Limited;
      • Grade IV is Expert Opinion;
      • Grade V is Not Assignable.
    • Search Plan and Results: Treatment Format: Family Format 2004
       
    How does treatment of childhood obesity in children ages 2-5 by interventions with parents and children together compare to interventions with parents and children separate?
    • Conclusion

      There was no research meeting the inclusion criteria comparing interventions that included both parent and child (together) vs. interventions that included both parent and child (separate) for children ages two to five.

      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 evidence supporting the statement;
      • Grade II is Fair;
      • Grade III is Limited;
      • Grade IV is Expert Opinion;
      • Grade V is Not Assignable.
    • Search Plan and Results: Treatment Format: Family Format 2004