Managing lipid disorders in children—a special pediatric sectionPromoting healthy lifestyles: Behavior modification and motivational interviewing in the treatment of childhood obesity
Section snippets
Health-related quality of life and childhood obesity
A number of authors have argued that improving quality of life is the ultimate goal of health care.15, 16 Health-related quality of life (HRQOL) has emerged as the most appropriate term for quality-of-life dimensions that represent a patient's perceptions of the impact of an illness and its treatment on their own functioning and well-being and which are thus within the scope of health care services and medical products.17, 18 HRQOL is a multidimensional construct, consisting at the minimum of
Discussion
Family-based behavior-modification programs targeting eating, exercise, and diet behaviors have resulted in significant short-term improvements in weight status for obese children. The major challenge in the treatment of childhood obesity is ensuring long-term maintenance of behavior change, including adherence to a prudent diet plan, appropriate eating behavior, and regular exercise. Concerted efforts are clearly needed to elucidate the mechanisms for maintenance of initial treatment gains, as
Conclusion
Lifestyle behaviors are strongly associated with childhood obesity. Although behavior-modification programs targeting eating, exercise, and diet behaviors have resulted in significant improvements in weight status, increased physical fitness, and psychosocial benefits for obese children, ensuring long-term maintenance of these behavior changes continues to be a challenge. Greater research attention should be directed at understanding what motivates children and their families to initiate
Financial disclosure
This work was supported by an intramural grant from the Texas A&M University Research Foundation, College Station, TX.
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Promoting healthy weight and managing childhood and adolescent obesity using evidence-based methods
2020, Clinician's Toolkit for Children's Behavioral HealthApplication of PRECEDE model in education of nutrition and physical activities in obesity and overweight female high school students
2019, Obesity MedicineCitation Excerpt :Results of Khani Jeihooni et al. (Khani Jeihooni et al., 2017a) showed the effect of educational intervention based on precede model on the enhancement of reinforcing factors score after intervention in experimental group. Results of other studies are in a good agreement with this research (Peyman et al., 2013; Jeihooni and Moradi, 2018; Khani Jeihooni and Rakhshani, 2018; Kashfi et al., 2012; Limbera et al., 2008; Sutherland et al., 2004). According to the obtained results, with the participation of students' parents in group discussions and helper group or educational programs or private consultations, their supports increased.
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2015, Anales de PediatriaParticipant characteristics and intervention processes associated with reductions in television viewing in the High Five for Kids study
2014, Preventive MedicineCitation Excerpt :Phone calls are a low cost way to deliver health education information; ensuring more intervention participants receive calls through persistent contact and incentives could increase the effectiveness of interventions to reduce screen time in young children. Few studies have explored the role of parental motivation to change or acceptance of motivational interviewing as a counseling strategy among families with overweight or obese children; this could be an area for future research that could help tailor intervention components to participant needs (Limbers et al., 2008; Schwartz, 2010; Schwartz et al., 2007; Tripp et al., 2011; Walpole et al., 2011). Intervention trials in older children show that greater reductions in TV predict greater reductions in BMI (Tremblay et al., 2011), and a recent meta-analysis of 68 effective interventions to promote healthy weight in children found that reduced TV viewing was the intervention strategy that achieved the greatest reductions in BMI (Luckner et al., 2012).
The role of impulsivity in pediatric obesity and weight status: A meta-analytic review
2013, Clinical Psychology ReviewCitation Excerpt :A large majority of research has focused on lifestyle or behavioral aspects of obesity. Recent interventions have almost entirely been composed of individual and family based behavioral weight modification programs which target eating, physical activity, and dietary behaviors including reading food labels, tracking foods eaten, etc. (Limbers, Turner, & Varni, 2008). By targeting these facets, randomized clinical trials have been able to induce significant weight loss in participants and subsequent increases in positive health changes, such as decreased cardiovascular risk (Jones, Wilson, & Wadden, 2007).