1st Edition
Handbook of Pediatric Obesity Clinical Management
A compilation of management, medical, nutrition, psychological, and physical activity facts, models, theories, interventions, and evaluation techniques, the Handbook of Pediatric Obesity: Clinical Management is the most clinically appropriate and scientifically supported source of information available for pediatric health care and research professionals. This comprehensive, state-of-the-art, and easy-to-use reference can be used to develop programs that provide the best possible care to overweight children in clinical settings.
Melinda Sothern is co-winner of the 2009 Oded Bar-Or Award for Excellence in Pediatric Obesity Research sponsored by the Obesity Society Pediatric Obesity Section
Covering clinical evaluation, medical aspects of treatment, and psychosocial, behavioral, nutritional, and physical activity considerations, the book discusses approaches to weight management such as diet, behavioral counseling, exercise, pharmacology, and surgery. It presents coverage of applied techniques, information, and tools for developing, modifying, implementing, and evaluating weight-management programs for children and adolescents in clinical settings. Worksheets, menu plans, and sample exercise programs are just a few of the features that make this book practical as well as informative.
It is clear that there is no single solution for every overweight child and the number of options can seem overwhelming. This text provides clinicians with the information and tools necessary to match or tailor the available treatment plans to the medical, physical, nutritional and emotional needs of their patients.
References
Clinical Management
The Business of Weight Management, M.S. Sothern
Introduction
The Planning Process
Designing Health Promotion Interventions
Implementing a Health Promotion Program
Evaluating a Health Promotion Program
Summary
References
Medical Aspects of Treatment
Medical Complications and Comorbidities of Pediatric Obesity, M.S. Jacobson
Genetic Syndromes Associated with Childhood Obesity
Endocrine Disorders
Cardiovascular Complications
Insulin Resistance Syndromes
Gastrointestinal System
Pulmonary Complications of Obesity
Neurological
Orthopedic
References
Medical Aspects of Treatment: The Role of the Physician, S.T. Gordon
Introduction
Role of the Primary Care Practitioners
The Role of the Physician in the Treatment of Overweight Youth
Conclusion
References
Psychosocial and Physical Considerations
Psychosocial Considerations during Treatment, J. Schwimmer
Introduction
Underlying/Comorbid Psychopathology
Family Psychosocial Issues
Psychosocial Consequences
Psychosocial Tools
Conclusion
References
Weaknesses and Strengths in the Response of the Obese Child to Exercise, C. VanVrancken-Tompkins, M.S. Sothern, and O. Bar-Or
Introduction
Responses of the Obese Child to Exercise
Implications of Exercise Prescription
Summary
References
Clinical Evaluation
Clinical Evaluation: Diagnosis, Medical Testing, and Follow-up, N.F. Krebs, and M.S. Sothern
Prevalence
Causes/Risk Factors
Comorbidities
Treatment Approaches
Diagnosis
Referrals
Education
Follow-Up
Summary
References
Nutritional Assessment of the At-Risk for Overweight and Overweight Child and Adolescent, N. Copperman
Introduction
Home Environment Assessment
School Environment Assessment.
Community Environment Assessment
Physical Activity Assessment
Psychosocial Assessment
Dietary Intake Assessment
Physical and Laboratory Assessments
Nutritional Care Plan and Case Management
References
Behavioral and Psychosocial Assessment Tools, S. Johnson, and T.K. von Almen
Behavioral Assessments
Psychosocial Assessments
Self Esteem
Anxiety
Measures of Eating Disorders
Family Measures
Conclusion
References
Exercise Testing, T. Rowland, and M. Loftin
Physiological Considerations
Cardiovascular Fitness
Autonomic Function
Blood Pressure
Ventilatory Anaerobic Threshold
Running/Walking Economy
References
Dietary Approaches
Pediatric Obesity Dietary Approaches in Clinical Settings: A Survey of the Options and Recommendations, M.S. Sothern, C. VanVrancken-Tompkins, and L.K. Carlisle
Introduction
VLCDs in the Clinical Setting
References
Nutrition Education, H. Schumacher, C. VanVrancken-Tompkins, and M.S. Sothern
Introduction
Nutrition Education and Individual Counseling
Nutrition Education and Group Counseling
Nutrition Education in Multidisciplinary Settings
Nutrition Education and Alternative Dietary Approaches
A Sample Nutrition Education Curriculum in the Clinical Setting
Summary
References
Behavioral Counseling
Behavioral Counseling: Family-Based Behavioral Counseling in Clinical Settings, P. Davis Martin, and V.H. Myers
Behavioral Treatment Techniques
Overview of Family-Based Studies
Parent Training or Modeling Interventions
Individual Treatment Approaches
Summary
References
Exercise and Physical Activity
Increasing Physical Activity in Overweight Youth in Clinical Settings, C. VanVrancken-Tompkins, C. Brooks, C. Thélin, and M.S. Sothern
Introduction
Motivational Theories and Models
Motivational Techniques to Increase Physical Activity
Summary
References
Exercise and Physical Activity: Exercise Training Programs and Metabolic Health, S. Owens, PhD
Introduction
Components of Metabolic Health in the Pediatric Obesity/Exercise Literature
Effects of Exercise on Components of Metabolic Health
Summary of Components of Successful Exercise Programs
References
Internet-based Approaches
Internet-Based Treatment for Pediatric Obesity, D.A. Williamson, H. Walden, E. York-Crowe, and T.M. Stewart
Background
Utilization of the Internet for Weight Management
HIPTeens
Summary and Conclusions
References
Pharmacology
Pharmacologic Treatment of Adolescent Obesity, C.E. Crerand, T.A. Wadden, and R.I. Berkowitz
Introduction
Pharmacological Agents for the Treatment of Obesity
Use of Orlistat with Adolescents and Children
Use of Sibutramine with Adolescents
Metformin
Clinical Implications and Conclusions
References
Surgery
Surgical Management of Pediatric Obesity, T. Inge, M. Zeller, S. Kirk, and S. Daniels
Introduction
Primary Care Provider Considerations before Referral of Surgical Candidates
Comprehensive Team Assessment of the Patient Referred for Bariatric Surgery
Postoperative Management
Final Words of Caution
Summary
References
Interdisciplinary, Interactive, Group Instruction
Interdisciplinary, Interactive Group Instruction: Orientation, Evaluation and Monitoring Progress, L.K. Carlisle, and S.T. Gordon
Introduction
Orientation
Evaluation
Monitoring Progress
Summary
References
Interdisciplinary, Interactive, Group Instruction, T.K. von Almen, M.S. Sothern
Behavioral Therapy: Group Counseling Sessions, Follow-Up, and Relapse Prevention
Setting Limits
Self Monitoring of Food and Activity (Appendix 3.I)
Cue Elimination
Stimulus Control
Goal Setting; Short-Term, Long-Term, and Weekly (Appendix 3.O and Appendix 3.P)
Goal Assessment (Appendix 3.R)
Behavioral Substitution or Replacement (Appendix 3.S)
Relapse Prevention
Applied Activities and Experiences (Appendices 3.U to 3.Z)
Family Physical Activity and Fitness Education Sessions
Pediatric Obesity and Exercise Performance
Exercise Instruction in Interactive, Interdisciplinary Clinical Settings
Lesson 1: Benefits of Exercise, Exercise safety, Warming-Up, Exercise Prescription, and Increasing Your Daily Activity — The MPEP-Step
Lesson 2: Exercise Intensity and Pacing Skills (Metabolic Systems), Cooling Down After Exercise
Lesson 3: Aerobic Exercise — Modified Field Sports, the Homework Rule
Lesson 4: Muscular Strength and Endurance: “MPEP PUMP;” Strength Training Circuit; Creating Indoor Play Areas
Lesson 5: Family Field Sports — Aerobic Volleyball; Creating Outdoor Play Areas
Lesson 6: Flexibility, Flex Test I, and Stretch and Flex Class
Lesson 7: Aerobic Exercise and Cardiopulmonary Endurance, Steady State — Monitoring Heart Rate and Aerobic Circuit
Lesson 8: Exercise Prescriptions; The Fit Kit Walking Program
Lesson 9: Review Muscular Strength and Endurance: Pull Your Own Weight Series
Lesson 10: Park Day — Outdoor Play
Nutrition Education Sessions
References
Appendix 1: Clinical Management Forms
Appendix 2: Testing/Measurement Protocols
Appendix 3: Sample Intervention Materials
Index
Biography
Melinda S. Sothern, Stewart T. Gordon, T. Kristian von Almen
“This is a clinically based approach for the treatment of pediatric obesity written for healthcare and research professionals by editors who have had at least two decades of experience in treating children and families with obesity. … The purpose is to educate healthcare and research professionals on the problems of childhood obesity and the varied approaches in its treatment. The mission of the book is to provide clinically appropriate, scientifically supported information on obesity. … The book meets the author’s objective as an easy-to-use clinical reference for healthcare professionals in pediatrics covering the entire range of issues in childhood obesity. … The audience consists of pediatric healthcare professionals in all areas of pediatrics dealing with families and children who are obese. … This is an excellent book by experienced authors in the field of childhood obesity detailing various approaches in the diagnosis and management of this condition. Particularly impressive are the section on medical aspects of treatment, clinical evaluation, behavioral counseling, surgery, and interactive group instruction. This is an important book that should be part of pediatrician’s library.”
— Douglas Moodie, Ochsner Clinic Foundation, in Doody’s Review Service
“This handbook focuses its attention on the most disturbing component of the obesity issue – the overweight child. … This text examines the subject of pediatric obesity in compete terms (medical, psychological, nutritional) in order to show the healthcare provider that child-patients are much different that adults and must be treated with a tempered hand. … the goal is to teach children to become conscious of the things they are eating and the affects food has on ambition, health, energy-levels and appearance. … is a clearly written textbook which presents a wealth of clinical data on all aspects of childhood obesity, with well-shaped chapters on the psychological and behavioral factors of obesity serving to demonstrate that each child-patient requires an individualized care-plan and extra patience. … Recommended to all clinicians who treat the pediatric patient and counsel parents on how to care for an obese child. Also recommended to Health Science libraries as well-rounded reference that covers both medical and psychological elements of obesity.”
— John Aiello, in Electric Review
“The purpose of this handbook is to provide background information, clinical examination tools, and available treatment approaches for medical professionals who are interested in combating the increasing prevalence of pediatric obesity. This book is relevant for pediatric physical therapists and physical therapist assistants. The material in the book is covered in a comprehensive manner. … The book is an excellent source for up-to-date information on the many aspects of pediatric obesity. The content is well supported with references to hundreds of current articles … the content is covered in sufficient detail for the book to be considered a comprehensive text on the subject. … In addition, the book provides 3 separate voluminous appendices covering 120 pages. These appendices include clinical management forms, checklists, fitness evaluation forms, testing protocols, resources, a table of food portions and units, and full meal plans. This reference is relevant to physical therapists and physical therapists assistants who are interested in the topic of pediatric obesity, and I would recommend its addition to their professional library.”
— Ricardo A. Fernandez, physical therapist, AthletiCo, Chicago, in APTA, American Physical Therapy Association, Vol. 87, No. 3, March 2007
“…an excellent book by experienced authors in the field of childhood obesity detailing various approaches in the diagnosis and management of this condition. Particularly impressive are the sections on medical aspects of treatment, clinical evaluation, behavioral counseling, surgery, and interactive group instruction. This is an important book that should be part of a pediatrician's library.”
—Doody’s Review Service
The Trim Kids Program was recently accepted by the National Cancer Institute (NCI) of the National Institutes of Health as a Research Tested Intervention Program
Program was recently accepted by the National Cancer Institute (NCI) of the National Institutes of Health as a Research Tested Intervention Program"… a clearly written textbook which presents a wealth of clinical data on all aspects of childhood obesity… Recommended to all clinicians who treat the pediatric patient and counsel parents on how to care for an obese child. Also recommended to Health Science libraries as a well-rounded reference that covers both medical and psychological elements of obesity."
--The Electric Review