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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Disease Management Programs Targeting Obesity in Children: Setting the Scene for Wellness in the Future
Authors: Hughes, Adrienne R
Reilly, John J
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Keywords: Child Obesity
Disease Management Programs
Issue Date: 2008
Publisher: Adis International
Citation: Hughes AR & Reilly JJ (2008) Disease Management Programs Targeting Obesity in Children: Setting the Scene for Wellness in the Future, Disease Management and Health Outcomes, 16 (4), pp. 255-266.
Abstract: An epidemic of childhood obesity has occurred over the past few decades and obesity is now the most common health problem among children in the developed world. Developing countries have also experienced rising pediatric obesity rates in recent years. There is a widespread perception among health professionals, patients and families that childhood obesity is mainly a cosmetic problem, with relatively minor health risks. However, there is a large body of consistent and high quality evidence showing that childhood obesity has significant health risks in the short-term (for the obese child) and in the long-term (for the adult who was obese as a child). These include cardiovascular risk factors, fatty liver, psychological ill health, asthma, type 2 diabetes, inflammation and orthopedic problems (in childhood); obesity persistence, cardiovascular risk factors, premature mortality, adverse social and economic outcomes (in adulthood). Systematic reviews have consistently concluded that high quality evidence on management of pediatric obesity is limited. Despite weaknesses in the evidence base, useful guidance on promising strategies to treat pediatric obesity are widely available. Key components of a successful weight management program include an increase in physical activity, dietary modification, targeting reduction in sedentary behaviors, involving parents in treatment and employing behavioral techniques. These approaches produce modest improvements in weight-related outcomes (10 to 20% decrease in percent overweight or 1 to 3 unit change in BMI) and can increase physical fitness, enhance psychosocial functioning and improve cardiovascular and metabolic health.
Type: Journal Article
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Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author; you can only request a copy if you wish to use this work for your own research or private study.
Affiliation: Sport
University of Glasgow

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