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Evidence base for the prevention and management of child obesity

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Robertson, Wendy, Murphy, Marie and Johnson, Rebecca E. (2016) Evidence base for the prevention and management of child obesity. Paediatrics and Child Health, 26 (5). pp. 212-218. doi:10.1016/j.paed.2015.12.009

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Official URL: http://dx.doi.org/10.1016/j.paed.2015.12.009

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Abstract

Obesity in childhood is a public health priority. The prevalence of overweight and obesity in children has increased since the mid 1990s, although prevalence is now stabilising. The National Child Measurement Programme shows that a third of 10–11 year olds in England are currently overweight or obese. Obesity increases the risk of poor physical health and mental health in childhood, and children who are obese are more likely to be obese in adulthood. Four tiers of services are recommended in the care pathway: universal prevention services; lifestyle weight management services often run in the community; specialist support from a clinical team; and surgery (in exceptional circumstances to over 12s). The current evidence on prevention indicates that interventions targeting schools and the home are promising, and reducing free sugar intake and sugar sweetened drinks is fast becoming a policy imperative. The evidence of the effectiveness of tier 2 weight management services is mixed, indicating that childhood obesity is hard to treat. Future research is turning to a whole systems approach to tackle childhood obesity. In this article we aim to outline how childhood obesity is measured, the scale of the problem globally and in the UK, the determinants and the consequences of childhood obesity. We will then give an overview of prevention and treatment interventions.

Item Type: Journal Article
Divisions: Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School
Journal or Publication Title: Paediatrics and Child Health
Publisher: The Medicine Publishing Company
ISSN: 1751-7222
Official Date: May 2016
Dates:
DateEvent
May 2016Published
25 January 2015Available
26 January 2016Accepted
Date of first compliant deposit: 24 March 2016
Volume: 26
Number: 5
Page Range: pp. 212-218
DOI: 10.1016/j.paed.2015.12.009
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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