Treatment of Pediatric Overweight and Obesity: Position of the Academy of Nutrition and Dietetics Based on an Umbrella Review of Systematic Reviews.

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Publisher: Elsevier Science Publishers
Document Type: Report
Length: 614 words

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Abstract This Academy of Nutrition and Dietetics Position Paper describes current evidence on multi-component interventions with nutrition to treat pediatric overweight and obesity and discusses implications for RDNs. An umbrella review of eight systematic reviews provides evidence that multi-component interventions that include nutrition improve body mass index z-scores in all ages and in a variety of settings. More evidence is needed regarding appropriate body mass index measures to track weight and health status changes in children and adolescents with overweight and obesity. Current evidence indicates that multi-component interventions that include nutrition do not negatively impact psychosocial outcomes, but research on long-term outcomes is needed. Evolving technology and societal circumstances have created opportunities to provide innovative, collaborative, and engaging interventions through telehealth. RDNs specializing in pediatric overweight and obesity treatment play a crucial role in providing a wide range of evidence-based interventions in a variety of settings. These skills are important for tailoring treatment to each child or adolescent while accounting for community and societal factors, which can lead to improved health across the lifespan. Author Affiliation: (1) Department of Pediatrics, University of Cincinnati, Cincinnati, OH (2) HealthWorks!, Cincinnati, OH (3) Cincinnati Children's Hospital Medical Center, Cincinnati, OH (4) Department of Pediatrics, University of Washington, Seattle, WA (5) Children's Hospital of Philadelphia, Philadelphia, PA (6) Academy of Nutrition and Dietetics Evidence Analysis Center, Chicago, IL * Address correspondence to: Mary Rozga, PhD, RDN, Nutrition Researcher II, Research, International and Scientific Affairs, Academy of Nutrition and Dietetics, 120 S., Riverside Plaza, Suite 2190, Chicago, IL 60606-6995. Article History: Received 11 January 2022; Accepted 13 January 2022 (footnote) This Academy of Nutrition and Dietetics position was approved by the Council on Research on January 18, 2022. The position paper was previously published September 2013. This position is in effect until December 31, 2029. Position papers should not be used to indicate endorsement of products or services. All requests to use portions of the position or republish in its entirety must be directed to the Academy at journal@eatright.org. (footnote) Reviewers: Jill Balla Kohn, MS, RDN, LDN (Director, Nutrition Information Services, Academy of Nutrition and Dietetics, Chicago, IL); Sarah Klemm, RDN, CD, LDN (Manager, Nutrition Information Services, Academy of Nutrition and Dietetics). Nutrition Services Payment Committee: Marcy Kyle, RDN, LD, CDCES, FAND (Diabetes Care and Education Specialist, Eastport Health Care); House Leadership Teams: Lona Sandon, PhD, RDN, LD (Program Director, Associate Professor, University of Texas Southwestern Medical Center). (footnote) ACKNOWLEDGEMENTSUmbrella Review Prevention Workgroup Members: The authors would like to thank Deanna Hoelscher, PhD, RDN, LD, CNS FISBNPA; Lynn Brann, PhD, RDN, FAND; and Sara O'Brien, MS, RDN. The authors thank the reviewers listed above and Academy member reviewers for their many constructive comments and suggestions. The reviewers were not asked to endorse this position or the supporting review. (footnote) STATEMENT OF POTENTIAL CONFLICT OF INTEREST SK is the principal investigator for R34-DK118510-NIH/NIDDK grant and co-investigator for R01-IH/NIDDK grant. MR and DH are dietitians employed by the Academy of Nutrition and Dietetics. Authors had no other conflicts of interest to disclose. (footnote) FUNDING/SUPPORT This systematic review was funded by the Academy of Nutrition and Dietetics. (footnote) AUTHOR CONTRIBUTIONS All authors worked collaboratively to conceive of the research questions, eligibility criteria and outcomes. All authors screened studies for inclusion. MR extracted data and summarized evidence. MR and DH assessed risk of bias of included systematic reviews. All authors contributed to the first draft. All authors reviewed and edited the manuscript in detail and approved of the final draft. Byline: Shelley Kirk, PhD, RD, LD (1,2,3), Beth Ogata, MS, RD, CD, CSP (4), Elizabeth Wichert, MPH, RD, LDN (5), Deepa Handu, PhD, RD, LDN (6), Mary Rozga, PhD, RDN [mrozga@eatright.org] (6,*)

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Gale Document Number: GALE|A697070981