Obesity/Overweight
Parental Predictions and Perceptions Regarding Long-Term Childhood Obesity-Related Health Risks
To assess how parents perceive long-term risks for developing obesity-related chronic health conditions.Material Hardship and Internal Locus of Control Over the Prevention of Child Obesity in Low-Income Hispanic Pregnant Women
To determine the relations between household material hardships and having a low internal locus of control over the prevention of child obesity in low-income Hispanic pregnant women.Are Graduating Pediatric Residents Prepared to Engage in Obesity Prevention and Treatment?
Little information is available to gauge residents' perceived receipt of comprehensive training and preparedness to manage children with obesity in practice.Association Between Meat and Meat-Alternative Consumption and Iron Stores in Early Childhood
To prevent iron deficiency, 2014 Canadian recommendations for healthy term infants from 6 to 24 months recommend iron-rich complementary foods such as meat and meat alternatives 2 or more times a day. The purpose of our study was to evaluate the association between meat and meat-alternative consumption and iron status in young children and the association between red meat consumption and iron status among children meeting recommendations.Hospitalization: Are We Missing an Opportunity to Identify Food Insecurity in Children?
Food security is the ability to access sufficient food to maintain a healthy, active life. Previous studies link food insecurity with adverse health outcomes. Our objectives were to determine the prevalence of food insecurity, identify sociodemographic risk factors, and quantify receipt of public nutrition assistance among recently hospitalized children in the United States.Association of Adolescent Depressive Symptoms With Health Care Utilization and Payer-Incurred Expenditures
Screening adolescents for depression is recommended by the US Preventive Services Task Force. We sought to evaluate the impact of positive depression screens in an adolescent population on health care utilization and costs from a payer perspective.Primary-Care Weight-Management Strategies: Parental Priorities and Preferences
To examine parental perspectives/rankings of the most important weight-management clinical practices and to determine whether preferences/rankings differ when parents disagree that their child is overweight.Health Care Utilization by Body Mass Index in a Pediatric Population
We tested the hypothesis that the frequency of emergency department (ED) visits, outpatient clinic visits, and hospitalizations were higher among children with higher body mass index (BMI) categories, even after controlling for demographics, socioeconomic status, and presence of other chronic medical conditions.Cost and Cost-Effectiveness of Students for Nutrition and eXercise (SNaX)
To examine the cost and cost-effectiveness of implementing Students for Nutrition and eXercise (SNaX), a 5-week middle school–based obesity-prevention intervention combining school-wide environmental changes, multimedia, encouragement to eat healthy school cafeteria foods, and peer-led education.Accuracy of Weight Perceptions in a Nationally Representative Cohort of US 8th Grade Adolescents
To describe the accuracy of weight perceptions in a nationally representative sample of US 8th graders, its relationship with weight control intentions (WCI), and the relationship of weight misperceptions and WCI with diet and activity behaviors.Treatment Interventions for Early Childhood Obesity: A Systematic Review
With 25% of preschool-age children in the United States being overweight or obese, effective interventions for these children would have significant public health implications. Randomized trials targeting this age group have been performed since the last systematic review.Table of Contents
353 Treatment Interventions for Early Childhood Obesity: A Systematic Review Byron A. Foster, Jill Farragher, Paige Parker, and Erica T. SosaOverweight and Obesity in a Sample of Children With Autism Spectrum Disorder
To determine the prevalence of overweight/obese status in children with autism spectrum disorders (ASD), identify associated characteristics, and develop a model to predict weight status.Active and Healthy Families: A Randomized Controlled Trial of a Culturally Tailored Obesity Intervention for Latino Children
There is a critical need for culturally relevant interventions to address obesity among Latino children, who have a greater risk of obesity and diabetes than non-Hispanic white children. To test the impact of a family-centered, culturally tailored obesity intervention delivered through group medical appointments on body mass index (BMI) and other measures of cardiovascular risk among Latino children.Family-Based Obesity Treatment in Children With Disabilities
To assess the relative effectiveness of an interdisciplinary, family-centered, tertiary-care pediatric weight management program for the treatment of patients with and without cognitive disabilities (CD).Asthma in US Mexican-Origin Children in Early Childhood: Differences in Risk and Protective Factors by Parental Nativity
Over 900,000 Mexican-origin children in the United States have asthma, but little is known about the extent to which development of this condition reflects early childhood exposure to social and environmental risks. The objectives of this research are to demonstrate the roles of risk and protective factors in the prevalence and severity of asthma in this population and provide comparisons with other racial/ethnic groups.Latino Parents' Perceptions of Weight Terminology Used in Pediatric Weight Counseling
To identify which English and Spanish terms Latino parents consider motivating, as well as culturally and linguistically appropriate, for provider use during weight counseling of overweight and obese Latino youth.Population-Level Obesity Surveillance: Monitoring Childhood Body Mass Index z-Score in a Safety-Net System
To determine the utility of repeated patient-level body mass index (BMI) measurements among higher-risk patients seen at safety-net clinics as a community-level monitoring tool for overweight and obesity population trends.Exploring Innovative Approaches and Patient-Centered Outcomes From Positive Outliers in Childhood Obesity
New approaches for obesity prevention and management can be gleaned from positive outliers—that is, individuals who have succeeded in changing health behaviors and reducing their body mass index (BMI) in the context of adverse built and social environments. We explored perspectives and strategies of parents of positive outlier children living in high-risk neighborhoods.Parental Guidance Advised: Associations Between Parental Television Limits and Health Behaviors Among Obese Children
To examine associations between parental limits on TV viewing and child health behaviors.Sex Differences in Adult Outcomes by Changes in Weight Status From Adolescence to Adulthood: Results From Add Health
Changes in weight status from adolescence to adulthood may be associated with varying social, vocational, economic, and educational outcomes, which may differ by sex. We studied whether there are differences in adult outcomes by sex for different weight status changes in the transition to adulthood.Interaction between Maternal Prepregnancy Body Mass Index and Gestational Weight Gain Shapes Infant Growth
To quantify the combined effect of maternal prepregnancy obesity and maternal gestational weight gain (GWG) on the shape of infant growth throughout the first year of life.Middle School Student Attitudes About School Drinking Fountains and Water Intake
To describe middle school student attitudes about school drinking fountains, investigate whether such attitudes are associated with intentions to drink water at school, and determine how intentions relate to overall water intake.Patient Reported Outcomes as Indicators of Pediatric Health Care Quality
Health care reform has increased demand for pediatric health care quality evaluations, particularly those that assess the impact of care on patient and population health outcomes. Many of today's most common childhood conditions are characterized by symptoms, behaviors, and functional limitations that are best assessed as patient reported outcomes (PROs). Although they remain greatly underutilized, PROs have the potential to improve pediatric health care quality assessment at the point of care and through system-level performance evaluations.What Can Providers Learn From Childhood Body Mass Index Trajectories: A Study of a Large, Safety-Net Clinical Population
To describe childhood weight gain using body mass index (BMI) z-score trajectories in a low-income urban safety-net population and identify among gender- and race/ethnicity-specific groups any trends for increased risk.Prevalence of Overweight and Obesity in a Large Clinical Sample of Children With Autism
Overweight and obesity are major pediatric public health problems in the United States; however, limited data exist on the prevalence and correlates of overnutrition in children with autism.Screening of Depression in Overweight and Obese Children and Adolescents Presenting for Well Child Care Visits to the Children’s Hospital University of Illinois
Studies have shown an association between the development and persistence of obesity and depression in children. Prior to our QI project, there was no screening process for depression in overweight and obese patients presenting for well child care visits (WCC).Parental Psychological Distress and Children's Mental Health: Results of a National Survey
Questions persist as to which dimensions of child mental health are most associated with parental mental health status and if these associations differ by parental gender. We assessed associations between parental psychological distress and children's mental health.Parents' Obesity-Related Behavior and Confidence to Support Behavioral Change in Their Obese Child: Data From the STAR Study
Successful childhood obesity interventions frequently focus on behavioral modification and involve parents or family members. Parental confidence in supporting behavior change may be an element of successful family-based prevention efforts. We aimed to determine whether parents' own obesity-related behaviors were related to their confidence in supporting their child's achievement of obesity-related behavioral goals.Sleep Timing Moderates the Concurrent Sleep Duration–Body Mass Index Association in Low-Income Preschool-Age Children
To test the independent main and moderating effects of sleep timing on body mass index (BMI) in low-income preschool-age children (M = 4.11 years, SD = 0.54).Moving From Research to Practice in the Primary Care of Children With Autism Spectrum Disorders
Autism spectrum disorders (ASD), once thought rare, are now commonly encountered in clinical practice. Academic pediatricians may be expected to teach medical students and pediatric residents about ASD, but most likely received limited exposure to ASD during their training. In recent years, research that informs the clinical guidance provided to pediatricians regarding surveillance, screening, and ongoing management of children with ASD has accelerated. By 24 months of age, children with ASD exhibit delays across multiple domains of development, yet the diagnosis is frequently made much later.Current Australian Pediatric Practice in the Assessment and Treatment of ADHD
To study the characteristics of children diagnosed with attention-deficit/hyperactivity disorder (ADHD) in Australia, and the assessment and management practices of their pediatricians.Maternal Depressive Symptoms and Child Obesity in Low-Income Urban Families
To characterize the relationship between maternal depressive symptoms and child weight status, obesity-promoting feeding practices, and activity-related behaviors in low-income urban families.Accuracy of Child and Adolescent Weight Perceptions and Their Relationships to Dieting and Exercise Behaviors: A NHANES Study
Recent public health and media attention on child obesity may have altered accuracy of self-perception of obesity and associated weight control behaviors in children and adolescents. Thus, we examined whether accuracy of weight perceptions were associated with weight loss behaviors.Family Physical Activity and Meal Practices Associated With Disordered Weight Control Behaviors in a Multiethnic Sample of Middle-School Youth
Family practices around weight-related behaviors can shape children's development of disordered weight control behaviors (DWCB), such as vomiting, taking laxatives, or taking diet pills without a prescription. This study examined family meal and physical activity (PA) practices associated with DWCB among a multiethnic sample of youth.Parental and Home Environmental Facilitators of Sugar-Sweetened Beverage Consumption Among Overweight and Obese Latino Youth
To explore parental and home environmental facilitators of sugar-sweetened beverage (SSB) and water consumption among obese/overweight Latino youth.Health Status, Emotional/Behavioral Problems, Health Care Use, and Expenditures in Overweight/Obese US Children/Adolescents
To examine the association of overweight/obesity with health, health care utilization, and expenditures in a national sample of 10- to 17-year-old children and adolescents.Contents
181 Health Care for Children and Youth in the United States: 13 Years of Evidence Carolyn M. Clancy, Francis Chesley, and Denise DoughertyDo High-Risk Preschoolers or Overweight Mothers Meet AAP-Recommended Behavioral Goals for Reducing Obesity?
The American Academy of Pediatrics (AAP) has issued specific behavioral recommendations to prevent obesity. It is unclear how often high-risk preschoolers and overweight mothers meet recommended behavior goals and whether meeting these goals is negatively associated with overweight/obesity.Weight Change in Pediatric TennCare Recipients Referred to a Commercial Weight Loss Program
The epidemic of overweight and obesity in the United States is not limited to adults but also affects children and adolescents. Low-income children are disparately affected because they have an elevated risk for developing obesity. Effective interventions are urgently needed to prevent and treat obesity in children. In 2006, Tennessee Medicaid (TennCare) and Weight Watchers formed the TennCare Weight Watchers Partnership Program, which allowed pediatric recipients to attend Weight Watchers with no out-of-pocket cost.Childhood Obesity in Secondary Care: National Prospective Audit of Australian Pediatric Practice
In many countries, pediatricians offer skilled secondary care for children with conditions more challenging than can readily be managed in the primary care sector, but the extent to which this sector engages with the detection and management of obesity remains largely unexplored. This study aimed to audit the prevalence, diagnosis, patient, and consultation characteristics of obesity in Australian pediatric practices.Table of Contents
83 To Create a Better World for Children and Families: The Case for Ending Childhood Poverty Benard P. DreyerDevelopment of Mental Health Problems and Overweight Between Ages 4 and 11 Years: A Population-Based Longitudinal Study of Australian Children
To investigate timing and strength of associations between mental health and overweight in childhood; to investigate how the cumulative burden of each of these problems affects the other.Associations Between Neighborhood Resources and Physical Activity in Inner-City Minority Children
The role of neighborhood physical activity resources on childhood physical activity level is increasingly examined in pediatric obesity research. We describe how availability of physical activity resources varies by individual and block characteristics and then examine its associations with physical activity levels of Latino and black children in East Harlem, New York City.Adverse Childhood Experiences: Translating Knowledge into Identification of Children at Risk for Poor Outcomes
To pilot test a tool to screen for adverse childhood experiences (ACE), and to explore the ability of this tool to distinguish early child outcomes among lower- and higher-risk children.Associations Between Obesity and Comorbid Mental Health, Developmental, and Physical Health Conditions in a Nationally Representative Sample of US Children Aged 10 to 17
This large population-based study of US children considered the association of obesity with a broad range of comorbidities. This study examined relationships between weight status and health for US children.Dietary and Physical Activity Behaviors of New York City Children From Different Ethnic Minority Subgroups
To examine racial/ethnic differences in diet and physical activity behaviors in ethnic minority New York City children.Notes to a Young Investigator on How We Might Change the World
I'd like to express my sincere gratitude to the APA for this tremendous honor and recognition. I am also extremely grateful to my mentors: my high-school biology teacher, Ben Kirkland; my college mentor, Ernest Williams; my Robert Wood Johnson Clinical Scholars Program mentors, Alvan Feinstein and Ralph Horwitz; my Robert Wood Johnson Harold Amos Medical Faculty Development Program mentor, Sandy Schwartz; and my cherished pediatric colleagues and mentors, Michael Weitzman, Paul Wise, and Fernando Mendoza.
