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Volume 7, Number 7 Ocotber 2006

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Do Dietetic Interventions Work in Child Obesity? Crisis in the Emergency Room

Assessing the Impact of SCHIP, Ten Years Later In Congress Worth Noting

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Emerging issues var title = " [input] "

document.write (title) [input] [input] Do Dietetic

Interventions Work in Child Obesity? That’s a hard question to answer,

according to a systematic review of the literature on the subject that found

" limited evidence " on which to base treatment strategies. " There is an urgent

need to improve the quality of studies in this area because childhood obesity

poses major health risks for the population, " said researchers who reviewed

English-language articles from 1973 to 2003 dealing with dietary

interventions--in isolation or in combination with lifestyle changes and/or

psychological therapies—for persons younger than 18 years of age. The problem

is that, while diet and food intake modification have long been considered

essential in curbing adult obesity, " the efficacy of such interventions in the

pediatric population is not known, " and there are almost no descriptions of the

specific

interventions or food intake involved in weight loss programs for children and

adolescents. So what to do next? Overweight and obesity are such serious

problems that researchers should busy themselves producing high-quality studies

that clearly describe the rationale and aim of any dietary interventions and the

degree of adherence to them by children and adolescents, and practitioners

should report in detail on dietary interventions that seem to be working,

suggests an article in the September issue of Archives of Pediatrics and

Adolescent Medicine. " Obesity in children is increasing rapidly around the

world. The associated major health consequences have been systematically

reviewed and the psychological consequences and social marginalization reported.

Prevention is clearly the ideal solution to the problem. However, for those

already overweight or obese, or at an increased risk of becoming so, effective

interventions will offer the only chance of reducing the

probability of progression to adult obesity, its associated comorbidities, and

the increased risk of premature mortality. An examination of successful

interventions along with the key dietary changes achieved by participants would

inform the optimal dietary treatment for broad dissemination. "

The article, " Measuring Effectiveness of Dietary Interventions in Child

Obesity, " appears in the September 2006 issue of the journal Archives of

Pediatrics and Adolescent Medicine. Correspondence should be addressed to

.@.... See also:

The Role of School Health Professionals in Preventing Childhood Overweight,

http://www.healthinschools.org/sh/issuebrief.asp and Body Mass Index for

Children, http://www.healthinschools.org/focus/2006/no1.htm.

Stacey Faryna, RD, ACSM Health/Fitness Instructor

President, Midwest Wellness Solutions

www.MidwestWellnessSolutions.com

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