Pediatric Obesity Algorithm®
The Pediatric Obesity Algorithm was developed by practicing pediatricians and clinicians who treat obesity in infants, children, and adolescents. It combines scientific evidence, medical literature, and clinical experience into one document to educate clinicians and help them implement evidence-based practices. Clinicians can use the Pediatric Obesity Algorithm as a resource when making treatment recommendations or when referring their patients to childhood obesity specialists.
The Obesity Algorithm® is a clinical tool to help health care providers both understand the complexity of the disease of obesity and implement effective, evidence-based obesity treatment strategies with their patients.
AAP's Institute for Healthy Childhood Weight
The Institute for Healthy Childhood Weight serves as a translational engine for pediatric obesity prevention, assessment, management, and treatment, and moves policy and research from theory into practice in American healthcare, communities, and homes.
Childhood Obesity Research Demonstration Project
CORD (Childhood Obesity Research Demonstration) project is a CDC-funded project to look at different community-based levels of intervention in Texas, Massachusetts, and California. Provides references and outcomes discussions from the studies.
USDA resource for wellness advocacy in schools and resources for families.
Center for Healthy Weight and Nutrition
The Center for Healthy Weight and Nutrition has developed several tools intended to provide primary care physicians with practical guidance on the approach to the child with obesity.
Rudd Center for Food Policy and Obesity
Rudd Center for Food Policy & Obesity has great pediatric information, sensitive pictures, guidelines for media, etc. In addition, there are full text articles available for any manuscripts that the Center’s researchers produce, which is very helpful for those without access to an academic library.
Parenting at Mealtime and Playtime Learning Collaborative
The Parenting at Mealtime and Playtime (PMP) Learning Collaborative offers resources to pediatric practices to help counsel families of infants and young children (ages birth to 5 years) about good nutrition and positive parent-child interactions during mealtime and playtime. This quality improvement program provides tools for physicians to enhance prevention counseling strategies, become adept at assessing “risk,” and intervene at the earliest possible stage before a child develops overweight or obesity.
CHAMPS Overweight and Obesity Treatment and Prevention Resources
Site provided as a resource for community health centers in western regions with a list of provider and family resources for obesity treatment and prevention.
Healthy Active Living for Families
The Healthy Active Living for Families (HALF): Right from the Start program is a project developed by the American Academy of Pediatrics to address early childhood obesity prevention that integrates the parent perspective and evidence-informed pediatric health guidance.
National Institutes of Health We Can!® Campaign
Resource for providers with templates for talking with patients about obesity and prevention, as well as handouts, posters, and other resources.
Childhood Overweight Fact Sheet
The Obesity Society’s fact sheet on obesity in pediatrics.
ChopChop for Doctors
ChopChop is a quarterly cooking magazine and website for kids and their families. The print edition is given out by doctors to children and their parents as part of pediatric visits to promote healthy eating and cooking together. Available in English and Spanish.
The Dr. Yum Project
In response to the growing rates of childhood obesity, pediatrician Nimali Fernando MD, MPH, started doctoryum.org in 2011 to teach her patients and her families about the benefits of healthy eating. What started out as a recipe and parenting site grew to a bigger project of teaching a healthy lifestyle to the greater community. In 2012, The Dr. Yum Project, a 501 (c)3 organization, was born.
Focus on a Fitter Future: A Survival Guide for Planning, Building, and Sustaining a Pediatric Obesity Program
Provided by the Children’s Hospital Association as a template for developing an obesity program.
Children's Healthcare of Atlanta
The provider page of Children’s Healthcare of Atlanta is a great resource for a wide range of obesity interventions with provider and patient resources.
Nutrition, Physical Activity, and Obesity: Data, Trends, and Maps
Keep up to date with nutrition, physical activity, and obesity data. CDC’s Division of Nutrition, Physical Activity, and Obesity (DNPAO) has made important updates to the Data, Trends and Maps database.
Alliance for a Healthier Generation
The Alliance for a Healthier Generation and Voices for Healthy Kids are working to elevate the importance of strong wellness policies in schools. The #WellnessWins campaign celebrates district wellness success and inspires everyone to create healthier school environments grounded in strong wellness policies. School leaders, community members, and parents can visit WellnessWins.org to download resources, read success stories, and learn how to support and advance school wellness policies.
BCBS of Tennessee Childhood Obesity Toolkit
Blue Cross Blue Shield of Tennessee toolkit for providers with resources and references.
Healthy Eating and Living Education (HEALED) Program
The Healthy Eating and Living Education (HEALED) program provides primary care physicians and staff with efficient, evidence-based strategies for the assessment, prevention, and treatment of pediatric obesity.
Obesity Action Coalition: Understanding Obesity in Children
Better understand obesity in children, its causes, and how to measure it. Find resources for combating bullying and childhood obesity stigma.
Weigh In: Talking to Your Children about Weight + Health
Sponsored by the STOP Obesity Alliance and the Alliance for a Healthier Generation, this site provides guidance on talking with children about weight and scenarios to help guide discussions for parents and children.
AAP-sponsored website with resources for parents on a wide range of topics, including obesity, healthy eating, and active play.
Let's Move! Child Care Resources for Parents
Parent resources for use at home or when talking with your child care providers about their programs. Help your family eat healthier, get your kids moving, limit screen time, and get breastfeeding support.
The Dr. Yum Project
A site founded by a pediatrician, which provides links to recipes, tips for cooking with children, and many more healthy, active living resources.
My Munch Bug
Pediatric feeding expert with tips for picky eaters and parent coaching.
National Institutes of Health parent resource for understanding and preventing obesity.
The Nutrition Source
The Nutrition Source is a leading authority on food and nutrition knowledge, providing science-based guidance for healthy living. It is provided by the Harvard T. H. Chan School of Public Health’s Department of Nutrition.
Children's Healthcare of Atlanta
Children’s Healthcare of Atlanta provides a comprehensive site for parents on both treatment and prevention of obesity.
Parenting at Mealtime and Playtime
The Ohio AAP provides resources for both providers and parents in the fight against obesity. The site has links to easy-to-use mobile device applications as well as nutrition and physical activity resources.
Pediatric Obesity Research Updates
Each month, the pediatric obesity committee posts a pediatric-focused obesity research update to help keep you up to date about the latest findings.
Short-term Isocaloric Fructose Restriction Lowers Apoc-III Levels and Yields Less Atherogenic Lipoprotein Profiles in Children with Obesity and Metabolic Syndrome
Gugliucci, A., et al. Atherosclerosis, 2016. View the article here.
This study explored additional data from a study that assessed the effect of isocaloric exchange of glucose in starch, for fructose in sugar, on children with obesity and metabolic syndrome. The initial publication showed a significant reduction in triglycerides and LDL-C cholesterol after just nine days on the isocaloric exchange. The paper presented further data from this study of the impact on other markers of cardiovascular disease.
Thirty-seven Latino and African-American children with obesity and metabolic syndrome—all having at least one metabolic co-morbidity—consumed a diet that matched self-reported macronutrient composition for nine days. The exception was that dietary fructose was reduced from 11.7 ± 4.0% to 3.8 ± 0.5% of daily calories and substituted with glucose (in starch). The mean age was 13.3 ± 2.7 years, with BMI z-score 2.4 ± 0.3. Pubertal status was Tanner 1 in five participants, Tanner 2-3 in 16 participants, and Tanner 4-5 in 22 participants. Participants underwent fasting biochemical analyses on days 0 and 10. HDL and LDL subclasses were analyzed using the Lipoprint HDL and LDL subfraction analysis systems from Quantimetrix.
The participants lost an average of 1% of body weight over the course of the nine days, so the results were adjusted for weight change. Dexa body composition analysis demonstrated that the fat loss was fat-free mass.
Results demonstrated a significant reduction in Apo-CIII, consistent with a reduction in the number and/or size of VLDL particles as well as a qualitative change in their apolipoprotein profile toward a less atherogenic phenotype. This finding correlated well with the earlier publication that showed a 46% drop in triglycerides. While the previous study analysis showed a significant decrease in both LDL-C of 0.3 mmol/L and a drop in HDL by 0.1 mmol/L, this current study analysis examined the change in the size distribution of these particles. Ten of the 37 children had a small-dense-LDL (sd-LDL) fraction on day 0. Fructose restriction eliminated or reduced this atherogenic particle in 8 of those 10 children. The LDL particle size in the entire group increased by 0.87 nm and total apo-B decreased by 32%. In addition, sub-fraction analysis of HDL particles showed a decrease in the amount of small HDL particles by 2.73% and an increase in the numbers of large HDL (more beneficial) particles by 2.43%, indicating a redistribution of particle type.
This study provides new data demonstrating that short-term isocaloric fructose restriction in children with obesity and metabolic syndrome can improve lipoprotein profiles compatible with a reduction of risk factors for cardiovascular disease. These improvements in fasting lipid profiles also correlate significantly with the changes in parameters of insulin resistance.
This study shows dramatic improvement in atherogenic dyslipidemia in a short period in the absence of significant weight loss, and only fat-free mass loss, with no calorie restriction and no change in overall macronutrient content. The changes came about with fructose restriction alone. Further research is warranted to assess whether dietary fructose restriction can impact metabolic syndrome associated dyslipidemia in adults and whether such effects are sustainable long-term.