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.
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 Update
Each month, the pediatric committee posts a pediatric-focused obesity research update to help keep you up to date about the latest findings. This month’s update was written by Gurpreet Boparai, MD, FOMA.
Provider Views on Childhood Obesity Management in Primary Care Settings: A Mixed Methods Analysis
Rhee KE, et al. BMC Health Serv Res, 2018. View the original article here.
Primary care providers (PCPs), such as pediatricians and family practitioners, have a major role in evaluating, managing, and preventing childhood obesity, but the rate of childhood obesity is still high. There are few studies that have looked at the perceived and actual barriers experienced by PCPs in addressing childhood obesity.
This study looked at the barriers to pediatric obesity management in current practice models using electronic medical records (EMR) and mixed methods for analysis of results. It was performed by pediatric providers in the Children’s Primary Care Medical Group (CPCMG), a large pediatric network in San Diego. The study includes suggested solutions for better outcomes.
The researchers conducted four focus group discussions in 2013, including physicians and nurse practitioners from different sites to ensure that a wide range of practice experiences were represented. The focus groups included areas that consisted of 26%-39% children with overweight and obesity, 16%-58% Hispanic, and 6%-23% of families living below the federal poverty level. The discussions were 45 minutes, and topics included: current attitudes and behaviors toward weight management in the office, barriers to addressing weight in the office setting, and factors or solutions that would increase providers’ abilities to manage weight in the office. Based on those discussions, a 30-question survey was sent to all pediatric providers (n=110) in the network, including providers who participated in the focus groups, to assess views on obesity management. Forty-two (38%) providers responded.
The researchers found that barriers to conducting obesity management fell into four categories: provider-level/individual (i.e., lack of knowledge and confidence), practice-based/systems-level (i.e., lack of time and resources), parent-level (i.e., poor motivation and follow-up), and environmental (i.e., lack of access to resources).
All the providers surveyed thought it was either very important (83%) or important (17%) for them to address obesity with their patients. However, the survey results revealed only 24% of providers wanted to conduct behavioral interventions due to lack of time and knowledge. The researchers also reviewed the suggestions to overcome these barriers. Given the constraints of conducting obesity interventions during a well-child visit, several providers offered solutions that mirror those defined in the chronic care model of treatment with a team approach. Almost two-thirds indicated that they would like a Best Practice Advisory (BPA) to appear in the EMR if the child had a BMI ≥ 85th percentile. Eighty-one percent preferred a smart set or algorithm that they could opt-in to use to help them with subsequent management.
The authors concluded that the discussion about obesity and further management should start at the visit with the PCP utilizing tools from the EMR. The next step should be with the support team, including a care manager or health coach who supports the patient’s self-management behaviors by delivering structured management plans and brief behavioral interventions. They would also schedule frequent follow-ups, provide care coordination, and increase patient/parent awareness of community resources to support healthy eating and activity behaviors. The collaborative care model may be a compelling option for the delivery of pediatric weight management in the primary care office.