Prevention 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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| Institution: | 1. Michael & Susan Dell Center for Healthy Living, The University of Texas Health Science Center at Houston School of Public Health at Austin, Austin, TX;2. Department of Nutrition and Food Studies, Syracuse University, Syracuse, NY;3. Blythedale Children Hospital, Weston, CT;4. Academy of Nutrition and Dietetics Evidence Analysis Center, Chicago, IL;1. Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, MA;2. Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA;3. Department of Biomedical and Nutritional Sciences, Zuckerberg College of Health Sciences, University of Massachusetts Lowell, Lowell, MA;4. Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA;1. Harvard Center for Population and Development Studies, Harvard T.H. Chan School of Public Health, Cambridge, MA;2. Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA;3. Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill;4. Carolina Population Center, University of North Carolina, Chapel Hill;5. Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill;1. Department of Family Medicine and Public Health in the School of Medicine at University of California San Diego, La Jolla;2. School of Public Health at San Diego State University, San Diego, CA;3. Division of Health Analytics, Department of Computational and Quantitative Medicine, City of Hope, Duarte, CA;4. Department of Family Medicine and Public Health, School of Medicine, University of California San Diego, La Jolla;5. Moores Cancer Center at University of California San Diego, La Jolla;6. School of Public Health, San Diego State University, San Diego, CA;7. Departments of Medicine and Family Medicine and Public Health, School of Medicine, University of California San Diego, La Jolla;8. diversity and community partnerships, School of Medicine, University of California San Diego, La Jolla;9. Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla |
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| Abstract: | This Academy of Nutrition and Dietetics Position Paper reports current evidence on pediatric overweight and obesity prevention interventions and discusses implications for registered dietitian nutritionists (RDNs). An overview of current systematic reviews provided evidence-based results from a range of nutrition interventions according to developmental age group (ages 2 to 5, 6 to 12, and 13 to 17 years). Twenty-one current systematic reviews of nutrition interventions demonstrated a beneficial effect of nutrition and physical activity interventions on body mass index measures and no adverse events were identified. RDNs impart nutrition expertise in a wide range of settings to provide comprehensive care for children and adolescents as their nutrition and developmental needs change over time. This Position Paper outlines the current roles of, and proposed directions for, RDNs engaged in pediatric overweight and obesity prevention. Prevention of pediatric overweight and obesity requires comprehensive strategies ranging from policy-level to individual-level interventions in settings that will have the most beneficial impact for children according to their developmental stage. This Position Paper advocates for increased availability of nutrition and food access programs and interventions to reduce risk of pediatric obesity and associated adverse health outcomes both now and for future generations. |
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