Obesity in children. Part 2: Prevention and management

doi:10.1136/bmj.a1848

Published 22 October 2008, doi:10.1136/bmj.a1848
Cite this as: BMJ 2008;337:a1848

Clinical Review

Obesity in children. Part 2: Prevention and management

Ruth R Kipping, research fellow¹, Russell Jago, senior lecturer², Debbie A Lawlor, professor of epidemiology¹^,3

¹ Department of Social Medicine, University of Bristol, Bristol BS8 2PS, ² Department of Exercise, Nutrition and Health Sciences, University of Bristol, Bristol BS8 ITP, ³ MRC Centre for Causal Analysis in Translational Epidemiology, University of Bristol, Bristol BS8 2BN

Correspondence to: R Kipping ruth.kipping@bristol.ac.uk

The first 150 words of the full text of this article appear below.

Few obesity prevention interventions have beenshown to be effective in children

Comprehensive strategiesthat tackle diet and physical activity as well as providingpsychosocial support and environmental change may help preventobesity

Community based interventions aimed at changing activitylevels, dietary knowledge, and eating behaviour may be usefulbut need evaluation for effectiveness and cost effectiveness

Specialisttreatment may include treatment with sibutramine or orlistatin children over 12, although long term studies are needed

Surgeryis recommended only in adolescents with extreme obesity, inlimited circumstances, but the benefits need to be balancedagainst the possible side effects

In the first part of this article we described how obesity inchildren is measured, its prevalence, whether children shouldbe screened, and the risk factors for and consequences of obesity.¹In this part we review the current evidence on the preventionand management of childhood obesity.

This review draws . . . [Full text of this article]

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Kriemler, S., Zahner, L., Schindler, C., Meyer, U., Hartmann, T., Hebestreit, H., Brunner-La Rocca, H. P., van Mechelen, W., Puder, J. J (2010). Effect of school based physical activity programme (KISS) on fitness and adiposity in primary schoolchildren: cluster randomised controlled trial. BMJ 340: c785-c785 [Abstract] [Full text]
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