scholarly journals Pharmacotherapy of Childhood Obesity: An evidence-based, conceptual approach

Diabetes Care ◽  
2007 ◽  
Vol 30 (2) ◽  
pp. 395-402 ◽  
Author(s):  
M. Freemark
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sarah Marshall ◽  
Sarah Taki ◽  
Penny Love ◽  
Yvonne Laird ◽  
Marianne Kearney ◽  
...  

Abstract Background Behavioural interventions for the early prevention of childhood obesity mostly focus on English-speaking populations in high-income countries. Cultural adaptation is an emerging strategy for implementing evidence-based interventions among different populations and regions. This paper describes the initial process of culturally adapting Healthy Beginnings, an evidence-based early childhood obesity prevention program, for Arabic and Chinese speaking migrant mothers and infants in Sydney, Australia. Methods The cultural adaptation process followed the Stages of Cultural Adaptation theoretical model and is reported using the Framework for Reporting Adaptations and Modifications-Enhanced. We first established the adaptation rationale, then considered program underpinnings and the core components for effectiveness. To inform adaptations, we reviewed the scientific literature and engaged stakeholders. Consultations included focus groups with 24 Arabic and 22 Chinese speaking migrant mothers and interviews with 20 health professionals. With input from project partners, bi-cultural staff and community organisations, findings informed cultural adaptations to the content and delivery features of the Healthy Beginnings program. Results Program structure and delivery mode were retained to preserve fidelity (i.e. staged nurse calls with key program messages addressing modifiable obesity-related behaviours: infant feeding, active play, sedentary behaviours and sleep). Qualitative analysis of focus group and interview data resulted in descriptive themes concerning cultural practices and beliefs related to infant obesity-related behaviours and perceptions of child weight among Arabic and Chinese speaking mothers. Based on the literature and local study findings, cultural adaptations were made to recruitment approaches, staffing (bi-cultural nurses and project staff) and program content (modified call scripts and culturally adapted written health promotion materials). Conclusions This cultural adaptation of Healthy Beginnings followed an established process model and resulted in a program with enhanced relevance and accessibility among Arabic and Chinese speaking migrant mothers. This work will inform the future cultural adaptation stages: testing, refining, and trialling the culturally adapted Healthy Beginnings program to assess acceptability, feasibility and effectiveness.


Obesity ◽  
2016 ◽  
Vol 25 (1) ◽  
pp. 16-29 ◽  
Author(s):  
Denise E. Wilfley ◽  
Amanda E. Staiano ◽  
Myra Altman ◽  
Jeanne Lindros ◽  
Angela Lima ◽  
...  

2015 ◽  
Vol 2 ◽  
pp. 347-354 ◽  
Author(s):  
Christine M.W. Totura ◽  
Holly Lewis Figueroa ◽  
Christopher Wharton ◽  
Flavio F. Marsiglia

2007 ◽  
Vol 7 (4) ◽  
pp. 379-406 ◽  
Author(s):  
Martine Stead ◽  
Laura McDermott ◽  
Gerard Hastings

2021 ◽  
Vol 67 (5) ◽  
pp. 67-83
Author(s):  
V. A. Peterkova ◽  
O. B. Bezlepkina ◽  
N. V. Bolotova ◽  
E. A. Bogova ◽  
O. V. Vasyukova ◽  
...  

Childhood obesity is an urgent problem of pediatric endocrinology due to the widespread occurrence, the development of metabolic complications and their steady tracking into adulthood. The developed clinical guidelines are the main working tool of the practitioner. They briefly and structurally present the main information about the epidemiology and modern classification of obesity, methods of its diagnosis and treatment based on the principles of evidence-based medicine.


KYAMC Journal ◽  
2021 ◽  
Vol 12 (3) ◽  
pp. 182-186
Author(s):  
Sharmistha Ghosal ◽  
Bodhrun Naher ◽  
Morium Alam Noor ◽  
Md Shahidul Islam ◽  
- Md Benzamin ◽  
...  

Hypertriglyceridemia is increasingly identified in children and adolescents, due to improved screening and higher prevalence of childhood obesity. The etiologic origin can be primary (genetic) or secondary, but it is often multifactorial. Management is challenging because of the interplay of genetic and secondary causes and lack of evidence-based guidelines. In this case report a fifteen month old boy was incidentally found with hypertriglyceridemia while finding the cause of his abdominal distension and was managed with oral and intravenous medications. KYAMC Journal. 2021;12(3): 182-186


2012 ◽  
Vol 50 (3) ◽  
pp. 369-395 ◽  
Author(s):  
Richard Duncombe

ABSTRACTThis paper provides a framework-based approach for assessing the potential for mobile finance (m-finance) services to achieve greater financial inclusion in sub-Saharan Africa. The conceptual approach synthesises market and user perspectives, and constructs an evidence-based exploratory framework based on analysis of a single country, Uganda. Case evidence is used to inform four lifecycle stages for m-finance, moving from design to access, usage, and outcomes associated with differentiated m-finance applications. Based on analysis of published sources, findings from Uganda suggest that early adoption of m-finance has favoured those already financially included and market-driven solutions for the financially excluded are limited. Simple market modelling is found to be an insufficient basis on which to assess potential amongst the unbanked majority. The paper argues that the perception, behaviour and capability of users, and forms of user appropriation, should be a paramount concern, and potential for m-finance should be considered within a deeper understanding of a specified financial services context and within a defined market, regulatory and policy environment.


Author(s):  
Jessica A. Bartlett ◽  
Matthew R. Sanders

Childhood obesity rates are on the rise worldwide. Considering the significant health and economic costs associated with obesity, emphasis must be placed on addressing this public health dilemma from both preventive and treatment perspectives. Evidence-based parent-centered interventions are an effective way to target obesity in children. Parents play a central role in a child’s lifestyle habits. However, parental recruitment and engagement remains problematic. This challenge must be addressed from a population health framework if improvements in childhood obesity rates are to be achieved. This chapter provides a framework for the prevention and management of childhood obesity from a public health perspective. The need for a population approach to evidence-based parenting programs is advocated to shift population-level rates of obesity. The existing research base for such an approach is discussed, along with future directions for clinical practice and research.


2011 ◽  
Vol 38 (3) ◽  
pp. 251-260 ◽  
Author(s):  
Amelie G. Ramirez ◽  
Patricia Chalela ◽  
Kipling J. Gallion ◽  
Lawrence W. Green ◽  
Judith Ottoson

U.S. childhood obesity has reached epidemic proportions, with one third of children overweight or obese. Latino children have some of the highest obesity rates, a concern because they are part of the youngest and fastest-growing U.S. minority group. Unfortunately, scarce research data on Latinos hinders the development and implementation of evidence-based, culturally appropriate childhood obesity interventions. In response, the Salud America! network conducted a national Delphi survey among researchers and stakeholders to identify research priorities to address Latino childhood obesity and compare differences by occupation and race or ethnicity. The resulting first-ever National Latino Childhood Obesity Research Agenda provides a framework to stimulate research and collaboration among investigators, providers, and communities, and inform policy makers about the epidemic’s seriousness and specific needs for priority funding. The agenda ranks family as the main ecological level to prevent Latino childhood obesity—followed by community, school, society, and individual—and ranks top research priorities in each level.


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