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Childhood Obesity

Definition

The Centers for Disease Control utilize body mass index (BMI) as a measure to determine childhood overweight and obesity. Overweight is defined as a BMI at or above the 85th percentile and below the 95th percentile for children and teens of the same age and sex. Obesity is defined as a BMI at or above the 95th percentile for children and teens of the same age and sex.

Childhood Obesity Guidelines

Endocrine Society Pediatric Clinical Practice Guidelines 2017

Michigan Quality Improvement Consortium Guidelines for Treatment of Childhood Overweight and Obesity

Prevention and Identification of Childhood Overweight and Obesity

Care Management Interventions

Click Here to access obesity action plan

Diagnosis Specific Concerns

Care Management Intervention

Patient Specific Interventions

Care Manager Resources

Patient Resources

Assessment

Assess patients/parent's knowledge level on diagnosis

 

Pediatric Comprehensive Assessment

Algorithm for the Assessment and Management of Childhood obesity in Patients 2 Years or Older

Healthy Weight Intake Form from Children's Hospital Colorado

 

Preparing for the appointment from the Mayo Clinic

BMI Calculator for Children

Diagnosis Education

Provide education regarding obesity diagnosis

  • Causes
  • Risks
  • Symptoms
  • Treatment

Discuss diagnosis with care manager

 

Review educational materials provided

 

Provide teach-back

Obesity Clinical Care Guidelines from the University of Michigan Health System

2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults

 

Childhood Obesity – Self Management

Obesity Toolkit – National Institute for Children’s Health Quality

Information for Youth and Their Families Living with Type II Diabetes - ADA

Parent resources from MI chapter of American Academy of Pediatrics

Obesity SUpport Groups - Michigan

Diet

Assess BMI

Educate patient/parent on a healthy eating plan

  • Portion size
  • Calories
  • Foods to limit

 

Refer patient to a dietitian

 

Develop with the CM a weight management plan

 

Pediatric Obesity toolkit from the Minnesota chapter of the American Academy of Pediatrics

Algorithm for the Assessment and Management of Childhood obesity in Patients 2 Years or Older

 

Child Obesity Toolkit from the Colorado Department of Education

 

Life’s Simple 7 for Kids

Dietary Recommendations for Healthy Children from AHA

Childhood Obesity Family Education

Feeding your Family

Healthy Lifestyles: Saving Dollars on Food

Michigan Nutrition Standards

How to use fruits and vegetables to manage weight

Rethink your drink 

Eat more weigh less? from the CDC

Activity

Provide education on exercise and weight loss if recommended by physician

 

Create action plan

Provide examples of different types of exercise

Check with provider prior to starting an exercise regimen

Follow recommended treatment plan

 

Obesity, Physical Activity and Nutrition resources from MDHHS

Physical Activity Guidelines for Americans from the office of Disease Prevention & Health Promotion

Ten Guidelines to help manage your Weight

7-5-2-1-0 Tips from Seattle Children's Hospital

54321GO Michigan Childhood Obesity Prevention Message

Medications

Complete a medication reconciliation

 

Educate if applicable on medications that may contribute to weight gain:

  • Steroid therapy
  • Diabetes medications
  • ADHD medications

 

Create medication list of all current medications including OTC and herbal supplements.

 

Demonstrate understanding of medications including:

  • Name and purpose
  • Dosage
  • When to take
  • How to refill

 

Provide teach back regarding medications

Prescription Medications and Weight Gain

 

Other Health Conditions

Review with patient/parent the effect of obesity with their other chronic conditions

  • HTN
  • High Cholesterol
  • Diabetes or potential for
  • Arthritis
  • Joint pain
  • Sleep apnea
  • Asthma

 

Childhood Obesity and Obstructive Sleep Apnea

The Effect of Obesity on the Musculoskeletal System of Pediatric Patients

 

Managing stress

           

 

Educate patient/parent on healthy ways to manage stress

Refer patient to a behavioral health specialist

Demonstrate understanding of healthy ways to manage stress

 

Managing Health for a Healthy Family from the American Psychological Association

For a printable version of the care management interventions Click Here

*This chart is not meant to be an inclusive list of interventions or resources for care management, but a starting point in working with patients with obesity. Always check with your practice regarding the use of guidelines, resources and education.

Pathophysiology References

Article

Mechanisms, Pathophysiology, and Management of Obesity

People who are overweight or obese account for two-thirds of the U.S. population . . .

Article

The Pathophysiology of Obesity and Its Clinical Manifestations

Information on obesity and its relation to diabetes, insulin resistance, hypertension and metabolic disorders.

Toolkits

This section provides information on various toolkits to assist with the care management of obese/overweight patients.

Tools

Pediatric Obesity Toolkit

Toolkit from the Park Nicollet Institute which includes protocols, patient education materials and algorithms

Tools

Childhood Obesity Toolkit

From the Colorado Department of Education. Also includes a copy of an obesity action plan

Tools

Tip Sheets for Parents - Childhood Obesity

Provides a directory of tip sheets for parents to help manage childhood obesity for the US Department of Health and Human Services

Care Management Learning Resources

This section is for care managers who would like to get additional information relating to childhood obesity.

Article

Childhood Obesity

Focuses on the prevention and treatment of obesity in children as well as reference of pathophysiological effects.

Article

Childhood Obesity: A Review of the Increased Risk for Physical and Psychological Comorbidities

From Clinical Therapeutics, highlights recent literature review on the comorbidities associated with childhood obesity.

Article

Preventing Obesity and Eating Disorders in Adolescents

American Academy of Pediatrics

Article

Psychosocial Determinants of Childhood and Adolescent Obesity

From the Journal of Social, Behavioral and Health Sciences

Article

Management of childhood obesity in the primary care setting

Information regarding the management of obesity in the primary care setting including behavioral strategies and family factors.

Article

Comorbidities and complications of obesity in children and adolescents

As the prevalence of obesity increases so does the prevalence of the comorbidities associated with obesity. . .

Community Resources

Directory of Obesity Prevention Programs in Washtenaw County

Clearing house of obesity prevention programs to help facilitate collaboration, identify gaps and assist with needs assessment and program planning.

Webinars and Presentations

MiPCT Pediatric Webinar

Feb 15 2013

To receive a certificate of completion Click Here

Webinar replay video

Presented by

Jane Turner Dana Watt Rose Seavolt

MiPCT Webinar

May 10 2013

To receive a certificate of completion Click Here

Webinar replay video

Presented by

Jane Turner, MD Rose Seavolt, BSN