Details on the Pediatric Obesity Protocol

The Expert Committee Recommendations Regarding the Prevention, Assessment, and Treatment of Child and Adolescent Overweight and Obesity: Summary Report was published in Pediatrics in 2007. This document outlines the recommended actions physicians should perform with their patients to prevent, assess, and treat childhood obesity. Per the Summary Report: 

"To revise 1998 recommendations on childhood obesity, an Expert Committee, comprised of representatives from 15 professional organizations, appointed experienced scientists and clinicians to 3 writing groups to review the literature and recommend approaches to prevention, assessment, and treatment. Because effective strategies remain poorly defined, the writing groups used both available evidence and expert opinion to develop the recommendations."

Since the 1998 recommendations, "increasing scientific attention has resulted in an expanded body of literature on the causes, comorbidities, and treatment of this problem. The condition remains frustrating and difficult to treat but, with more-current scientific information available, in 2005 the American Medical Association, in collaboration with the Health Resources and Service Administration and the Centers for Disease Control and Prevention (CDC), convened a new expert committee that was charged with providing revised recommendations. These new recommendations use current, evidence-based data, as well as clinical experience when evidence does not exist, to provide updated practical guidance to practitioners."

"The representatives from the 15 member organizations submitted nominations for the experts who would compose the 3 writing groups and work on the following 3 areas of focus: prevention, assessment, and treatment of childhood overweight and obesity. Special care was taken both to ensure that a broad range of disciplines, including medicine, nutrition, nursing, psychology, and epidemiology, was represented and to capture the interests of diverse cultural groups. The experts in these groups reviewed the scientific information that forms the basis of the expert committee recommendations." 

The full text of the Expert Committee Recommendations Regarding the Prevention, Assessment, and Treatment of Child and Adolescent Overweight and Obesity: Summary Report can be found at http://pediatrics.aappublications.org/content/120/Supplement_4/S164.abstract.

References Used to Develop the Pediatric Obesity Protocol


To develop the Pediatric Obesity Protocol, FORWARD reviewed the Summary Report along with other documents to develop a step-by-step guide to the prevention, assessment, and treatment of overweight and obese children. These references are listed here.

1. Barlow, Sarah E. Expert Committee Recommendations Regarding the Prevention, Assessment, and Treatment of Child and Adolescent Overweight and Obesity: Summary Report. Pediatrics 2007;120;S164. http://pediatrics.aappublications.org/content/120/Supplement_4/S164.abstract

2. Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents: Summary Report. Pediatrics Vol. 128 No. Supplement 5 December 2011 pp. S231, 234. http://pediatrics.aappublications.org/content/128/Supplement_5/S213.extract

3. Gee, Scott MD, Rogers, Victoria MD, Liu, Lenna, MD, MPH, McGrath, Jane MD. Expert Committee Recommendations on the Assessment, Prevention and Treatment of Child and Adolescent Overweight and Obesity. An Implementation Guide from the National Initiative for Children's Healthcare Quality's Childhood Obesity Action Network. 2007. http://www.nichq.org/document-download-coan.html?id=138

4. Rao, Gotham. Childhood Obesity: Highlights of AMA Expert Committee Recommendations. American Family Physician. 2008 Jul 1;78(1):56-63. http://www.aafp.org/afp/2008/0701/p56.pdf