Current Cardiovascular Risk Reports

, Volume 6, Issue 6, pp 567–578

Behavioral Interventions and Cardiovascular Risk in Obese Youth: Current Findings and Future Directions

Pediatrics (SS Gidding, Section Editor)

DOI: 10.1007/s12170-012-0272-y

Cite this article as:
Vannucci, A. & Wilfley, D.E. Curr Cardiovasc Risk Rep (2012) 6: 567. doi:10.1007/s12170-012-0272-y

Abstract

The identification and early intervention of pediatric obesity is critical to reducing cardiovascular disease (CVD). Family-based behavioral interventions have consistently demonstrated efficacy in reducing adiposity and CVD risk factors (i.e., blood pressure, cholesterol, fasting glucose levels, insulin resistance, metabolic syndrome). Even modest weight loss in severely obese youth can lead to sustained improvement in CVD risk factors. However, weight regain following treatment cessation remains a challenge in the contemporary obesogenic environment. Intensive family-based interventions spanning socioenvironmental contexts (i.e., home, peer, community) show promise in sustaining weight loss in the long-term. Despite having effective treatments for pediatric obesity and CVD risk factors, families rarely have access to these programs and so increasing the role of healthcare providers in screening and referral efforts is imperative. Moving forward, it is also essential to establish communication and cooperative networks across sectors build sustainable prevention and intervention programs and to provide cohesive health messages.

Keywords

Obesity Cardiovascular disease Prevention Treatment Family-based treatment Predictors Moderators Children Adolescents Binge eating Loss of control eating Satiety responsiveness Eating in the absence of hunger Impulsivity Food reinforcement Appetitive traits School Primary care Type 2 diabetes Insulin resistance Blood pressure Cholesterol 

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of Medical and Clinical PsychologyUniformed Services University of the Health SciencesBethesdaUSA
  2. 2.Department of PsychiatryWashington University School of MedicineSt. LouisUSA

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