Practical Guidelines for Childhood Obesity Interventions

  • K. Beth Yano
  • Jenny Ebesutani
  • Christina Lu
  • Dariann Choy

About 25 million kids and teens in the United States are overweight or obese.

Unless we take action now to reverse this alarming trend, we’re in danger of raising the first generation of American children who will live sicker and die younger than their parents’ generation…

Robert Wood Johnson Foundation Newsletter, April 2007.

Childhood obesity is a growing global epidemic and a serious US public health threat impacting toddlers through teens in all 50 states across all socioeconomic and ethnic groups, though disproportionately affecting African American, Hispanic, American Indian, and Pacific Islander subgroups (Koplan, Liverman, & Kraak, 2005). Although there are genetic and biological factors related to childhood obesity, evidence indicates that modifiable environmental influences and learned behaviors significantly contribute to obesity and its rising rates (Jelalian & Mehlenbeck, 2003; Koplan et al., 2005). An increasing number of government, health, and private entities have...


Physical Activity Behavior Change Sedentary Behavior Childhood Obesity Obesity Intervention 
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  1. Ahina, L. K. (2003). Kids Lite: A family treatment for pediatric obesity. Unpublished doctoral dissertation, Argosy University, Hawaii Campus.Google Scholar
  2. Ashe, M., Feldstein, L. M., Graff, S., Kline, R., Pinkas, D., & Zellers, L. (2007). Local venues for change: Legal strategies for healthy environments. Journal of Law, Medicine & Ethics, 35, 138–147.CrossRefGoogle Scholar
  3. Bagby, K. & Adams, S. (2007). Evidence-based practice guideline: Increasing physical activity in schools—Kindergarten through 8th grade. Journal of School Nursing, 23, 137–143.CrossRefPubMedGoogle Scholar
  4. Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice Hall.Google Scholar
  5. Berry, D., Savoye, M., Melkus, G., & Grey, M. (2007). An intervention for multiethnic obese parents and overweight children. Applied Nursing Research, 20, 63–71.CrossRefPubMedGoogle Scholar
  6. Blatner, A. (2001). Psychodrama. In R. J. Corsini (Ed.), Handbook of innovative therapies (2nd ed., pp. 535–545). New York: Wiley.Google Scholar
  7. Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Cambridge, MA: Harvard University Press.Google Scholar
  8. Chehab, L. G., Pfeffer, B., Vargas, I., Chen, S., & Irigoyen, M. (2007). “Energy Up”: A novel approach to the weight management of inner-city teens. Journal of Adolescent Health, 40, 474–476.CrossRefPubMedGoogle Scholar
  9. Cole, K., Waldrop, J., D’Auria, J., & Garner, H. (2006). An integrative research review: Effective school-based childhood overweight interventions. Journal for Specialists in Pediatric Nursing, 11(3), 166–176.CrossRefPubMedGoogle Scholar
  10. Davis, S. P., Northington, L., & Kolar, K. (2000). Cultural considerations for treatment of childhood obesity. Journal of Cultural Diversity, 7, 128–132.PubMedGoogle Scholar
  11. Drohan, S. H. (2002). Managing early childhood obesity in the primary care setting: A behavior modification approach. Pediatric Nursing, 28, 599–610.PubMedGoogle Scholar
  12. Economos, C. D., & Irish-Hauser, S. (2007). Community interventions: A brief overview and their application to the obesity epidemic. Journal of Law, Medicine & Ethics, 35, 131–137.CrossRefGoogle Scholar
  13. Epstein, L. H. (2003). Development of evidence-based treatments for pediatric obesity. In A. E. Kazdin & J. R. Weisz (Eds.), Evidence-based psychotherapies for children and adolescents (pp. 374–388). New York: Guilford Press.Google Scholar
  14. Epstein, L. H., Paluch, R. A., Kilanowski, C. K., & Raynor, H. A. (2004). The effect of reinforcement or stimulus control to reduce sedentary behavior in the treatment of pediatric obesity. Healthy Psychology, 23, 371–380.CrossRefGoogle Scholar
  15. Epstein, L. H., Paluch, R. A., Roemmich, J. N., & Beecher, M. D. (2007). Family-based obesity treatment, then and now: Twenty-five years of pediatric obesity treatment. Health Psychology, 26, 381–391.CrossRefPubMedGoogle Scholar
  16. Evans, H. L., & Sullivan, M. A. (1993). Children and the use of self-monitoring, self-evaluation, and self-reinforcement. In A. J. Finch, W. M. Nelson, & E. S. Ott (Eds.), Cognitive behavioral procedures with children and adolescents (pp. 67–89). Boston: Allyn and Bacon.Google Scholar
  17. Fitzpatrick-Nietschmann, J. (1983). Pacific islanders-migration and health. Western Journal of Medicine, Dec, 139(6), 848–853.Google Scholar
  18. Flegal, K. M., Carroll, M. D., Ogden, C. L., & Johnson, C. L. (2002). Prevalence and trends in overweight among US adults, 1999–2000. Journal of the American Medical Association, 288, 1723–1727.CrossRefPubMedGoogle Scholar
  19. Fowler-Brown, A., & Kahwati, L. C. (2004). Prevention and treatment of overweight in children and adolescents. American Family Physician, 69, 2591–2598.PubMedGoogle Scholar
  20. Germann, J. N., Kirschenbaum, D. S., & Rich, B. H. (2006). Use of an orientation session may help decrease attrition in a pediatric weight management program for low-income minority adolescents. Journal of Clinical Psychology in Medical Settings, 13, 177–187.CrossRefGoogle Scholar
  21. Golan, M. (2006). Parents as agents of change in childhood obesity—From research to practice. International Journal of Pediatric Obesity, 1(2), 66–76.CrossRefPubMedGoogle Scholar
  22. Goldfield, G. S., Epstein, L. H., Kilanowski, C. K., Paluch, R. A., & Kogut-Bossler, B. (2001). Cost-effectiveness of group and mixed family-based treatment for childhood obesity. International Journal of Obesity, 25, 1843–1849.CrossRefPubMedGoogle Scholar
  23. Howard, K. R. (2007). Childhood overweight: Parental perceptions and readiness for change. Journal of School Nursing, 23, 73–79.CrossRefPubMedGoogle Scholar
  24. Huang, T. T., & Horlick, M. N. (2007). Trends in childhood obesity research: A brief analysis of NIH-supported efforts. Journal of Law, Medicine & Ethics, 35, 148–153.CrossRefGoogle Scholar
  25. James, L.C., Folen, R.A., Page, H., Noce, M. & Britton, C. (1999). The Tripler LEAN program: A two-year follow-up report. Military Medicine, 164, 389–395.PubMedGoogle Scholar
  26. James, L., Folen, R. Garland, F., Noce, M., Edwards, C., Gohdes, D. et al. (1997). The Tripler LEAN PROGRAM: A healthy lifestyle model for the treatment of obesity. Military Medicine, 162, 328–332.PubMedGoogle Scholar
  27. Janicke, D. M., Sallinen, B. J., Perri, M. G., Lutes, L. D., Silverstein, J. H., Huerta, M. G. et al. (2007). Sensible treatment of obesity in rural youth (STORY): Design and method. Contemporary Clinical Trials, doi: 10.1016/j.cct.2007.05.005.Google Scholar
  28. Jelalian, E., & Mehlenbeck, R. (2003). Pediatric obesity. In M. C. Roberts (Ed.), Handbook of pediatric psychology (3rd ed., pp. 529–543). New York: Guilford Press.Google Scholar
  29. Jelalian, E., & Saelens, B. E. (1999). Empirically supported treatments in pediatric psychology: Pediatric obesity. Journal of Pediatric Psychology, 24, 223–248.CrossRefPubMedGoogle Scholar
  30. Johnston, C. A., & Steele, R. G. (2007). Treatment in pediatric overweight: An examination of feasibility and effectiveness in an applied clinical setting. Journal of Pediatric Psychology, 32, 106–110.CrossRefPubMedGoogle Scholar
  31. Kazak, A. (1989). Families of chronically ill children: A systems and social-ecological model of adaptation and change. Journal of Consulting and Clinical Psychology, 57, 25–30.CrossRefPubMedGoogle Scholar
  32. Kitzmann, K. M., & Beech, B. M. (2006). Family-based interventions for pediatric obesity: Methodological and conceptual challenges from family psychology. Journal of Family Psychology, 20, 175–189.CrossRefPubMedGoogle Scholar
  33. Koplan, J. P., Liverman, C. T., & Kraak, V. I. (Eds.). (2005). Preventing childhood obesity: Health in the balance. Washington, DC: The National Academic Press.Google Scholar
  34. Kumanyika, S. (2002). Obesity treatment in minorities. In T. A. Wadden, & A. J. Stunkard (Eds.), Handbook of obesity treatment (pp. 416–446). New York: Guilford Press.Google Scholar
  35. Kumanyika, S. (2004). Cultural differences as influences on approaches to obesity treatment. In G. A. Bray, & E. Bouchard (Eds.), Handbook of obesity: Clinical applications (2nd ed., pp. 45–67). New York: Marcel Dekker.Google Scholar
  36. Miller, W. M., & Rollnick, S. (2002). Motivational interviewing (2nd ed.). New York: Guilford Press. Google Scholar
  37. Nguyen-Rodriguez, S.T., Chou, C.P., Unger, J.B., & Spruijt-Metz, D. (2008). BMI as a moderator of perceived stress and emotional eating in adolescents. Eating Behaviors, 9(2), 238–246.CrossRefPubMedGoogle Scholar
  38. Ogden, C. L., Carroll, M. D., Curtin, L. R., McDowell, M. A., Tabak, C. J., & Flegal, K. M. (2006). Prevalence of overweight and obesity in the United States, 1999–2004. Journal of the American Medical Association, 295, 1549–1555.CrossRefPubMedGoogle Scholar
  39. Peterson, K.E., & Fox, M.K. (2007). Addressing the epidemic of childhood obesity through school-based interventions: What has been done and where do we go from here? Journal of Law, Medicine & Ethics, 35, 113–130.CrossRefGoogle Scholar
  40. Piaget, J. (1962). Play, dreams and imitation in childhood. New York: Norton.Google Scholar
  41. Prochaska, J. O., & DiClemente, C. C. (1983). Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 51, 390–395.CrossRefPubMedGoogle Scholar
  42. Prochaska, J. O., & Velicer, W. F. (1997). The transtheoretical model of health behavior change. American Journal of Health Promotion, 12, 38–48.PubMedGoogle Scholar
  43. Resnicow, K., Davis, R., & Rollnick, S. (2006). Motivational interviewing for pediatric obesity: Conceptual issues and evidence review. Journal of the American Dietetic Association, 106, 2024–2033.CrossRefPubMedGoogle Scholar
  44. Robert Wood Johnson Foundation Newsletter. (2007, April 4). Foundation commits $500 million to reverse childhood obesity. Princeton, NJ. Retrieved April 4, 2008, from
  45. Sherwood, N. E. & Jeffery, R. W. (2007). Primary prevention of obesity. In J. A. Trafton & W. P. Gordon (Eds.), Best practices in the behavioral management of chronic disease: Vol. 1 (ch. 17, pp. 427–445). Los Altos, CA: Institute for Disease Management.Google Scholar
  46. Spurlock, M. (Producer/Director). (2004). Super Size Me [Motion Picture]. United States: Arts Alliance America.Google Scholar
  47. Thomas, P. R. & Stern, J. S. (1995). Summary. In P. R. Thomas, & J. S. Stern (Eds.), Weighing the options: Criteria for evaluating the outcomes of approaches to prevent and treat obesity. Washington, DC: National Academy Press.Google Scholar
  48. US Department of Agriculture. (2005). Dietary guidelines. Retrieved May 4, 2006, from
  49. US Department of Health and Human Services. (2001). The Surgeon General’s call to action to prevent and decrease overweight and obesity. Washington, DC: US Department of Health and Human Services, Office of Surgeon General, Government Printing Office.Google Scholar
  50. Young, K., Northern, J. J., Lister, K. M., Drummond, J. A., & O’Brien, W. (2007). A meta-analysis of family-behavioral weight-loss treatments for children. Clinical Psychology Review, 27, 240–249.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • K. Beth Yano
    • 1
  • Jenny Ebesutani
  • Christina Lu
  • Dariann Choy
  1. 1.Child Psychology Service, Department of PsychologyTripler Army Medical CenterHonoluluUSA

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