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Wellness and Excessive Weight Gain

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Adolescent Nutrition

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Abstract

Wellness in health is a state of complete physical, mental, and social wellbeing and not merely the absence of disease or infirmity. Obese adolescents are at particular risk for low wellness due to weight stigma, weight-based teasing/bullying and increased risk of metabolic syndrome, social isolation, avoidance of health care, depression, anxiety, substance use, low self-esteem, self-harm, poor body image, and suicide. The appropriate identification of teens experiencing excessive weight gain and potential comorbidities is important to make sure helpful services can be offered, ideally by an interdisciplinary team with adolescent expertise. Nutrition providers play an important role in helping teens to improve their relationship with food, prevent disordered eating and promote whole-person health.

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References

  1. Constitution of the World Health Organization. 1946; World Health Organization; 1946.

    Google Scholar 

  2. Pont SJ, Puhl R, Cook SR, Slusser W, Section on Obesity, Obesity Society. Stigma experienced by children and adolescents with obesity. Pediatrics. 2017;140(6) https://doi.org/10.1542/peds.2017-3034. Epub 2017 Nov 20

  3. Bucchianeri MM, Eisenberg ME, Wall MM, Piran N, Neumark-Sztainer D. Multiple types of harassment: associations with emotional well-being and unhealthy behaviors in adolescents. J Adolesc Health. 2014;54(6):724–9.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Eisenberg ME, Neumark-Sztainer D, Haines J, Wall M. Weight-teasing and emotional well-being in adolescents: longitudinal findings from Project EAT. J Adolesc Health. 2006;38(6):675–83.

    Article  PubMed  Google Scholar 

  5. Hayden-Wade HA, Stein RI, Ghaderi A, Saelens BE, Zabinski MF, Wilfley DE. Prevalence, characteristics, and correlates of teasing experiences among overweight children vs. non-overweight peers. Obes Res. 2005;13(8):1381–92.

    Article  PubMed  Google Scholar 

  6. Skinner AC, Ravanbakht SN, Skelton JA, Perrin EM, Armstrong SC. Prevalence of obesity and severe obesity in US children, 1999–2016. Pediatrics. 2018;141(3) https://doi.org/10.1542/peds.2017-3459.

  7. Hales C, Carroll M, Fryar C, Ogden C. Prevalence of obesity among adults and youth: United States, 2015–2016. NCHS Data Brief. 2017;288:1–8.

    Google Scholar 

  8. Ogden CL, Fryar CD, Hales CM, Carroll MD, Aoki Y, Freedman DS. Differences in obesity prevalence by demographics and urbanization in US children and adolescents, 2013–2016. JAMA. 2018;319(23):2410–8.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Kelly AS, Barlow SE, Rao G, Inge TH, Hayman LL, Steinberger J, et al. Severe obesity in children and adolescents: identification, associated health risks, and treatment approaches: a scientific statement from the American Heart Association. Circulation. 2013;128(15):1689–712.

    Article  PubMed  Google Scholar 

  10. Skinner AC, Perrin EM, Moss LA, Skelton JA. Cardiometabolic risks and severity of obesity in children and young adults. N Engl J Med. 2015;373(14):1307–17.

    Article  PubMed  Google Scholar 

  11. Kumar S, King EC, Christison AL, Kelly AS, Ariza AJ, Borzutzky C, et al. Health outcomes of youth in clinical pediatric weight management programs in POWER. J Pediatr. 2019;208:57–65.e4.

    Article  PubMed  Google Scholar 

  12. Kleinman R, editor. Pediatric nutrition handbook. 6th ed. Elk Grove Village: American Academy of Pediatrics; 2009.

    Google Scholar 

  13. Barlow SE, Expert Committee. Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report. Pediatrics. 2007;120(Suppl 4):S164–92.

    Article  PubMed  Google Scholar 

  14. BeLue R, Francis LA, Colaco B. Mental health problems and overweight in a nationally representative sample of adolescents: effects of race and ethnicity. Pediatrics. 2009;123(2):697–702.

    Article  PubMed  Google Scholar 

  15. Zakharova I, Klimov L, Kuryaninova V, Nikitina I, Malyavskaya S, Dolbnya S, et al. Vitamin D insufficiency in overweight and obese children and adolescents. Front Endocrinol (Lausanne). 2019;10:103.

    Article  Google Scholar 

  16. Institute of Medicine (US) Committee on Prevention of Obesity in Children and Youth. 2005.

    Google Scholar 

  17. Madsen KA. School-based body mass index screening and parent notification: a statewide natural experiment. Arch Pediatr Adolesc Med. 2011;165(11):987–92.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Madsen KA, Linchey J. School-based BMI and body composition screening and parent notification in California: methods and messages. J Sch Health. 2012;82(6):294–300.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Thompson HR, Linchey JK, Madsen KA. Critical elements of a school report to parents on body mass index. Prev Chronic Dis. 2015;12:E136.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Thompson HR, Madsen KA. The report card on BMI report cards. Curr Obes Rep. 2017;6(2):163–7.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Moyer LJ, Carbone ET, Anliker JA, Goff SL. The Massachusetts BMI letter: a qualitative study of responses from parents of obese children. Patient Educ Couns. 2014;94(2):210–7.

    Article  PubMed  Google Scholar 

  22. Hoelscher DM, Kirk S, Ritchie L, Cunningham-Sabo L, Academy Positions Committee. Position of the Academy of Nutrition and Dietetics: interventions for the prevention and treatment of pediatric overweight and obesity. J Acad Nutr Diet. 2013;113(10):1375–94.

    Article  PubMed  Google Scholar 

  23. Daniels SR. The use of BMI in the clinical setting. Pediatrics. 2009;124(Suppl 1):S35–41.

    Article  PubMed  Google Scholar 

  24. Institute of Medicine (US) Committee to Review Dietary Reference Intakes for Vitamin D and Calcium. 2011.

    Google Scholar 

  25. Holick MF, Binkley NC, Bischoff-Ferrari HA, Gordon CM, Hanley DA, Heaney RP, et al. Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2011;96(7):1911–30.

    Article  CAS  PubMed  Google Scholar 

  26. Plesner JL, Dahl M, Fonvig CE, Nielsen TRH, Kloppenborg JT, Pedersen O, et al. Obesity is associated with vitamin D deficiency in Danish children and adolescents. J Pediatr Endocrinol Metab. 2018;31(1):53–61.

    Article  CAS  PubMed  Google Scholar 

  27. Pludowski P, Holick MF, Grant WB, Konstantynowicz J, Mascarenhas MR, Haq A, et al. Vitamin D supplementation guidelines. J Steroid Biochem Mol Biol. 2018;175:125–35.

    Article  CAS  PubMed  Google Scholar 

  28. Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents, National Heart, Lung, and Blood Institute. Expert panel on integrated guidelines for cardiovascular health and risk reduction in children and adolescents: summary report. Pediatrics. 2011;128(Suppl 5):S213–56.

    PubMed Central  Google Scholar 

  29. Vos MB, Abrams SH, Barlow SE, Caprio S, Daniels SR, Kohli R, et al. NASPGHAN Clinical Practice Guideline for the Diagnosis and Treatment of Nonalcoholic Fatty Liver Disease in Children: Recommendations from the Expert Committee on NAFLD (ECON) and the North American Society of Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN). J Pediatr Gastroenterol Nutr. 2017;64(2):319–34.

    Article  PubMed  PubMed Central  Google Scholar 

  30. American Diabetes Association. 2. Classification and diagnosis of diabetes: standards of medical care in diabetes-2018. Diabetes Care 2018;41(Suppl 1):S13–27.

    Google Scholar 

  31. Wing YK, Hui SH, Pak WM, Ho CK, Cheung A, Li AM, et al. A controlled study of sleep related disordered breathing in obese children. Arch Dis Child. 2003;88(12):1043–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Carskadon MA. Sleep in adolescents: the perfect storm. Pediatr Clin N Am. 2011;58(3):637–47.

    Article  Google Scholar 

  33. Li L, Zhang S, Huang Y, Chen K. Sleep duration and obesity in children: a systematic review and meta-analysis of prospective cohort studies. J Paediatr Child Health. 2017;53(4):378–85.

    Article  PubMed  Google Scholar 

  34. Beebe DW, Simon S, Summer S, Hemmer S, Strotman D, Dolan LM. Dietary intake following experimentally restricted sleep in adolescents. Sleep. 2013;36(6):827–34.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Whitlock EP, O’Connor EA, Williams SB, Beil TL, Lutz KW. Effectiveness of weight management interventions in children: a targeted systematic review for the USPSTF. Pediatrics. 2010;125(2):e396–418.

    Article  PubMed  Google Scholar 

  36. Pediatric Nutrition Care Manual Common Nutrient-Drug Interactions - Overview. Available at: https://www.nutritioncaremanual.org/topic.cfm?ncm_category_id=13&lv1=255579&lv2=273780&ncm_toc_id=273780&ncm_heading=Nutrition%20Care%20home%20page. Accessed 8/2019, 2019.

  37. Musil R, Obermeier M, Russ P, Hamerle M. Weight gain and antipsychotics: a drug safety review. Expert Opin Drug Saf. 2015;14(1):73–96.

    Article  CAS  PubMed  Google Scholar 

  38. Quattrin T, Wilfley DE. The promise and opportunities for screening and treating childhood obesity: USPSTF recommendation statement. JAMA Pediatr. 2017;171(8):733–5.

    Article  PubMed  Google Scholar 

  39. O’Connor EA, Evans CV, Burda BU, Walsh ES, Eder M, Lozano P. Screening for obesity and intervention for weight management in children and adolescents: evidence report and systematic review for the US Preventive Services Task Force. JAMA. 2017;317(23):2427–44.

    Article  PubMed  Google Scholar 

  40. Skelton JA, Beech BM. Attrition in paediatric weight management: a review of the literature and new directions. Obes Rev. 2011;12(5):e273–81.

    Article  CAS  PubMed  Google Scholar 

  41. Rhodes ET, Boles RE, Chin K, Christison A, Testa EG, Guion K, et al. Expectations for treatment in pediatric weight management and relationship to attrition. Child Obes. 2017;13(2):120–7.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Block JP, Oken E. Practical considerations for the US Preventive Services Task Force recommendations on obesity in children and adolescents. JAMA Intern Med. 2017;177(8):1077–9.

    Article  PubMed  Google Scholar 

  43. Stiles-Shields C, Doyle AC, Le Grange D, Loeb KL. Family-based treatment for pediatric obesity: case study of an adaptation for a non-psychiatric adolescent population. J Contemp Psychother. 2019;49(2):111–8.

    Article  PubMed  Google Scholar 

  44. Winkler MR, Moore ED, Bennett GG, Armstrong SC, Brandon DH. Parent-adolescent influences on everyday dietary practices: perceptions of adolescent females with obesity and their mothers. Matern Child Nutr. 2017;13(4) https://doi.org/10.1111/mcn.12416. Epub 2017 Jan 17

  45. Sjoberg A, Hallberg L, Hoglund D, Hulthen L. Meal pattern, food choice, nutrient intake and lifestyle factors in The Goteborg Adolescence Study. Eur J Clin Nutr. 2003;57(12):1569–78.

    Article  CAS  PubMed  Google Scholar 

  46. Deshmukh-Taskar P, Nicklas TA, Radcliffe JD, O'Neil CE, Liu Y. The relationship of breakfast skipping and type of breakfast consumed with overweight/obesity, abdominal obesity, other cardiometabolic risk factors and the metabolic syndrome in young adults. The National Health and Nutrition Examination Survey (NHANES): 1999–2006. Public Health Nutr. 2013;16(11):2073–82.

    Article  PubMed  Google Scholar 

  47. Leidy HJ, Ortinau LC, Douglas SM, Hoertel HA. Beneficial effects of a higher-protein breakfast on the appetitive, hormonal, and neural signals controlling energy intake regulation in overweight/obese, “breakfast-skipping,” late-adolescent girls. Am J Clin Nutr. 2013;97(4):677–88.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  48. Szajewska H, Ruszczynski M. Systematic review demonstrating that breakfast consumption influences body weight outcomes in children and adolescents in Europe. Crit Rev Food Sci Nutr. 2010;50(2):113–9.

    Article  PubMed  Google Scholar 

  49. Satter E. Secrets of feeding a healthy family. 2nd ed. Madison: Kelcy Press; 2008.

    Google Scholar 

  50. United States Department of Agriculture. ChooseMyPlate. Available at: www.chosemyplate.gov. Accessed 8/2019, 2019.

  51. Lansigan RK, Emond JA, Gilbert-Diamond D. Understanding eating in the absence of hunger among young children: a systematic review of existing studies. Appetite. 2015;85:36–47.

    Article  PubMed  Google Scholar 

  52. Kelly NR, Shomaker LB, Pickworth CK, Brady SM, Courville AB, Bernstein S, et al. A prospective study of adolescent eating in the absence of hunger and body mass and fat mass outcomes. Obesity (Silver Spring). 2015;23(7):1472–8.

    Article  Google Scholar 

  53. Bays JC. Mindful eating: a guide to rediscovering a healthy and joyful relationship with food: Shambala Publications; 2009.

    Google Scholar 

  54. Fogel A, Goh AT, Fries LR, Sadananthan SA, Velan SS, Michael N, et al. Faster eating rates are associated with higher energy intakes during an ad libitum meal, higher BMI and greater adiposity among 4.5-year-old children: results from the Growing Up in Singapore Towards Healthy Outcomes (GUSTO) cohort. Br J Nutr. 2017;117(7):1042–51.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  55. Watts AW, Lovato CY, Barr SI, Hanning RM, Mâsse LC. Experiences of overweight/obese adolescents in navigating their home food environment. Public Health Nutr. 2015;18(18):3278–86.

    Article  PubMed  Google Scholar 

  56. Birch LL, Fisher JO. Mothers’ child-feeding practices influence daughters’ eating and weight. Am J Clin Nutr. 2000;71(5):1054–61.

    Article  CAS  PubMed  Google Scholar 

  57. Rollins BY, Loken E, Savage JS, Birch LL. Maternal controlling feeding practices and girls’ inhibitory control interact to predict changes in BMI and eating in the absence of hunger from 5 to 7 y. Am J Clin Nutr. 2014;99(2):249–57.

    Article  CAS  PubMed  Google Scholar 

  58. Goldschmidt AB, Wall M, Loth KA, Le Grange D, Neumark-Sztainer D. Which dieters are at risk for the onset of binge eating? A prospective study of adolescents and young adults. J Adolesc Health. 2012;51(1):86–92.

    Article  PubMed  PubMed Central  Google Scholar 

  59. Savoye M, Nowicka P, Shaw M, Yu S, Dziura J, Chavent G, et al. Long-term results of an obesity program in an ethnically diverse pediatric population. Pediatrics. 2011;127(3):402–10.

    Article  PubMed  PubMed Central  Google Scholar 

  60. Epstein LH, Paluch RA, Beecher MD, Roemmich JN. Increasing healthy eating vs. reducing high energy-dense foods to treat pediatric obesity. Obesity (Silver Spring). 2008;16(2):318–26.

    Article  Google Scholar 

  61. Ebbeling C, Leidig M, Sinclair K, Hangen J, Ludwig D. A reduced-glycemic load diet in the treatment of adolescent obesity. Arch Pediatr Adolesc Med. 2003;157:773.

    Article  PubMed  Google Scholar 

  62. McCrindle BW, Urbina EM, Dennison BA, Jacobson MS, Steinberger J, Rocchini AP, et al. Drug therapy of high-risk lipid abnormalities in children and adolescents: a scientific statement from the American Heart Association Atherosclerosis, Hypertension, and Obesity in Youth Committee, Council of Cardiovascular Disease in the Young, with the Council on Cardiovascular Nursing. Circulation. 2007;115(14):1948–67.

    Article  PubMed  Google Scholar 

  63. U. S. Department of Health and Human Services and U.S. Department of Agriculture. 2015–2020 Dietary Guidelines for Americans. 8th Edition. 2015; Available at: http://health.gov/dietaryguidelines/2015/guidelines/.

  64. Spear BA, Barlow SE, Ervin C, Ludwig DS, Saelens BE, Schetzina KE, et al. Recommendations for treatment of child and adolescent overweight and obesity. Pediatrics. 2007;120(Suppl 4):S254–88.

    Article  PubMed  Google Scholar 

  65. Mooradian AD, Smith M, Tokuda M. The role of artificial and natural sweeteners in reducing the consumption of table sugar: a narrative review. Clin Nutr ESPEN. 2017;18:1–8.

    Article  PubMed  Google Scholar 

  66. Heyman MB, Abrams SA, Section on Gastroenterology, Hepatology, and Nutrition, Committee on Nutrition. Fruit juice in infants, children, and adolescents: current recommendations. Pediatrics. 2017;139(6) https://doi.org/10.1542/peds.2017-0967.

  67. Juarez-Lopez C, Klunder-Klunder M, Madrigal-Azcarate A, Flores-Huerta S. Omega-3 polyunsaturated fatty acids reduce insulin resistance and triglycerides in obese children and adolescents. Pediatr Diabetes. 2013;14(5):377–83.

    Article  CAS  PubMed  Google Scholar 

  68. Sandrock M, Obara M, Bailey S. Feeding the child with very low energy needs. Nutrition Focus for Children with Sepcial Health Care Needs 2013;28(2).

    Google Scholar 

  69. Janet Heinrich United States General Accounting Office. Dietary Supplements for Weight Loss: Limited Federal Oversight Has Focused More on Marketing than on Safety. 2002.

    Google Scholar 

  70. Society for Adolescent Health and Medicine. Preventing and treating adolescent obesity: a position paper of the society for adolescent health and medicine. J Adolesc Health. 2016;59(5):602–6.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Nutrition, Seattle Children’s Hospital, Seattle, WA, USA

    Carley MacRae

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  1. Carley MacRae
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Correspondence to Carley MacRae .

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Editors and Affiliations

  1. Department of Pediatrics, University of Washington, Seattle, WA, USA

    Yolanda N. Evans

  2. Seattle Children’s Hospital, University of Washington, Seattle, WA, USA

    Alicia Dixon Docter

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MacRae, C. (2020). Wellness and Excessive Weight Gain. In: Evans, Y.N., Dixon Docter, A. (eds) Adolescent Nutrition. Springer, Cham. https://doi.org/10.1007/978-3-030-45103-5_5

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  • DOI: https://doi.org/10.1007/978-3-030-45103-5_5

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