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Evidence-Based Interventions for Cancer Equity, Clinic-Based Interventions to Promote Patient-Centered Care, and Weight Loss and Management

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Cancer Health Disparities

Abstract

Adult and pediatric obesity rates have declined in recent years, but serious racial/ethnic obesity disparities persist. Multilevel factors affect overweight and obesity risk, and its root causes are not as straightforward as energy intake and expenditure. Clinic-based approaches are one strategy to reduce obesity disparities; however, it is recommended that such approaches be used in combination with other intervention approaches. Using such a multidisciplinary approach supports interventions in addressing the multilevel factors that influence overweight/obesity risk. Clinic-community partnerships are one multidisciplinary approach to best address these multilevel factors. Clinic-community partnerships can help address primary care physician barriers to obesity prevention and treatment delivery while simultaneously providing a more holistic approach to obesity prevention and treatment by addressing contextual barriers to reducing overweight/obesity risks. Primary care physicians can provide individual-level obesity prevention and treatment and provide referrals to other healthcare personnel such as registered dieticians, in addition to providing referrals to local community resources that can support a patient’s ability to change their obesity-related behavior.

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References

  1. Flegal KM, Kruszon-Moran D, Carroll MD, Fryar CD, Ogden CL. Trends in obesity among adults in the United States, 2005 to 2014. JAMA. 2016;315:2284.

    Article  CAS  PubMed  Google Scholar 

  2. Hruby A, et al. Determinants and consequences of obesity. Am J Public Health. 2016;106:1656–62.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Gregor MF, Hotamisligil GS. Inflammatory mechanisms in obesity. Annu Rev Immunol. 2011;29:415–45.

    Article  CAS  PubMed  Google Scholar 

  4. WCRF. Diet, nutrition, physical activity and cancer: a global perspective. Continuous update project expert report 2018. 2018.

    Google Scholar 

  5. Sung H, Siegel RL, Rosenberg PS, Jemal A. Emerging cancer trends among young adults in the USA: analysis of a population-based cancer registry. Lancet Public Health. 2019;4:e137–47.

    Article  PubMed  Google Scholar 

  6. Siegel RL, et al. Global patterns and trends in colorectal cancer incidence in young adults. Gut. 2019;68:2179–85.

    Article  PubMed  Google Scholar 

  7. Rehm C, Peñalvo J, Afshin A, Mozaffarian D. Dietary intake among US adults, 1999–2012. JAMA. 2016;315(23):2542–53.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Moore L, et al. Using behavioral risk factor surveillance system data to estimate the percentage of the population meeting US Department of Agriculture Food Patterns fruit and. Am J Epidemiol. 2015;181:979–88.

    Article  PubMed  Google Scholar 

  9. USDA. USDA MyPlate all about the vegetable group. 2015. Available at: http://www.choosemyplate.gov/vegetables. Accessed: 1 Sept 2015.

  10. USDA. USDA MyPlate, fruits gallery. 2015. Available at: http://www.choosemyplate.gov/foodgallery-fruits. Accessed: 1 Sept 2015.

  11. Centers for Disease Prevention and Control. How much physical activity do children need? | Physical activity | CDC. Available at: https://www.cdc.gov/physicalactivity/basics/children/index.htm. Accessed: 27 Jan 2021.

  12. Centers for Disease Prevention and Control. How much physical activity do adults need? | Physical activity | CDC. Available at: https://www.cdc.gov/physicalactivity/basics/adults/index.htm. Accessed: 27 Jan 2021.

  13. Go AS, et al. Heart disease and stroke statistics-2013 update: a report from the American Heart Association. Circulation. 2013;127:42–3.

    Google Scholar 

  14. Dev DA, et al. Risk factors for overweight/obesity in preschool children: an ecological approach. Child Obes. 2013;9:399–408.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Curry SJ, et al. Behavioral weight loss interventions to prevent obesity-related morbidity and mortality in adults US preventive services task force recommendation statement. JAMA J Am Med Assoc. 2018;320:1163–71.

    Article  Google Scholar 

  16. Norris SL et al. Long-term non-pharmacological weight loss interventions for adults with prediabetes. Cochrane Database Syst Rev. 2005. https://doi.org/10.1002/14651858.cd005270.

  17. The World Health Organization. Social determinants of health. Available at: https://www.who.int/health-topics/social-determinants-of-health#tab=tab_1. Accessed: 27 Jan 2021.

  18. Esther KC, Martha CR. Social determinants of childhood obesity: beyond individual choices. Curr Pediatr Rev. 2012;8:237–52.

    Article  Google Scholar 

  19. Epping-Jordan JE, Pruitt SD, Bengoa R, Wagner EH. Innovative care for chronic conditions: building blocks for action: global report. World Health Organ. 2002;2002:112.

    Google Scholar 

  20. Daniel H, Bornstein SS, Kane GC. Addressing social determinants to improve patient care and promote health equity: an American college of physicians position paper. Ann Intern Med. 2018;168:577–8.

    Article  PubMed  Google Scholar 

  21. Pearce C, Rychetnik L, Wutzke S, Wilson A. Obesity prevention and the role of hospital and community-based health services: a scoping review. BMC Health Serv Res. 2019;19:453.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Rose SA, Poynter PS, Anderson JW, Noar SM, Conigliaro J. Physician weight loss advice and patient weight loss behavior change: a literature review and meta-analysis of survey data. Int J Obes. 2013;37:118–28.

    Article  CAS  Google Scholar 

  23. Seburg EM, Olson-Bullis BA, Bredeson DM, Hayes MG, Sherwood NE. A review of primary care-based childhood obesity prevention and treatment interventions. Curr Obes Rep. 2015;4:157–73.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Tripicchio GL, et al. Clinical-community collaboration: a strategy to improve retention and outcomes in low-income minority youth in family-based obesity treatment. Child Obes. 2018;14:141–8.

    Article  PubMed  Google Scholar 

  25. Vine M, Hargreaves MB, Briefel RR, Orfield C. Expanding the role of primary care in the prevention and treatment of childhood obesity: a review of clinic- and community-based recommendations and interventions. J Obes. 2013. https://doi.org/10.1155/2013/172035.

  26. Wagner EH. Chronic disease management: what will it take to improve care for chronic illness? Eff Clin Pract. 1998;1:2–4.

    CAS  PubMed  Google Scholar 

  27. Coleman K, Austin BT, Brach C, Wagner EH. Evidence on the chronic care model in the new millennium: thus far, the evidence on the chronic care model is encouraging, but we need better tools to help practices improve their systems. Health Aff. 2009;28:75–85.

    Article  Google Scholar 

  28. Dietz WH et al. An integrated framework for the prevention and treatment of obesity and its related chronic diseases. Health Aff. 2015;34(9):1456–63.

    Google Scholar 

  29. Tsai AG, Wadden TA. Treatment of obesity in primary care practice in the United States: a systematic review. J Gen Intern Med. 2009;24:1073–9.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Yoong SL, Carey M, Sanson-Fisher R, Grady A. A systematic review of behavioural weight-loss interventions involving primary-care physicians in overweight and obese primary-care patients (1999–2011). Public Health Nutr. 2013;16:2083–99.

    Article  PubMed  Google Scholar 

  31. MacDonell K, Brogan K, Naar-King S, Ellis D, Marshall S. A pilot study of motivational interviewing targeting weight-related behaviors in overweight or obese African American adolescents. J Adolesc Health. 2012;50:201–3.

    Article  PubMed  Google Scholar 

  32. Villablanca AC, Slee C, Lianov L, Tancredi D. Outcomes of a clinic-based educational intervention for cardiovascular disease prevention by race, ethnicity, and urban/rural status. J Women’s Health. 2016;25:1174–86.

    Article  Google Scholar 

  33. Gibson JS. Translation of clinical practice guidelines for childhood obesity prevention in primary care mobilizes a rural Midwest community. J Am Assoc Nurse Pract. 2016;28:130–7.

    Article  PubMed  Google Scholar 

  34. Tolliver SO, Hefner JL, Tolliver SD, McDougle L. Primary care provider understanding of hair care maintenance as a barrier to physical activity in African American women. J Am Board Fam Med. 2019;32:944–7.

    Article  PubMed  Google Scholar 

  35. Balcazar H, et al. Community health workers can be a public health force for change in the United States: three actions for a new paradigm. Am J Public Health. 2011;101:2199–203.

    Article  PubMed  PubMed Central  Google Scholar 

  36. American Public Health Association. Support for community health workers to increase health access and to reduce health inequities. Available at: https://www.apha.org/policies-and-advocacy/public-health-policy-statements/policy-database/2014/07/09/14/19/support-for-community-health-workers-to-increase-health-access-and-to-reduce-health-inequities. Accessed: 27 Jan 2021.

  37. Schroeder K, McCormick R, Perez A, Lipman TH. The role and impact of community health workers in childhood obesity interventions: a systematic review and meta-analysis. Obes Rev. 2018;19:1371–84.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  38. Perez LG, et al. Evidence-based obesity treatment interventions for Latino adults in the U.S.: a systematic review. Am J Prev Med. 2013;44:550–60.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Semlitsch T, Stigler FL, Jeitler K, Horvath K, Siebenhofer A. Management of overweight and obesity in primary care—a systematic overview of international evidence-based guidelines. Obes Rev. 2019;20:1218–30.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Taveras EM, et al. Comparative effectiveness of clinical-community childhood obesity interventions a randomized clinical trial. JAMA Pediatr. 2017;171:1–8.

    Article  Google Scholar 

  41. Boudreau ADA, Kurowski DS, Gonzalez WI, Dimond MA, Oreskovic NM. Latino families, primary care, and childhood obesity: a randomized controlled trial. Am J Prev Med. 2013;44:S247–57.

    Article  Google Scholar 

  42. Story MT, et al. Management of child and adolescent obesity: attitudes, barriers, skills, and training needs among health care professionals. Pediatrics. 2002;110:210–4.

    Article  PubMed  Google Scholar 

  43. Wadden TA, Butryn ML, Hong PS, Tsai AG. Behavioral treatment of obesity in patients encountered in primary care settings: a systematic review. JAMA J Am Med Assoc. 2014;312:1779–91.

    Article  CAS  Google Scholar 

  44. Skelton JA, et al. Community engagement and pediatric obesity: incorporating social determinants of health into treatment. J Clin Transl Sci. 2020;4:279–85.

    Article  Google Scholar 

  45. Pratt CA, et al. A systematic review of obesity disparities research. Am J Prev Med. 2017;53:113–22.

    Article  PubMed  Google Scholar 

  46. Gerber BS, et al. Design of a trial to evaluate the impact of clinical pharmacists and community health promoters working with African-Americans and Latinos with diabetes. BMC Public Health. 2012;12:891.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Dietz WH, et al. An integrated framework for the prevention and treatment of obesity and its related chronic diseases. Health Aff. 2015;34:1456–63.

    Article  Google Scholar 

  48. LeBlanc E, O’Connor E, Whitlock E, Patnode C, Kapka T. Review annals of internal medicine effectiveness of primary care – relevant treatments for obesity in. Ann Intern Med. 2011;155:434–47.

    Article  PubMed  Google Scholar 

  49. Pujalte GGA, Ahanogbe I, Thurston MJ, White RO, Roche-Green A. Addressing pediatric obesity in clinic. Glob Pediatr Health. 2017;4:1–7.

    Google Scholar 

  50. Fraser A, et al. Association of maternal weight gain in pregnancy with offspring obesity and metabolic and vascular traits in childhood. Circulation. 2010;121:2557–64.

    Article  PubMed  PubMed Central  Google Scholar 

  51. Ip S, Chung M, Raman G, Trikalinos TA, Lau J. A summary of the agency for healthcare research and quality’s evidence report on breastfeeding in developed countries. Breastfeed Med. 2009;4:S17–30.

    Article  PubMed  Google Scholar 

  52. American Academy of Pediatrics Committee on Nutrition. Feeding the child. In: Kleinman RE, editor. Pediatric nutrition handbook, vol. 146. Elk Grove Village: American Academy of Pediatrics; 2009.

    Google Scholar 

  53. 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:e396–418.

    Article  PubMed  Google Scholar 

  54. Wrotniak BH, Epstein LH, Paluch RA, Roemmich JN. Parent weight change as a predictor of child weight change in family-based behavioral obesity treatment. Arch Pediatr Adolesc Med. 2004;158:342–7.

    Article  PubMed  Google Scholar 

  55. Saelens BE, Lozano P, Scholz K. A randomized clinical trial comparing delivery of behavioral pediatric obesity treatment using standard and enhanced motivational approaches. J Pediatr Psychol. 2013;38:954–64.

    Article  PubMed  PubMed Central  Google Scholar 

  56. O’Malley G, et al. Physical activity and physical fitness in pediatric obesity: what are the first steps for clinicians? Expert conclusion from the 2016 ECOG workshop. Int J Exerc Sci. 2017;10:487–96.

    PubMed  PubMed Central  Google Scholar 

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Author information

Authors and Affiliations

  1. University of Illinois at Chicago, Chicago, IL, USA

    Marian L. Fitzgibbon, Jennifer Sanchez-Flack, Mirjana Antonic & Mackenzie Ferguson

Authors
  1. Marian L. Fitzgibbon
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  2. Jennifer Sanchez-Flack
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  3. Mirjana Antonic
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  4. Mackenzie Ferguson
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Correspondence to Marian L. Fitzgibbon .

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Editors and Affiliations

  1. University of Southern California, California, CA, USA

    Chanita Hughes Halbert, PhD

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Fitzgibbon, M.L., Sanchez-Flack, J., Antonic, M., Ferguson, M. (2023). Evidence-Based Interventions for Cancer Equity, Clinic-Based Interventions to Promote Patient-Centered Care, and Weight Loss and Management. In: Hughes Halbert, PhD, C. (eds) Cancer Health Disparities. Springer, Cham. https://doi.org/10.1007/978-3-031-37638-2_7

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