University of Oklahoma Health Sciences Center

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Author/s:

US Preventive Services Task Force, Wanda K Nicholson, Michael Silverstein, John B Wong

Date Added:

July 28, 2024

Journal/Publication:

JAMA

Publication Date:

July 16, 2024

Issue:

Volume:

332

Pages:

226-232

URL:

Interventions for High Body Mass Index in Children and Adolescents: US Preventive Services Task Force Recommendation Statement

Type:

Meta-analyses, Reviews, and Guidelines

Format:

Article

DOI (1):

10.1001/jama.2024.11146

PMID (1):

38888912

Keywords

obesity

children

BMI

weight loss

MeSH

adolescent

Body Mass Index*

Pediatric Obesity* / prevention & control

Pediatric Obesity* / therapy

weight loss

RPR Commentary

The USPSTF recommends intensive interventions to help obese children over 6 lose weight. James W. Mold, MD, MPH

Abstract

Importance: Approximately 19.7% of children and adolescents aged 2 to 19 years in the US have a body mass index (BMI) at or above the 95th percentile for age and sex, based on Centers for Disease Control and Prevention growth charts from 2000. The prevalence of high BMI increases with age and is higher among Hispanic/Latino, Native American/Alaska Native, and non-Hispanic Black children and adolescents and children from lower-income families.

Objective: The US Preventive Services Task Force (USPSTF) commissioned a systematic review to evaluate the evidence on interventions (behavioral counseling and pharmacotherapy) for weight loss or weight management in children and adolescents that can be provided in or referred from a primary care setting.

Population: Children and adolescents 6 years or older.

Evidence assessment: The USPSTF concludes with moderate certainty that providing or referring children and adolescents 6 years or older with a high BMI to comprehensive, intensive behavioral interventions has a moderate net benefit.

Recommendation: The USPSTF recommends that clinicians provide or refer children and adolescents 6 years or older with a high BMI (≥95th percentile for age and sex) to comprehensive, intensive behavioral interventions. (B recommendation).

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