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• W4212982871 abstract "We appreciate the interest of Ichikawa et al and Jabarkheel et al, and we agree that the prevention of childhood obesity begins early in life with the provision of anticipatory guidance relating to healthy behaviors and the assessment of weight status, using weight-for-length and body mass index (BMI), as indicated. Our analysis indicates that a greater proportion of pediatricians reported using either of these measures in 2017 compared with in 2006. There is room for improvement and continued quality of care; providers can be encouraged to use these measures as an approach to identifying children with increases in weight indices who may benefit from additional efforts to support healthy growth and prevent obesity. Health care providers are one group of many key stakeholders and have an important role in engaging with parents and caregivers to address healthy behaviors and their relationship to childhood obesity. Comprehensive, evidence-based counseling approaches for prevention and treatment of childhood obesity include such content as increasing consumption of healthier foods and beverages and physical activity, in addition to reducing foods high in added sugars, such as sugar-sweetened beverage consumption and reducing screen time.1Brown C.L. Perrin E.M. Obesity prevention and treatment in primary care.Acad Pediatr. 2018; 18: 736-745Abstract Full Text Full Text PDF PubMed Scopus (38) Google Scholar Our analysis indicates that the proportion of providers who report use of these counseling topics remains high or was improved in 2017 compared with 2006. Resources are available for healthcare providers on talking to patients about heathier food patterns, including handouts and PowerPoint resources (https://health.gov/dietaryguidelines/2015/resources.asp).2Dietary guidelines for Americans, 2015-2020: tools and resources.https://health.gov/dietaryguidelines/2015/resources.aspDate accessed: July , 2019Google Scholar The National Institute for Children's Health Quality (NICHQ) and the American Academy of Pediatrics (AAP) have also developed provider toolkits supporting healthier beverages, and healthcare entities have adaptable resources.3National Initiative for Children's Health QualityNext steps: a practitioner's guide for themed follow-up visits for their patients to achieve a healthy weight.https://www.nichq.org/resource/next-steps-practitioners-guide-themed-follow-visits-their-patients-achieve-healthy-weightGoogle Scholar, 4Maine HealthLet's Go!.https://mainehealth.org/lets-go/childrens-programGoogle Scholar Related to screen time, the AAP recommends no more than 1 hour per day of media time for children age 2-5 years and encourages personalized media use plans for children and adolescents that are age-appropriate.5American Academy of PediatricsCouncil on Communications and MediaMedia and young minds.Pediatrics. 2016; 138: e20162591Crossref PubMed Scopus (418) Google Scholar, 6American Academy of PediatricsCouncil on Communications and MediaMedia use in school-aged children and adolescents.Pediatrics. 2016; 138: e2062592Google Scholar The National Academy of Medicine, among other organizations, has published a report delineating a comprehensive set of strategies to promote healthier offerings and behaviors across a number of settings.7Committee on Accelerating Progress in Obesity PreventionFood and Nutrition BoardInstitute of MedicineGlickman D. Parker L. Sim L.J. Del Valle Cook H. Miller E.A. Accelerating progress in obesity prevention: Solving the weight of the nation. National Academies Press, Washington, DC2012Google Scholar In addition to its healthcare setting goal of expanding the role of health care providers, insurers, and employers in obesity prevention, the report sets forth strategies to support improvements in key settings where children and families spend their time, including early care and education (also called childcare) facilities, schools, and community venues. Implementing these strategies can help further national efforts to curb childhood obesity and improve children's overall health and well-being. Increase of body mass index is a useful predictor of childhood obesityThe Journal of PediatricsVol. 215PreviewBelay et al1 reported that the practices and attitudes of pediatricians have improved from 2006 to 2017, with body mass index (BMI) now recognized to be important information for prevention and treatment of childhood obesity. This study outlines where we are and how to think about the next steps for identifying and treating childhood obesity. In this respect, we believe that a simple method for recognition of a high risk of childhood obesity is required. Full-Text PDF Sugar-sweetened beverages and screen time: partners in crime for adolescent obesityThe Journal of PediatricsVol. 215PreviewBelay et al evaluate the knowledge, attitude, and perception among practicing pediatricians toward childhood obesity and the relevant risk factors. They found, compared with 2006, pediatricians in 2017 were more likely to discuss family behaviors related to sugar-sweetened beverages (SSBs) and screen time (P < .001).1 Full-Text PDF" @default.
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• W4212982871 doi "https://doi.org/10.1016/j.jpeds.2019.08.015" @default.
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