OWN - NLM
DA - 20170620
LR - 20170713
IS - 1538-3598 (Electronic)
IS - 0098-7484 (Linking)
VI - 317
IP - 23
DP - 2017 Jun 20
TI - Screening for Obesity in Children and Adolescents: US Preventive Services Task
Force Recommendation Statement.
PG - 2417-2426
LID - 10.1001/jama.2017.6803 [doi]
AB - Importance: Based on year 2000 Centers for Disease Control and Prevention growth
charts, approximately 17% of children and adolescents aged 2 to 19 years in the
United States have obesity, and almost 32% of children and adolescents are
overweight or have obesity. Obesity in children and adolescents is associated
with morbidity such as mental health and psychological issues, asthma,
obstructive sleep apnea, orthopedic problems, and adverse cardiovascular and
metabolic outcomes (eg, high blood pressure, abnormal lipid levels, and insulin
resistance). Children and adolescents may also experience teasing and bullying
behaviors based on their weight. Obesity in childhood and adolescence may
continue into adulthood and lead to adverse cardiovascular outcomes or other
obesity-related morbidity, such as type 2 diabetes. Subpopulation Considerations:
Although the overall rate of child and adolescent obesity has stabilized over the
last decade after increasing steadily for 3 decades, obesity rates continue to
increase in certain populations, such as African American girls and Hispanic
boys. These racial/ethnic differences in obesity prevalence are likely a result
of both genetic and nongenetic factors (eg, socioeconomic status, intake of
sugar-sweetened beverages and fast food, and having a television in the bedroom).
Objective: To update the 2010 US Preventive Services Task Force (USPSTF)
recommendation on screening for obesity in children 6 years and older. Evidence
Review: The USPSTF reviewed the evidence on screening for obesity in children and
adolescents and the benefits and harms of weight management interventions.
Findings: Comprehensive, intensive behavioral interventions (>/=26 contact hours)
in children and adolescents 6 years and older who have obesity can result in
improvements in weight status for up to 12 months; there is inadequate evidence
regarding the effectiveness of less intensive interventions. The harms of
behavioral interventions can be bounded as small to none, and the harms of
screening are minimal. Therefore, the USPSTF concluded with moderate certainty
that screening for obesity in children and adolescents 6 years and older is of
moderate net benefit. Conclusions and Recommendation: The USPSTF recommends that
clinicians screen for obesity in children and adolescents 6 years and older and
offer or refer them to comprehensive, intensive behavioral interventions to
promote improvements in weight status. (B recommendation).
CN - US Preventive Services Task Force
FAU - Grossman, David C
AU - Grossman DC
AD - Kaiser Permanente Washington Health Research Institute, Seattle.
FAU - Bibbins-Domingo, Kirsten
AU - Bibbins-Domingo K
AD - University of California, San Francisco.
FAU - Curry, Susan J
AU - Curry SJ
AD - University of Iowa, Iowa City.
FAU - Barry, Michael J
AU - Barry MJ
AD - Harvard Medical School, Boston, Massachusetts.
FAU - Davidson, Karina W
AU - Davidson KW
AD - Columbia University, New York, New York.
FAU - Doubeni, Chyke A
AU - Doubeni CA
AD - University of Pennsylvania, Philadelphia.
FAU - Epling, John W Jr
AU - Epling JW Jr
AD - Virginia Tech Carilion School of Medicine, Roanoke.
FAU - Kemper, Alex R
AU - Kemper AR
AD - Duke University, Durham, North Carolina.
FAU - Krist, Alex H
AU - Krist AH
AD - Fairfax Family Practice Residency, Fairfax, Virginia10Virginia Commonwealth
FAU - Kurth, Ann E
AU - Kurth AE
AD - Yale University, New Haven, Connecticut.
FAU - Landefeld, C Seth
AU - Landefeld CS
AD - University of Alabama at Birmingham.
FAU - Mangione, Carol M
AU - Mangione CM
AD - University of California, Los Angeles.
FAU - Phipps, Maureen G
AU - Phipps MG
AD - Brown University, Providence, Rhode Island.
FAU - Silverstein, Michael
AU - Silverstein M
AD - Boston University, Boston, Massachusetts.
FAU - Simon, Melissa A
AU - Simon MA
AD - Northwestern University, Evanston, Illinois.
FAU - Tseng, Chien-Wen
AU - Tseng CW
AD - University of Hawaii, Honolulu18Pacific Health Research and Education Institute,
LA - eng
PT - Guideline
PT - Journal Article
PL - United States
TA - JAMA
JT - JAMA
JID - 7501160
RN - 0 (Hypoglycemic Agents)
RN - 9100L32L2N (Metformin)
SB - AIM
SB - IM
CIN - JAMA. 2017 Jun 20;317(23 ):2378-2380. PMID: 28632849
MH - Adolescent
MH - *Advisory Committees
MH - African Americans/statistics & numerical data
MH - Behavior Therapy/methods
MH - *Body Mass Index
MH - Child
MH - Decision Making
MH - Hispanic Americans/statistics & numerical data
MH - Humans
MH - Hypoglycemic Agents/therapeutic use
MH - *Mass Screening/adverse effects
MH - Metformin/therapeutic use
MH - Off-Label Use
MH - Patient Compliance
MH - Pediatric Obesity/*diagnosis/prevention & control/therapy
MH - Referral and Consultation
MH - Risk Assessment
MH - Sedentary Lifestyle
MH - United States
MH - Weight Loss
EDAT- 2017/06/21 06:00
MHDA- 2017/07/14 06:00
CRDT- 2017/06/21 06:00
AID - 2632511 [pii]
AID - 10.1001/jama.2017.6803 [doi]
PST - ppublish
SO - JAMA. 2017 Jun 20;317(23):2417-2426. doi: 10.1001/jama.2017.6803.