Continued from page 1
Management of Overweight in Children and Adolescents
Strategies used in a management plan for overweight are based on information obtained from
assessment. Weight loss is recommended only if complications such as hyperlipidemia or hypertension are identified or for children 7 years or older with a BMI-for-age at or above
95th percentile. Otherwise, weight maintenance is recommended.
Individualized recommendations.
Each family has its own set of supports and stresses. Because success with weight management can be difficult to achieve, recommendations for change must consider
family's readiness for change, family support, financial concerns, and neighborhood characteristics (including access to play areas and grocery stores). Unless
situation is understood fully, recommendations for change may not be targeted appropriately.
Treatment should begin early, involve
family, and institute permanent changes in a stepwise manner. Parenting skills are
foundation for successful intervention, which includes a gradual targeted increase in physical activity and targeted reductions in high-fat and high-calorie foods.
So in
end, we need to focus not only on ourselves but
environments that are promoting this epidemic. As a colleague mentioned to me, to truly heal,
whole community must be involved. If we all sit back and wait for someone else to do something, nothing will ever be done.
Yours in Health,
Dr. Marshal Montgomery @ http://www.HealthyUnderstanding.com
References 1.The Bad News About Prevalence,
Good News About Treatments -- But Pay Attention to
Details, Linda Brookes, MSc ,Medscape Cardiology. 2005; 9 (1): ©2005 Medscape. 2. Overweight Children and Adolescents: Recommendations for Screening, Assessment and Management, Authors: Barbara Polhamus, PhD, MPH, RD; Diane Thompson, MPH, RD; Sandra L. Benton-Davis, BS; Christopher M. Reinold, MPH, RD, LD; Comm. Laurence M. Grummer-Strawn, PhD; William Dietz, MD, PhD 3. Prevention of Overweight and Obesity: Focus on Children and Adolescents,Patricia Markham Risica, DrPH, RD 4. Obesity,Jonathan Q. Purnell, M.D. 5.American College of Physicians Issues Guidelines for Obesity Management CME News Author: Laurie Barclay, MD CME Author: Charles Vega, MD, FAAFP All were sourced from medscape.com
Disclaimer: As always, check with your health care provider to see if this information applies to you. Due diligence is your responsibility. This information is meant to supplement your knowledge, not to replace your own decision making process or take
place of your health care provider.
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371 Kenderdine Rd, Saskatoon, SK, S7N 3S5

Dr. Marshal Montgomery is a practising chiropractor in Saskatoon, Saskatchewan. He is the creator of www.HealthyUnderstanding.com