Handbook of Pediatric Obesity: Clinical Management is a compilation of management, medical, nutrition, psychological, and physical activity facts, models, theories, interventions, and evaluation techniques.

Features:

• Details pediatric obesity clinical management strategies, challenges, business plans, and evaluation methods
• Covers the medical aspects of treatment, complications and comorbidities, and the physician's role in the treatment
• Explores psychosocial, behavioral, nutritional, and physical considerations and how each affects the treatment process
• Presents a comprehensive survey of medical, nutrition, behavioral, and exercise evaluation methods and techniques
• Includes coverage of nutritional intervention, behavioral counseling, and methods to increase physical activity
• Examines the role of pharmacology and includes an overview of surgery options for significantly obese adolescents
• Discusses specific techniques for interdisciplinary, interactive group instruction for obese children, teens, and their families

Contents

Clinical Management

• The Business of Weight Management
• The Planning Process
• Designing Health Promotion Interventions
• Implementing a Health Promotion Program
• Evaluating a Health Promotion Program

Medical Aspects of Treatment

• Medical Complications and Comorbidities of Pediatric Obesity
• Genetic Syndromes Associated with Childhood Obesity
• Endocrine Disorders
• Cardiovascular Complications
• Insulin Resistance Syndromes
• Gastrointestinal System
• Pulmonary Complications of Obesity
• Neurological
• Orthopedic

Medical Aspects of Treatment: The Role of the Physician

• Role of the Primary Care Practitioners
• The Role of the Physician in the Treatment of Overweight Youth

Phychological and Physical Considerations

• Psychosocial Considerations during Treatment
• Underlying/Comorbid Psychopathology
• Family Psychosocial Issues
• Psychosocial Consequences
• Psychosocial Tools

Weaknesses and Strengths in the Response of the Obese Child to Exercise

• Responses of the Obese Child to Exercise
• Implications of Exercise Prescription

Clinical Evaluation: Diagnosis, Medical Testing, and Follow-up

• Prevalence
• Causes/Risk Factors
• Comorbidities
• Treatment Approaches
• Diagnosis
• Referrals
• Education
• Follow-Up

Nutritional Assessment of the At-Risk for Overweight and Overweight Child and Adolescent

• Home Environment Assessment
• School Environment Assessment.
• Community Environment Assessment
• Physical Activity Assessment
• Psychosocial Assessment
• Dietary Intake Assessment
• Physical and Laboratory Assessments
• Nutritional Care Plan and Case Management

Behavioral and Psychosocial Assessment Tools

• Behavioral Assessments
• Psychosocial Assessments
• Self Esteem
• Anxiety
• Measures of Eating Disorders
• Family Measures

Exercise Testing

• Physiological Considerations
• Cardiovascular Fitness
• Autonomic Function
• Blood Pressure
• Ventilatory Anaerobic Threshold
• Running/Walking Economy

Pediatric Obesity Dietary Approaches in Clinical Settings: A Survey of the Options and Recommendations

• VLCDs in the Clinical Setting

Nutrition Education

• Nutrition Education and Individual Counseling
• Nutrition Education and Group Counseling
• Nutrition Education in Multidisciplinary Settings
• Nutrition Education and Alternative Dietary Approaches
• A Sample Nutrition Education Curriculum in the Clinical Setting

Behavioral Counseling: Family-Based Behavioral Counseling in Clinical Settings

• Behavioral Treatment Techniques
• Overview of Family-Based Studies
• Parent Training or Modeling Interventions
• Individual Treatment Approaches

Increasing Physical Activity in Overweight Youth in Clinical Settings

• Motivational Theories and Models
• Motivational Techniques to Increase Physical Activity

Exercise and Physical Activity: Exercise Training Programs and Metabolic Health

• Components of Metabolic Health in the Pediatric Obesity/Exercise Literature
• Effects of Exercise on Components of Metabolic Health
• Summary of Components of Successful Exercise Programs

Internet-Based Treatment for Pediatric Obesity

• Utilization of the Internet for Weight Management
• HIPTeens

Pharmacologic Treatment of Adolescent Obesity

• Pharmacological Agents for the Treatment of Obesity
• Use of Orlistat with Adolescents and Children
• Use of Sibutramine with Adolescents
• Metformin
• Clinical Implications and Conclusions

Surgical Management of Pediatric Obesity

• Primary Care Provider Considerations before Referral of Surgical Candidates
• Comprehensive Team Assessment of the Patient Referred for Bariatric Surgery
• Postoperative Management
• Final Words of Caution

Interdisciplinary, Interactive Group Instruction: Orientation, Evaluation and Monitoring Progress

• Orientation
• Evaluation
• Monitoring Progress

Interdisciplinary, Interactive, Group Instruction

• Behavioral Therapy: Group Counseling Sessions, Follow-Up, and Relapse Prevention
• Setting Limits
• Self Monitoring of Food and Activity
• Cue Elimination
• Stimulus Control
• Goal Setting; Short-Term, Long-Term, and Weekly
• Goal Assessment
• Behavioral Substitution or Replacement
• Relapse Prevention
• Applied Activities and Experiences
• Family Physical Activity and Fitness Education Sessions
• Pediatric Obesity and Exercise Performance
• Exercise Instruction in Interactive, Interdisciplinary Clinical Settings

Index

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