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Journal of Obesity
Volume 2013 (2013), Article ID 172035, 17 pages
http://dx.doi.org/10.1155/2013/172035
Review Article

Expanding the Role of Primary Care in the Prevention and Treatment of Childhood Obesity: A Review of Clinic- and Community-Based Recommendations and Interventions

1Mathematica Policy Research, 955 Massachusetts Avenue, Suite 801, Cambridge, MA 02139, USA
2Mathematica Policy Research, 1100 1st Street, NE, 12th Floor, Washington, DC 20002-4221, USA
3Mathematica Policy Research, 220 East Huron Street, Suite 300, Ann Arbor, MI 48104-1912, USA

Received 11 February 2013; Accepted 20 March 2013

Academic Editor: Roya Kelishadi

Copyright © 2013 Michaela Vine et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. C. L. Ogden, M. D. Carroll, B. K. Kit, and K. M. Flegal, “Prevalence of obesity and trends in body mass index among US children and adolescents, 1999-2010,” The Journal of the American Medical Association, vol. 307, no. 5, pp. 483–490, 2012. View at Publisher · View at Google Scholar
  2. J. Koplan, C. T. Liverman, and V. I. Kraak, Preventing Childhood Obesity: Health in the Balance, National Academy Press, 2005.
  3. E. Goodman, G. B. Slap, and B. Huang, “The public health impact of socioeconomic status on adolescent depression and obesity,” American Journal of Public Health, vol. 93, no. 11, pp. 1844–1850, 2003. View at Scopus
  4. S. J. Olshansky, D. J. Passaro, R. C. Hershow et al., “A potential decline in life expectancy in the United States in the 21st century,” The New England Journal of Medicine, vol. 352, no. 11, pp. 1138–1145, 2005. View at Publisher · View at Google Scholar · View at Scopus
  5. Committee on Accelerating Progress in Obesity Prevention and Institute of Medicine, Accelerating Progress in Obesity Prevention: Solving the Weight of the Nation, National Academies Press, 2012.
  6. S. E. Barlow, W. H. Dietz, W. J. Klish, and F. L. Trowbridge, “Medical evaluation of overweight children and adolescents: reports from pediatricians, pediatric nurse practitioners, and registered dietitians,” Pediatrics, vol. 110, no. 1, pp. 222–228, 2002. View at Scopus
  7. M. Barnes, “Solving the problem of childhood obesity within a generation,” Whitehouse Task Force on Childhood Obesity Report to the President, 2010.
  8. T. M. McCambridge, D. T. Bernhardt, J. S. Brenner et al., “Active healthy living: prevention of childhood obesity through increased physical activity,” Pediatrics, vol. 117, no. 5, pp. 1834–1842, 2006. View at Publisher · View at Google Scholar · View at Scopus
  9. N. F. Krebs and M. S. Jacobson, “Prevention of pediatric overweight and obesity,” Pediatrics, vol. 112, no. 2, article 424, 2003. View at Publisher · View at Google Scholar
  10. S. S. Gidding, B. A. Dennison, L. L. Birch et al., “Dietary recommendations for children and adolescents: a guide for practitioners,” Pediatrics, vol. 117, no. 2, pp. 544–559, 2006. View at Publisher · View at Google Scholar · View at Scopus
  11. T. T. K. Huang, L. A. Borowski, B. Liu et al., “Pediatricians' and family physicians' weight-related care of children in the US,” American Journal of Preventive Medicine, vol. 41, no. 1, pp. 24–32, 2011. View at Publisher · View at Google Scholar · View at Scopus
  12. The Community Guide, Guide to Community Preventative Services, 2011.
  13. Healthy People, “Healthy People 2020,” 2011.
  14. S. E. Whaley, S. McGregor, L. Jiang, J. Gomez, G. Harrison, and E. Jenks, “A WIC-based intervention to prevent early childhood overweight,” Journal of Nutrition Education and Behavior, vol. 42, no. 3, pp. S47–S51, 2010. View at Publisher · View at Google Scholar · View at Scopus
  15. M. Y. Kubik, M. Story, C. Davey, B. Dudovitz, and E. U. Zuehlke, “Providing obesity prevention counseling to children during a primary care clinic visit: results from a pilot study,” Journal of the American Dietetic Association, vol. 108, no. 11, pp. 1902–1906, 2008. View at Publisher · View at Google Scholar · View at Scopus
  16. M. D. McKee, D. Deen, S. Maher, J. Fletcher, A. Fornari, and A. E. Blank, “Implementation of a pilot primary care lifestyle change intervention for families of pre-school children: lessons learned,” Patient Education and Counseling, vol. 79, no. 3, pp. 299–305, 2010. View at Publisher · View at Google Scholar · View at Scopus
  17. M. D. McKee, S. Maher, D. Deen, and A. E. Blank, “Counseling to prevent obesity among preschool children: acceptability of a pilot urban primary care intervention,” Annals of Family Medicine, vol. 8, no. 3, pp. 249–255, 2010. View at Publisher · View at Google Scholar · View at Scopus
  18. K. B. Flower, E. M. Perrin, C. I. Viadro, and A. S. Ammerman, “Using body mass index to identify overweight children: barriers and facilitators in primary care,” Ambulatory Pediatrics, vol. 7, no. 1, pp. 38–44, 2007. View at Publisher · View at Google Scholar · View at Scopus
  19. M. Van Gerwen, C. Franc, S. Rosman, M. Le Vaillant, and N. Pelletier-Fleury, “Primary care physicians' knowledge, attitudes, beliefs and practices regarding childhood obesity: a systematic review,” Obesity Reviews, vol. 10, no. 2, pp. 227–236, 2009. View at Publisher · View at Google Scholar · View at Scopus
  20. E. M. Perrin, J. P. Finkle, and J. T. Benjamin, “Obesity prevention and the primary care pediatrician's office,” Current Opinion in Pediatrics, vol. 19, no. 3, pp. 354–361, 2007. View at Publisher · View at Google Scholar · View at Scopus
  21. J. Waldrop and L. A. Ferguson, “Pediatric overweight or obesity: does the label really matter?” Journal of the American Academy of Nurse Practitioners, vol. 20, no. 5, pp. 251–258, 2008. View at Publisher · View at Google Scholar · View at Scopus
  22. K. M. Rasmussen and A. L. Yaktine, Weight Gain during Pregnancy: Reexamining the Guidelines, National Academy Press, 2009.
  23. K. Glanz and D. B. Bishop, “The role of behavioral science theory in development and implementation of public health interventions,” Annual Review of Public Health, vol. 31, pp. 399–418, 2010. View at Publisher · View at Google Scholar · View at Scopus
  24. D. L. Jacobson and B. Gance-Cleveland, “A systematic review of primary healthcare provider education and training using the chronic care model for childhood obesity,” Obesity Reviews, vol. 12, no. 501, pp. e244–e256, 2011. View at Publisher · View at Google Scholar · View at Scopus
  25. G. M. Sargent, L. S. Pilotto, and L. A. Baur, “Components of primary care interventions to treat childhood overweight and obesity: a systematic review of effect,” Obesity Reviews, vol. 12, no. 501, pp. e219–e235, 2011. View at Publisher · View at Google Scholar · View at Scopus
  26. J. Van Cleave, K. A. Kuhlthau, S. Bloom et al., “Interventions to improve screening and follow-up in primary care: a systematic review of the evidence,” Academic Pediatric, vol. 12, no. 4, pp. 269–282, 2012. View at Publisher · View at Google Scholar
  27. Patient Protection, “Affordable Care Act of 2010,” Public Law, vol. 111, p. 124, 2010.
  28. N. Calonge, D. B. Petitti, T. G. DeWitt et al., “Screening for obesity in children and adolescents: US preventive services task force recommendation statement,” Pediatrics, vol. 125, no. 2, pp. 361–367, 2010. View at Publisher · View at Google Scholar · View at Scopus
  29. C. Savinon, J. S. Taylor, J. Canty-Mitchell, and J. Blood-Siegfried, “Childhood obesity: can electronic medical records customized with clinical practice guidelines improve screening and diagnosis?” Journal of the American Academy of Nurse Practitioners, vol. 24, pp. 463–471, 2012. View at Publisher · View at Google Scholar
  30. M. K. Kopp and C. Hornberger, “Proper exercise and nutrition kit: use of obesity screening and assessment tools with underserved populations,” Journal of Pediatric Nursing, vol. 23, no. 1, pp. 58–64, 2008. View at Publisher · View at Google Scholar · View at Scopus
  31. E. M. Perrin, J. C. J. Vann, S. Lazorick et al., “Bolstering confidence in obesity prevention and treatment counseling for resident and community pediatricians,” Patient Education and Counseling, vol. 73, no. 2, pp. 179–185, 2008. View at Publisher · View at Google Scholar · View at Scopus
  32. M. Polacsek, J. Orr, L. Letourneau et al., “Impact of a primary care intervention on physician practice and patient and family behavior: keep ME healthy—the Maine Youth Overweight Collaborative,” Pediatrics, vol. 123, no. 5, pp. S258–S266, 2009. View at Publisher · View at Google Scholar · View at Scopus
  33. L. J. Ewing, P. Cluss, S. Goldstrohm et al., “Translating an evidence-based intervention for pediatric overweight to a primary care setting,” Clinical Pediatrics, vol. 48, no. 4, pp. 397–403, 2009. View at Publisher · View at Google Scholar · View at Scopus
  34. T. Nicklas and R. Johnson, “Position of the American Dietetic Association: dietary guidance for healthy children ages 2 to 11 years,” Journal of the Academy of Nutrition and Dietetics, vol. 104, pp. 660–677, 2004.
  35. H. M. DuPlessis, C. S. C. Boulter, D. Cora-Bramble et al., “The pediatrician's role in community pediatrics,” Pediatrics, vol. 115, pp. 1092–1094, 2005. View at Publisher · View at Google Scholar
  36. A. H. Lichtenstein, L. J. Appel, M. Brands et al., “Diet and lifestyle recommendations revision 2006: a scientific statement from the American Heart Association Nutrition Committee,” Circulation, vol. 114, no. 1, pp. 82–96, 2006. View at Publisher · View at Google Scholar · View at Scopus
  37. Institute of Medicine (US) Committee on Health and Practice Health and Behavior, The Interplay of Biological, Behavioral, and Societal Influences, National Academies Press, 2001.
  38. M. Pomietto, A. D. Docter, N. Van Borkulo, L. Alfonsi, J. Krieger, and L. L. Liu, “Small steps to health: building sustainable partnerships in pediatric obesity care,” Pediatrics, vol. 123, no. 5, pp. S308–S316, 2009. View at Publisher · View at Google Scholar · View at Scopus
  39. G. Plourde, “Preventing and managing pediatric obesity: recommendations for family physicians,” Canadian Family Physician, vol. 52, pp. 322–328, 2006. View at Scopus
  40. C. E. Stahl, J. W. Necheles, J. H. Mayefsky, L. K. Wright, and K. M. Rankin, “5-4-3-2-1 Go! Coordinating pediatric resident education and community health promotion to address the obesity epidemic in children and youth,” Clinical Pediatrics, vol. 50, no. 3, pp. 215–224, 2011. View at Publisher · View at Google Scholar · View at Scopus
  41. E. M. Taveras, K. H. Hohman, S. N. Price et al., “Correlates of participation in a pediatric primary care-based obesity prevention intervention,” Obesity, vol. 19, no. 2, pp. 449–452, 2011. View at Publisher · View at Google Scholar · View at Scopus
  42. D. Jacobson and B. M. Melnyk, “A primary care healthy choices intervention program for overweight and obese school-age children and their parents,” Journal of Pediatric Health Care, vol. 26, pp. 126–138, 2012. View at Publisher · View at Google Scholar · View at Scopus
  43. R. M. Kwapiszewski and A. Lee Wallace, “A pilot program to identify and reverse childhood obesity in a primary care clinic,” Clinical Pediatrics, vol. 50, no. 7, pp. 630–635, 2011. View at Publisher · View at Google Scholar · View at Scopus
  44. S. T. Henes, D. N. Collier, S. L. Morrissey, D. M. Cummings, and K. M. Kolasa, “Medical nutrition therapy for overweight youth in their medical home: the KIDPOWER experience,” Patient Education and Counseling, vol. 81, no. 1, pp. 43–46, 2010. View at Publisher · View at Google Scholar · View at Scopus
  45. R. M. Siegel, W. Rich, E. C. Joseph et al., “A 6-month, office-based, low-carbohydrate diet intervention in obese teens,” Clinical Pediatrics, vol. 48, no. 7, pp. 745–749, 2009. View at Publisher · View at Google Scholar · View at Scopus
  46. D. Berry, M. Colindres, M. B. Vu et al., “Latino caregiver's insight into childhood overweight management and relationships with their health care providers,” Hispanic Health Care International, vol. 7, no. 1, pp. 11–20, 2009. View at Publisher · View at Google Scholar · View at Scopus
  47. C. Bolling, L. Crosby, R. Boles, and L. Stark, “How pediatricians can improve diet and activity for overweight preschoolers: a qualitative study of parental attitudes,” Academic Pediatrics, vol. 9, no. 3, pp. 172–178, 2009. View at Publisher · View at Google Scholar · View at Scopus
  48. W. T. Dalton III, K. E. Schetzina, N. Holt et al., “Parent-Led Activity and Nutrition (PLAN) for healthy living: design and methods,” Contemporary Clinical Trials, vol. 32, no. 6, pp. 882–892, 2011. View at Publisher · View at Google Scholar
  49. E. L. Mcclaskey, “A childhood obesity program in federally qualifed community health centers,” Journal of Health Care for the Poor and Underserved, vol. 21, no. 3, pp. 774–779, 2010. View at Publisher · View at Google Scholar · View at Scopus
  50. M. Haemer, S. Cluett, S. G. Hassink et al., “Building capacity for childhood obesity prevention and treatment in the medical community: call to action,” Pediatrics, vol. 128, supplement 2, pp. S71–S77, 2011.
  51. N. Holt, K. E. Schetzina, W. T. Dalton, F. Tudiver, H. Fulton-Robinson, and T. Wu, “Primary care practice addressing child overweight and obesity: a survey of primary care physicians at four clinics in southern Appalachia,” Southern Medical Journal, vol. 104, no. 1, pp. 14–19, 2011. View at Publisher · View at Google Scholar · View at Scopus
  52. A. L. McGaffey, D. J. Abatemarco, I. K. Jewell, S. K. Fidler, and K. Hughes, “Fitwits MD: an office-based tool and games for conversations about obesity with 9- to 12-year-old children,” The Journal of the American Board of Family Medicine, vol. 24, pp. 768–771, 2011. View at Publisher · View at Google Scholar
  53. R. P. Schwartz, R. Hamre, W. H. Dietz et al., “Office-based motivational interviewing to prevent childhood obesity: a feasibility study,” Archives of Pediatrics and Adolescent Medicine, vol. 161, no. 5, pp. 495–501, 2007. View at Publisher · View at Google Scholar · View at Scopus
  54. C. E. Cronk, R. G. Hoffmann, M. J. Mueller, V. Zerpa-Uriona, M. Dasgupta, and F. Enriquez, “Effects of a culturally tailored intervention on changes in body mass index and health-related quality of life of Latino children and their parents,” American Journal of Health Promotion, vol. 25, no. 4, pp. e1–11, 2011. View at Publisher · View at Google Scholar · View at Scopus
  55. M. Savoye, P. Nowicka, M. Shaw et al., “Long-term results of an obesity program in an ethnically diverse pediatric population,” Pediatrics, vol. 127, no. 3, pp. 402–410, 2011. View at Publisher · View at Google Scholar · View at Scopus
  56. P. A. Cluss, L. J. Ewing, K. A. Long, W. G. Krieger, and J. Lovelace, “Adapting pediatric obesity treatment delivery for low-income families: a public-private partnership,” Clinical Pediatrics, vol. 49, no. 2, pp. 123–129, 2010. View at Publisher · View at Google Scholar · View at Scopus
  57. S. Maher, P. Lopez, M. D. McKee et al., “Evaluation of health educator consults in primary care,” Health Education, vol. 110, no. 3, pp. 209–224, 2010. View at Publisher · View at Google Scholar · View at Scopus
  58. S. G. Anand, W. G. Adams, and B. S. Zuckerman, “Specialized care of overweight children in community health centers,” Health Affairs, vol. 29, no. 4, pp. 712–717, 2010. View at Publisher · View at Google Scholar · View at Scopus
  59. A. J. Ariza, K. M. Laslo, J. S. Thomson, R. Seshadri, and H. J. Binns, “Promoting growth interpretation and lifestyle counseling in primary care,” Journal of Pediatrics, vol. 154, no. 4, pp. 596–601, 2009. View at Publisher · View at Google Scholar · View at Scopus
  60. A. J. Ariza, H. Ruch-Ross, A. Sawyer et al., “Obesity care strategies in primary care practices,” Journal of Pediatrics, vol. 161, no. 1, pp. 152–155, 2012. View at Publisher · View at Google Scholar
  61. L. Broussard, C. Bryan, and D. Bellar, “Kids on the Geaux: an interdisciplinary, community-based child weight management program,” NASN School Nurse, vol. 27, pp. 72–75, 2012. View at Publisher · View at Google Scholar
  62. D. Dreimane, D. Safani, M. MacKenzie et al., “Feasibility of a hospital-based, family-centered intervention to reduce weight gain in overweight children and adolescents,” Diabetes Research and Clinical Practice, vol. 75, no. 2, pp. 159–168, 2007. View at Publisher · View at Google Scholar · View at Scopus
  63. L. J. Heinberg, E. M. Kutchman, N. A. Berger et al., “Parent involvement is associated with early success in obesity treatment,” Clinical Pediatrics, vol. 49, no. 5, pp. 457–465, 2010. View at Publisher · View at Google Scholar · View at Scopus
  64. J. H. Paul, M. D. Piehl, and W. H. Logarde, “ENERGIZE! A community-based lifestyle intervention targeting at-risk, overweight children,” North Carolina Medical Journal, vol. 72, p. 381, 2011.
  65. C. A. Pinard, M. H. Hart, Y. Hodgkins, E. L. Serrano, M. M. McFerren, and P. A. Estabrooks, “Smart choices for healthy families: a pilot study for the treatment of childhood obesity in low-income families,” Health Education Behavior, vol. 39, pp. 433–445, 2012. View at Publisher · View at Google Scholar
  66. L. Quinn, R. Block, and S. McIntosh, “Impact of a community health improvement clerkship project,” Medical Education, vol. 41, no. 11, pp. 1102–1103, 2007. View at Publisher · View at Google Scholar · View at Scopus
  67. P. A. Estabrooks, J. A. Shoup, M. Gattshall, P. Dandamudi, S. Shetterly, and S. Xu, “Automated telephone counseling for parents of overweight children: a randomized controlled trial,” American Journal of Preventive Medicine, vol. 36, no. 1, pp. 35–42, 2009. View at Publisher · View at Google Scholar · View at Scopus
  68. G. D. Foster, D. Sundal, C. McDermott, E. Jelalian, M. R. Lent, and D. Vojta, “Feasibility and preliminary outcomes of a scalable, community-based treatment of childhood obesity,” Pediatrics, vol. 130, pp. 652–659, 2012. View at Publisher · View at Google Scholar
  69. T. Quattrin, J. N. Roemmich, R. Paluch, J. Yu, L. H. Epstein, and M. A. Ecker, “Efficacy of family-based weight control program for preschool children in primary care,” Pediatrics, vol. 130, pp. 660–666, 2012. View at Publisher · View at Google Scholar
  70. L. J. Stark, S. Spear, R. Boles et al., “A pilot randomized controlled trial of a clinic and home-based behavioral intervention to decrease obesity in preschoolers,” Obesity, vol. 19, no. 1, pp. 134–141, 2011. View at Publisher · View at Google Scholar · View at Scopus
  71. M. J. Taylor, M. Mazzone, and B. H. Wrotniak, “Outcome of an exercise and educational intervention for children who are overweight,” Pediatric Physical Therapy, vol. 17, no. 3, pp. 180–188, 2005. View at Publisher · View at Google Scholar · View at Scopus
  72. M. E. Hare, M. Coday, N. A. Williams, P. A. Richey, F. A. Tylavsky, and A. J. Bush, “Methods and baseline characteristics of a randomized trial treating early childhood obesity: the positive lifestyles for active youngsters (Team PLAY) trial,” Contemporary Clinical Trials, vol. 33, pp. 534–549, 2012. View at Publisher · View at Google Scholar
  73. M. Boyle, S. Lawrence, L. Schwarte, S. Samuels, and W. J. McCarthy, “Health care providers' perceived role in changing environments to promote healthy eating and physical activity: baseline findings from health care providers participating in the healthy eating, active communities program,” Pediatrics, vol. 123, supplement 5, pp. S293–S300, 2009. View at Publisher · View at Google Scholar · View at Scopus
  74. J. C. Eisenmann, D. A. Gentile, G. J. Welk et al., “SWITCH: rationale, design, and implementation of a community, school, and family-based intervention to modify behaviors related to childhood obesity,” BMC Public Health, vol. 8, article 223, 2008. View at Publisher · View at Google Scholar · View at Scopus
  75. R. L. Gombosi, R. M. Olasin, and J. L. Bittle, “Tioga County Fit for Life: a primary obesity prevention project,” Clinical Pediatrics, vol. 46, no. 7, pp. 592–600, 2007. View at Publisher · View at Google Scholar · View at Scopus
  76. K. R. Moore, M. K. McGowan, K. A. Donato, S. Kollipara, and Y. Roubideaux, “Community resources for promoting youth nutrition and physical activity,” American Journal of Health Education, vol. 40, no. 5, pp. 298–303, 2009. View at Scopus
  77. T. Agrawal, J. A. Hoffman, M. Ahl et al., “Collaborating for impact: a multilevel early childhood obesity prevention initiative,” Family & Community Health, vol. 35, pp. 192–202, 2012. View at Publisher · View at Google Scholar
  78. D. I. Chang, A. Gertel-Rosenberg, V. L. Drayton, S. Schmidt, and G. B. Angalet, “A statewide strategy to battle child obesity in Delaware,” Health Affairs, vol. 29, no. 3, pp. 481–490, 2010. View at Publisher · View at Google Scholar · View at Scopus
  79. N. Karanja, T. Lutz, C. Ritenbaugh et al., “The TOTS community intervention to prevent overweight in American Indian toddlers beginning at birth: a feasibility and efficacy study,” Journal of Community Health, vol. 35, no. 6, pp. 667–675, 2010. View at Publisher · View at Google Scholar · View at Scopus
  80. J. M. Cousins, S. M. Langer, L. K. Rhew, and C. Thomas, “The role of state health departments in supporting community-based obesity prevention,” Preventing Chronic Disease, vol. 8, p. A87, 2011.
  81. S. E. Samuels, L. Craypo, M. Boyle, P. B. Crawford, A. Yancey, and G. Flores, “The California Endowment's healthy eating, active communities program: a midpoint review,” American Journal of Public Health, vol. 100, no. 11, pp. 2114–2123, 2010. View at Publisher · View at Google Scholar · View at Scopus
  82. C. D. Economos, R. R. Hyatt, J. P. Goldberg et al., “A community intervention reduces BMI z-score in children: Shape Up Somerville first year results,” Obesity, vol. 15, no. 5, pp. 1325–1336, 2007. View at Publisher · View at Google Scholar · View at Scopus
  83. V. R. Chomitz, R. J. McGowan, J. M. Wendel et al., “Healthy Living Cambridge Kids: a community-based participatory effort to promote healthy weight and fitness,” Obesity, vol. 18, no. 1, pp. S45–S53, 2010. View at Publisher · View at Google Scholar · View at Scopus
  84. M. B. Hargreaves, T. Honeycutt, C. Orfield et al., “Healthy Weight Collaborative: using learning collaboratives to enhance community-based initiatives addressing childhood obesity,” Journal of Health Care For the Poor and Underserved, vol. 24, 2013.
  85. M. M. Stephens, K. McLean, K. Cannatelli, and P. L. Stillman, “Identification of overweight, obesity, and elevated blood pressure: a school-based health center performance improvement initiative,” American Journal of Medical Quality, vol. 26, no. 1, pp. 34–38, 2011. View at Publisher · View at Google Scholar · View at Scopus
  86. D. O. Tyler and S. D. Horner, “Collaborating with low-income families and their overweight children to improve weight-related behaviors: an intervention process evaluation,” Journal for Specialists in Pediatric Nursing, vol. 13, no. 4, pp. 263–274, 2008. View at Publisher · View at Google Scholar · View at Scopus
  87. B. Edwards, “Childhood obesity: a school-based approach to increase nutritional knowledge and activity levels,” Nursing Clinics of North America, vol. 40, no. 4, pp. 661–669, 2005. View at Publisher · View at Google Scholar · View at Scopus
  88. K. Mayer, “Childhood obesity prevention: focusing on the community food environment,” Family and Community Health, vol. 32, no. 3, pp. 257–270, 2009. View at Publisher · View at Google Scholar · View at Scopus
  89. M. E. McPherson, R. Mirkin, P. N. Heatherley, and C. J. Homer, “Educating health care professionals in advocacy for childhood obesity prevention in their communities: integrating public health and primary care in the Be Our Voice project,” American Journal of Public Health, vol. 102, pp. e37–e43, 2012.
  90. D. Jacobson and B. M. Melnyk, “Psychosocial correlates of healthy beliefs, choices, and behaviors in overweight and obese school-age children: a primary care healthy choices intervention pilot study,” Journal of Pediatric Nursing, vol. 26, no. 5, pp. 456–464, 2011. View at Publisher · View at Google Scholar
  91. N. K. Lowe, “The Surgeon General's call to action to support breastfeeding,” Journal of Obstetric, Gynecologic, and Neonatal Nursing, vol. 40, no. 4, pp. 387–389, 2011. View at Publisher · View at Google Scholar · View at Scopus
  92. E. P. Whitlock, E. A. O'Connor, S. B. Williams, T. L. Beil, and K. W. Lutz, “Effectiveness of weight management programs in children and adolescents, (prepared for the Agency for Healthcare Research and Quality by the Oregon Evidence-Based Practice Center),” AHRQ no. 08-E014, Agency for Healthcare Research and Quality, Rockville, Md, USA, September 2008.