7 steps to successful child and adolescent weight loss

Overweight children and adolescents, with the active involvement of their parents and families, can successfully lose weight by following the Seven Steps to Success described in the current issue of Obesity Management, a journal published by Mary Ann Liebert, Inc. The article is available free online at www.liebertpub.com/obe

A team of experts that includes physicians and psychologists propose a new model of care for treating childhood and teen obesity which includes dietary, fitness, and lifestyle changes, education, and as a final option, if needed, surgery. The article, entitled, "Seven Steps to Success: A Handout for Parents of Overweight Children and Adolescents," defines a stepwise intervention strategy of increasing intensity: (1) medical management; (2) education; (3) environmental changes; (4) support groups; (5) cognitive-behavior therapy I: clinical or short-term immersion; (6) cognitive-behavior therapy II: long-term immersion; (7) bariatric surgery.

Essential to the success of this treatment model is the commitment and participation of family members, and especially parents, who should not only be strongly supportive of the child's efforts, but also take an active role in the nutritional, exercise, and lifestyle modifications being introduced.

Although it may not be necessary for each individual to complete all of the steps to achieve successful weight loss, families should pursue the stepwise strategy aggressively until they succeed, encourages the team of authors: Daniel Kirschenbaum, PhD, from Northwestern University Medical School, Chicago, IL, and Wellspring, Cupertino, CA; Daniel DeUgarte, MD, Fred Frankel, PhD, and Wendy Slusser, MD, David Geffen School of Medicine at UCLA; Julie Germann, PhD, Children's Medical Center, Dallas, TX; Thomas McKnight, MD, Hulbert Field Air Force Base, Okaloosa, FL; Peter Nieman, MD, University of Calgary, Alberta, Canada; and Richard Sandler, MD, Rush Children's Hospital & Rush University Medical School, Chicago, IL.

"This 7 Step Model proposed by Dr. Dan Kirschenbaum and colleagues makes it easy to understand the treatment options available for childhood obesity. This logical approach may help parents and providers choose the right treatment for the child," says James O. Hill, PhD, Editor-in-Chief of Obesity Management, Professor of Pediatrics and Medicine, and Director of the Center for Human Nutrition and of the Colorado Clinical Nutrition Research Unit at the University of Colorado Denver.

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Obesity Management, published bimonthly, provides clinical, practical information on obesity, including prevention and management, patient motivation, and nutrition. The Journal focuses on issues surrounding the health hazards posed by obesity and offers healthcare providers effective options and strategies to treat their overweight patients. Obesity Management is the official publication of CORE, in collaboration with the American Association of Diabetes Educators, American Dietetic Association, American College of Sports Medicine, and American Academy of Family Physicians.