Sobrepeso En Bebes

from the association
ABSTRACT The American Dietetic Association (ADA), recognizing that overweight is a significant problem for children and adolescents in the United States, takes the position that pediatric overweight intervention requires a combination of family-based and school-based multicomponent programs that include the promotion of physical activity, parent training/modeling, behavioralcounseling, and nutrition education. Furthermore, although not yet evidence-based, community-based and environmental interventions are recommended as among the most feasible ways to support healthful lifestyles for the greatest numbers of children and their families. ADA supports the commitment of resources for programs, policy development, and research for the efficacious promotion of healthfuleating habits and increased physical activity in all children and adolescents, regardless of weight status. This is the first position paper of ADA to be based on a rigorous systematic evidence-based analysis of the pediatric overweight literature on intervention programs. The research showed positive effects of two specific kinds of overweight interventions: a) multicomponent, family-based programsfor children between the ages of 5 and 12 years, and b) multicomponent, school-based programs for adolescents. Multicomponent programs include behavioral counseling, promotion of physical activity, parent training/modeling, dietary counseling, and nutrition education. Analysis of the literature to date points to the need for further investigation of promising strategies not yet adequatelyevaluated. Furthermore, this review highlights the need for research 0002-8223/06/10606-0016$32.00/0 doi: 10.1016/j.jada.2006.03.001 to develop effective and innovative overweight prevention programs for various sectors of the population, including those of varying ethnicities, young children, and adolescents. To support and enhance the efficacy of family- and school-based weight interventions,community-wide interventions should be undertaken; few such interventions have been conducted and even fewer evaluated. J Am Diet Assoc. 2006;106:925-945.

ADA REPORTS

Position of the American Dietetic Association: Individual-, Family-, School-, and Community-Based Interventions for Pediatric Overweight
Unlike ADA position papers in the past, this is the first paper to draw its conclusions from anextensive review of the literature using a new analytic approach developed by ADA. As a result, this position paper is organized differently from earlier position papers. The use of an evidence-based approach provides important added benefits to earlier review methods. The major advantage of the new approach is the more rigorous standardization of review criteria, which minimizes the likelihood ofreviewer bias and increases the ease with which disparate articles may be compared. For a detailed description of the methods used in this position paper, access the ADA’s Methodology for Evidence-Based Analysis of Intervention Literature at www.eatright.org/cps/rde/xchg/ ada/hs.xsl/8099_ENU_HTML.htm. Also posted on ADA’s Web site are the evidence-analysis summary sheets for all articles reviewed inthis position paper (www.eatright. org/ada/files/Appendices_A_B_C. pdf). Furthermore, evidence analysis summaries for other topics, such as critical illness, disorders of lipid metabolism, oncology, and adult weight management, can be found in ADA’s Evidence Analysis Library. For a complete listing of topics to date included in the Evidence Analysis Library, go to www.adaevidencelibrary.com.POSITION STATEMENT The American Dietetic Association (ADA), recognizing that overweight is a significant problem for children and adolescents in the United States, takes the position that pediatric overweight intervention requires a combination of family-based and school-based multicomponent programs that include the promotion of physical activity, parent training/modeling, behavioral counseling, and...