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U.S Preventive Services Task Force recommends clinicians refer children with high BMI to behavioral interventions

USPSTF: refer children with high BMI to behavioral interventions

The U.S Preventive Services Task Force (USPSTF) recommends that clinicians refer children aged 6 years or older with a high body mass index (BMI) to comprehensive intensive behavioral interventions. These recommendations form the basis of a final recommendation statement published online June 18 in the Journal of the American Medical Association.

Elizabeth A. O'Connor, Ph.D., from the Kaiser Permanente Evidence-based Practice Center in Portland, Oregon, and colleagues examined the benefits and harms of weight management interventions initiated in health care settings among children aged 2 to 18 years with high BMI. Data were included from 58 randomized with 10,143 participants.

The researchers found that after six to 12 months, behavioral interventions were associated with small reductions in BMI and other weight outcomes. In interventions with higher contact hours and that offered physical activity sessions, larger effects were seen.

For outcomes other than BMI, reporting was sparse, with few significant findings. The largest effect on BMI was seen for semaglutide and phentermine/topiramate. The few studies that assessed outcomes after discontinuation of medication showed immediate weight regain.

Based on these findings, the USPSTF concludes there is a moderate net benefit to providing or referring and adolescents aged 6 years or older with a high BMI (≥95th percentile for age and sex) to comprehensive, intensive behavioral interventions (B recommendation).

"There are a variety of effective intensive available that can help kids with a high BMI achieve a healthy weight, while improving ," USPSTF member John M. Ruiz, Ph.D., said in a statement.

More information: Elizabeth A. O'Connor et al, Interventions for Weight Management in Children and Adolescents, JAMA (2024). DOI: 10.1001/jama.2024.6739

Interventions for High Body Mass Index in Children and Adolescents, JAMA (2024). DOI: 10.1001/jama.2024.11146

Thomas N. Robinson et al, Treatment Interventions for Child and Adolescent Obesity, JAMA (2024). DOI: 10.1001/jama.2024.11980

Roohi Y. Kharofa et al, Interventions for Children and Adolescents With High Body Mass Index—Implementing the Recommendations in Clinical Practice, JAMA Network Open (2024). DOI: 10.1001/jamanetworkopen.2024.18201

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Citation: U.S Preventive Services Task Force recommends clinicians refer children with high BMI to behavioral interventions (2024, June 18) retrieved 14 July 2024 from https://medicalxpress.com/news/2024-06-task-clinicians-children-high-bmi.html
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