1.

Record Nr.

UNINA9910882198703321

Autore

Stewart Laura

Titolo

Child and Adolescent Obesity : A Practical Approach to Clinical Weight Management

Pubbl/distr/stampa

Newark : , : John Wiley & Sons, Incorporated, , 2024

©2024

ISBN

1-119-79887-6

1-119-79885-X

1-119-79886-8

Edizione

[1st ed.]

Descrizione fisica

1 online resource (291 pages)

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Nota di contenuto

Cover -- Title Page -- Copyright Page -- Contents -- Child Obesity - Foreword -- Abbreviations -- Acknowledgements -- Introduction: The Voices of Lived Experience -- Introduction -- The Voice of Children, Young People Living with Obesity and Their Parents -- When Do Parents Look for Support? -- Attitudes and Qualities of the Health Professional -- Using Behavioural Change Tools -- Stigma and Self-esteem -- Programme Outcomes -- Informal Support -- Potential Barriers -- The Voice of Practitioners Working with Children and Young People Living with Obesity -- Key Advice for New Practitioners -- Person Centred -- Challenges and Complexity -- Relationships -- Rapport -- Parenting -- The Team -- Psychologist -- Stigma -- Outcomes -- Systems -- Programmes -- Eating Behaviours -- Conclusions -- References -- Chapter 1 What Is Childhood Obesity and Why Does It Matter -- Introduction -- Defining Obesity in Childhood -- Body Mass Index -- BMI Centile Charts -- Fat Distribution and Waist -- Aetiology of Obesity -- Polygenetics -- Monogenetics -- Inheritable Disorders -- Endocrine Causes of Obesity -- Adverse Childhood Experiences and Childhood Obesity -- Why Childhood Obesity Matters -- Cardiovascular Risk Factors -- The Metabolic Syndrome -- Type 2 Diabetes -- Insulin Resistance -- Non-Alcoholic Fatty Liver Disease -- Puberty and Polycystic Ovarian Syndrome -- Respiratory Problems --



Orthopaedic -- Psychosocial -- References -- Chapter 2 Socio-Economic Inequalities and Childhood Obesity -- Introduction -- Health Inequalities -- SES and Obesity -- SES and Obesity in Childhood -- Influence of Parental Weight on Children -- Food Insecurity -- Insurance Hypothesis -- The Neighbourhood and Built Environment -- References -- Chapter 3 Systems Thinking and Systems Approaches to Address Obesity -- Introduction -- Systems Definitions and Systems Theory.

Lay Definitions -- Systems Theory -- Simple to Complex Problems -- A Summary of Key Features of (Whole) Systems Approaches -- The Application of Systems Approaches to Obesity -- Implementation of Systems Approaches -- Examples from North America -- COMPACT (Childhood Obesity Modeling for Prevention and Community Transformation) Study -- Example from Australia -- WHOSTOPS (Whole of Systems Trial of Prevention Strategies for Childhood Obesity) -- Examples from Europe: The Amsterdam Healthy Weight Programme (AHWP) and the LIKE Programme -- Examples from the UK -- The Evaluation of Systems Approaches to Obesity -- Examples from Australia -- Examples from Europe -- Examples from the UK -- Opportunities, Challenges and Future Direction of Systems Approachesto Obesity -- Conclusion -- Acknowledgements -- References -- Chapter 4 Raising the Topic of Child Weight -- Introduction -- Parental Recognition -- Stigma and Weight Bias -- Use of Language -- Discussing Difficult to Hear Topics -- Raising the Topic of a Child's Weight -- Health Literacy -- References -- Chapter 5 Changing Behaviours -- Introduction -- A Person-Centred Approach -- Listening Skills -- Open Questions -- Affirmations -- Reflections -- Summarising -- Building Rapport -- Establishing a Shared Agenda -- Managing Expectations -- Behaviour Change Theories -- The Transtheoretical Model of Change -- Social Cognitive Theory -- Behaviour Change Tools -- Exploring Motivation -- Self-Monitoring -- Goal Setting -- Agreeing Rewards -- Reviewing Goals and Rewards -- Environmental/Stimulus Control -- Preventing Relapse -- References -- Chapter 6 Physical Activity,Screen Timeand Sleep -- Introduction -- Physical Activity -- Recommendations on Levels of Physical Activity -- What Does this Mean? -- Moderate to Vigorous Activity -- Aerobic Activity -- Muscle Strengthening -- Bone Strengthening.

Supporting Increasing Physical Activity Levels in Weight Management Interventions -- Structured Versus Daily Activities -- PA Delivery Mode -- Sedentary Behaviours -- Time Spent on Screens -- Recommendations on Levels of Screen Time -- Supporting Reducing Screen Time in Weight Management Interventions -- Sleep -- Supporting Sleep Quality in Weight Management -- Sleep Hygiene -- References -- Chapter 7 Modifying Energy Intake -- Introduction -- Balanced Nutritional Intake -- Energy Modification Strategies -- A Traffic Light Scheme -- Specific Energy Restrictions -- Fruits and Vegetables -- Beverages -- Sugar-SweetenedBeverages -- Milk -- Fruit Juice -- Snacks -- Portion Sizes -- Non-hunger Eating -- References -- Chapter 8 Measuring and Monitoring in Practice -- Introduction -- Body Mass Index -- The Use of BMI in Adults -- Visceral Body Adiposity -- Variation of Adiposity in Childhood -- The Use of BMI in Children and Young People -- US BMI Charts -- UK BMI Charts -- International BMI Charts -- Changes in BMI -- Waist Measurements -- Waist-to-Height Ratios -- Taking Measurements -- Weight -- Height -- Waist -- Psycho-socio Measurements -- Measuring and Monitoring Lifestyle Behaviour Change -- Monitoring Metabolic Complications of Excess Weight in Childhood -- Evaluation of Weight Management Programmes -- References -- Chapter 9



Understanding Obesity in Early Life -- Introduction -- Risk Factors for Obesity in Childhood -- Genetic Risk Factors for Obesity -- Environmental Risk Factors for Obesity -- Dietary Risk Factors in Early Life -- Complementary Feeding and Risk of Obesity -- Preschool Diet and Risk of Obesity -- Dietary Patterns in Preschool Children and Risk of Obesity -- Portion Size -- Physical Activity and Sedentary Behaviours in Preschool Children -- Developmental Risk Factors -- Nutrition and Growth -- Overview.

Interventions to Prevent Obesity in Early Life -- The Planet Munch Healthy Lifestyle Programme for Preschool Children -- References -- Chapter 10 Family Meal Times -- Introduction -- Benefits of Family Mealtimes -- Fussy Eating -- Behaviour -- The Antecedent -- Consequence -- Parenting Styles -- Strategies -- Considerations Prior to Implementing a Strategy -- Antecedent-based Strategies -- Consequence-based Strategies -- Further Considerations -- Increasing Foods: Diet Variety -- Likes versus Dislikes -- Portion Sizes -- Measuring Progress -- Autism Spectrum Disorder and Other Developmental Disorders -- Conclusions -- References -- Chapter 11 Childhood Weight Management in Practice -- Introduction -- Service Structure -- Delivery Team -- Uni-profession Delivery -- Programme Structure -- Family Base Programme -- Assessment -- Daisy - A Case Study -- Programme Background -- Identification of Nutritional Need -- Assessment -- Nutrition and Dietetic Diagnosis -- Strategy -- Implementation -- Monitor and Review -- Evaluation -- Continuing the Management Pathway -- Bariatric Surgery -- Pharmacology -- References -- Chapter 12 Adolescent Weight Management: The Factors for Clinicians to Be Aware -- Introduction -- Parental Role -- Interpersonal Conflict Leading to Emotional Eating -- Neurodevelopment -- Neurodiversity -- Hormones -- Weight Stigma -- Sexual and Gender Diversity -- Sleep -- Physical Activity -- Pregnancy -- Social Injustice -- Adverse Childhood Events -- Additional Factors for Clinical Consideration -- Making Sense of this Clinically -- References -- Chapter 13 Weight Management Considerations in Children Living with Special Educational Needs and Disability -- Introduction -- Prevalence -- Challenges and Risk Factors -- Reduced Energy Requirements -- Limited Physical Ability -- Selective Eating Habits.

Intellectual Ability and Behavioural Challenges -- Condition-Specific Medication Side Effects -- Parenting Style -- Environment -- Growth Assessment -- Alternative Approaches to Weighing -- Segmental Growth Measures -- 2-6Years -- 7-18Years -- Condition-Specific Growth Charts -- Components of Management -- Aims of Management -- Diet Concepts -- Energy Deficit -- Simple Strategies -- Physical Activity -- Behaviour and Environment -- Sensory-Food Integration -- Access -- Routine -- Considerations of Management -- Family-Centred Interventions -- Social Learning Theory -- Goal Setting -- Communication -- Self-Monitoring -- Group Versus One-to-One Interventions -- Frequency of Contact -- Role of the Multidisciplinary Team -- Summary -- References -- Chapter 14 Obesity, Safeguarding and Child Protection -- Introduction -- Why Do We Need to Know About Safeguarding? -- Does This Mean that All CYP Living with Obesity Need a Safeguarding Response? -- What Do We Mean by Safeguarding? -- What Does This Mean When Working with CYP and Families? -- Being Able to Recognise Signs of Harm in CYP -- Adverse Childhood Experiences and Trauma Informed Practice -- Safeguarding Stages -- Early Help/Intervention -- Social Care Involvement -- Children in Care -- Legislation and Guidance -- What Research Tells Us -- Serious Case Reviews -- Learning from the Serious Case Reviews --



References -- About the Editor -- Notes on Contributors -- Index -- EULA.