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Published in: Current Gastroenterology Reports 4/2010

01-08-2010

Childhood Obesity: Update on Predisposing Factors and Prevention Strategies

Authors: Miriam B. Vos, Jean Welsh

Published in: Current Gastroenterology Reports | Issue 4/2010

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Abstract

Obesity is a global epidemic and children are affected in increasing numbers. Overweight children are at increased risk of becoming overweight adults with associated chronic diseases. In this update, we present key findings from a review of the current literature focused on potential causes and strategies for preventing childhood obesity. We highlight recent evidence regarding the role of genetics, maternal body mass index, postnatal influences, and environmental effects throughout childhood in predicting overweight. We also summarize the results of new research that examined the effectiveness of intervention strategies implemented in a variety of settings: home, school, community, and health care system. Statements recently released by the Centers for Disease Control and Prevention (CDC) and the US Department of Health and Human Services emphasize the need for effective policy and environmental change to promote healthy lifestyle change at the individual and population levels.
Literature
1.
go back to reference Deshmukh-Taskar P, Nicklas TA, Morales M, et al.: Tracking of overweight status from childhood to young adulthood: the Bogalusa Heart Study. Eur J Clin Nutr 2006, 60:48–57.CrossRefPubMed Deshmukh-Taskar P, Nicklas TA, Morales M, et al.: Tracking of overweight status from childhood to young adulthood: the Bogalusa Heart Study. Eur J Clin Nutr 2006, 60:48–57.CrossRefPubMed
2.
go back to reference Ogden C, Carroll M, Curtin L, et al.: Prevalence of overweight and obesity in the United States, 1999–2004. JAMA 2006, 295:1549–1555.CrossRefPubMed Ogden C, Carroll M, Curtin L, et al.: Prevalence of overweight and obesity in the United States, 1999–2004. JAMA 2006, 295:1549–1555.CrossRefPubMed
3.
go back to reference ••Franks P, Hanson R, Knowler W, et al.: Childhood obesity, other cardiovascular risk factors and premature death. N Engl J Med 2010, 362:485–493. This article reports the association between childhood obesity and premature death.CrossRefPubMed ••Franks P, Hanson R, Knowler W, et al.: Childhood obesity, other cardiovascular risk factors and premature death. N Engl J Med 2010, 362:485–493. This article reports the association between childhood obesity and premature death.CrossRefPubMed
4.
go back to reference Loos RJ, Bouchard C: FTO: the first gene contributing to common forms of human obesity. Obes Rev 2008, 9:246–250.CrossRefPubMed Loos RJ, Bouchard C: FTO: the first gene contributing to common forms of human obesity. Obes Rev 2008, 9:246–250.CrossRefPubMed
5.
go back to reference Cecil J, Tavendale R, Watt P, et al.: An obesity-associated FTO gene variant and increased energy intake in children. N Engl J Med 2008, 359:2558–2566.CrossRefPubMed Cecil J, Tavendale R, Watt P, et al.: An obesity-associated FTO gene variant and increased energy intake in children. N Engl J Med 2008, 359:2558–2566.CrossRefPubMed
6.
go back to reference Farooqi IS, Yeo GS, Keogh JM, et al.: Dominant and recessive inheritance of morbid obesity associated with melanocortin 4 receptor deficiency. J Clin Invest 2000, 106:271–279.CrossRefPubMed Farooqi IS, Yeo GS, Keogh JM, et al.: Dominant and recessive inheritance of morbid obesity associated with melanocortin 4 receptor deficiency. J Clin Invest 2000, 106:271–279.CrossRefPubMed
7.
go back to reference Loos RJ, Lindgren CM, Li S, et al.: Common variants near MC4R are associated with fat mass, weight and risk of obesity. Nat Genet 2008, 40:768–775.CrossRefPubMed Loos RJ, Lindgren CM, Li S, et al.: Common variants near MC4R are associated with fat mass, weight and risk of obesity. Nat Genet 2008, 40:768–775.CrossRefPubMed
8.
go back to reference Cole SA, Butte NF, Voruganti S, et al.: Evidence that multiple genetic variants of MC4R play a functional role in the regulation of energy expenditure and appetite in Hispanic children. Am J Clin Nutr 2010, 91:191–199.CrossRefPubMed Cole SA, Butte NF, Voruganti S, et al.: Evidence that multiple genetic variants of MC4R play a functional role in the regulation of energy expenditure and appetite in Hispanic children. Am J Clin Nutr 2010, 91:191–199.CrossRefPubMed
9.
go back to reference Cauchi S, Stutzmann F, Cavalcanti-Proenca C, et al.: Combined effects of MC4R and FTO common genetic variants on obesity in European general populations. J Mol Med 2009, 87:537–546.CrossRefPubMed Cauchi S, Stutzmann F, Cavalcanti-Proenca C, et al.: Combined effects of MC4R and FTO common genetic variants on obesity in European general populations. J Mol Med 2009, 87:537–546.CrossRefPubMed
10.
go back to reference •Anzman SL, Birch LL. Low inhibitory control and restrictive feeding practices predict weight outcomes. J Pediatr 2009, 155:651–656. This article demonstrated that low inhibitory control is associated with increased BMI in children and, importantly, that parenting practices can modify the risk associated with this trait.CrossRefPubMed •Anzman SL, Birch LL. Low inhibitory control and restrictive feeding practices predict weight outcomes. J Pediatr 2009, 155:651–656. This article demonstrated that low inhibitory control is associated with increased BMI in children and, importantly, that parenting practices can modify the risk associated with this trait.CrossRefPubMed
11.
go back to reference Seeyave D, Coleman S, Appugliese D, et al.: Ability to delay gratification at age 4 years and risk of overweight at age 11 years. Arch Pediatr Adolesc Med 2009, 163:303–308.CrossRefPubMed Seeyave D, Coleman S, Appugliese D, et al.: Ability to delay gratification at age 4 years and risk of overweight at age 11 years. Arch Pediatr Adolesc Med 2009, 163:303–308.CrossRefPubMed
12.
go back to reference Francis LA, Susman E: Self-regulation and rapid weight gain in children from age 3 to 12 years. Arch Pediatr Adolesc Med 2009, 163:297–302.CrossRefPubMed Francis LA, Susman E: Self-regulation and rapid weight gain in children from age 3 to 12 years. Arch Pediatr Adolesc Med 2009, 163:297–302.CrossRefPubMed
13.
go back to reference Catalano PM, Farrell K, Thomas A, et al.: Perinatal risk factors for childhood obesity and metabolic dysregulation. Am J Clin Nutr 2009, 90:1303–1313.CrossRefPubMed Catalano PM, Farrell K, Thomas A, et al.: Perinatal risk factors for childhood obesity and metabolic dysregulation. Am J Clin Nutr 2009, 90:1303–1313.CrossRefPubMed
14.
go back to reference Griffiths LJ, Hawkins SS, Cole TJ, Dezateux C: Risk factors for rapid weight gain in preschool children: findings from a UK-wide prospective study. Int J Obes (Lond) 2010, 34:624–632.CrossRef Griffiths LJ, Hawkins SS, Cole TJ, Dezateux C: Risk factors for rapid weight gain in preschool children: findings from a UK-wide prospective study. Int J Obes (Lond) 2010, 34:624–632.CrossRef
15.
go back to reference Hitze B, Bosy-Westphal A, Plachta-Danielzik S, et al.: Long-term effects of rapid weight gain in children, adolescents and young adults with appropriate birth weight for gestational age: the Kiel Obesity Prevention Study. Acta Paediatr 2010, 99:256–262.PubMed Hitze B, Bosy-Westphal A, Plachta-Danielzik S, et al.: Long-term effects of rapid weight gain in children, adolescents and young adults with appropriate birth weight for gestational age: the Kiel Obesity Prevention Study. Acta Paediatr 2010, 99:256–262.PubMed
16.
go back to reference ••Metzger MW, McDade TW: Breastfeeding as obesity prevention in the United States: a sibling difference model. Am J Hum Biol 2010, 22:291–296. This article reports the effect of breastfeeding on BMI in a sibling study. This study decreases many of the confounders typically found in association studies and demonstrates a strong protective effect of breastfeeding.PubMed ••Metzger MW, McDade TW: Breastfeeding as obesity prevention in the United States: a sibling difference model. Am J Hum Biol 2010, 22:291–296. This article reports the effect of breastfeeding on BMI in a sibling study. This study decreases many of the confounders typically found in association studies and demonstrates a strong protective effect of breastfeeding.PubMed
17.
go back to reference Hennessy E, Hughes SO, Goldberg JP, et al.: Parent behavior and child weight status among a diverse group of underserved rural families. Appetite 2010, 54:369–377.CrossRefPubMed Hennessy E, Hughes SO, Goldberg JP, et al.: Parent behavior and child weight status among a diverse group of underserved rural families. Appetite 2010, 54:369–377.CrossRefPubMed
18.
go back to reference Sisson SB, Church TS, Martin CK, et al.: Profiles of sedentary behavior in children and adolescents: the US National Health and Nutrition Examination Survey, 2001–2006. Int J Pediatr Obes 2009, 4:353–359.CrossRefPubMed Sisson SB, Church TS, Martin CK, et al.: Profiles of sedentary behavior in children and adolescents: the US National Health and Nutrition Examination Survey, 2001–2006. Int J Pediatr Obes 2009, 4:353–359.CrossRefPubMed
19.
go back to reference Fulton JE, Wang X, Yore MM, et al.: Television viewing, computer use, and BMI among US children and adolescents. J Phys Act Health 2009, 6(Suppl 1):S28–S35.PubMed Fulton JE, Wang X, Yore MM, et al.: Television viewing, computer use, and BMI among US children and adolescents. J Phys Act Health 2009, 6(Suppl 1):S28–S35.PubMed
20.
go back to reference He M, Harris S, Piche L, Beynon C: Understanding screen-related sedentary behavior and its contributing factors among school-aged children: a social-ecologic exploration. Am J Health Promot 2009, 23:299–308.CrossRefPubMed He M, Harris S, Piche L, Beynon C: Understanding screen-related sedentary behavior and its contributing factors among school-aged children: a social-ecologic exploration. Am J Health Promot 2009, 23:299–308.CrossRefPubMed
21.
go back to reference Zimmermann F, Bell J: Associations of television content type and obesity in children. Am J Public Health 2010, 100:334–340.CrossRef Zimmermann F, Bell J: Associations of television content type and obesity in children. Am J Public Health 2010, 100:334–340.CrossRef
22.
go back to reference MacFarlane A, Cleland V, Crawford D, et al.: Longitudinal examination of the family food environment and weight status among children. Int J Pediatr Obes 2009, 4:343–352.CrossRefPubMed MacFarlane A, Cleland V, Crawford D, et al.: Longitudinal examination of the family food environment and weight status among children. Int J Pediatr Obes 2009, 4:343–352.CrossRefPubMed
23.
go back to reference Mitchell JA, Mattocks C, Ness AR, et al.: Sedentary behavior and obesity in a large cohort of children. Obesity (Silver Spring) 2009, 17:1596–1602.CrossRef Mitchell JA, Mattocks C, Ness AR, et al.: Sedentary behavior and obesity in a large cohort of children. Obesity (Silver Spring) 2009, 17:1596–1602.CrossRef
24.
go back to reference McGavock JM, Torrance BD, McGuire KA, et al.: Cardiorespiratory fitness and the risk of overweight in youth: the Healthy Hearts Longitudinal Study of Cardiometabolic Health. Obesity (Silver Spring) 2009, 17:1802–1807.CrossRef McGavock JM, Torrance BD, McGuire KA, et al.: Cardiorespiratory fitness and the risk of overweight in youth: the Healthy Hearts Longitudinal Study of Cardiometabolic Health. Obesity (Silver Spring) 2009, 17:1802–1807.CrossRef
25.
go back to reference Roberts CK, Freed B, McCarthy WJ: Low aerobic fitness and obesity are associated with lower standardized test scores in children. J Pediatr 2010, 156:711–718.CrossRefPubMed Roberts CK, Freed B, McCarthy WJ: Low aerobic fitness and obesity are associated with lower standardized test scores in children. J Pediatr 2010, 156:711–718.CrossRefPubMed
26.
go back to reference Malik VS, Schulze MB, Hu FB: Intake of sugar-sweetened beverages and weight gain: a systematic review. Am J Clin Nutr 2006, 84:274–288.PubMed Malik VS, Schulze MB, Hu FB: Intake of sugar-sweetened beverages and weight gain: a systematic review. Am J Clin Nutr 2006, 84:274–288.PubMed
27.
go back to reference Vos M, Kimmons J, Gillespie C, et al.: Dietary fructose consumption among US children and adults: the Third National Health and Nutrition Examination Survey. Medscape J Med 2008, 10:160.PubMed Vos M, Kimmons J, Gillespie C, et al.: Dietary fructose consumption among US children and adults: the Third National Health and Nutrition Examination Survey. Medscape J Med 2008, 10:160.PubMed
28.
go back to reference Keller KL, Kirzner J, Pietrobelli A, et al.: Increased sweetened beverage intake is associated with reduced milk and calcium intake in 3- to 7-year-old children at multi-item laboratory lunches. J Am Diet Assoc 2009, 109:497–501.CrossRefPubMed Keller KL, Kirzner J, Pietrobelli A, et al.: Increased sweetened beverage intake is associated with reduced milk and calcium intake in 3- to 7-year-old children at multi-item laboratory lunches. J Am Diet Assoc 2009, 109:497–501.CrossRefPubMed
29.
go back to reference Fiorito L, Marini MF, Francis LA, et al.: Beverage intake of girls at age 5 y predicts adiposity and weight status in childhood and adolescence. Am J Clin Nutr 2009, 90:935–942.CrossRefPubMed Fiorito L, Marini MF, Francis LA, et al.: Beverage intake of girls at age 5 y predicts adiposity and weight status in childhood and adolescence. Am J Clin Nutr 2009, 90:935–942.CrossRefPubMed
30.
go back to reference Lim S, Zoellner JM, Lee JM, et al.: Obesity and sugar-sweetened beverages in African-American preschool children: a longitudinal study. Obesity (Silver Spring) 2009, 17:1262–1268.CrossRef Lim S, Zoellner JM, Lee JM, et al.: Obesity and sugar-sweetened beverages in African-American preschool children: a longitudinal study. Obesity (Silver Spring) 2009, 17:1262–1268.CrossRef
31.
go back to reference Nissinen K, Mikkila V, Mannisto S, et al.: Sweets and sugar-sweetened soft drink intake in childhood in relation to adult BMI and overweight. The Cardiovascular Risk in Young Finns Study. Public Health Nutr 2009, 12:2018–2026.CrossRefPubMed Nissinen K, Mikkila V, Mannisto S, et al.: Sweets and sugar-sweetened soft drink intake in childhood in relation to adult BMI and overweight. The Cardiovascular Risk in Young Finns Study. Public Health Nutr 2009, 12:2018–2026.CrossRefPubMed
32.
go back to reference Gubbels JS, Kremers SP, Stafleu A, et al.: Clustering of dietary intake and sedentary behavior in 2-year-old children. J Pediatr 2009, 155:194–198.CrossRefPubMed Gubbels JS, Kremers SP, Stafleu A, et al.: Clustering of dietary intake and sedentary behavior in 2-year-old children. J Pediatr 2009, 155:194–198.CrossRefPubMed
33.
go back to reference Papas MA, Hurley KM, Quigg AM, et al.: Low-income, African American adolescent mothers and their toddlers exhibit similar dietary variety patterns. J Nutr Educ Behav 2009, 41:87–94.CrossRefPubMed Papas MA, Hurley KM, Quigg AM, et al.: Low-income, African American adolescent mothers and their toddlers exhibit similar dietary variety patterns. J Nutr Educ Behav 2009, 41:87–94.CrossRefPubMed
34.
go back to reference Dodson EA, Fleming C, Boehmer TK, et al.: Preventing childhood obesity through state policy: qualitative assessment of enablers and barriers. J Public Health Policy 2009, 30(Suppl 1):S161–S176.CrossRefPubMed Dodson EA, Fleming C, Boehmer TK, et al.: Preventing childhood obesity through state policy: qualitative assessment of enablers and barriers. J Public Health Policy 2009, 30(Suppl 1):S161–S176.CrossRefPubMed
35.
go back to reference ••Khan LK, Sobush K, Keener D, et al.: Recommended community strategies and measurements to prevent obesity in the United States. MMWR Recomm Rep 2009, 58(RR-7):1–26. This article provides an important summary of recommended community strategies and measurements to prevent obesity in the United States.PubMed ••Khan LK, Sobush K, Keener D, et al.: Recommended community strategies and measurements to prevent obesity in the United States. MMWR Recomm Rep 2009, 58(RR-7):1–26. This article provides an important summary of recommended community strategies and measurements to prevent obesity in the United States.PubMed
36.
go back to reference US Department of Health and Human Services: The Surgeon General’s Vision for a Healthy and Fit Nation. Rockville, MD: US Department of Health and Human Services, Office of the Surgeon General; 2010. US Department of Health and Human Services: The Surgeon General’s Vision for a Healthy and Fit Nation. Rockville, MD: US Department of Health and Human Services, Office of the Surgeon General; 2010.
37.
go back to reference Hesketh KD, Campbell KJ: Interventions to prevent obesity in 0–5 year olds: an updated systematic review of the literature. Obesity (Silver Spring) 2010, 18(Suppl 1):S27–S35.CrossRef Hesketh KD, Campbell KJ: Interventions to prevent obesity in 0–5 year olds: an updated systematic review of the literature. Obesity (Silver Spring) 2010, 18(Suppl 1):S27–S35.CrossRef
38.
go back to reference Gonzalez-Suarez C, Worley A, Grimmer-Somers K, Dones V: School-based interventions on childhood obesity: a meta-analysis. Am J Prev Med 2009, 37:418–427.CrossRefPubMed Gonzalez-Suarez C, Worley A, Grimmer-Somers K, Dones V: School-based interventions on childhood obesity: a meta-analysis. Am J Prev Med 2009, 37:418–427.CrossRefPubMed
39.
go back to reference Marcus C, Nyberg G, Nordenfelt A, et al.: A 4-year, cluster-randomized, controlled childhood obesity prevention study: STOPP. Int J Obes (Lond) 2009, 33:408–417.CrossRef Marcus C, Nyberg G, Nordenfelt A, et al.: A 4-year, cluster-randomized, controlled childhood obesity prevention study: STOPP. Int J Obes (Lond) 2009, 33:408–417.CrossRef
40.
go back to reference Walther C, Gaede L, Adams V, et al.: Effect of increased exercise in school children on physical fitness and endothelial progenitor cells: a prospective randomized trial. Circulation 2009, 120:2251–2259.CrossRefPubMed Walther C, Gaede L, Adams V, et al.: Effect of increased exercise in school children on physical fitness and endothelial progenitor cells: a prospective randomized trial. Circulation 2009, 120:2251–2259.CrossRefPubMed
41.
go back to reference Peralta LR, Jones RA, Okely AD: Promoting healthy lifestyles among adolescent boys: the Fitness Improvement and Lifestyle Awareness Program RCT. Prev Med 2009, 48:537–542.CrossRefPubMed Peralta LR, Jones RA, Okely AD: Promoting healthy lifestyles among adolescent boys: the Fitness Improvement and Lifestyle Awareness Program RCT. Prev Med 2009, 48:537–542.CrossRefPubMed
42.
go back to reference Cullen KW, Watson KB, Konarik M: Differences in fruit and vegetable exposure and preferences among adolescents receiving free fruit and vegetable snacks at school. Appetite 2009, 52:740–744.CrossRefPubMed Cullen KW, Watson KB, Konarik M: Differences in fruit and vegetable exposure and preferences among adolescents receiving free fruit and vegetable snacks at school. Appetite 2009, 52:740–744.CrossRefPubMed
43.
go back to reference Power TG, Bindler RC, Goetz S, Daratha KB: Obesity prevention in early adolescence: student, parent, and teacher views. J Sch Health 80:13–19. Power TG, Bindler RC, Goetz S, Daratha KB: Obesity prevention in early adolescence: student, parent, and teacher views. J Sch Health 80:13–19.
44.
go back to reference Dorsey KB, Mauldon M, Magraw R, et al.: Applying practice recommendations for the prevention and treatment of obesity in children and adolescents. Clin Pediatr (Phila) 49:137–145. Dorsey KB, Mauldon M, Magraw R, et al.: Applying practice recommendations for the prevention and treatment of obesity in children and adolescents. Clin Pediatr (Phila) 49:137–145.
45.
go back to reference Spivack JG, Swietlik M, Alessandrini E, Faith MS: Primary care providers’ knowledge, practices, and perceived barriers to the treatment and prevention of childhood obesity. Obesity (Silver Spring) 2009 (Epub ahead of print). Spivack JG, Swietlik M, Alessandrini E, Faith MS: Primary care providers’ knowledge, practices, and perceived barriers to the treatment and prevention of childhood obesity. Obesity (Silver Spring) 2009 (Epub ahead of print).
46.
go back to reference Woolford SJ, Clark SJ, Ahmed S, Davis MM: Feasibility and acceptability of a 1-page tool to help physicians assess and discuss obesity with parents of preschoolers. Clin Pediatr (Phila) 2009, 48:954–959.CrossRef Woolford SJ, Clark SJ, Ahmed S, Davis MM: Feasibility and acceptability of a 1-page tool to help physicians assess and discuss obesity with parents of preschoolers. Clin Pediatr (Phila) 2009, 48:954–959.CrossRef
47.
go back to reference Wake M, Baur LA, Gerner B, et al.: Outcomes and costs of primary care surveillance and intervention for overweight or obese children: the LEAP 2 randomised controlled trial. BMJ 2009, 339:b3308.CrossRefPubMed Wake M, Baur LA, Gerner B, et al.: Outcomes and costs of primary care surveillance and intervention for overweight or obese children: the LEAP 2 randomised controlled trial. BMJ 2009, 339:b3308.CrossRefPubMed
48.
go back to reference Gruber KJ, Haldeman LA: Using the family to combat childhood and adult obesity. Prev Chronic Dis 2009, 6:A106.PubMed Gruber KJ, Haldeman LA: Using the family to combat childhood and adult obesity. Prev Chronic Dis 2009, 6:A106.PubMed
49.
go back to reference Sonneville KR, La Pelle N, Taveras EM, et al.: Economic and other barriers to adopting recommendations to prevent childhood obesity: results of a focus group study with parents. BMC Pediatr 2009, 9:81.CrossRefPubMed Sonneville KR, La Pelle N, Taveras EM, et al.: Economic and other barriers to adopting recommendations to prevent childhood obesity: results of a focus group study with parents. BMC Pediatr 2009, 9:81.CrossRefPubMed
50.
go back to reference Taveras EM, Hohman KH, Price S, et al.: Televisions in the bedrooms of racial/ethnic minority children: how did they get there and how do we get them out? Clin Pediatr (Phila) 2009, 48:715–719.CrossRef Taveras EM, Hohman KH, Price S, et al.: Televisions in the bedrooms of racial/ethnic minority children: how did they get there and how do we get them out? Clin Pediatr (Phila) 2009, 48:715–719.CrossRef
51.
go back to reference Escobar-Chaves SL, Markham CM, Addy RC, et al.: The Fun Families Study: intervention to reduce children’s TV viewing. Obesity (Silver Spring) 2010, 18(Suppl 1):S99–S101.CrossRef Escobar-Chaves SL, Markham CM, Addy RC, et al.: The Fun Families Study: intervention to reduce children’s TV viewing. Obesity (Silver Spring) 2010, 18(Suppl 1):S99–S101.CrossRef
52.
go back to reference Eiholzer U, Meinhardt U, Petro R, et al.: High-intensity training increases spontaneous physical activity in children: a randomized controlled study. J Pediatr 156:242–246. Eiholzer U, Meinhardt U, Petro R, et al.: High-intensity training increases spontaneous physical activity in children: a randomized controlled study. J Pediatr 156:242–246.
53.
go back to reference Ventura E, Davis J, Byrd-Williams C, et al.: Reduction in risk factors for type 2 diabetes mellitus in response to a low-sugar, high-fiber dietary intervention in overweight Latino adolescents. Arch Pediatr Adolesc Med 2009, 163:320–327.CrossRefPubMed Ventura E, Davis J, Byrd-Williams C, et al.: Reduction in risk factors for type 2 diabetes mellitus in response to a low-sugar, high-fiber dietary intervention in overweight Latino adolescents. Arch Pediatr Adolesc Med 2009, 163:320–327.CrossRefPubMed
54.
go back to reference Wang YC, Bleich SN, Gortmaker SL: Increasing caloric contribution from sugar-sweetened beverages and 100% fruit juices among US children and adolescents, 1988–2004. Pediatrics 2008, 121:e1604–e1614.CrossRefPubMed Wang YC, Bleich SN, Gortmaker SL: Increasing caloric contribution from sugar-sweetened beverages and 100% fruit juices among US children and adolescents, 1988–2004. Pediatrics 2008, 121:e1604–e1614.CrossRefPubMed
55.
go back to reference Gentile DA, Welk G, Eisenmann JC, et al.: Evaluation of a multiple ecological level child obesity prevention program: switch what you do, view, and chew. BMC Med 2009, 7:49.CrossRefPubMed Gentile DA, Welk G, Eisenmann JC, et al.: Evaluation of a multiple ecological level child obesity prevention program: switch what you do, view, and chew. BMC Med 2009, 7:49.CrossRefPubMed
Metadata
Title
Childhood Obesity: Update on Predisposing Factors and Prevention Strategies
Authors
Miriam B. Vos
Jean Welsh
Publication date
01-08-2010
Publisher
Current Science Inc.
Published in
Current Gastroenterology Reports / Issue 4/2010
Print ISSN: 1522-8037
Electronic ISSN: 1534-312X
DOI
https://doi.org/10.1007/s11894-010-0116-1

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