Editorial |

Obesity Prevention in Primary Care

Thomas N. Robinson
Arch Pediatr Adolesc Med. 2006;160(2):217-218. doi:10.1001/archpedi.160.2.217.
Text Size: A A A
Published online


The Institute of Medicine Committee on Prevention of Obesity in Children and Adolescents (Washington, DC) recommended that child health professionals routinely monitor and track body mass index (calculated as weight in kilograms divided by the square of height in meters) and offer relevant evidence-based counseling and guidance to improve nutrition, increase physical activity, and decrease sedentary behaviors.1 Recent surveys indicate that child health care professionals often fail to diagnose childhood obesity, only inconsistently use body mass index and the Centers for Disease Control and Prevention (Atlanta, Ga) body mass index charts2 and/or provide nutrition and physical activity counseling, and report low levels of confidence, proficiency, and effectiveness in evaluating and managing childhood obesity.37 In addition, there is little evidence to support specific intervention strategies for primary care professionals.1,8 It is in this context that Patrick and colleagues9 report the results of a randomized controlled trial of Patient-centered Assessment and Counseling for Exercise + Nutrition (PACE+), a primary care–initiated intervention to improve diet, physical activity, and sedentary behaviors, in 819 11- to 15-year-olds, 438 girls and 381 boys, in this issue of the ARCHIVES. The intervention was designed to overcome many of the perceived barriers for providing obesity evaluation and counseling in the office setting by using computer-based screening and goal-setting algorithms, requiring only limited health care professional time for training (2 hours) and patient counseling, and using non–health care professional staff for continuing follow-up assessments and counseling.

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Topics
PubMed Articles