Seattle Children’s Recommends Strategies for Reducing Childhood Obesity Rates

Insights featured in Obesity Article Series in Pediatrics

Pediatrics, the journal of the American Academy of Pediatrics, recently published a supplement of articles about childhood obesity’s impact on U.S. children’s hospitals, and these institutions’ efforts to reduce high obesity rates. The eight-article series entitled Pediatric Obesity: Practical Applications and Strategies from Primary to Tertiary Care was written in collaboration with the National Association of Children’s Hospitals and Related Institutions (NACHRI), and clinicians and public health experts at 15 United States children’s hospitals including Seattle Children’s.

The supplement, which appears in the September 2011 issue of Pediatrics, documents applied and observed strategies for combatting obesity, and provides recommendations for reducing pediatric obesity in the United States. Findings from Seattle Children’s experts include:

  • Children in weight-management programs are not completing treatment. Opportunities exist to minimize attrition. Despite healthcare providers’ efforts to retain patients in these programs, the majority of participants are not completing the entire course of treatment. Some commonly encountered barriers to patient follow-up include the inability for caregivers to miss work, and transportation difficulties. New programs should assess and address patient/family-related barriers during program development and subsequently institute quality-improvement measures to minimize attrition and improve outcomes.
  • Comprehensive and frequent in-person training by obesity experts enhance primary care providers’ ability to identify pediatric obesity and refer patients to weight-management programs. Internet-based interactive training and phone interactions should be viewed as less effective.
  • New funding revenues for weight-management initiatives must be found to ensure program sustainability. Insurance coverage frequently fails to adequately reimburse the multiple providers and multiple visits required for comprehensive, multi-disciplinary obesity care. Pediatric weight-management programs are destined for financial failure unless other sources of revenue are made available.
  • U.S. children’s hospital administrators view tackling childhood obesity as integral to their mission to care for children. Nearly three-quarters of survey respondents reported that their obesity programs were integrated into their hospital’s strategic plans. A key reason obesity programs add to children’s hospitals’ missions is because they help prevent future health problems in children. Lack of insurance reimbursement and high-operating costs were the most frequently cited challenges to program success.

“Obesity is a health problem that affects 15% of children and teens in the United States. Today there are three times as many obese youth as there were 20 years ago,” said Lenna Liu, MD, MPH, and physician lead of Seattle Children’s Obesity Program. “Our collaboration with the nation’s top obesity prevention leaders will help us find the best approaches for preventing and managing childhood obesity. Our goal is to ultimately reduce the occurrence of the health conditions that can come with being overweight - like asthma, high blood pressure, diabetes and heart disease.”

The 15 hospitals that collaborated on the supplement also make up NACHRI’s childhood obesity workgroup, Focus on a Fitter Future. The hospitals in the group include Arkansas Children’s Hospital, Children’s Hospital Los Angeles, Mattel Children’s Hospital UCLA, Children’s Hospital Colorado, Alfred I. DuPont Hospital for Children, Mt. Washington Pediatric Center, Helen DeVos Children’s Hospital, Children’s Mercy Hospital and Clinics, Duke Children’s Hospital and Health Center, Nationwide Children’s Hospital, Doernbecher Children’s Hospital, Children’s Medical Center Dallas, University of Virginia Children’s Hospital, Seattle Children’s and Children’s Hospital of Wisconsin.

Seattle Children’s collaborators include Dr. Liu; Heather Paves, MS, RD, CD; and Maureen Pomietto, MN, RN.

The Pediatrics supplement, Pediatric Obesity: Practical Applications and Strategies from Primary to Tertiary Care, is available online at:

About Seattle Children’s Obesity Program

The Seattle Children’s Obesity Program is a multidisciplinary group of health-care professionals that works to increase awareness, provide education and resources and act to decrease childhood obesity. It is dedicated to the development of culturally responsive and age-appropriate resources for families and providers.

About Seattle Children’s

Seattle Children’s Hospital, Foundation and Research Institute together deliver superior patient care, advance new discoveries and treatments through pediatric research, and raise funds to create better futures for patients. Consistently ranked as one of the top 10 children’s hospitals in the country by U.S. News & World Report, Seattle Children’s Hospital specializes in meeting the unique physical, emotional and developmental needs of children from infancy through young adulthood. Through the collaboration of physicians in nearly 60 pediatric subspecialties, Seattle Children’s Hospital provides inpatient, outpatient, diagnostic, surgical, rehabilitative, behavioral, and emergency and outreach services to families from around the world.

Located in downtown Seattle’s biotech corridor, Seattle Children’s Research Institute is pushing the boundaries of medical research to find cures for pediatric diseases and improve outcomes for children all over the world. Internationally recognized investigators and staff at the research institute are advancing new discoveries in cancer, genetics, immunology, pathology, infectious disease, injury prevention, bioethics and much more.

Seattle Children’s Hospital and Research Foundation and Seattle Children’s Hospital Guild Association work together to gather community support and raise funds for uncompensated care, clinical care and research. The foundation receives nearly 80,000 gifts each year, from lemonade stand proceeds to corporate sponsorships. Seattle Children’s Hospital Guild Association is the largest all-volunteer fundraising network for any hospital in the country, serving as the umbrella organization for 450 groups of people who turn an activity they love into a fundraiser. Support from the foundation and guild association makes it possible for Seattle Children’s care and research teams to improve the health and well-being of all kids.

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