American Heart Association Childhood Obesity Research Summit Report.

I. The Problem: Childhood Obesity— A Burgeoning Epidemic . . . . . . . . . . . . . . . .000 II. Childhood Obesity Research Summit . . . . . . . . .000 III. Pathophysiology and Morbidity of Childhood Obesity . . . . . . . . . . . . . . . . . . .000 A. Pathophysiology of Obesity . . . . . . . . . . . . .000 B. Medical Consequences of Childhood Obesity . . .000 C. Psychosocial and Societal Consequences of Childhood Obesity . . . . . . . . . . . . . . . . . .000 IV. Current Healthcare Practices in Childhood Obesity Prevention and Treatment . . . . . . . . . .000 A. Lifestyle Assessment: Diet and Physical Activity .000 B. Clinical Assessment . . . . . . . . . . . . . . . . .000 C. Psychosocial/Behavioral Assessment . . . . . . . .000 D. Implementing Effective Prevention and Treatment Options: Diet . . . . . . . . . . . . . . .000 E. Implementing Effective Prevention and Treatment Options: Exercise and Sedentary Behaviors . . . . .000 F. Implementing Effective Prevention Treatment Options: Family and Behavioral Approaches . . . .000 G. Behavioral Management . . . . . . . . . . . . . . .000 H. Medical and Pharmacological Management . . . .000 I. Surgical Management. . . . . . . . . . . . . . . . .000 V. Barriers to Optimum Care . . . . . . . . . . . . . . .000 A. Healthcare System Factors . . . . . . . . . . . . .000 1. Preparedness of Providers . . . . . . . . . . . . .000 2. Models of Coverage and Care . . . . . . . . . .000 3. Uninsurance and Underinsurance Among Children and Families . . . . . . . . . . . . . . .000 4. Healthcare Providers and Settings as Role Models . . . . . . . . . . . . . . . . . . . .000 B. The Challenge of Behavior Change . . . . . . . . .000 1. Motivational Interviewing for Pediatric Obesity . .000 2. Psychosocial Factors Influencing Behavior Change . . . . . . . . . . . . . . . . .000 3. Environmental Factors Influencing Behavioral Change. . . . . . . . . . . . . . . . .000 VI. Practice-Based Resources for Prevention and Management . . . . . . . . . . . . . . . . . . .000 A. Models From Other Disciplines . . . . . . . . . . .000 1. Adult Chronic Care Model . . . . . . . . . . . .000 2. Treatment of Heart Failure . . . . . . . . . . . .000 3. Treatment of Type 2 Diabetes Mellitus. . . . . .000 4. Treatment of Childhood Asthma . . . . . . . . .000 B. Public Health Measures for Childhood Obesity 1. Tobacco Control: Implications for Childhood Obesity C. Specific Research Issues 1. Specifying Priorities in the Context of a Complex, Multifactorial Problem . . . . . . . . .000 2. Taking a Developmental Approach . . . . . . . .000 3. Engaging Stakeholders . . . . . . . . . . . . . .000 4. Targeting the Appropriate Outcome . . . . . . .000 VII. Research Challenges . . . . . . . . . . . . . . . . .000 A. Research in the Busy Practice. . . . . . . . . . . .000 B. Bring Research Into Practices: Web-Based Assessment for the Pediatric Obesity Clinic . . . . . . . . . . . . . . . . . . . .000 C. Research Agenda: NHLBI and the Pediatric Heart Network . . . . . . . . . . . . . . .000 D. Research Agenda: The Children’s Oncology Group . . . . . . . . . . . . . . . . . . .000 E. Research Agenda: CDC . . . . . . . . . . . . . . .000 F. Research Agenda: Foundations . . . . . . . . . . .000 VIII. Research and Policy: Knowledge Translation . . . . . . . . . . . . . . . . . . . . . .000 A. From Practice to Policy to Practice . . . . . . . . .000 IX. Concluding Remarks . . . . . . . . . . . . . . . . .000 Appendix A: Planning Committee . . . . . . . . . . . .000 Appendix B: Presenters . . . . . . . . . . . . . . . . . .000