Abstract
Childhood obesity has increased dramatically during the past two decades. The growing
incidence of childhood obesity is alarming, given the significant short- and long-term
health consequences associated with obesity and the strong tracking of obesity from
childhood to adulthood. Lifestyle plays an important role in the development and maintenance
of obesity. Behavior modification programs targeting eating, exercise, and diet behaviors
continue to be the mainstay for treating obese children. Although family-based behavioral
weight management programs have resulted in significant improvements in weight status,
maintaining improvements in weight status continues to be a challenge, with many interventions
resulting in considerable relapse. Motivational interviewing is one innovative approach,
used alone or in conjunction with standard behavioral modification programs, which
has been proposed to have the potential to enhance motivation for change and therefore
improve long-term treatment outcomes for obese children. A broad literature search
using two electronic databases, Medline and PsycINFO, to identify studies that used
an intervention with a motivational interviewing component to modify diet and/or physical
activity in the prevention or treatment of childhood obesity identified two studies
that targeted weight as a primary outcome. The studies reviewed indicate that, although
initial findings are encouraging, further research is needed to determine the effectiveness
of motivational interviewing for prevention and treatment of childhood obesity. Concerted
efforts are clearly needed to elucidate the mechanisms for maintenance of initial
treatment gains, as well as the ultimate achievement of more ideal weight once formal
treatment ceases.
Keywords
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Article info
Publication history
Published online: March 25, 2008
Accepted:
March 17,
2008
Received:
December 27,
2007
Identification
Copyright
© 2008 National Lipid Association. Published by Elsevier Inc. All rights reserved.
