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U.S. Preventive Services Task Force Evidence Syntheses, formerly Systematic Evidence Reviews
U.S. Preventive Services Task Force Evidence Syntheses
public health

Chapter  36:  Screening and Interventions for Childhood Overweight: Evidence Synthesis

A35979

Prepared for:

Agency for Healthcare Research and Quality

U.S. Department of Health and Human Services

540 Gaither Road

Rockville, MD 20850

www.ahrq.gov

Contract No. 290-02-0024

Task Order No. 2

Technical Support of the U.S. Preventive Services Task Force

Prepared by:

Oregon Evidence-based Practice Center

Portland, Oregon

Investigators

Evelyn P. Whitlock, MD, MPH

Selvi B. Williams, MD

Rachel Gold, PhD, MPH

Paula Smith, RN, BSN

Scott Shipman, MD, MPH

July 2005

This report may not be used, in whole or in part, as the basis of the development of clinical practice guidelines and other quality enhancement tools, or a basis for reimbursement and coverage policies. AHRQ or U.S. Department of Health and Human Services endorsement of such derivative products may not be stated or implied.

AHRQ is the lead Federal agency charged with supporting research designed to improve the quality of health care, reduce its cost, address patient safety and medical errors, and broaden access to essential services. AHRQ sponsors and conducts research that provides evidence-based information on health care outcomes; quality; and cost, use, and access. The information helps health care decisionmakers—patients and clinicians, health system leaders, and policymakers—make more informed decisions and improve the quality of health care services.

The authors of this report are responsible for its content. Statements in the report should not be construed as endorsement by the Agency for Healthcare Research and Quality or the U.S. Department of Health and Human Services of a particular drug, device, test, treatment, or other clinical service.

Prepared for:

Agency for Healthcare Research and Quality

U.S. Department of Health and Human Services

540 Gaither Road

Rockville, MD 20850

www.ahrq.gov

Contract No. 290-02-0024

Task Order No. 2

Technical Support of the U.S. Preventive Services Task Force

Prepared by:

Oregon Evidence-based Practice Center

Portland, Oregon

Investigators

Evelyn P. Whitlock, MD, MPH

Selvi B. Williams, MD

Rachel Gold, PhD, MPH

Paula Smith, RN, BSN

Scott Shipman, MD, MPH

July 2005

This report may not be used, in whole or in part, as the basis of the development of clinical practice guidelines and other quality enhancement tools, or a basis for reimbursement and coverage policies. AHRQ or U.S. Department of Health and Human Services endorsement of such derivative products may not be stated or implied.

AHRQ is the lead Federal agency charged with supporting research designed to improve the quality of health care, reduce its cost, address patient safety and medical errors, and broaden access to essential services. AHRQ sponsors and conducts research that provides evidence-based information on health care outcomes; quality; and cost, use, and access. The information helps health care decisionmakers—patients and clinicians, health system leaders, and policymakers—make more informed decisions and improve the quality of health care services.

The authors of this report are responsible for its content. Statements in the report should not be construed as endorsement by the Agency for Healthcare Research and Quality or the U.S. Department of Health and Human Services of a particular drug, device, test, treatment, or other clinical service.

Contents

Preface

Acknowledgments

Structured Abstract

Chapter 1. Introduction

Chapter 2. Methods

Chapter 3. Results

Chapter 4. Discussion

Appendix A. Abbreviations

Appendix B. Measuring Adiposity in Children and Adolescents

Appendix C. Clinical Measures of Overweight

Appendix D. Search Strategies

Appendix E. Previously Conducted Systematic Evidence Reviews of Interventions for Childhood Overweight

Appendix F. Inclusion Criteria and Results of Searches

Appendix G. Exclusion Table for Key Questions 2b and 2c

Appendix H. Exclusion Table for Key Questions 4 and 5

Appendix I. USPSTF Hierarchy of Research Design and Quality Rating Criteria

Appendix J. Childhood Overweight Clinical Screening Tests and Predicting Adult Obesity

Appendix K. Childhood Overweight Clinical Screening Tests to Predict Poorer Health Outcomes

Appendix L. Evidence Table: Intervention Trials 2001-Present

Appendix M. Evidence Table: Intervention Study Characteristics

Appendix N. Screening and Intervention for Overweight in Children and Adolescents Categorization Scheme for Settings

Appendix O. Intervention Characteristic Definitions

Appendix P. Methods for and

Appendix Q. Outcomes Table Modeling Potentially Prevented Adult Cases of Disease by Screening 1,000 Adolescents and Treating Overweight Adolescents ( ≥95th Percentile)

Appendix R. Population-Based Obesity Prevalence Surveys

Appendix S. Expert Reviewers

References

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