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Nutrients 2019, 11(2), 362;

Current Recommendations for Nutritional Management of Overweight and Obesity in Children and Adolescents: A Structured Framework

Department of Nutrition and Dietetics, School of Health Sciences Geneva, University of Applied Sciences and Arts Western Switzerland (HES-SO). Rue des Caroubiers 25, 1227 Carouge, Switzerland
CCNP—Centre de Consultations Nutrition et Psychothérapie, Rue du Vieux-Marché 8, 1207 Genève, Switzerland
These authors contributed equally to this work.
Author to whom correspondence should be addressed.
Received: 27 December 2018 / Revised: 5 February 2019 / Accepted: 5 February 2019 / Published: 9 February 2019
PDF [1212 KB, uploaded 9 February 2019]


Nutritional management is an important component of the treatment of pediatric overweight and obesity, but clinicians struggle to keep abreast with the abundant literature. Therefore, our aim is to provide a tool that integrates the current recommendations and clinical expertise to assist dietitians and other practitioners in their decision making about the nutritional management of pediatric overweight and obesity. To construct this practice-based evidence-informed framework, we conducted a systematic review of the guidelines on nutritional management of pediatric overweight or obesity in 2 databases and in the grey literature. We analyzed and synthesized recommendations of 17 guidelines. We selected the recommendations that were common to at least 30% of the guidelines and added by consensus the recommendations relevant to clinical expertise. Finally, we structured the framework according to the Nutritional Care Process in collaboration with a specialized team of dietitians who assessed its validity in clinical practice. The framework contributes to facilitate the integration of evidence-based practice for dietitians by synthesizing the current evidence, supporting clinical expertise, and promoting structured care following Nutrition Care Process model for children and adolescents with obesity.
Keywords: pediatric obesity; evidence-based practice; nutritional management; structured framework pediatric obesity; evidence-based practice; nutritional management; structured framework
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

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Pfeifflé, S.; Pellegrino, F.; Kruseman, M.; Pijollet, C.; Volery, M.; Soguel, L.; Torre, S.B.D. Current Recommendations for Nutritional Management of Overweight and Obesity in Children and Adolescents: A Structured Framework. Nutrients 2019, 11, 362.

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