{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,9]],"date-time":"2026-08-09T05:57:55Z","timestamp":1786255075827,"version":"build-2736575974"},"reference-count":42,"publisher":"American Academy of Pediatrics (AAP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,10,1]]},"abstract":"<jats:sec>\n                  <jats:title>CONTEXT:<\/jats:title>\n                  <jats:p>Although practice guidelines suggest that primary care providers working with children and adolescents incorporate BMI surveillance and counseling into routine practice, the evidence base for this practice is unclear.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>OBJECTIVE:<\/jats:title>\n                  <jats:p>To determine the effect of brief, primary care interventions for pediatric weight management on BMI.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>DATA SOURCES:<\/jats:title>\n                  <jats:p>Medline, CENTRAL, Embase, PsycInfo, and CINAHL were searched for relevant publications from January 1976 to March 2016 and cross-referenced with published studies.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>STUDY SELECTION:<\/jats:title>\n                  <jats:p>Eligible studies were randomized controlled trials and quasi-experimental studies that compared the effect of office-based primary care weight management interventions to any control intervention on percent BMI or BMI z scores in children aged 2 to 18 years.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>DATA EXTRACTION:<\/jats:title>\n                  <jats:p>Two reviewers independently screened sources, extracted data on participant, intervention, and study characteristics, z-BMI\/percent BMI, harms, and study quality using the Cochrane and Newcastle-Ottawa risk of bias tools.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:<\/jats:title>\n                  <jats:p>A random effects model was used to pool the effect size across eligible 10 randomized controlled trials and 2 quasi-experimental studies. Compared with usual care or control treatment, brief interventions feasible for primary care were associated with a significant but small reduction in BMI z score (\u20130.04, [95% confidence interval, \u20130.08 to \u20130.01]; P = .02) and a nonsignificant effect on body satisfaction (standardized mean difference 0.00, [95% confidence interval, \u20130.21 to 0.22]; P = .98).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>LIMITATIONS:<\/jats:title>\n                  <jats:p>Studies had methodological limitations, follow-up was brief, and adverse effects were not commonly measured.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS:<\/jats:title>\n                  <jats:p>BMI surveillance and counseling has a marginal effect on BMI, highlighting the need for revised practice guidelines and the development of novel approaches for providers to address this problem.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2016-0149","type":"journal-article","created":{"date-parts":[[2016,9,12]],"date-time":"2016-09-12T09:07:26Z","timestamp":1473671246000},"source":"Crossref","is-referenced-by-count":54,"title":["Brief Primary Care Obesity Interventions: A Meta-analysis"],"prefix":"10.1542","volume":"138","author":[{"given":"Leslie A.","family":"Sim","sequence":"first","affiliation":[{"name":"Departments of Psychiatry and Psychology, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jocelyn","family":"Lebow","sequence":"additional","affiliation":[{"name":"Departments of Psychiatry and Psychology, and"},{"name":"Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, Florida; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhen","family":"Wang","sequence":"additional","affiliation":[{"name":"Evidence-Based Practice Center and Center for Science of Healthcare Delivery, Mayo Clinic, Rochester, Minnesota;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Afton","family":"Koball","sequence":"additional","affiliation":[{"name":"Gundersen Lutheran Health System, Department of Behavioral Health, LaCrosse, Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. 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