General Approach to Therapy

In 1998, a US expert committee was formed to develop recommendations for physicians, nurse practitioners and nutritionists to guide the evaluation and treatment of overweight children and adolescents.8 These recommendations include:

 

  • Intervention should begin early
  • The family must be ready for change
  • Clinicians should educate families about medical complications of obesity
  • Clinicians should involve the family and all caregivers in the treatment programme
  • Treatment programmes should institute permanent changes, not short-term diets or exercise programmes aimed at weight loss
  • As part of the treatment programme, a family should learn to monitor eating and activity
  • The treatment programme should help the family make small gradual changes
  • Clinicians should encourage and empathise and not criticise
  • A variety of experienced professionals can accomplish many aspects of a weight management programme