# Overweight — GCMD Library living collection

Everything in the library about overweight — built automatically from dossiers that name it.

Updated: n/a · 3 episodes · 40 cited statements

## Episodes
### Evidence & Research
- [Exercise Journal Club: Pediatric Obesity 2017](https://library.globalcastmd.com/watch/exercise-journal-club-pediatric-obesity-2017-370) — video · 25:58 · [machine version](https://library.globalcastmd.com/watch/exercise-journal-club-pediatric-obesity-2017-370.md)
- [Clinical Research Facilitators, Barriers, and Preferences of Parents of Children With Overweight...](https://library.globalcastmd.com/watch/clinical-research-facilitators-barriers-and-preferences-of-parents-of-children-with-overweight-13884) — video · 0:41 · [machine version](https://library.globalcastmd.com/watch/clinical-research-facilitators-barriers-and-preferences-of-parents-of-children-with-overweight-13884.md)

### Patient & Family Education
- [Taking the Battle Out of Getting Kids to Eat Healthier and Move More: Child &...](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862) — video · 69:36 · [machine version](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862.md)

## Chapters
- [0:00](https://library.globalcastmd.com/watch/exercise-journal-club-pediatric-obesity-2017-370?t=0) Study presentation: Summer versus school-year obesity prevalence growth (Ep 1)
- [12:37](https://library.globalcastmd.com/watch/exercise-journal-club-pediatric-obesity-2017-370?t=757) Clinical approaches to summer activity planning and barriers (Ep 1)
- [18:00](https://library.globalcastmd.com/watch/exercise-journal-club-pediatric-obesity-2017-370?t=1080) ADHD medications, sleep, and weight management considerations (Ep 1)
- [0:00](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=0) Introduction: Healthy Habits Over Weight Loss and Parenting Styles (Ep 2)
- [3:57](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=237) The Three P's: Parents' Jobs in Feeding and Activity (Ep 2)
- [9:58](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=598) The Three C's: Children's Jobs in Feeding and Activity (Ep 2)
- [20:40](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=1240) Developmental Stages: Building Healthy Eaters and Active Children (Ep 2)
- [28:22](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=1702) Message Makeovers for Feeding (Ep 2)
- [39:26](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=2366) Transitioning Older Kids and Teens to Self-Regulation (Ep 2)
- [47:55](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=2875) Message Makeovers for Physical Activity (Ep 2)
- [63:00](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=3780) Case Studies: Raiding the Pantry and Excessive Screen Time (Ep 2)
- [0:00](https://library.globalcastmd.com/watch/clinical-research-facilitators-barriers-and-preferences-of-parents-of-children-with-overweight-13884?t=0) Barriers to Childhood Obesity Research Enrollment (Ep 3)

## Statements
Every statement is attributed, typed, and timestamped; the link is the citation.
- "Researchers surveyed more than 100 parents of children with overweight or obesity to understand what influences their decision to participate in research" — Lizzie Lee (epidemiological) [Ep 3 · 0:07](https://library.globalcastmd.com/watch/clinical-research-facilitators-barriers-and-preferences-of-parents-of-children-with-overweight-13884?t=7)
- "Parents reported more reasons to participate in childhood obesity research than reasons not to participate" — Lizzie Lee (epidemiological) [Ep 3 · 0:15](https://library.globalcastmd.com/watch/clinical-research-facilitators-barriers-and-preferences-of-parents-of-children-with-overweight-13884?t=15)
- "Mistrust, time demands, and social pressure are barriers that make it harder for parents to participate in childhood obesity research" — Lizzie Lee (epidemiological) [Ep 3 · 0:15](https://library.globalcastmd.com/watch/clinical-research-facilitators-barriers-and-preferences-of-parents-of-children-with-overweight-13884?t=15)
- "Research perceptions varied by family characteristics" — Lizzie Lee (epidemiological) [Ep 3 · 0:26](https://library.globalcastmd.com/watch/clinical-research-facilitators-barriers-and-preferences-of-parents-of-children-with-overweight-13884?t=26)
- "To improve childhood obesity research, studies need to be easier to join, reduce participation burden, and build trust with families from the beginning" — Lizzie Lee (opinion) [Ep 3 · 0:30](https://library.globalcastmd.com/watch/clinical-research-facilitators-barriers-and-preferences-of-parents-of-children-with-overweight-13884?t=30)
- "The study sample consisted of 13,006 children from 846 schools after excluding children with missing covariates and children from year-round schools" — Jody Dimanta (host_summary) [Ep 1 · 3:20](https://library.globalcastmd.com/watch/exercise-journal-club-pediatric-obesity-2017-370?t=200)
- "Children's height and weights were measured each fall and spring for a total of 6 occasions, with fall measurements taken 5-7 weeks after the first day of school and spring measurements taken 8 weeks before the last day of school" — Jody Dimanta (host_summary) [Ep 1 · 3:50](https://library.globalcastmd.com/watch/exercise-journal-club-pediatric-obesity-2017-370?t=230)
- "Obesity prevalence increased from 8.9% to 11.5% and overweight prevalence increased from 23.3% to 28.7% over the study period" — Jody Dimanta (host_summary) [Ep 1 · 5:10](https://library.globalcastmd.com/watch/exercise-journal-club-pediatric-obesity-2017-370?t=310)
- "All increases in obesity and overweight prevalences occurred during the two summer vacations with no increases during any of the three school years" — Jody Dimanta (host_summary) [Ep 1 · 5:40](https://library.globalcastmd.com/watch/exercise-journal-club-pediatric-obesity-2017-370?t=340)
- "During summer 1 and summer 2, both overweight and obesity prevalences increased by approximately 1% point per month" — Jody Dimanta (host_summary) [Ep 1 · 6:10](https://library.globalcastmd.com/watch/exercise-journal-club-pediatric-obesity-2017-370?t=370)
- "Over the average summer vacation of 2.6 to 2.7 months, there was a 2-3% rise in overweight and obesity points" — Jody Dimanta (host_summary) [Ep 1 · 6:40](https://library.globalcastmd.com/watch/exercise-journal-club-pediatric-obesity-2017-370?t=400)
- "During the school year, there was a decrease in obesity prevalence during kindergarten and second grade years" — Jody Dimanta (host_summary) [Ep 1 · 7:10](https://library.globalcastmd.com/watch/exercise-journal-club-pediatric-obesity-2017-370?t=430)
- "The standard deviation of BMI growth is approximately 3 times greater during the 2 summers than during the 3 school years" — Jody Dimanta (host_summary) [Ep 1 · 7:40](https://library.globalcastmd.com/watch/exercise-journal-club-pediatric-obesity-2017-370?t=460)
- "Children tend to sleep less and watch more screen time during summer" — Jody Dimanta (host_summary) [Ep 1 · 8:40](https://library.globalcastmd.com/watch/exercise-journal-club-pediatric-obesity-2017-370?t=520)
- "School-based interventions that tried to carry things over into the summer for families did not show any positive effect" — Jody Dimanta (host_summary) [Ep 1 · 9:20](https://library.globalcastmd.com/watch/exercise-journal-club-pediatric-obesity-2017-370?t=560)
- "In clinical practice, calculating total weekly structured activity minutes from PE class, recess, and extracurriculars reveals that some kids have as little as 100 minutes per week while others have as much as 500 minutes per week" — Jody Dimanta (clinical) [Ep 1 · 10:20](https://library.globalcastmd.com/watch/exercise-journal-club-pediatric-obesity-2017-370?t=620)
- "Activity planning is very individual and requires constantly evaluating what works for each family at a particular time" (opinion) [Ep 1 · 13:10](https://library.globalcastmd.com/watch/exercise-journal-club-pediatric-obesity-2017-370?t=790)
- "In the Choosing Healthy and Active Lifestyles for Kids program, schools can control kids during the school year and most kids eat breakfast and lunch at school, but there is not great control during summer" — John (clinical) [Ep 1 · 15:34](https://library.globalcastmd.com/watch/exercise-journal-club-pediatric-obesity-2017-370?t=934)
- "In Maine, physical activity is the behavior that isn't changing as much as desired over the last 10 years of tracking" — Tory (epidemiological) [Ep 1 · 16:44](https://library.globalcastmd.com/watch/exercise-journal-club-pediatric-obesity-2017-370?t=1004)
- "In Minnesota, the requirement for gym class is 1 year out of 4 years of high school, with only half of that year being gym and the other half being health" — Em Gootee (guideline) [Ep 1 · 18:00](https://library.globalcastmd.com/watch/exercise-journal-club-pediatric-obesity-2017-370?t=1080)
- "There is a significant correlation between obesity and ADHD, with decreased dopamine activity proposed as a common underlying pathway contributing to both conditions" (clinical) [Ep 1 · 22:31](https://library.globalcastmd.com/watch/exercise-journal-club-pediatric-obesity-2017-370?t=1351)
- "Stimulants act to increase dopamine activity, and taking a break from stimulant medication puts patients in a position where they are seeking more input, which might be from food or other environmental stimuli" (clinical) [Ep 1 · 22:31](https://library.globalcastmd.com/watch/exercise-journal-club-pediatric-obesity-2017-370?t=1351)
- "For weight management, the recommendation is to take stimulant medication every day with no breaks, including weekends and summer, because it helps with functioning in every realm of life" (opinion) [Ep 1 · 22:31](https://library.globalcastmd.com/watch/exercise-journal-club-pediatric-obesity-2017-370?t=1351)
- "Beta blockers and antihistamines are medications known to aggravate obesity" — Alan (clinical) [Ep 1 · 23:24](https://library.globalcastmd.com/watch/exercise-journal-club-pediatric-obesity-2017-370?t=1404)
- "Some children on ADHD medications struggle to maintain weight and may need medication breaks, particularly when side effects include blood pressure issues or personality changes" — John (clinical) [Ep 1 · 23:38](https://library.globalcastmd.com/watch/exercise-journal-club-pediatric-obesity-2017-370?t=1418)
- "For children with obesity whose main ADHD manifestation is impulsivity, which can affect eating habits, staying on medication regularly is more likely to be recommended" — John (opinion) [Ep 1 · 23:38](https://library.globalcastmd.com/watch/exercise-journal-club-pediatric-obesity-2017-370?t=1418)
- "Weight is not a behavior; weight loss is not something a child can go home and do. Providers should focus on healthy habits applicable to all children regardless of size." (guideline) [Ep 2 · 0:00](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=0)
- "Authoritarian (controlling, strict) parenting may involve hand-feeding long after developmentally appropriate or restricting intake, overriding the child's internal cues." (clinical) [Ep 2 · 0:00](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=0)
- "Indulgent (permissive) parenting uses food as comfort or reward to control behavior, with the child in control much of the time." (clinical) [Ep 2 · 0:00](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=0)
- "Uninvolved (neglectful) parenting leaves young children responsible for choosing their own food and deciding how much to eat, with no structure or expectations." (clinical) [Ep 2 · 0:00](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=0)
- "Authoritative (responsive) parenting sets structure and limits with clear roles, communicates warmly, respects the child's opinions but does not give in to all demands, allowing the child to learn self-regulation." (guideline) [Ep 2 · 0:00](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=0)
- "Research shows it can take 10, 15, or more exposures for a child to accept a previously refused food." (host_summary) [Ep 2 · 9:58](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=598)
- "When parents take too much control (forcing, pressuring, restricting), they override the child's internal hunger and fullness cues or desire to be active." (clinical) [Ep 2 · 9:58](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=598)
- "When parents give the child too much control (indulging, bribing), it teaches the child they can get their favorite food by whining or crying." (clinical) [Ep 2 · 9:58](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=598)
- "Breastfeeding is the first introduction to the family table; breastfed babies get used to different flavor profiles from the mother's diet, which may prevent picky eating tendencies later." (clinical) [Ep 2 · 20:40](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=1240)
- "A baby's crying can mean many things (wet diaper, discomfort), not just hunger. Parents should learn to read cues rather than automatically feeding in response to crying." (clinical) [Ep 2 · 20:40](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=1240)
- "When a toddler throws food off the highchair tray, that is a cue that mealtime is over. If they continue eating food on the tray, the parent should let them continue." (clinical) [Ep 2 · 20:40](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=1240)
- "It is acceptable for a preschooler to skip a meal. The parent should let them know the next eating opportunity will be the next scheduled meal or snack, with only water available in between." (guideline) [Ep 2 · 20:40](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=1240)
- "The American Academy of Pediatrics recommends no screen time for infants, and for children 2 years and older, no more than 2 hours of screen time daily." (host_summary) [Ep 2 · 28:22](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=1702)
- "Toddlers need at least 30 minutes of structured physical activity daily and at least 60 minutes (up to several hours) of unstructured physical activity. They should not be sedentary for more than 60 minutes at a time except when sleeping." (host_summary) [Ep 2 · 28:22](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=1702)
- "School-age children need to be active 60 minutes a day, with most activity being aerobic at moderate to vigorous intensity, plus muscle and bone strengthening activities." (host_summary) [Ep 2 · 28:22](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=1702)
- "The 60 minutes of daily physical activity can be broken up throughout the day (e.g., 20 minutes before school, 20 minutes after school, 20 minutes after dinner)." (guideline) [Ep 2 · 28:22](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=1702)
- "Moderate to vigorous activity means the body is working: increased heart rate, sweating, muscle fatigue, and shortness of breath are normal cues that should be taught to children as positive signs." (clinical) [Ep 2 · 28:22](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=1702)
- "When parents praise a child for finishing all their food, it sets the child up to want to finish all meals to get praise again, overriding their hunger and fullness cues." (clinical) [Ep 2 · 39:26](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=2366)
- "Using food as a reward for good behavior teaches the child that food is contingent on behavior rather than an expectation. Good behavior should be an expectation with or without rewards." (guideline) [Ep 2 · 39:26](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=2366)
- "When a parent makes vegetable intake contingent on getting dessert (e.g., 'eat your broccoli to get a brownie'), it teaches the child that vegetables are yucky and dessert is the reward." (clinical) [Ep 2 · 39:26](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=2366)
- "If dessert is on the menu, everyone in the family should get one serving regardless of what else they ate. The parent decides which days dessert is offered, not whether the child 'earned' it." (guideline) [Ep 2 · 39:26](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=2366)
- "Productive screen time (homework, school work) does not count toward the 2-hour daily screen time limit. The limit applies to unproductive screen time (TV, video games)." (guideline) [Ep 2 · 47:55](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=2875)
- "Taking away physical activity as punishment is counterproductive. A misbehaving child may need physical activity to release pent-up energy and refocus their behavior." (clinical) [Ep 2 · 47:55](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=2875)
- "Using physical activity as punishment (e.g., 'run 3 laps around the house') teaches the child to associate physical activity with something to avoid, undermining lifelong motivation." (clinical) [Ep 2 · 47:55](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=2875)
- "A 'brain break' before homework—getting the child up and moving for a few minutes to raise heart rate—helps refocus the brain and makes homework more efficient." (clinical) [Ep 2 · 47:55](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=2875)
- "There are not enough chips to fill a child up. Snacks lacking protein will not satisfy hunger, leading to grazing and overeating at dinner." (clinical) [Ep 2 · 63:00](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=3780)
- "Protein is a crucial component in snacks to help keep a child feeling full until the next meal." (clinical) [Ep 2 · 63:00](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=3780)
- "Children should not go more than 4 hours without eating. Skipping meals or going too long without eating impairs the child's ability to gauge hunger and fullness cues at the next meal." (guideline) [Ep 2 · 63:00](https://library.globalcastmd.com/watch/taking-the-battle-out-of-getting-kids-to-eat-healthier-and-move-more-child-862?t=3780)

## Changelog
- Sep 16: 3 items added automatically

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