[to top of second column]
The review excluded studies on obesity surgery, which is only done in extreme cases.
The panel stopped short of recommending two diet drugs approved for use in older children, Xenical and Meridia, because of potential side effects including elevated heart rate, and no evidence that they result in lasting weight loss.
Calonge, chief medical officer for Colorado's public health department, said evidence is lacking on effective treatment for very young children, so the recommendations apply to ages 6 to 18.
The most effective treatment often involves counseling parents along with kids, group therapy and other programs that some insurers won't cover. But adequate reimbursement "would be critical" to implementing these programs, Dr. Sandra Hassink, a member of the American Academy of Pediatrics' board of directors, said in a Pediatrics editorial.
Dr. Helen Binns, who runs a nutrition clinic at Chicago's Children's Memorial Hospital, says such programs are scarce partly because they're so costly. Her own hospital -- a large institution in one of Chicago's wealthiest neighborhoods -- doesn't have one.
Many families with obese or overweight children can't afford that type of treatment. And it's not just cost. Many aren't willing to make the necessary lifestyle changes, she said.
"It requires a big commitment factor on the part of the parent, because they need to want to change themselves, and change family behavior," Binns said.
On the Net:
American Academy of Pediatrics: http://www.aap.org/
Copyright 2010 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.
< Recent articles
Back to top
News | Sports | Business | Rural Review | Teaching & Learning | Home and Family | Tourism | Obituaries
Law & Courts |
Spiritual Life |
Health & Fitness |
Calendar | Letters to the Editor