Prevention and treatment approaches to childhood obesity in primary care: narrative review




Pediatric Obesity; Primary Health Care; Obesity Management; Primary Prevention; Health promotion.


Overweight and obesity affected approximately 340 million children and adolescents in the world in 2016. In this sense, since obesity is a chronic disease, the factors related to this public health issue must be understood, including: sedentary lifestyle, low socioeconomic power and access to the health system. This study aimed to understand the main approaches to obesity prevention and management in primary health care. A narrative review of the literature was carried out, using the descriptors in the PubMed, SciELO and Periódico Capes databases, which obtained 342 articles, 31 of which were chosen for the basis of this review. According to the multifactorial etiology of obesity, recent studies have demonstrated the importance of therapeutic intervention in different spheres, through primary care, family support, school environment, technologies, pharmacological or surgical intervention. In addition, the difficulties encountered in carrying out the prevention and correct treatment of obesity in childhood are highlighted. Thus, multidisciplinary monitoring together with schools and the family is essential, promoting the health of young people and children, preventing obesity in adult life, as well as individual integrity and the comorbidities and diseases associated with the disease.


Brasil. (2022). Ministério da Saúde. Instrutivo para o cuidado da criança e do adolescente com sobrepeso e obesidade no âmbito da Atenção Primária à Saúde.

Brown, C. L., & Perrin, E. M. (2018). Obesity Prevention and Treatment in Primary Care. Academic pediatrics, 18(7), 736–745.

Burchett, H. E. D., Sutcliffe, K., Melendez-Torres, G. J., Rees, R., & Thomas, J. (2018). Lifestyle weight management programmes for children: A systematic review using Qualitative Comparative Analysis to identify critical pathways to effectiveness. Preventive medicine, 106, 1–12.

Busch, A. M., Hubka, A., & Lynch, B. A. (2018). Primary Care Provider Knowledge and Practice Patterns Regarding Childhood Obesity. Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners, 32(6), 557–563.

Cole, J. M., Weigel, J., Albrecht, S., Ren, D., Reilly, A. K., & Danford, C. A. (2019). Setting Kids Up for Success (SKUFS): Outcomes of an Innovation Project for Promoting Healthy Lifestyles in a Pediatric Patient-Centered Medical Home. Journal of pediatric health care: official publication of National Association of Pediatric Nurse Associates & Practitioners, 33(4), 455–465.

Darling, K. E., Fahrenkamp, A. J., Ruzicka, E., Levitt, M., Broerman, L., & Sato, A. (2018). Provider perceptions of pediatric obesity management in clinical practice. Children’s Health Care, 48(1), 90–102.

Ek, A., Delisle Nyström, C., Chirita-Emandi, A., Tur, J. A., Nordin, K., Bouzas, C., Argelich, E., Martínez, J. A., Frost, G., Garcia-Perez, I., Saez, M., Paul, C., Löf, M., & Nowicka, P. (2019). A randomized controlled trial for overweight and obesity in preschoolers: the More and Less Europe study - an intervention within the STOP project. BMC public health, 19(1), 1-13.

Elias, C. D. S. R., da Silva, L. A., Martins, M. T. D. S. L., Ramos, N. A. P., de Souza, M. D. G. G., & Hipólito, R. L. (2012). Quando chega o fim? Uma revisão narrativa sobre a terminalidade do período escolar para alunos deficientes mentais. SMAD, Revista Electrónica en Salud Mental, Alcohol y Drogas, 8(1), 48-53.

Flodmark, C. E. (2018). Prevention Models of Childhood Obesity in Sweden. Obesity facts, 11(3), 257–262.

Gates, A., Elliott, S. A., Shulhan-Kilroy, J., Ball, G. D. C., & Hartling, L. (2020). Effectiveness and safety of interventions to manage childhood overweight and obesity: An Overview of Cochrane systematic reviews. Paediatrics & child health, 26(5), 310–316.

Gooey, M., Skouteris, H., Betts, J., Hatzikiriakidis, K., Sturgiss, E., Bergmeier, H., & Bragge, P. (2022). Clinical practice guidelines for the prevention of childhood obesity: A systematic review of quality and content. Obesity reviews : an official journal of the International Association for the Study of Obesity, 23(10), 1-11.

Hayes, A. J., Carrello, J. P., Kelly, P. J., Killedar, A., & Baur, L. A. (2021). Looking backwards and forwards: tracking and persistence of weight status between early childhood and adolescence. International Journal of Obesity, 45(4), 870–878.

Henriksson, H., Alexandrou, C., Henriksson, P., Henström, M., Bendtsen, M., Thomas, K., Müssener, U., Nilsen, P., & Löf, M. (2020). MINISTOP 2.0: a smartphone app integrated in primary child health care to promote healthy diet and physical activity behaviours and prevent obesity in preschool-aged children: protocol for a hybrid design effectiveness-implementation study. BMC public health, 20(1), 1-11.

Hoelscher, D. M., Sharma, S. V., & Byrd-Williams, C. E. (2018). Prevention of Obesity in Early Childhood: What Are the Next Steps?. American journal of public health, 108(12), 1585–1587.

Hoffman, J., Frerichs, L., Story, M., Jones, J., Gaskin, K., Apple, A., Skinner, A., & Armstrong, S. (2018). An Integrated Clinic-Community Partnership for Child Obesity Treatment: A Randomized Pilot Trial. Pediatrics, 141(1), 1-10.

Kharofa, R. Y., Siegel, R. M., & Morehous, J. F. (2021). A Quality Improvement Initiative Addressing Provider Prescription of Weight Management Follow-up in Primary Care. Pediatric quality & safety, 6(5), 1-7.

Kubik, M. Y., Fulkerson, J. A., Sirard, J. R., Garwick, A., Temple, J., Gurvich, O., Lee, J., & Dudovitz, B. (2018). School-based secondary prevention of overweight and obesity among 8- to 12-year old children: Design and sample characteristics of the SNAPSHOT trial. Contemporary clinical trials, 75, 9–18.

Lappan, S. N., Carolan, M., Parra-Cardona, J. R., & Weatherspoon, L. (2020). Promoting Healthy Eating and Regular Physical Activity in Low-Income Families Through Family-Centered Programs: Implications for Practice. The journal of primary prevention, 41(6), 503–528.

Loth, K. A., Lebow, J., Uy, M. J. A., Ngaw, S. M., Neumark-Sztainer, D., & Berge, J. M. (2021). First, Do No Harm: Understanding Primary Care Providers' Perception of Risks Associated With Discussing Weight With Pediatric Patients. Global pediatric health, 8, 1-9.

Mazur, A., Zachurzok, A., Baran, J., Dereń, K., Łuszczki, E., Weres, A., Wyszyńska, J., Dylczyk, J., Szczudlik, E., Drożdż, D., Metelska, P., Brzeziński, M., Kozioł-Kozakowska, A., Matusik, P., Socha, P., Olszanecka-Gilianowicz, M., Jackowska, T., Walczak, M., Peregud-Pogorzelski, J., Tomiak, E., & Wójcik, M. (2022). Childhood Obesity: Position Statement of Polish Society of Pediatrics, Polish Society for Pediatric Obesity, Polish Society of Pediatric Endocrinology and Diabetes, the College of Family Physicians in Poland and Polish Association for Study on Obesity. Nutrients, 14(18), 1-41.

Mihrshahi, S., Jawad, D., Richards, L., Hunter, K. E., Ekambareshwar, M., Seidler, A. L., & Baur, L. A. (2021). A Review of Registered Randomized Controlled Trials for the Prevention of Obesity in Infancy. International journal of environmental research and public health, 18(5), 1-18.

Nazar-Carter, G., Sáez-Delgado, F., Maldonado-Rojas, C., Mella-Norambuena, J., Stuardo-Álvarez, M., & Meza-Rodríguez, D. (2022). Intervenciones en obesidad infantil. Una revisión sistemática de la literatura. Hacia La Promoción de La Salud, 27(1), 213–233.

Perez, A. J., Yaskina, M., Maximova, K., Kebbe, M., Peng, C., Patil, T., Nielsen, C., Holt, N., Ho, J., Luca, P., LaFrance, R., Godziuk, K., Connors, A., Bennett, T., Brunet-Wood, K., Baron, T., & Ball, G. D. C. (2018). Predicting Enrollment in Multidisciplinary Clinical Care for Pediatric Weight Management. The Journal of pediatrics, 202, 129–135.

Rhee, K. E., Kessl, S., Lindback, S., Littman, M., & El-Kareh, R. E. (2018). Provider views on childhood obesity management in primary care settings: a mixed methods analysis. BMC health services research, 18(1), 1-10.

Ruiter, E. L. M., Molleman, G. R. M., Fransen, G. A. J., Wagenaar, M., Van der Velden, K., & Engels, R. C. M. E. (2020). A set of pedagogical recommendations for improving the integrated approach to childhood overweight and obesity: A Delphi study. PloS one, 15(4), 1-15.

Sen, M., Uzuner, A., Akman, M., Bahadir, A. T., Borekci, N. O., & Viggiano, E. (2018). Examination of a board game approach to children's involvement in family-based weight management vs. traditional family-based behavioral counseling in primary care. European journal of pediatrics, 177(8), 1231–1238.

Smith, J. D., Berkel, C., Jordan, N., Atkins, D. C., Narayanan, S. S., Gallo, C., Grimm, K. J., Dishion, T. J., Mauricio, A. M., Rudo-Stern, J., Meachum, M. K., Winslow, E., & Bruening, M. M. (2018). An individually tailored family-centered intervention for pediatric obesity in primary care: study protocol of a randomized type II hybrid effectiveness-implementation trial (Raising Healthy Children study). Implementation science : IS, 13(1), 1-15.

Thomas-Eapen, N. (2021). Childhood Obesity. Primary Care: Clinics in Office Practice, 48(3), 505–515.

Toussaint, N., Streppel, M. T., Mul, S., Schreurs, A., Balledux, M., Van Drongelen, K., Janssen, M., Fukkink, R. G., & Weijs, P. J. M. (2019). A preschool-based intervention for Early Childhood Education and Care (ECEC) teachers in promoting healthy eating and physical activity in toddlers: study protocol of the cluster randomized controlled trial PreSchool@HealthyWeight. BMC public health, 19(1), 1-8.

Tucker, K. M., Ingram, M., Doubleday, K., Piper, R., & Carvajal, S. C. (2019). La Vida Buena (The Good Life) evaluation: a quasi experimental intervention of a community health worker-led family-based childhood obesity program for Latino children 5–8 years of age on the US-Mexico border. BMC Public Health, 19(1), 1-9.

Vieira, C. E. N. K., Dantas, D. N. A., Miranda, L. S. M. V. de, Araújo, A. K. C., Monteiro, A. I., & Enders, B. C. (2018). Programa de Enfermagem Saúde na Escola: prevenção e controle de sobrepeso/obesidade em adolescentes. Revista Da Escola de Enfermagem Da USP, 52, 1-8.

Vosgerau, D. S. A. R., & Romanowski, J. P. (2014). Estudos de revisão: implicações conceituais e metodológicas. Revista diálogo educacional, 14(41), 165-189.

Wright, J. A., Whiteley, J. A., Watson, B. L., Sheinfeld Gorin, S. N., & Hayman, L. L. (2018). Tailored communications for obesity prevention in pediatric primary care: a feasibility study. Health education research, 33(1), 14–25.

Wylie-Rosett, J., Groisman-Perelstein, A. E., Diamantis, P. M., Jimenez, C. C., Shankar, V., Conlon, B. A., Mossavar-Rahmani, Y., Isasi, C. R., Martin, S. N., Ginsberg, M., Matthan, N. R., & Lichtenstein, A. H. (2018). Embedding weight management into safety-net pediatric primary care: randomized controlled trial. The international journal of behavioral nutrition and physical activity, 15(1), 1-12.



How to Cite

AZEVEDO, B. M. Ávila .; LIMA, Éllyda V. de .; PRIMO JÚNIOR, I. P. .; CARNEIRO, M. I. C. .; ALCÂNTARA, A. de A. .; PIMENTEL , K. J. S. .; NUNES, M. L. S. F. .; ARAÚJO, M. P. de .; PEREIRA, J. E. .; NASCIMENTO, G. A. do .; SANTOS, M. O. S. dos . Prevention and treatment approaches to childhood obesity in primary care: narrative review. Research, Society and Development, [S. l.], v. 12, n. 1, p. e22312139717, 2023. DOI: 10.33448/rsd-v12i1.39717. Disponível em: Acesso em: 2 mar. 2024.



Health Sciences