William H. Dietz, MD, PhD
Disclaimer: The opinions expressed herein are those of the author and should not be construed as representing an official position of the Centers for Disease Control and Prevention, the U.S. Department of Health and Human Services, or the U.S. government.
Potential Financial Conflicts of Interest: None disclosed.
Requests for Single Reprints: William H. Dietz, MD, PhD, Division of Nutrition and Physical Activity, Centers for Disease Control and Prevention, 4770 Buford Highway NE, MS K-24, Atlanta, GA 30341; e-mail, firstname.lastname@example.org.
The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.
John D. Rowlett
Eastern Kentucky University
August 17, 2006
The measure of our success
It is always enlightening to read the accumulated wisdom of Dr. Dietz. His commentary on two recent Annals articles is no exception. While I agree completely with his analysis of these articles, I hasten to point out that the traditional measured endpoints for treatment of obesity in adolescents (weight loss, change in BMI, lipid profiles) are only part of the story.
It is my opinion that the more substantial benefits of behavioral modification programs for weight reduction are in unmeasured, maybe unmeasurable, areas. Strategies to reduce and prevent childhood and adolescent obesity include increasing physical activity and decreasing television viewing. Secondary benefits of these activities are difficult to quantitate and infrequently measured. But if, as studies have well- documented, increased television is associated with increased health-risk behaviors (alcohol intake, sexual activity, smoking, decreased academic performance), it stands to reason that decreasing this exposure will have positive benefits. Other benefits are even more difficult to measure. A child who helps prepare dinner or takes a walk with a parent may not lose weight, but hopefully has spent "quality" time with a parent or loved one and had the opportunity, all too often absent, to share thoughts. In a time-pressured society, this is of great value.
Dietz WH. What Constitutes Successful Weight Management in Adolescents?. Ann Intern Med. 2006;145:145–146. doi: 10.7326/0003-4819-145-2-200607180-00014
Download citation file:
Published: Ann Intern Med. 2006;145(2):145-146.
Results provided by:
Copyright © 2018 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use