The 2018 guideline recommends interventions for the treatment of overweight and obesity in children and adolescents aged 2–18. Recommendations are based on a systematic review of the scientific evidence, a weighing of the benefits and harms of interventions, consideration of what is known about patient values and preferences, and consideration of the applicability of the evidence across demographic groups and settings.

Note: In 2023 the APA Board of Directors appointed a multidisciplinary panel to update the 2018 Clinical Practice Guideline for the Treatment of Obesity and Overweight in Children and Adolescents. Reports on the panel’s progress and requests for input will be made periodically to the APA Council of Representatives, APA boards and committees, APA members, and the broader public.

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Supplemental materials

Systematic Review

Evidence Grid

In this grid, the key questions incorporated from the appendix document of the systematic review is presented across the top row. Each column in the grid reflects a particular treatment or treatment comparison from the review while each row reflects a particular outcome (i.e., mean zBMI reduction). The effect size along with relevant information (i.e., confidence interval) is presented at the intersection of rows and columns. This is followed by information on the panel’s ratings of the benefits, harms, balance of benefits vs. harms, patient values and preferences, applicability, and overall recommendation statement for each intervention or comparison of treatments.

Last updated: December 2024Date created: 2018