Nutritional Disorders Telehealth Network Project
Interaction/Management Interventions - Overweight
Reinforcement is one of the most powerful strategies to teach a child what to do. A reinforcer is anything that increases or strengthens a behavior.
Systematically discontinuing a reward following a response to decrease the future probability of the response occurring.
Providing a consistent daily meal and snack schedule. It is necessary to stick to the routine despite potential behavioral resistance and variance with intake.
Eliminate the dietary practice of excess consumption of sweetened beverages (including fruit juice).
Stimulus control strategies are a type of behavioral interventions for weight management that are supported by research as being efficacious. Stimulus control strategies involve identification and modification of environmental factors that influence eating patterns. The goal of stimulus control strategies is to reduce environmental characteristics or situations that serve to trigger maladaptive eating behaviors, such as excessive oral caloric intake.
Overweight or obese youth who have been cleared for physical activity (i.e., those with no medical or developmental factors that restrict their activity) are recommended to obtain 60 minutes per day of moderate to vigorous activity and to limit their screen time (TV, computer, videogame, etc. time) to 2 hours or less per day. The goal of increasing physical activity and reducing sedentary activity is to maximize caloric expenditure and promote healthy physical development