{"id":35725,"date":"2026-03-04T23:49:44","date_gmt":"2026-03-04T23:49:44","guid":{"rendered":"https:\/\/ispah.tecology-hosting.co\/?p=35725"},"modified":"2026-03-04T23:49:45","modified_gmt":"2026-03-04T23:49:45","slug":"pediatric-obesity-care-and-physical-activity-beyond-the-scale","status":"publish","type":"post","link":"https:\/\/ispah.tecology-hosting.co\/fr\/pediatric-obesity-care-and-physical-activity-beyond-the-scale\/","title":{"rendered":"Pediatric Obesity Care and Physical Activity: Beyond the Scale\u00a0"},"content":{"rendered":"<h3 class=\"wp-block-heading\"><em>Reframing physical activity in pediatric obesity care settings can improve treatment and lifelong participation<\/em>\u00a0<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.who.int\/news-room\/questions-and-answers\/item\/noncommunicable-diseases-childhood-overweight-and-obesity\" target=\"_blank\" rel=\"noreferrer noopener\">Pediatric obesity<\/a> is complex, shaped by biological, social, environmental, and psychological factors. Globally, the prevalence of children and adolescents with overweight and obesity is estimated to be <a href=\"https:\/\/jamanetwork.com\/journals\/jamapediatrics\/fullarticle\/2819322\" target=\"_blank\" rel=\"noreferrer noopener\">14.8% and 8.5%<\/a>, respectively. There is a clear need for effective and equitable treatment approaches that are <a href=\"https:\/\/ispah.tecology-hosting.co\/fr\/journee-mondiale-de-lobesite-2025-lispah-soutient-une-approche-systemique-pour-une-vie-plus-saine\/\" target=\"_blank\" rel=\"noreferrer noopener\">systems-focused<\/a>, patient-centered, and that move beyond narrow weight-focused outcomes.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Physical activity is a <a href=\"https:\/\/www.cmaj.ca\/content\/197\/14\/E372\" target=\"_blank\" rel=\"noreferrer noopener\">recommended component<\/a> of <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7096559\/\" target=\"_blank\" rel=\"noreferrer noopener\">pediatric obesity care<\/a>, yet it is often framed as a strategy aimed at <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4132299\/\" target=\"_blank\" rel=\"noreferrer noopener\">reducing body weight rather than improving quality of life<\/a>. It is widely known that physical activity is associated with physical and psychosocial benefits for <em>all<\/em> children, regardless of weight status. However, for youth living with obesity, the experience of movement is often shaped by <a href=\"https:\/\/www.frontiersin.org\/journals\/sports-and-active-living\/articles\/10.3389\/fspor.2022.732737\/full\" target=\"_blank\" rel=\"noreferrer noopener\">weight-based bullying, exclusion, and negative experiences<\/a>. Therefore, when physical activity is prescribed by healthcare professionals\u2014and framed only as a route to weight loss\u2014the message can <a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1002\/oby.23266\" target=\"_blank\" rel=\"noreferrer noopener\">reinforce stigma<\/a>, erode selfefficacy, and push young people with obesity away from physical activity <em>et<\/em> the care they need.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">On <a href=\"https:\/\/www.worldobesityday.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">World Obesity Day 2026<\/a>, and consistent with <a href=\"https:\/\/ispah.tecology-hosting.co\/wp-content\/uploads\/2020\/11\/English-Eight-Investments-That-Work-FINAL.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">ISPAH\u2019s mission to embed physical activity into healthcare and community settings<\/a>, we recognize that those engaged in supporting young people with obesity have an opportunity to help <a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1111\/obr.13642\" target=\"_blank\" rel=\"noreferrer noopener\">change the narrative<\/a>. We encourage healthcare professionals to not only <em>promote<\/em> physical activity in pediatric obesity treatment settings, but to do so in ways that are sensitive to stigma, equitable, and tailored to each child. In fact, <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5420445\/\" target=\"_blank\" rel=\"noreferrer noopener\">evidence<\/a> points to the value of framing messages around the benefits of physical activity <em>beyond<\/em> weight loss, with particular attention to developing confidence, strengthening social connections, identifying and overcoming barriers, and setting goals for daily movement. The aim is lifelong physical activity engagement; not participation tied to weight and\/or a time-specific treatment plan.&nbsp;<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"why-does-it-matter-1\">Why does it matter?<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.thelancet.com\/journals\/lanchi\/article\/PIIS2352-4642(19)30323-2\/fulltext\" target=\"_blank\" rel=\"noreferrer noopener\">Low rates of physical activity among youth<\/a>, alongside <a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/obesity-and-overweight\" target=\"_blank\" rel=\"noreferrer noopener\">rising rates of pediatric obesity<\/a>, highlight the importance of ensuring physical activity recommendations are a part of routine clinical care. Indeed, alongside the <em>physical<\/em> benefits of physical activity for young people with obesity are improvements in <a href=\"https:\/\/www.thelancet.com\/journals\/eclinm\/article\/PIIS2589-5370(25)00053-7\/fulltext\" target=\"_blank\" rel=\"noreferrer noopener\">mental health outcomes, quality of life, self-concept, and emotional functioning<\/a>. Despite this, there are <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S2666337623000768\" target=\"_blank\" rel=\"noreferrer noopener\">unique challenges<\/a> associated with engaging in regular physical activity for young people living in larger bodies.\u00a0\u00a0<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>What might reframing physical activity recommendations look like in pediatric obesity care?<\/strong>\u00a0<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Discuss physical activity in stigma-sensitive, supportive ways; use <a href=\"https:\/\/www.obesityaction.org\/action-through-advocacy\/weight-bias\/people-first-language\/\" target=\"_blank\" rel=\"noreferrer noopener\">people-first language<\/a> and avoid implying blame or \u2018poor choices\u2019 for insufficient physical activity\u00a0\u00a0<\/li>\n\n\n\n<li>Emphasize the benefits of physical activity that are <a href=\"https:\/\/www.mdpi.com\/1660-4601\/19\/9\/4981\" target=\"_blank\" rel=\"noreferrer noopener\"><em>pas<\/em> weight-related<\/a>\u00a0\u00a0<\/li>\n\n\n\n<li>Avoid overly simplistic \u201c<a href=\"https:\/\/obesitycanada.ca\/understanding-obesity\/\" target=\"_blank\" rel=\"noreferrer noopener\"><em>eat less and move more<\/em><\/a>\u201d recommendations\u00a0\u00a0<\/li>\n\n\n\n<li>Encourage <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7187637\/#:~:text=This%20review%20offers%20a%20theoretical,improve%20prevention%20and%20intervention%20efforts.\" target=\"_blank\" rel=\"noreferrer noopener\">social connection as a physical activity strategy<\/a> (e.g., a \u2018movement buddy\u2019 or family-based activities)\u00a0<\/li>\n\n\n\n<li>Ask about the child or adolescent\u2019s <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7012000\/#:~:text=They%20expressed%20sadness%20about%20not,expressed%20shame%20and%20self%2Dblame.\" target=\"_blank\" rel=\"noreferrer noopener\">lived experience<\/a> with movement (e.g., \u201c<em>Have there been activities where you felt comfortable or connected?<\/em>\u201d)\u00a0<\/li>\n\n\n\n<li>Work together to set physical activity goals that are meaningful to the child\/adolescent\u00a0<\/li>\n\n\n\n<li>Help youth and families problem-solve to reduce <a href=\"https:\/\/www.mdpi.com\/1660-4601\/18\/9\/4954\" target=\"_blank\" rel=\"noreferrer noopener\">environmental and social barriers<\/a> (e.g. transportation challenges, access to supportive and free-of-cost activity spaces)\u00a0<\/li>\n\n\n\n<li>Connect families with inclusive community-based physical activity opportunities\u00a0\u00a0<\/li>\n\n\n\n<li>Celebrate participation and consistency rather than intensity or weight loss\u00a0<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">This World Obesity Day, let\u2019s remember: <strong>physical activity supports the health and wellbeing of children and youth of <em>all <\/em>sizes<\/strong>. Whether in clinics, schools, or community programs, those who support young people with obesity play an important role in creating supportive, stigmafree environments where activity is framed not around weight loss, but around confidence, connection, enjoyment, and wellbeing.\u00a0<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"take-home-messages-3\">Messages \u00e0 emporter<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Physical activity benefits children and youth of all sizes<\/li>\n\n\n\n<li>Physical activity should be routinely included in pediatric obesity care, with an emphasis on its benefits beyond weight loss<\/li>\n\n\n\n<li>Recognizing that barriers, individual differences, and inequities can make physical activity challenging, it is our responsibility to help create supportive, accessible, and realistic opportunities that make regular participation possible for every child<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Auteur: : <\/strong>Dr Shauna M. Burke,<sup>1,2 <\/sup> Dr Marina Ybarra,<sup>1,2,3,4 <\/sup> Balraj Gill<sup>1<\/sup><\/p>\n\n\n\n<p class=\"has-x-small-font-size wp-block-paragraph\">1. Faculty of Health Sciences, Western University, London, Ontario, Canada&nbsp;<\/p>\n\n\n\n<p class=\"has-x-small-font-size wp-block-paragraph\">2. Children\u2019s Health Research Institute, London, Ontario, Canada&nbsp;<\/p>\n\n\n\n<p class=\"has-x-small-font-size wp-block-paragraph\">3. Children\u2019s Hospital, London Health Sciences Centre, London, Ontario, Canada&nbsp;<\/p>\n\n\n\n<p class=\"has-x-small-font-size wp-block-paragraph\">4. Department of Paediatrics, Schulich School of Medicine &amp; Dentistry, Western University, London, Ontario, Canada&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>Reframing physical activity in pediatric obesity care settings can improve treatment and lifelong participation\u00a0 Pediatric obesity is complex, shaped by biological, social, environmental, and psychological factors. Globally, the prevalence of children and adolescents with overweight and obesity is estimated to be 14.8% and 8.5%, respectively. There is a clear need for effective and equitable treatment [&hellip;]<\/p>\n","protected":false},"author":1154,"featured_media":35726,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jf_schedule_form":"","_jf_limit_responses":"","country-income-classification":"","slim_seo":{"title":"Pediatric Obesity Care and Physical Activity: Beyond the Scale\u00a0 - ISPAH","description":"Reframing physical activity in pediatric obesity care settings can improve treatment and lifelong participation \u00a0 Pediatric obesity is complex, shaped by biolog"},"_slim_seo_primary_term_category":0,"_slim_seo_primary_term_post_tag":0,"footnotes":""},"categories":[82,23,99],"tags":[115,437,438,339],"class_list":["post-35725","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-8-investments","category-blog","category-healthcare","tag-healthcare","tag-pediatric-obesity","tag-social-connectedness","tag-stigma"],"_links":{"self":[{"href":"https:\/\/ispah.tecology-hosting.co\/fr\/wp-json\/wp\/v2\/posts\/35725","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ispah.tecology-hosting.co\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ispah.tecology-hosting.co\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ispah.tecology-hosting.co\/fr\/wp-json\/wp\/v2\/users\/1154"}],"replies":[{"embeddable":true,"href":"https:\/\/ispah.tecology-hosting.co\/fr\/wp-json\/wp\/v2\/comments?post=35725"}],"version-history":[{"count":1,"href":"https:\/\/ispah.tecology-hosting.co\/fr\/wp-json\/wp\/v2\/posts\/35725\/revisions"}],"predecessor-version":[{"id":35727,"href":"https:\/\/ispah.tecology-hosting.co\/fr\/wp-json\/wp\/v2\/posts\/35725\/revisions\/35727"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ispah.tecology-hosting.co\/fr\/wp-json\/wp\/v2\/media\/35726"}],"wp:attachment":[{"href":"https:\/\/ispah.tecology-hosting.co\/fr\/wp-json\/wp\/v2\/media?parent=35725"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ispah.tecology-hosting.co\/fr\/wp-json\/wp\/v2\/categories?post=35725"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ispah.tecology-hosting.co\/fr\/wp-json\/wp\/v2\/tags?post=35725"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}