Updating the Canadian clinical practice guideline for managing pediatric obesity: a protocol

Bradley C Johnston¹, Roah Merdad¹, Diana Sherifali¹, Maryam Kebbe¹, Catherine S Birken¹, Annick Buchholz¹, Long Ge¹, Nicole D Gehring¹, Stasia Hadjiyannakis¹, Jill Hamilton¹, Dawn Hatanaka¹, Mélanie Henderson¹, Tracy Lebel¹, Sarah A Moore¹, Katherine M Morrison¹, Ximena Ramos Salas¹, Meghan Sebastianski¹, Ian S Zenlea¹, Geoff D C Ball²

Affiliations

¹ Departments of Nutrition and of Epidemiology and Biostatistics (Johnston), Texas A&M University, College Station, Tex.; Department of Community Health and Epidemiology (Johnston, Merdad), Dalhousie University, Halifax, NS; School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Pennington Biomedical Research Center (Kebbe), Louisiana State University, Baton Rouge, La.; Department of Paediatrics (Birken, Hamilton), University of Toronto, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (Buchholz), Ottawa, Ont.; Department of Psychology (Buchholz), Carleton University, Ottawa, Ont.; Evidence-based Social Science Research Centre (Ge), School of Public Health, Lanzhou University, Lanzhou, China; School of Public Health (Gehring), University of Alberta, Edmonton, Alta.; Department of Pediatrics (Hadjiyannakis), Faculty of Medicine, University of Ottawa, Ottawa, Ont.; Obesity Canada (Hatanaka, Ramos Salas), Edmonton, Alta.; Department of Pediatrics (Henderson), Université de Montréal, Montréal, Que.; Centre de recherche du Centre hospitalier universitaire Sainte-Justine (Henderson), Montréal, Que.; Department of Social and Preventive Medicine (Henderson), School of Public Health, Université de Montréal, Montréal, Que.; patient and family partner (Lebel), Edmonton, Alta.; School of Health & Human Performance (Moore), Faculty of Health, Dalhousie University, Halifax, NS; Department of Pediatrics (Morrison), McMaster University, Hamilton, Ont.; Department of Pediatrics (Sebastianski, Ball), University of Alberta, Edmonton, Alta.; Institute for Better Health (Zenlea), Trillium Health Partners, Mississauga, Ont.
² Departments of Nutrition and of Epidemiology and Biostatistics (Johnston), Texas A&M University, College Station, Tex.; Department of Community Health and Epidemiology (Johnston, Merdad), Dalhousie University, Halifax, NS; School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Pennington Biomedical Research Center (Kebbe), Louisiana State University, Baton Rouge, La.; Department of Paediatrics (Birken, Hamilton), University of Toronto, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (Buchholz), Ottawa, Ont.; Department of Psychology (Buchholz), Carleton University, Ottawa, Ont.; Evidence-based Social Science Research Centre (Ge), School of Public Health, Lanzhou University, Lanzhou, China; School of Public Health (Gehring), University of Alberta, Edmonton, Alta.; Department of Pediatrics (Hadjiyannakis), Faculty of Medicine, University of Ottawa, Ottawa, Ont.; Obesity Canada (Hatanaka, Ramos Salas), Edmonton, Alta.; Department of Pediatrics (Henderson), Université de Montréal, Montréal, Que.; Centre de recherche du Centre hospitalier universitaire Sainte-Justine (Henderson), Montréal, Que.; Department of Social and Preventive Medicine (Henderson), School of Public Health, Université de Montréal, Montréal, Que.; patient and family partner (Lebel), Edmonton, Alta.; School of Health & Human Performance (Moore), Faculty of Health, Dalhousie University, Halifax, NS; Department of Pediatrics (Morrison), McMaster University, Hamilton, Ont.; Department of Pediatrics (Sebastianski, Ball), University of Alberta, Edmonton, Alta.; Institute for Better Health (Zenlea), Trillium Health Partners, Mississauga, Ont. gdball@ualberta.ca.

PMID: 35232814
PMCID: PMC8896489
DOI: 10.9778/cmajo.20200289

Updating the Canadian clinical practice guideline for managing pediatric obesity: a protocol

Bradley C Johnston et al. CMAJ Open. 2022.

. 2022 Mar 1;10(1):E155-E164.

doi: 10.9778/cmajo.20200289. Print 2022 Jan-Mar.

Authors

Affiliations

¹ Departments of Nutrition and of Epidemiology and Biostatistics (Johnston), Texas A&M University, College Station, Tex.; Department of Community Health and Epidemiology (Johnston, Merdad), Dalhousie University, Halifax, NS; School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Pennington Biomedical Research Center (Kebbe), Louisiana State University, Baton Rouge, La.; Department of Paediatrics (Birken, Hamilton), University of Toronto, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (Buchholz), Ottawa, Ont.; Department of Psychology (Buchholz), Carleton University, Ottawa, Ont.; Evidence-based Social Science Research Centre (Ge), School of Public Health, Lanzhou University, Lanzhou, China; School of Public Health (Gehring), University of Alberta, Edmonton, Alta.; Department of Pediatrics (Hadjiyannakis), Faculty of Medicine, University of Ottawa, Ottawa, Ont.; Obesity Canada (Hatanaka, Ramos Salas), Edmonton, Alta.; Department of Pediatrics (Henderson), Université de Montréal, Montréal, Que.; Centre de recherche du Centre hospitalier universitaire Sainte-Justine (Henderson), Montréal, Que.; Department of Social and Preventive Medicine (Henderson), School of Public Health, Université de Montréal, Montréal, Que.; patient and family partner (Lebel), Edmonton, Alta.; School of Health & Human Performance (Moore), Faculty of Health, Dalhousie University, Halifax, NS; Department of Pediatrics (Morrison), McMaster University, Hamilton, Ont.; Department of Pediatrics (Sebastianski, Ball), University of Alberta, Edmonton, Alta.; Institute for Better Health (Zenlea), Trillium Health Partners, Mississauga, Ont.
² Departments of Nutrition and of Epidemiology and Biostatistics (Johnston), Texas A&M University, College Station, Tex.; Department of Community Health and Epidemiology (Johnston, Merdad), Dalhousie University, Halifax, NS; School of Nursing (Sherifali), McMaster University, Hamilton, Ont.; Pennington Biomedical Research Center (Kebbe), Louisiana State University, Baton Rouge, La.; Department of Paediatrics (Birken, Hamilton), University of Toronto, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (Buchholz), Ottawa, Ont.; Department of Psychology (Buchholz), Carleton University, Ottawa, Ont.; Evidence-based Social Science Research Centre (Ge), School of Public Health, Lanzhou University, Lanzhou, China; School of Public Health (Gehring), University of Alberta, Edmonton, Alta.; Department of Pediatrics (Hadjiyannakis), Faculty of Medicine, University of Ottawa, Ottawa, Ont.; Obesity Canada (Hatanaka, Ramos Salas), Edmonton, Alta.; Department of Pediatrics (Henderson), Université de Montréal, Montréal, Que.; Centre de recherche du Centre hospitalier universitaire Sainte-Justine (Henderson), Montréal, Que.; Department of Social and Preventive Medicine (Henderson), School of Public Health, Université de Montréal, Montréal, Que.; patient and family partner (Lebel), Edmonton, Alta.; School of Health & Human Performance (Moore), Faculty of Health, Dalhousie University, Halifax, NS; Department of Pediatrics (Morrison), McMaster University, Hamilton, Ont.; Department of Pediatrics (Sebastianski, Ball), University of Alberta, Edmonton, Alta.; Institute for Better Health (Zenlea), Trillium Health Partners, Mississauga, Ont. gdball@ualberta.ca.

PMID: 35232814
PMCID: PMC8896489
DOI: 10.9778/cmajo.20200289

Abstract

Background: Since the first national guideline for managing obesity in adults and children in Canada was published in 2007, new evidence has emerged and guideline standards have evolved. Our purpose is to describe the protocol used to update the Canadian clinical practice guideline for managing pediatric obesity.

Methods: This guideline will update the pediatric components of the 2007 Canadian clinical practice guideline for the management of obesity. In partnership with Obesity Canada, we began preliminary work in 2019; activities are scheduled for completion in 2022. The guideline will follow standards developed by the National Academy of Medicine and the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) working group. Guideline development will be informed by 5 complementary literature reviews: a scoping review that focuses on clinical assessment in pediatric obesity management and 4 systematic reviews to synthesize evidence regarding families' values and preferences as well as the safety and effectiveness of interventions (psychological and behavioural; pharmacotherapeutic; and surgical). We will use standard systematic review methodology, including summarizing and assessing the certainty of evidence and determining the strength of recommendations. Competing interests will be managed proactively according to recommendations from the Guidelines International Network. Diverse stakeholders, including families and clinicians, will be engaged throughout guideline development.

Interpretation: The guideline will support Canadian families and clinicians to make informed, value-sensitive and evidence-based clinical decisions related to managing pediatric obesity. The guideline and accompanying resources for end-users will be published in English and French, and we will partner with Obesity Canada to optimize dissemination using integrated and end-of-project knowledge translation.

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Conflict of interest statement

Competing interests: Bradley Johnston is a GRADE working group member and has received a grant from Texas A&M AgriLife Research to fund investigator-initiated research related to saturated and polyunsaturated fats. The grant was from Texas A&M AgriLife institutional funds from interest and investment earnings, not a sponsoring organization, industry or company. Diana Sherifali has worked as a consultant for Obesity Canada and received travel support to attend a meeting with the World Heart Federation. Catherine Birken has received research funding from the Canadian Institutes of Health Research; the Heart and Stroke Foundation of Canada; Physician Services, Inc.; the Leong Centre, University of Toronto and Hospital for Sick Children; the Centre for Addiction and Mental Health; and a Walmart community grant through the SickKids Foundation. Jill Hamilton has received research funding from Mead Johnson, Levo Therapeutics and the Heart and Stroke Foundation of Canada. She received an honorarium from Pfizer Canada for a sponsored lecture on Prader–Willi Syndrome and participated as a member of the Novo Nordisk Canada national advisory board on pediatric obesity. Dawn Hatanaka is employed by Obesity Canada, which contributed in-kind resources to support this project. Mélanie Henderson holds a Fonds de la recherche du Québec — Santé (FRQS) Junior 2 Clinical Research Scholar Award. She is a member of Canada’s Children’s Hospitals Foundations (CCHF) and the Sun Life Child and Youth Type 2 Diabetes Prevention initiative. She also sits on the Comité scientifique sur la prévention de l’obésité of the Institut national de santé publique du Québec and the Groupe de consultation de la prise en charge de l’obésité chez l’enfant et l’adolescent and Comité consultatif québécois en médecine bariatrique of the Quebec Ministry of Health (no financial support). She holds research funding from the Canadian Institutes of Health Research, the Quebec Cardiometabolic Health, Diabetes and Obesity Research Network and the Quebec Network on Nursing Intervention Research, Diabète Québec, as well as through the CCHF–Sun Life initiative. Sarah Moore has received research funding from the Michael Smith Foundation for Health Research, the Natural Sciences and Engineering Research Council of Canada and the Kids Brain Health Network. She currently holds startup research funding from the Faculty of Health at Dalhousie University. Katherine Morrison has received consulting fees from Novo Nordisk Canada and research funding from the Canadian Institutes of Health Research. Ximena Ramos Salas has received consulting fees from Obesity Canada, the European Association for the Study of Obesity and the World Health Organization Regional Office for Europe. She has also received research funding from the Canadian Institutes of Health Research. Ian Zenlea has received an honorarium from Novo Nordisk Canada for participating as a member of the pediatric obesity national advisory board and for participating in a meeting to discuss diagnostic approaches to short stature in Canada, as well as an honorarium from Abbott Diabetes Care for participating as a member of a national advisory board. He has also received speaker fees from the Ontario Association of Social Workers. He has received research funding from the Canadian Institutes of Health Research, the University of Toronto, the Social Sciences and Humanities Research Council of Canada, the Medical Psychiatry Alliance and the Regional Municipality of Peel. He is co-chair of the Ontario Paediatric Bariatric Network. Geoff Ball has received support from Novo Nordisk Canada for participating as a member of the pediatric obesity national advisory board, in-kind resources from Obesity Canada, research and administrative support from Alberta Health Services (AHS; AHS Chair in Obesity Research) and research funding from the Canadian Institutes of Health Research, Alberta Innovates, the AHS Strategic Clinical Network (Maternal, Newborn, Child & Youth), the Public Health Agency of Canada and the Women and Children’s Health Research Institute of the University of Alberta. No other competing interests were declared.

References

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Updating the Canadian clinical practice guideline for managing pediatric obesity: a protocol

Affiliations

Updating the Canadian clinical practice guideline for managing pediatric obesity: a protocol

Authors

Affiliations

Abstract

Conflict of interest statement

References

MeSH terms

LinkOut - more resources

Full Text Sources