2024
Improving access to first‐line treatment for pediatric obesity: Lessons from the dissemination of SmartMoves
Finn E, Keller C, Gowey M, Savoye M, Samuels S, Fleisch A, Rogers V, Grey M, Damschroder L, Beck A, Sharifi M. Improving access to first‐line treatment for pediatric obesity: Lessons from the dissemination of SmartMoves. Obesity 2024, 32: 1745-1756. PMID: 39192771, DOI: 10.1002/oby.24107.Peer-Reviewed Original ResearchConceptsConstant comparative methodInterviewed key informantsHealth behaviorsObesity programsSufficient staffingInsufficient staffingPediatric obesityFunding insecurityLifestyle treatmentImprove accessOrganizational prioritiesProgram componentsProgram fitPromote fidelityKey informantsUS sitesIncreased prevalenceAdequate fundingSurvey findingsStaffingParticipantsInterviewsCOVID-19 pandemicDominant barriersObesityCost‐effectiveness of a primary care‐based Healthy Weight Clinic compared with usual care
Sharifi M, Fiechtner L, Barrett J, O'Connor G, Perkins M, Reiner J, Luo M, Taveras E, Gortmaker S. Cost‐effectiveness of a primary care‐based Healthy Weight Clinic compared with usual care. Obesity 2024, 32: 1734-1744. PMID: 39192764, PMCID: PMC11361715, DOI: 10.1002/oby.24111.Peer-Reviewed Original ResearchConceptsHealthy weight clinicHealth care sectorObesity prevalenceIntervention costsCare sectorReducing obesity disparitiesNational implementationHealth care costsObesity disparitiesUsual careBMI changeCare costsFQHCsCost-effectiveSocietal perspectiveWhite populationHealthHealthyObesityQALYEstimated costInterventionClinicChildrenGreater reductionsA Narrative Review of Public Health Interventions for Childhood Obesity
Heerman W, Kenney E, Block J, Fiechtner L, McMahon E, Kruse L, Sharifi M, Edmondson E, Virudachalam S. A Narrative Review of Public Health Interventions for Childhood Obesity. Current Obesity Reports 2024, 13: 87-97. PMID: 38172483, DOI: 10.1007/s13679-023-00550-z.Peer-Reviewed Original ResearchPublic health interventionsChildhood obesityHealth interventionsNutrition Assistance ProgramNarrative reviewChild weight statusChildhood obesity ratesScientific evidenceChildhood obesity epidemicCommunity-wide interventionsFederal nutrition assistance programsBest scientific evidenceEarly careCommunity-based programsObesity interventionsWeight statusHigh prevalencePhysical activityObesity epidemicCurrent evidenceObesityObesity ratesPopulation levelHealthy nutritionIntervention
2023
Effect Measure Modification by Birth Weight on the Association Between Overweight or Obesity and Hypertension in Children and Adolescents
Nugent J, Lu Y, Deng Y, Sharifi M, Greenberg J. Effect Measure Modification by Birth Weight on the Association Between Overweight or Obesity and Hypertension in Children and Adolescents. JAMA Pediatrics 2023, 177: 735-737. PMID: 37155182, PMCID: PMC10167596, DOI: 10.1001/jamapediatrics.2023.0799.Peer-Reviewed Original ResearchClinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity
Hampl S, Hassink S, Skinner A, Armstrong S, Barlow S, Bolling C, Avila Edwards K, Eneli I, Hamre R, Joseph M, Lunsford D, Mendonca E, Michalsky M, Mirza N, Ochoa E, Sharifi M, Staiano A, Weedn A, Flinn S, Lindros J, Okechukwu K. Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity. 2023, 25-124. DOI: 10.1542/9781610027052-part01-clinical.Peer-Reviewed Original ResearchKey action statementsMost effective careClinical practice guidelinesTreatment of childrenExpert consensus recommendationsPractice guidelinesConsensus recommendationsEffective careMeticulous careObesityAction statementsCurrent literatureCareTreatmentChildrenGuidelinesSubcommittee membersAdolescentsAppropriate emphasisOverweightMonthsCost-Effectiveness and Long-Term Savings of the Bright Bodies Intervention for Childhood Obesity
Pryor S, Savoye M, Nowicka P, Price G, Sharifi M, Yaesoubi R. Cost-Effectiveness and Long-Term Savings of the Bright Bodies Intervention for Childhood Obesity. Value In Health 2023, 26: 1183-1191. PMID: 36967028, PMCID: PMC10518029, DOI: 10.1016/j.jval.2023.03.006.Peer-Reviewed Original ResearchConceptsBody mass indexClinical controlMedical Expenditure Panel Survey dataClinical weight managementHealth system perspectivePrevention growth chartsParticipants' body mass indexFamily-based interventionsMass indexChildhood obesityBMI trajectoriesWeight managementHealthcare costsPrimary analysisGrowth chartsObesityTrial dataDisease controlMedical expendituresBright bodiesHealthcare expendituresIncremental costIntervention costsBody interventionsChildrenClinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity.
Hampl S, Hassink S, Skinner A, Armstrong S, Barlow S, Bolling C, Avila Edwards K, Eneli I, Hamre R, Joseph M, Lunsford D, Mendonca E, Michalsky M, Mirza N, Ochoa E, Sharifi M, Staiano A, Weedn A, Flinn S, Lindros J, Okechukwu K. Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity. Pediatrics 2023, 151 PMID: 36622115, DOI: 10.1542/peds.2022-060640.Peer-Reviewed Original ResearchExecutive Summary: Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity.
Hampl S, Hassink S, Skinner A, Armstrong S, Barlow S, Bolling C, Avila Edwards K, Eneli I, Hamre R, Joseph M, Lunsford D, Mendonca E, Michalsky M, Mirza N, Ochoa E, Sharifi M, Staiano A, Weedn A, Flinn S, Lindros J, Okechukwu K. Executive Summary: Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity. Pediatrics 2023, 151 PMID: 36622135, DOI: 10.1542/peds.2022-060641.Peer-Reviewed Original Research
2022
Real‐world effectiveness of the Bright Bodies healthy lifestyle intervention for childhood obesity
Samuels S, Hu P, Maciejewski K, Li F, Dziura J, Savoye M, Sharifi M. Real‐world effectiveness of the Bright Bodies healthy lifestyle intervention for childhood obesity. Obesity 2022, 31: 203-213. PMID: 36502287, PMCID: PMC9780185, DOI: 10.1002/oby.23627.Peer-Reviewed Original ResearchConceptsPediatric weight management interventionsHealthy lifestyle interventionReal-world effectivenessWeight management interventionsLifestyle interventionChildhood obesityClinical effectivenessFemale sexInsurance categoriesBMIp95Mixed-effects modelsGreater reductionBMIBright bodiesInterventionSexParticipantsManagement interventionsObesityReal-world adaptationYearsTrials
2021
Changes in Weight-Related Health Behaviors and Social Determinants of Health among Youth with Overweight/Obesity during the COVID-19 Pandemic
Hu P, Samuels S, Maciejewski KR, Li F, Aloe C, Van Name M, Savoye M, Sharifi M. Changes in Weight-Related Health Behaviors and Social Determinants of Health among Youth with Overweight/Obesity during the COVID-19 Pandemic. Childhood Obesity 2021, 18: 369-382. PMID: 34919458, PMCID: PMC9492789, DOI: 10.1089/chi.2021.0196.Peer-Reviewed Original ResearchConceptsOverweight/obesityWeight-related health behaviorsHealth behaviorsSocial determinantsExact testObesity-related comorbiditiesCoronavirus disease 2019 (COVID-19) pandemicRecreational screen timeVigorous physical activityFisher's exact testMultivariable regression modelsDisease 2019 pandemicStress Scale scoresBehavior changeHigher caregiver stressPhysical activityFood insecurityScale scoreAdolescents 13Caregiver stressObesityScreen timePsychosocial stressorsMost mealsHealth disparitiesEquitable approaches to reducing the prevalence of pediatric obesity: school nutrition policies and beyond
Finn EB, Beck A, Sharifi M. Equitable approaches to reducing the prevalence of pediatric obesity: school nutrition policies and beyond. International Journal Of Obesity 2021, 45: 2289-2290. PMID: 34331000, PMCID: PMC8322633, DOI: 10.1038/s41366-021-00924-0.Commentaries, Editorials and LettersCharacteristics of achieving clinically important weight loss in two paediatric weight management interventions
Fiechtner L, Castro I, Cheng ER, Sharifi M, Gerber MW, Luo M, Goldmann D, Sandel M, Block J, Orav EJ, Taveras EM. Characteristics of achieving clinically important weight loss in two paediatric weight management interventions. Pediatric Obesity 2021, 16: e12784. PMID: 33734583, PMCID: PMC8355061, DOI: 10.1111/ijpo.12784.Peer-Reviewed Original ResearchConceptsPediatric weight management interventionsWeight management interventionsSevere obesityImportant weight lossSugary beveragesWeight lossBMI z-scoreLog-binomial regressionYears of ageHealth trialsMultivariable analysisLower BMILifestyle behaviorsAssociation of childAnalysis of childrenYounger ageZ-scoreObesityManagement interventionsLower likelihoodInterventionChildrenAgeBeveragesYears
2019
A resident-led project to improve documentation of overweight and obesity in a primary care clinic
Wang’ondu R, Vitale R, Rosenblum H, Pinto-Taylor E, Grossman M, Sharifi M, Gielissen K, Doolittle B. A resident-led project to improve documentation of overweight and obesity in a primary care clinic. Journal Of Community Hospital Internal Medicine Perspectives 2019, 9: 377-383. PMID: 31723380, PMCID: PMC6830187, DOI: 10.1080/20009666.2019.1681056.Peer-Reviewed Original ResearchOW/OBDocumentation of overweightElectronic health recordsPrimary care clinicsCare clinicsHospital primary care clinicHealth information technology toolsDiagnosis of overweightPrevalence of overweightMulti-faceted interventionQuality improvement projectStudy-Act cyclesPre-intervention dataBMI calculationDocumentation ratesObesity diagnosisOverweightDeveloped interventionsObesityTeam-based QI projectsTests of changeHealth recordsQI projectPhysiciansDiagnosisParent-Perceived Stress and Its Association With Children’s Weight and Obesity-Related Behaviors
Baskind MJ, Taveras EM, Gerber MW, Fiechtner L, Horan C, Sharifi M. Parent-Perceived Stress and Its Association With Children’s Weight and Obesity-Related Behaviors. Preventing Chronic Disease 2019, 16: e39. PMID: 30925139, PMCID: PMC6464048, DOI: 10.5888/pcd16.180368.Peer-Reviewed Original ResearchConceptsBody mass indexParent-perceived stressNon-Hispanic black childrenFast food consumptionChild body mass indexPhysical activity recommendationsDaily physical activity recommendationsMultivariable regression modelsObesity-related behaviorsRace/ethnicityBlack childrenAnnual household incomeMass indexPediatric populationObesity interventionsActivity recommendationsChild obesityChild weightPhysical activityObesityPsychosocial stressParent-reported stressChild's ageParents' perceived stressChildren
2018
Determinants of Binge Eating Symptoms in Children with Overweight/Obesity
Fiechtner L, Fonte ML, Castro I, Gerber M, Horan C, Sharifi M, Cena H, Taveras EM. Determinants of Binge Eating Symptoms in Children with Overweight/Obesity. Childhood Obesity 2018, 14: 510-517. PMID: 30153037, PMCID: PMC6249668, DOI: 10.1089/chi.2017.0311.Peer-Reviewed Original ResearchConceptsAbsence of hungerOverweight/obesityHigh prevalenceScreen timePrevalence ratiosGreater screen timeLong sleep durationDiagnosis of bingeBinge Eating SymptomsSevere obesityCommon symptomsPrimary careAssociation of childLow prevalenceSleep durationObesityMultivariate analysisSymptomsPrevalenceEating SymptomsEating DisordersBingeChildrenOne-thirdMultilevel determinantsCost-Effectiveness of a Clinical Childhood Obesity Intervention
Sharifi M, Franz C, Horan C, Giles C, Long M, Ward Z, Resch S, Marshall R, Gortmaker S, Taveras E. Cost-Effectiveness of a Clinical Childhood Obesity Intervention. 2018, 136-152. DOI: 10.1542/9781610022781-cost.Peer-Reviewed Original ResearchPrimary care providersChildhood obesity interventionsBehaviour change supportObesity interventionsObesity prevalenceCare providersPopulation-level prevention strategiesPediatric primary care providersCluster-randomized trialElectronic decision supportMaintenance of effectsElectronic health recordsUsual careChildhood obesityBMI unitsPediatric practiceObesityPrevention strategiesFunctional EHRPopulation reachClinical interventionsIntervention effectsNational implementationIntervention costsHealth recordsRationale and design of the Clinic and Community Approaches to Healthy Weight Randomized Trial
Fiechtner L, Perkins M, Biggs V, Langhans N, Sharifi M, O'Connor G, Price S, Locascio J, Kuhlthau K, Kwass JA, Nelson C, Land T, Longjohn M, Lawson V, Hohman K, Taveras EM. Rationale and design of the Clinic and Community Approaches to Healthy Weight Randomized Trial. Contemporary Clinical Trials 2018, 67: 16-22. PMID: 29330083, PMCID: PMC5871582, DOI: 10.1016/j.cct.2018.01.002.Peer-Reviewed Original ResearchConceptsPediatric weight management programBody mass indexWeight management programLow-income childrenHealth Insurance ProgramChildhood obesityQualified health centersTwo-arm trialChildren's Health Insurance ProgramMass indexRandomized trialsHealthy weightPrimary careEligible childrenHealth centersMAIN OUTCOMEComparative effectivenessObesityPercent changeCommunity settingsClinicOne-yearTrialsManagement programCommunity approach
2017
Cost-Effectiveness of a Clinical Childhood Obesity Intervention
Sharifi M, Franz C, Horan CM, Giles CM, Long MW, Ward ZJ, Resch SC, Marshall R, Gortmaker SL, Taveras EM. Cost-Effectiveness of a Clinical Childhood Obesity Intervention. Pediatrics 2017, 140: e20162998. PMID: 29089403, PMCID: PMC5654390, DOI: 10.1542/peds.2016-2998.Peer-Reviewed Original ResearchConceptsPrimary care providersChildhood obesity interventionsBehaviour change supportObesity interventionsObesity prevalenceCare providersPopulation-level prevention strategiesPediatric primary care providersCluster-randomized trialElectronic decision supportMaintenance of effectsElectronic health recordsUsual careChildhood obesityBMI unitsPediatric practiceObesityPrevention strategiesFunctional EHRPopulation reachClinical interventionsIntervention effectsNational implementationIntervention costsHealth recordsA Community Resource Map to Support Clinical–Community Linkages in a Randomized Controlled Trial of Childhood Obesity, Eastern Massachusetts, 2014–2016
Fiechtner L, Puente GC, Sharifi M, Block JP, Price S, Marshall R, Blossom J, Gerber MW, Taveras EM. A Community Resource Map to Support Clinical–Community Linkages in a Randomized Controlled Trial of Childhood Obesity, Eastern Massachusetts, 2014–2016. Preventing Chronic Disease 2017, 14: e53. PMID: 28682745, PMCID: PMC5510302, DOI: 10.5888/pcd14.160577.Peer-Reviewed Original ResearchConceptsChildhood obesityIntervention periodClinical-community linkagesCommunity resourcesParticipant familiesHealth care deliveryCommunity partnersLarge multi-specialty group practiceBehavior changeControlled TrialsMulti-specialty group practicePediatric practicePhysical activityHigh riskObesityCare deliveryFuture interventionsTrialsGroup practiceFitness centersAffordable activitiesHigh percentageChildrenFood shoppingStakeholder feedback
2016
Effects of Proximity to Supermarkets on a Randomized Trial Studying Interventions for Obesity
Fiechtner L, Kleinman K, Melly SJ, Sharifi M, Marshall R, Block J, Cheng ER, Taveras EM. Effects of Proximity to Supermarkets on a Randomized Trial Studying Interventions for Obesity. American Journal Of Public Health 2016, 106: 557-62. PMID: 26794159, PMCID: PMC4880218, DOI: 10.2105/ajph.2015.302986.Peer-Reviewed Original ResearchConceptsBMI z-scoreSugar-sweetened beverage intakeBody mass indexVegetable intakeZ-scoreObesity interventionsBeverage intakeClinician decision supportPractice-based interventionsMass indexWeight statusHealth coachingIntervention participantsClosest supermarketObesity trialsIntakeInterventionGreater improvementBehavior changeObesityTrials