Table.

Strategies to Leverage Behavioral Economic Phenomena for Translating Pediatric Obesity Guidelines into Clinical Practice

Guideline	Typical Clinical Translation	Behavioral Economic Principle	Application	Example
Provide yearly anticipatory guidance for nutrition and physicalactivity	“Eat healthy and be active to prevent obesity and diabetes”	Present bias: immediate costs and benefits are weighted more heavilyrelative to future ones	Highlight short-term benefits of exercise and healthy eating	“Eating healthyand being active will help you keep up with your friends on the soccer field”
Children should engage in ≥60 min of physical activity each day	“One hour of physical activity per day is a good target”	Goal gradients: people are more motivated when they are closer to a goal	Create stepwise, individualized goals for patients	“Try to increase your activity goals by 10 minutes this week”
Children should eat vegetables, fruits, and whole grains; limit juice intake; and avoid saturated fat	“Eat 5 fruits and vegetables per day and avoid sugary drinks”	Choice overload: individualsavoid choices if presented too many options	Suggest serving healthy food options first	“Fill up half of your plate with fruits or vegetables”