Sarah Commisso Armstrong

Sarah Commisso Armstrong
Professor of Pediatrics

Dr. Armstrong's clinical and research interests include pediatric nutrition and the treatment of childhood and adolescent obesity, along with related health problems. As director of the Duke Children's Healthy Lifestyles Program, Dr. Armstrong oversees a cohort of over 3000 overweight children and teenagers. She is a member of the Executive Committee for the American Academy of Pediatrics Section on Obesity. Dr. Armstrong's research focuses on leveraging innovative strategies to improve children's nutrition and activity, including mobile health interventions, community partnerships, and medication or surgical approaches.

Current Research Interests

Community Engaged Research
Child and Adolescent Obesity
Food Insecurity

Office Hours

Monday - Friday 8am - 5pm

Current Appointments & Affiliations

Professor of Pediatrics, Pediatrics, General Pediatrics and Adolescent Health, Pediatrics 2021
Chief, Division of General Pediatrics and Adolescent Health, Pediatrics, General Pediatrics and Adolescent Health, Pediatrics 2021
Professor in Population Health Sciences, Population Health Sciences, Basic Science Departments 2020
Professor in the Department of Family Medicine and Community Health, Family Medicine and Community Health, Community Health, Family Medicine and Community Health 2020
Affiliate, Duke Global Health Institute, Duke Global Health Institute, University Institutes and Centers 2016
Member of the Duke Clinical Research Institute, Duke Clinical Research Institute, Institutes and Centers 2017

Contact Information

3116 N Duke Street, Durham, NC 27704
Box 3675 Med Ctr, Durham, NC 27710
sarah.c.armstrong@duke.edu (919) 620-5374
Duke Center for Childhood Obesity Research page
Fit Together Study Website
Twitter account

Background
Education, Training, & Certifications
- Pediatric Internship & Residency, Pediatrics, Children's Hospital of Philadelphia 2000 - 2003
- M.D., University of Virginia 2000
Medical Licensure
- 2006-0129. North Carolina. 2022
Previous Appointments & Affiliations
- Professor of Pediatrics, Pediatrics, General Pediatrics and Adolescent Health, Pediatrics 2019 - 2020
- Professor in Population Health Sciences, Population Health Sciences, Basic Science Departments 2019 - 2020
- Professor in the Department of Family Medicine and Community Health, Family Medicine and Community Health, Community Health, Family Medicine and Community Health 2019 - 2020
- Associate Professor in the Department of Family Medicine and Community Health, Family Medicine and Community Health, Community Health, Family Medicine and Community Health 2014 - 2019
- Associate Professor of Pediatrics, Pediatrics, General Pediatrics and Adolescent Health, Pediatrics 2014 - 2019
- Associate Professor Track V in Population Health Sciences, Population Health Sciences, Basic Science Departments 2018 - 2019
- Assistant Professor of Pediatrics, Pediatrics, General Pediatrics and Adolescent Health, Pediatrics 2010 - 2014
- Medical Instructor in the Department of Pediatrics, Pediatrics, General Pediatrics and Adolescent Health, Pediatrics 2006 - 2010
Leadership & Clinical Positions at Duke
- Division Chief, General Pediatrics and Adolescent Health
  Director, Duke Children's Healthy Lifestyles Program
  Co-Director, Duke Center for Childhood Obesity Research
  Co-Medical Director, Duke Research at Pickett Road
Academic Positions Outside Duke
- Chair, Section on Obesity, American Academy of Pediatrics. 2020 - 2023
- Executive Council Member, Society for Pediatric Research. 2018 - 2021
- Executive Committee, Section on Obesity, American Academy of Pediatrics. 2015 - 2022
- Co-Director, Research Scholars Program, Academic Pediatric Association. 2012 - 2020
Recognition
In the News
- MAR 28, 2023 School of Medicine Magnify
  
  The Case of the Mysterious $11 Million Benefactor
- JUN 17, 2021 Bass Connections
  
  Is Health in Durham Connected to Access to Local Parks?
- JUN 1, 2021 School of Medicine Magnify
  
  Asking New Questions in the Fight Against Childhood Obesity
- FEB 9, 2021
  
  Duke Scholars on Challenges to K-12 Education in the Pandemic
- FEB 26, 2018
  
  Newest Data Shows Childhood Obesity Continues to Increase
- APR 26, 2016 Duke Today
  
  Despite Efforts, Child Obesity Remains on the Rise
Expertise
Subject Headings
- Obesity in children
Research
Selected Grants
- Using DNA sequencing to assess dietary species richness awarded by National Institutes of Health 2022 - 2026
- Parks & Pediatrics Fit Together: Translating knowledge into action for child obesity treatment in partnership with Parks and Recreation awarded by National Institutes of Health 2020 - 2025
- Addressing disparities to improve childhood obesity treatment awarded by American Heart Association 2022 - 2025
- Serotonin as a Novel Biomarker for Progression to Type 2 Diabetes in Obese Adolescents awarded by National Institutes of Health 2018 - 2023
- A comprehensive research resource to define mechanisms underlying microbial regulation of host metabolism in pediatric obesity and obesity-targeted therapeutics awarded by National Institutes of Health 2016 - 2022
- CODI 2.0 awarded by Mitre Corporation 2020 - 2022
- ARCHES awarded by FirstHealth of the Carolinas, Inc. 2018 - 2019
- A Randomized Trial of An Integrated Clinical-Community Partnership Model For Childhood Obesity Treatment awarded by University of North Carolina - Chapel Hill 2016
- Healthy Families, Healthy Communities, Healthy Tomorrows awarded by American Academy of Pediatrics 2016
- Healthy Communities: a cross-community collaborative to identify obese, low-income children without a medical home awarded by American Academy of Pediatrics 2015
- From Clinic to Community: Transforming the Duke Pediatric Residency Program to Improve Care for Underserved Children awarded by American Academy of Pediatrics 2011 - 2013
External Relationships
- American Academy of Pediatrics
- Duke NUS Graduate Medical School
Publications & Artistic Works
Selected Publications
- Books
  - Kopelman, P. G., I. D. Caterson, W. H. Dietz, S. Armstrong, A. N. Sweeting, and J. P. H. Wilding. Clinical Obesity in Adults and Children, 4th Edition, 2022. https://doi.org/10.1002/9781119695257.
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- Academic Articles
  - D’Agostino, Emily M., Sue Zhang, Sophia E. Day, Kevin J. Konty, Sarah Armstrong, Asheley Skinner, and Cody D. Neshteruk. “The longitudinal association between asthma severity and physical fitness among new York City public school youth.” Prev Med 170 (May 2023): 107486. https://doi.org/10.1016/j.ypmed.2023.107486.
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  - Sable, Craig, Jennifer S. Li, Martin Tristani-Firouzi, Angela Fagerlin, Robert M. Silver, Mark Yandel, H Joseph Yost, et al. “American Heart Association's Children's Strategically Focused Research Network Experience.” J Am Heart Assoc 12, no. 7 (April 4, 2023): e028356. https://doi.org/10.1161/JAHA.122.028356.
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  - D’Agostino, Emily M., Sophia E. Day, Kevin J. Konty, Sarah C. Armstrong, Asheley C. Skinner, and Cody D. Neshteruk. “Longitudinal Association between Weight Status, Aerobic Capacity, Muscular Strength, and Endurance among New York City Youth, 2010-2017.” Child Obes 19, no. 3 (April 2023): 203–12. https://doi.org/10.1089/chi.2022.0034.
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  - Neshteruk, Cody D., Asheley C. Skinner, Julie Counts, Emily M. D’Agostino, Leah Frerichs, Janna Howard, Mary Story, and Sarah C. Armstrong. “Translating knowledge into action for child obesity treatment in partnership with Parks and Recreation: study protocol for a hybrid type II trial.” Implement Sci 18, no. 1 (February 24, 2023): 6. https://doi.org/10.1186/s13012-023-01264-5.
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  - Wood, Charles T., Tracy Truong, Asheley C. Skinner, Sarah C. Armstrong, Eliana M. Perrin, Jessica G. Woo, and Cynthia L. Green. “Timing and Magnitude of Peak Body Mass Index and Peak Weight Velocity in Infancy Predict Body Mass Index at 2 Years in a Retrospective Cohort of Electronic Health Record Data.” J Pediatr, February 22, 2023. https://doi.org/10.1016/j.jpeds.2023.01.021.
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  - Neshteruk, Cody D., Sophia E. Day, Kevin J. Konty, Sarah C. Armstrong, Asheley C. Skinner, and Emily M. D’Agostino. “Severe obesity and fitness in New York City public school youth, 2010-2018.” Bmc Public Health 23, no. 1 (February 16, 2023): 345. https://doi.org/10.1186/s12889-023-15267-w.
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  - Hampl, Sarah E., Sandra G. Hassink, Asheley C. Skinner, Sarah C. Armstrong, Sarah E. Barlow, Christopher F. Bolling, Kimberly C. Avila Edwards, et al. “Executive Summary: Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity.” Pediatrics 151, no. 2 (February 1, 2023). https://doi.org/10.1542/peds.2022-060641.
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  - Hampl, Sarah E., Sandra G. Hassink, Asheley C. Skinner, Sarah C. Armstrong, Sarah E. Barlow, Christopher F. Bolling, Kimberly C. Avila Edwards, et al. “Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity.” Pediatrics 151, no. 2 (February 1, 2023). https://doi.org/10.1542/peds.2022-060640.
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  - Skinner, Asheley C., Amanda E. Staiano, Sarah C. Armstrong, Shari L. Barkin, Sandra G. Hassink, Jennifer E. Moore, Jennifer S. Savage, et al. “Appraisal of Clinical Care Practices for Child Obesity Treatment. Part I: Interventions.” Pediatrics 151, no. 2 (February 1, 2023). https://doi.org/10.1542/peds.2022-060642.
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  - Skinner, Asheley C., Amanda E. Staiano, Sarah C. Armstrong, Shari L. Barkin, Sandra G. Hassink, Jennifer E. Moore, Jennifer S. Savage, et al. “Appraisal of Clinical Care Practices for Child Obesity Treatment. Part II: Comorbidities.” Pediatrics 151, no. 2 (February 1, 2023). https://doi.org/10.1542/peds.2022-060643.
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  - Gumus Balikcioglu, Pinar, Catherine Jachthuber Trub, Metin Balikcioglu, Olga Ilkayeva, Phillip J. White, Michael Muehlbauer, James R. Bain, Sarah Armstrong, and Michael Freemark. “Branched-chain α-keto acids and glutamate/glutamine: Biomarkers of insulin resistance in childhood obesity.” Endocrinology, Diabetes & Metabolism 6, no. 1 (January 2023): e388. https://doi.org/10.1002/edm2.388.
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  - Giessner, Stephanie, Megan E. Ramaker, Kathryn Blew, Matthew L. Crawford, Russell P. Grant, James R. Bain, Michael Muehlbauer, et al. “Disrupted Circadian Rhythm of Epinephrine in Males With Youth-Onset Type 2 Diabetes.” J Endocr Soc 7, no. 2 (December 15, 2022): bvac190. https://doi.org/10.1210/jendso/bvac190.
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  - Neshteruk, Cody D., Katherine Norman, Sarah C. Armstrong, Rushina Cholera, Emily D’Agostino, and Asheley C. Skinner. “Association between parenthood and cardiovascular disease risk: Analysis from NHANES 2011-2016.” Prev Med Rep 27 (June 2022): 101820. https://doi.org/10.1016/j.pmedr.2022.101820.
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  - Suarez, Lilianna, Asheley C. Skinner, Tracy Truong, Jessica R. McCann, John F. Rawls, Patrick C. Seed, and Sarah C. Armstrong. “Advanced Obesity Treatment Selection among Adolescents in a Pediatric Weight Management Program.” Child Obes 18, no. 4 (June 2022): 237–45. https://doi.org/10.1089/chi.2021.0190.
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  - King, Raymond J., Dawn M. Heisey-Grove, Nedra Garrett, Kenneth A. Scott, Matthew F. Daley, Matthew A. Haemer, Pradeep Podila, et al. “The Childhood Obesity Data Initiative: A Case Study in Implementing Clinical-Community Infrastructure Enhancements to Support Health Services Research and Public Health.” J Public Health Manag Pract 28, no. 2 (March 2022): E430–40. https://doi.org/10.1097/PHH.0000000000001419.
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  - Zimmerman, Kanecia O., Jennifer L. Goldman, Jennifer E. Schuster, Atenas Mena, Margo Quiriconi, Sabrina M. Butteris, Shawn Koval, et al. “Building a National Framework to Pair Scientists and Schools During a Global Pandemic.” Pediatrics 149, no. Suppl 2 (February 1, 2022). https://doi.org/10.1542/peds.2021-054268D.
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  - Alexander, Emily, Asheley Skinner, Kiah Gaskin, Jason Jones, Charlene Wong, Callan Loflin, Rachel Fleming, Janna Howard, Sarah Armstrong, and Cody Neshteruk. “A Mixed-Methods Examination of Referral Processes to Clinic-Community Partnership Programs for the Treatment of Childhood Obesity.” Child Obes 17, no. 8 (December 2021): 516–24. https://doi.org/10.1089/chi.2020.0361.
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  - Granados, Isa, Elizabeth L. Haderer, Emily M. D’Agostino, Cody D. Neshteruk, Sarah C. Armstrong, and Asheley C. Skinner. “The Association Between Neighborhood Public Transportation Usage and Youth Physical Activity.” Am J Prev Med 61, no. 5 (November 2021): 733–37. https://doi.org/10.1016/j.amepre.2021.04.035.
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  - Zimmerman, Kanecia O., M Alan Brookhart, Ibukunoluwa C. Kalu, Angelique E. Boutzoukas, Kathleen A. McGann, Michael J. Smith, Gabriela M. Maradiaga Panayotti, et al. “Community SARS-CoV-2 Surge and Within-School Transmission.” Pediatrics 148, no. 4 (October 2021). https://doi.org/10.1542/peds.2021-052686.
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  - Neshteruk, Cody D., Alexandra Zizzi, Lilianna Suarez, Elizabeth Erickson, William E. Kraus, Jennifer S. Li, Asheley C. Skinner, Mary Story, Nancy Zucker, and Sarah C. Armstrong. “Weight-Related Behaviors of Children with Obesity during the COVID-19 Pandemic.” Child Obes 17, no. 6 (September 2021): 371–78. https://doi.org/10.1089/chi.2021.0038.
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  - D’Agostino, Emily M., Sarah C. Armstrong, Emily P. Alexander, Truls Østbye, Cody D. Neshteruk, and Asheley C. Skinner. “Predictors and Patterns of Physical Activity From Transportation Among United States Youth, 2007-2016.” J Adolesc Health 69, no. 2 (August 2021): 263–71. https://doi.org/10.1016/j.jadohealth.2021.03.028.
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  - Steinberger, Allie E., Linda M. Youngwirth, Se Eun Kim, Naomi N. Duke, Asheley Skinner, Alexander Gordee, Maragatha Kuchibhatla, Sarah Armstrong, and Keri A. Seymour. “Adolescent Bariatric Surgery: Racial Disparities in 30-Day Outcomes Using the MBSAQIP from 2015 to 2018.” Obes Surg 31, no. 8 (August 2021): 3776–85. https://doi.org/10.1007/s11695-021-05500-z.
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  - Jachthuber Trub, Catherine, Metin Balikcioglu, Michael Freemark, James Bain, Michael Muehlbauer, Olga Ilkayeva, Phillip J. White, et al. “Impact of lifestyle Intervention on branched-chain amino acid catabolism and insulin sensitivity in adolescents with obesity.” Endocrinol Diabetes Metab 4, no. 3 (July 2021): e00250. https://doi.org/10.1002/edm2.250.
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  - Newsome, Faith A., Abhaya Dilip, Sarah C. Armstrong, Ramzi G. Salloum, and Michelle I. Cardel. “Scaling-Up Stage 4 Pediatric Obesity Clinics: Identifying Barriers and Future Directions Using Implementation Science.” Obesity (Silver Spring) 29, no. 6 (June 2021): 941–43. https://doi.org/10.1002/oby.23162.
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  - Becken, Bradford, Lauren Davey, Dustin R. Middleton, Katherine D. Mueller, Agastya Sharma, Zachary C. Holmes, Eric Dallow, et al. “Genotypic and Phenotypic Diversity among Human Isolates of Akkermansia muciniphila.” Mbio 12, no. 3 (May 18, 2021). https://doi.org/10.1128/mBio.00478-21.
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  - Zewdie, Hiwot, Amy Y. Zhao, Hersila H. Patel, Eric Hansen, Sarah E. Messiah, Sarah C. Armstrong, Asheley C. Skinner, Cody D. Neshteruk, J Aaron Hipp, and Emily M. D’Agostino. “The association between neighborhood quality, youth physical fitness, and modifiable cardiovascular disease risk factors.” Ann Epidemiol 57 (May 2021): 30–39. https://doi.org/10.1016/j.annepidem.2021.02.004.
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  - D’Agostino, Emily M., Sarah C. Armstrong, Lisa Humphreys, Stacey Coffman, Gordon Sinclair, Sallie R. Permar, and Ibukunoluwa C. Akinboyo. “Symptomatic SARS-CoV-2 Transmission in Youth and Staff Attending Day Camps.” Pediatrics 147, no. 4 (April 2021). https://doi.org/10.1542/peds.2020-042416.
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  - Freeman, Sarah, Thuy-Vi Nguyen, Jessica Beliveau, Richard J. Chung, Sarah Armstrong, Cameron Wolfe, Rushina Cholera, and Charlene A. Wong. “COVID-19 Response Strategies at Large Institutes of Higher Education in the United States: A Landscape Analysis, Fall 2020.” J Adolesc Health 68, no. 4 (April 2021): 683–85. https://doi.org/10.1016/j.jadohealth.2021.01.016.
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  - Zimmerman, Kanecia O., Ibukunoluwa C. Akinboyo, M Alan Brookhart, Angelique E. Boutzoukas, Kathleen A. McGann, Michael J. Smith, Gabriela Maradiaga Panayotti, et al. “Incidence and Secondary Transmission of SARS-CoV-2 Infections in Schools.” Pediatrics 147, no. 4 (April 2021). https://doi.org/10.1542/peds.2020-048090.
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  - Kyle, Theodore K., and Sarah Armstrong. “Is It Time to Remove BMI Screening from School Settings?” Child Obes 17, no. 2 (March 2021): 77–78. https://doi.org/10.1089/chi.2021.29011.editorial.
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  - McCann, Jessica R., Nathan A. Bihlmeyer, Kimberly Roche, Cameron Catherine, Jayanth Jawahar, Lydia Coulter Kwee, Noelle E. Younge, et al. “The Pediatric Obesity Microbiome and Metabolism Study (POMMS): Methods, Baseline Data, and Early Insights.” Obesity (Silver Spring) 29, no. 3 (March 2021): 569–78. https://doi.org/10.1002/oby.23081.
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  - Skelton, Joseph A., Susan J. Woolford, Asheley Skinner, Sarah E. Barlow, Sarah E. Hampl, Suzanne Lazorick, and Sarah Armstrong. “Weight Management without Stigma or Harm: A Roundtable Discussion with Childhood Obesity Experts.” Child Obes 17, no. 2 (March 2021): 79–85. https://doi.org/10.1089/chi.2021.29010.roundtable.
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  - Sriram, Karishma, Hillary S. Mulder, Heather R. Frank, Taruni S. Santanam, Asheley C. Skinner, Eliana M. Perrin, Sarah C. Armstrong, Eric D. Peterson, Michael J. Pencina, and Charlene A. Wong. “The Dose-Response Relationship Between Physical Activity and Cardiometabolic Health in Adolescents.” Am J Prev Med 60, no. 1 (January 2021): 95–103. https://doi.org/10.1016/j.amepre.2020.06.027.
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  - Pasquale, Ellen, Cody D. Neshteruk, Janna Howard, Asheley C. Skinner, Mary Story, Leah M. Frerichs, and Sarah C. Armstrong. “An Integrated Clinic-Community Model to Treat Childhood Obesity: Revisiting 2 Years Later.” Clin Pediatr (Phila) 59, no. 12 (October 2020): 1092–96. https://doi.org/10.1177/0009922820930368.
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  - Holmes, Zachary C., Justin D. Silverman, Holly K. Dressman, Zhengzheng Wei, Eric P. Dallow, Sarah C. Armstrong, Patrick C. Seed, John F. Rawls, and Lawrence A. David. “Short-Chain Fatty Acid Production by Gut Microbiota from Children with Obesity Differs According to Prebiotic Choice and Bacterial Community Composition.” Mbio 11, no. 4 (August 11, 2020). https://doi.org/10.1128/mBio.00914-20.
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  - Armstrong, Sarah, Jennifer S. Li, and Asheley C. Skinner. “Flattening the (BMI) Curve: Timing of Child Obesity Onset and Cardiovascular Risk.” Pediatrics 146, no. 2 (August 2020). https://doi.org/10.1542/peds.2020-1353.
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  - Frank, Heather R., Hillary Mulder, Karishma Sriram, Taruni S. Santanam, Asheley C. Skinner, Eliana M. Perrin, Sarah C. Armstrong, Eric D. Peterson, Michael Pencina, and Charlene A. Wong. “The Dose-Response Relationship Between Physical Activity and Cardiometabolic Health in Young Adults.” J Adolesc Health 67, no. 2 (August 2020): 201–8. https://doi.org/10.1016/j.jadohealth.2020.04.021.
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  - Armstrong, Sarah C., McAllister Windom, Nathan A. Bihlmeyer, Jennifer S. Li, Svati H. Shah, Mary Story, Nancy Zucker, et al. “Rationale and design of "Hearts & Parks": study protocol for a pragmatic randomized clinical trial of an integrated clinic-community intervention to treat pediatric obesity.” Bmc Pediatr 20, no. 1 (June 26, 2020): 308. https://doi.org/10.1186/s12887-020-02190-x.
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  - White, Michelle J., Sarah C. Armstrong, Melissa C. Kay, Eliana M. Perrin, and Asheley Skinner. “Associations between milk fat content and obesity, 1999 to 2016.” Pediatr Obes 15, no. 5 (May 2020): e12612. https://doi.org/10.1111/ijpo.12612.
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  - Lobelo, Felipe, Natalie D. Muth, Sara Hanson, Blaise A. Nemeth, Blaise A. COUNCIL ON SPORTS MEDICINE AND FITNESS, and Blaise A. SECTION ON OBESITY. “Physical Activity Assessment and Counseling in Pediatric Clinical Settings.” Pediatrics 145, no. 3 (March 2020). https://doi.org/10.1542/peds.2019-3992.
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  - Frerichs, Leah, Natalie R. Smith, Jessica Lyden, Kiah Gaskin, Asheley Skinner, and Sarah Armstrong. “Weight-related quality of life and temperament as predictors and moderators of outcomes among treatment-seeking, low-income, ethnically diverse children with obesity.” Transl Behav Med 10, no. 1 (February 3, 2020): 244–53. https://doi.org/10.1093/tbm/iby115.
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  - White, Michelle J., Jessica Hoffman, Sarah Armstrong, and Asheley C. Skinner. “Body Mass Index Change Between Referral to and Enrollment in Pediatric Weight Management.” Clin Pediatr (Phila) 59, no. 1 (January 2020): 70–74. https://doi.org/10.1177/0009922819884587.
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  - Armstrong, Sarah C., Christopher F. Bolling, Marc P. Michalsky, Kirk W. Reichard, and Kirk W. SECTION ON OBESITY, SECTION ON SURGERY. “Pediatric Metabolic and Bariatric Surgery: Evidence, Barriers, and Best Practices.” Pediatrics 144, no. 6 (December 2019). https://doi.org/10.1542/peds.2019-3223.
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  - Bolling, Christopher F., Sarah C. Armstrong, Kirk W. Reichard, Marc P. Michalsky, and Marc P. SECTION ON OBESITY, SECTION ON SURGERY. “Metabolic and Bariatric Surgery for Pediatric Patients With Severe Obesity.” Pediatrics 144, no. 6 (December 2019). https://doi.org/10.1542/peds.2019-3224.
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  - Armstrong, Sarah, and Charlene Wong. “Physical Activity Interventions Improve Quality of Life of Children With Obesity: Should We Expect Them to Also Decrease Body Mass Index?” J Adolesc Health 65, no. 3 (September 2019): 309–10. https://doi.org/10.1016/j.jadohealth.2019.05.011.
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  - Moseley, Connor A., Madhulika Vulimiri, Robert S. Saunders, William K. Bleser, Eliana M. Perrin, Sarah C. Armstrong, Gary X. Wang, Peter A. Ubel, Mark McClellan, and Charlene A. Wong. “Medicaid and CHIP Child Health Beneficiary Incentives: Program Landscape and Stakeholder Insights.” Pediatrics 144, no. 2 (August 2019). https://doi.org/10.1542/peds.2018-3161.
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  - Moseley, Connor A., Asheley C. Skinner, Eliana M. Perrin, Sarah C. Armstrong, Eric D. Peterson, and Charlene A. Wong. “Adolescent and Young Adult Recreational, Occupational, and Transportation Activity: Activity Recommendation and Weight Status Relationships.” J Adolesc Health 65, no. 1 (July 2019): 147–54. https://doi.org/10.1016/j.jadohealth.2019.01.021.
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  - Benjamin-Neelon, Sara E., Alyssa Platt, Montserrat Bacardi-Gascon, Sarah Armstrong, Brian Neelon, and Arturo Jimenez-Cruz. “Greenspace, physical activity, and BMI in children from two cities in northern Mexico.” Prev Med Rep 14 (June 2019): 100870. https://doi.org/10.1016/j.pmedr.2019.100870.
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  - Kumar, Seema, Eileen C. King, Amy L. Christison, Aaron S. Kelly, Adolfo J. Ariza, Claudia Borzutzky, Suzanne Cuda, Shelley Kirk, and Shelley POWER Work Group. “Health Outcomes of Youth in Clinical Pediatric Weight Management Programs in POWER.” J Pediatr 208 (May 2019): 57-65.e4. https://doi.org/10.1016/j.jpeds.2018.12.049.
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  - Muth, Natalie D., William H. Dietz, Sheela N. Magge, Rachel K. Johnson, Rachel K. AMERICAN ACADEMY OF PEDIATRICS, Rachel K. SECTION ON OBESITY, Rachel K. COMMITTEE ON NUTRITION, and Rachel K. AMERICAN HEART ASSOCIATION. “Public Policies to Reduce Sugary Drink Consumption in Children and Adolescents.” Pediatrics 143, no. 4 (April 2019). https://doi.org/10.1542/peds.2019-0282.
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  - Kay, Melissa C., Jasmine Burroughs, Sandy Askew, Gary G. Bennett, Sarah Armstrong, and Dori M. Steinberg. “Digital Weight Loss Intervention for Parents of Children Being Treated for Obesity: A Prospective Cohort Feasibility Trial.” J Med Internet Res 20, no. 12 (December 20, 2018): e11093. https://doi.org/10.2196/11093.
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  - “Skinner AC, Ravanbakht SN, Skelton JA, Perrin EM, Armstrong SC. Prevalence of Obesity and Severe Obesity in US Children, 1999-2016. Pediatrics. 2018;141(3):e20173459.” Pediatrics 142, no. 3 (September 2018). https://doi.org/10.1542/peds.2018-1916.
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  - Armstrong, Sarah, Charlene A. Wong, Eliana Perrin, Sara Page, Lauren Sibley, and Asheley Skinner. “Association of Physical Activity With Income, Race/Ethnicity, and Sex Among Adolescents and Young Adults in the United States: Findings From the National Health and Nutrition Examination Survey, 2007-2016.” Jama Pediatr 172, no. 8 (August 1, 2018): 732–40. https://doi.org/10.1001/jamapediatrics.2018.1273.
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  - Andrews, Maria, Carolyn Sawyer, Leah Frerichs, Asheley Cockrell Skinner, Jessica Hoffman, Kiah Gaskin, and Sarah Armstrong. “Feasibility of a Clinic-Community Partnership to Treat Childhood Obesity.” Clin Pediatr (Phila) 57, no. 7 (June 2018): 783–91. https://doi.org/10.1177/0009922817734359.
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  - Kay, Melissa C., Jasmine Burroughs, Sandy Askew, Gary G. Bennett, Sarah Armstrong, and Dori M. Steinberg. “Digital Weight Loss Intervention for Parents of Children Being Treated for Obesity: A Prospective Cohort Feasibility Trial (Preprint),” May 18, 2018. https://doi.org/10.2196/preprints.11093.
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  - Skinner, Asheley Cockrell, Sophie N. Ravanbakht, Joseph A. Skelton, Eliana M. Perrin, and Sarah C. Armstrong. “Prevalence of Obesity and Severe Obesity in US Children, 1999-2016.” Pediatrics 141, no. 3 (March 2018). https://doi.org/10.1542/peds.2017-3459.
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  - Armstrong, S. C., R. Puhl, A. C. Skinner, and A. Kratka. “Person-first language in pediatric obesity research.” Pediatr Obes 13, no. 2 (February 2018): 130. https://doi.org/10.1111/ijpo.12211.
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  - Armstrong, Sarah, Alan Mendelsohn, Gary Bennett, Elsie M. Taveras, Amanda Kimberg, and Alex R. Kemper. “Texting Motivational Interviewing: A Randomized Controlled Trial of Motivational Interviewing Text Messages Designed to Augment Childhood Obesity Treatment.” Child Obes 14, no. 1 (January 2018): 4–10. https://doi.org/10.1089/chi.2017.0089.
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  - Hoffman, Jessica, Leah Frerichs, Mary Story, Jason Jones, Kiah Gaskin, Annie Apple, Asheley Skinner, and Sarah Armstrong. “An Integrated Clinic-Community Partnership for Child Obesity Treatment: A Randomized Pilot Trial.” Pediatrics 141, no. 1 (January 2018). https://doi.org/10.1542/peds.2017-1444.
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  - Pont, Stephen J., Rebecca Puhl, Stephen R. Cook, Wendelin Slusser, Wendelin SECTION ON OBESITY, and Wendelin OBESITY SOCIETY. “Stigma Experienced by Children and Adolescents With Obesity.” Pediatrics 140, no. 6 (December 2017). https://doi.org/10.1542/peds.2017-3034.
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  - Winkler, Megan R., Elizabeth D. Moore, Gary G. Bennett, Sarah C. Armstrong, and Debra H. Brandon. “Parent-adolescent influences on everyday dietary practices: Perceptions of adolescent females with obesity and their mothers.” Matern Child Nutr 13, no. 4 (October 2017). https://doi.org/10.1111/mcn.12416.
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  - McCann, J., J. Rawls, P. Seed, and S. Armstrong. “The Intestinal Microbiome and Childhood Obesity.” Current Pediatrics Reports 5, no. 3 (September 1, 2017): 150–55. https://doi.org/10.1007/s40124-017-0140-9.
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  - Magge, Sheela N., Elizabeth Goodman, Sarah C. Armstrong, Sarah C. COMMITTEE ON NUTRITION, Sarah C. SECTION ON ENDOCRINOLOGY, and Sarah C. SECTION ON OBESITY. “The Metabolic Syndrome in Children and Adolescents: Shifting the Focus to Cardiometabolic Risk Factor Clustering.” Pediatrics 140, no. 2 (August 2017). https://doi.org/10.1542/peds.2017-1603.
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  - Puhl, R. M., M. S. Himmelstein, S. C. Armstrong, and E. Kingsford. “Adolescent preferences and reactions to language about body weight.” Int J Obes (Lond) 41, no. 7 (July 2017): 1062–65. https://doi.org/10.1038/ijo.2017.55.
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  - Kirk, Shelley, Sarah Armstrong, Eileen King, Christine Trapp, Mollie Grow, Jared Tucker, Madeline Joseph, et al. “Establishment of the Pediatric Obesity Weight Evaluation Registry: A National Research Collaborative for Identifying the Optimal Assessment and Treatment of Pediatric Obesity.” Child Obes 13, no. 1 (February 2017): 9–17. https://doi.org/10.1089/chi.2016.0060.
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  - Armstrong, Sarah C., and Asheley Cockrell Skinner. “Defining "Success" in Childhood Obesity Interventions in Primary Care.” Pediatrics 138, no. 4 (October 2016). https://doi.org/10.1542/peds.2016-2497.
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  - Armstrong, Sarah, Suzanne Lazorick, Sarah Hampl, Joseph A. Skelton, Charles Wood, David Collier, and Eliana M. Perrin. “Physical Examination Findings Among Children and Adolescents With Obesity: An Evidence-Based Review.” Pediatrics 137, no. 2 (February 2016): e20151766. https://doi.org/10.1542/peds.2015-1766.
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  - Pollak, Kathryn I., Paul Nagy, John Bigger, Alicia Bilheimer, Pauline Lyna, Xiaomei Gao, Michael Lancaster, et al. “Effect of teaching motivational interviewing via communication coaching on clinician and patient satisfaction in primary care and pediatric obesity-focused offices.” Patient Educ Couns 99, no. 2 (February 2016): 300–303. https://doi.org/10.1016/j.pec.2015.08.013.
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  - Newbern, D., P. Gumus Balikcioglu, M. Balikcioglu, J. Bain, M. Muehlbauer, R. Stevens, O. Ilkayeva, et al. “Erratum: Sex differences in biomarkers associated with insulin resistance in obese adolescents: Metabolomic profiling and principal components analysis (Journal of Clinical Endocrinology and Metabolism (2014) 99 (4730-4739) DOI: 10.1210/jc.2014-2080).” Journal of Clinical Endocrinology and Metabolism 100, no. 4 (April 1, 2015): 1709. https://doi.org/10.1210/jc.2015-1354.
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  - Newbern, Dorothee, Pinar Gumus Balikcioglu, Metin Balikcioglu, James Bain, Michael Muehlbauer, Robert Stevens, Olga Ilkayeva, et al. “Sex differences in biomarkers associated with insulin resistance in obese adolescents: metabolomic profiling and principal components analysis.” J Clin Endocrinol Metab 99, no. 12 (December 2014): 4730–39. https://doi.org/10.1210/jc.2014-2080.
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  - Dolinsky, Diana H., Sarah Armstrong, Caren Mangarelli, and Alex R. Kemper. “The association between vitamin D and cardiometabolic risk factors in children: a systematic review.” Clin Pediatr (Phila) 52, no. 3 (March 2013): 210–23. https://doi.org/10.1177/0009922812470742.
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  - Dolinsky, Diana H., Sarah C. Armstrong, and Sanjay Kinra. “The clinical treatment of childhood obesity.” Indian J Pediatr 80 Suppl 1 (March 2013): S48–54. https://doi.org/10.1007/s12098-012-0766-0.
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  - Dolinsky, Diana H., Sarah C. Armstrong, and Truls Østbye. “Predictors of attrition from a clinical pediatric obesity treatment program.” Clin Pediatr (Phila) 51, no. 12 (December 2012): 1168–74. https://doi.org/10.1177/0009922812458355.
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  - Schwartz, Robert P., Mara Z. Vitolins, L Douglas Case, Sarah C. Armstrong, Eliana M. Perrin, Josephine Cialone, and Ronny A. Bell. “The YMCA Healthy, Fit, and Strong Program: a community-based, family-centered, low-cost obesity prevention/treatment pilot study.” Child Obes 8, no. 6 (December 2012): 577–82. https://doi.org/10.1089/chi.2012.0060.
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  - Dolinsky, Diana H., Sarah C. Armstrong, Emmanuel B. Walter, and Alex R. Kemper. “The effectiveness of a primary care-based pediatric obesity program.” Clin Pediatr (Phila) 51, no. 4 (April 2012): 345–53. https://doi.org/10.1177/0009922811425232.
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  - Silberberg, Mina, Lori Carter-Edwards, Gwen Murphy, Meghan Mayhew, Kathryn Kolasa, Eliana M. Perrin, Sarah Armstrong, Cameron Graham, and Nidu Menon. “Treating pediatric obesity in the primary care setting to prevent chronic disease: perceptions and knowledge of providers and staff.” N C Med J 73, no. 1 (2012): 9–14.
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  - Dolinsky, Diana H., and Sarah Armstrong. “An 8-year-old girl with headache and syncope.” Pediatr Ann 40, no. 12 (December 2011): 594–97. https://doi.org/10.3928/00904481-20111103-04.
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  - Slusser, Wendy, Karan Staten, Karen Stephens, Lenna Liu, Christine Yeh, Sarah Armstrong, Daniel A. DeUgarte, and Matthew Haemer. “Payment for obesity services: examples and recommendations for stage 3 comprehensive multidisciplinary intervention programs for children and adolescents.” Pediatrics 128 Suppl 2, no. Suppl 2 (September 2011): S78–85. https://doi.org/10.1542/peds.2011-0480H.
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  - Armstrong, S. C., J. Wacker, D. Best, and M. E. McPherson. “Fighting childhood obesity (Part 2): Resources to help the community physician curb this epidemic.” Contemporary Pediatrics 28, no. 2 (May 5, 2011).
  - Dolinsky, Diana H., Anna Maria Siega-Riz, Eliana Perrin, and Sarah C. Armstrong. “Recognizing and preventing childhood obesity: Challenging pediatricians with averting this epidemic even in their littlest patients.” Contemp Pediatr 28, no. 1 (January 1, 2011): 32–42.
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  - Bravender, Terrill, Alexandra Russell, Richard J. Chung, and Sarah C. Armstrong. “A "novel" intervention: a pilot study of children's literature and healthy lifestyles.” Pediatrics 125, no. 3 (March 2010): e513–17. https://doi.org/10.1542/peds.2009-1666.
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  - Armstrong, Sarah C., and Hollis Seunarine. “Limits of the Health Plan Employer Data Information Set (HEDIS) criteria in determining asthma severity for children, applied to an impoverished, urban population.” Pediatrics 115, no. 5 (May 2005): 1453. https://doi.org/10.1542/peds.2005-0071.
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- Book Sections
  - Armstrong, S., and N. Farpour-Lambert. “The treatment of childhood and adolescent obesity.” In Clinical Obesity in Adults and Children, 4th Edition, 353–63, 2022. https://doi.org/10.1002/9781119695257.ch27.
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  - Armstrong, S., J. A. Jackson, and J. L. Hoffman. “The role of the primary care provider in long-term counseling: Establishing a therapeutic alliance with the child and family.” In Contemporary Endocrinology, 685–93, 2018. https://doi.org/10.1007/978-3-319-68192-4_39.
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  - Armstrong, S. C. “Early Life and Epidemiologic Factors Associated with Child Obesity.” In Clinical Care of the Child with Obesity: A Learner’s and Teacher’s Guide. McGraw Hill Professional, 2015.
  - Armstrong, S. C. “Motivational Interviewing in pediatric and adolescent mental health care.” In Dulcan’s Textbook of Child and Adolescent Psychiatry. American Psychiatric Pub, 2015.
  - Armstrong, S. C. “Lifestyle Interventions for blood pressure control in children and adolescents.” In Nutrition, Lifestyle Factors, and Blood Pressure. CRC Press, 2012.
  - Dolinsky, D. H., C. M. Baker-Smith, A. E. Czinn, A. S. Milazzo, and S. C. Armstrong. “Chapter 9: Lifestyle interventions for blood pressure control in children and adolescents.” In Nutrition, Lifestyle Factors, and Blood Pressure, edited by P. H. Lin and L. P. Svetkey. Boca Raton, Florida: CRC Press, 2012.
  - Armstrong, S. C. “Adolescent Obesity.” In Adolescent Medicine Today A Guide to Caring for the Adolescent Patient. World Scientific, 2012.
- Conference Papers
  - Gabaldon, Josi R., Alexandra R. Zizzi, Alyssa M. Zidek, Jonathan D. Kenyon, Julie Counts, Leanna M. Ross, Ashley C. Skinney, Jennifer S. Li, William E. Kraus, and Sarah C. Armstrong. “Distribution Of Cardiorespiratory Fitness Among Children In The Hearts And Parks Study.” In Medicine and Science in Sports and Exercise, 52:473–473, 2020.
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  - Kenyon, Jonathan D., Alyssa M. Zidek, Josi R. Gabaldon, Alexandra R. Zizzi, Julie D. Counts, Leanna M. Ross, Cameron S. Catherine, et al. “Changes In Cardiorespiratory Fitness Among Children In The Hearts And Parks Heathy Lifestyle Intervention.” In Medicine and Science in Sports and Exercise, 52:63–63, 2020.
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Teaching & Mentoring
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Advising & Mentoring
- Dr. Armstrong is an approved research mentor for third year medical students.

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