Recognition and management of childhood overweight and obesity by clinicians

Spurrier, Nicola; Magarey, Anthea; Wong, Catherine

doi:10.1111/j.1440-1754.2006.00890.x

Cited by 62 publications

(73 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…23 Another Australian study found that most surveyed primary care providers did not routinely measure children' s height or weight or calculate BMI. 24 The LEAP (Live, Eat, and Play) study revealed that only 50% of children were weighed and measured during their visit to a primary care provider' s office. 10,11 The literature provides some insights into potential reasons for that phenomenon.…”

Section: Discussionmentioning

confidence: 99%

Childhood Obesity: Knowledge, Attitudes, and Practices of European Pediatric Care Providers

et al. 2013

View full text Add to dashboard Cite

WHAT'S KNOWN ON THIS SUBJECT: Health care professionals face problems managing obesity and often fail to follow guidelines for its management in practice. Only a few singlecountry reports are available describing delivery of primary care to children with obesity. WHAT THIS STUDY ADDS:Nearly all primary pediatric care providers from 4 European countries recognize the importance of obesity in pediatric practice, but only half use BMI clinically, and many lack the confidence and the infrastructure needed for providing care to patients with obesity. abstract OBJECTIVE: To determine and compare attitudes, skills, and practices in childhood obesity management in 4 European countries with different obesity prevalence, health care systems, and economic situations. METHODS:A cross-sectional survey was distributed to primary health care providers from France, Italy, Poland, and Ukraine. The questionnaire was returned by 1119 participants with a response rate of 32.4%. RESULTS:The study revealed that most of the primary health care providers were convinced of their critical role in obesity management but did not feel sufficiently competent to perform effectively. The adherence to recommended practices such as routine weight and height measurements, BMI calculation, and plotting growth parameters on recommended growth charts was poor. Most primary health care providers recognized the need for continuing professional education in obesity management, stressing the importance of appropriate dietary counseling. CONCLUSIONS:The study underlines insufficient implementation of national guidelines for management of obesity regardless of the country and its health system. It also makes clear that the critical problem is not elaboration of guidelines but rather creating support systems for implementation of the medical standards among the primary care practitioners. Pediatrics 2013;132:e100-e108 AUTHORS:

show abstract

Section: Discussionmentioning

confidence: 99%

Childhood Obesity: Knowledge, Attitudes, and Practices of European Pediatric Care Providers

et al. 2013

View full text Add to dashboard Cite

show abstract

“…[17][18][19] These problems are apparently attributable to a low utilisation of BMI percentile charts in common practice. 15,17,18,20,21 Poor detection of overweight, however, was not the only barrier to participation in our study, since many more families were informed about their child being overweight than were enrolled for training. Reasons for the low interest of these families may be a lower treatment motivation in families with overweight children (who do not particularly suffer from weight-related complaints), denial of relevance of the condition, or sense of parental guilt, if non-physiological reasons for excess weight are acknowledged.…”

Section: Discussionmentioning

confidence: 99%

Overweight children and adolescents – is there a subjective need for treatment?

Finne

Reinehr

Schaefer

et al. 2009

Int J Public Health

View full text Add to dashboard Cite

show abstract

“…Parents need to identify their children's weight problems and understand the accompanying short and long-term risks and they look to their pediatricians for advice and guidance (Hernandez et al, 2010). But parents and pediatricians often underestimate children's body size (Akerman et al, 2007;Chaimovitz et al, 2008;Jones et al, 2011;Lampard et al, 2008;Parry et al, 2008;Perrin et al, 2005;Spurrier et al, 2006;Tschamler et al, 2010;Wald et al, 2007). Unrecognized obesity is especially high for obese parents, for overweight as compared to obese children (Taveras et al, 2011), for lower socioeconomic parents (Rivera-Soto and Rodriguez-Figueroa, 2012) and for Hispanics (Intagliata et al, 2008), African Americans (West et al, 2008) and Native Americans (Arcan et al, 2012) and could impair parental motivation to adopt weight control measures (Vuorela et al, 2010) and to participate in obesity reduction programs (Taveras et al, 2011).…”

Section: Introductionmentioning

confidence: 97%