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- Title
Pediatric obesity management: variation by specialty and awareness of guidelines.
- Authors
Rhodes, Erinn T; Ebbeling, Cara B; Meyers, Alan F; Bayerl, Cynthia T; Ooi, Wee L; Bettencourt, Maria F; Ludwig, David S
- Abstract
A survey of 2727 pediatric clinicians evaluated pediatric overweight management and awareness of Expert Committee recommendations (ECR) on obesity. Adjusted response rate was 45%. ECR awareness was reported by 24.6%. Family practice specialists (FPS) were less likely than pediatric specialists (PS) to be aware of ECR (OR, 0.46; 95% CI, 0.30-0.71). Body mass index (BMI) was never used by 25.6% to identify overweight; 35.4% did not obtain laboratory tests. Among PS but not FPS, ECR awareness was associated with BMI use (OR, 2.70; 95% CI, 1.56-4.65) and frequent follow-up (OR, 2.48; 95% CI, 1.58-3.90). FPS were more likely than PS to use BMI (OR, 1.78; 95% CI, 1.15-2.75) and obtain thyroid function tests (OR, 2.58; 95% CI, 1.53-4.37), but less likely to obtain fasting lipids (OR, 0.47; 95% CI, 0.30-0.73). Specialty differences in dietary recommendations, referrals, and barriers to treatment were identified. Pediatric overweight management guidelines should consider specialty differences and be accessible to all pediatric care providers.
- Publication
Clinical pediatrics, 2007, Vol 46, Issue 6, p491
- ISSN
0009-9228
- Publication type
Journal Article
- DOI
10.1177/0009922806298704