Pediatric Obesity Management: Variation by Specialty and Awareness of Guidelines
Clinical PediatricsPublished 19 June 2007
Erinn T. Rhodes, Cara B. Ebbeling, Alan Meyers, C.T. Bayerl, Wee Lock Ooi, Maria F. Bettencourt
Citations33
SJR quartileQ3
SJR score0.33
SNIP0.32
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TL;DR
Specialty differences in dietary recommendations, referrals, and barriers to treatment were identified and Pediatric overweight management guidelines should consider specialty differences and be accessible to all Pediatrics.
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.
Keywords
MedicineHealth Professions
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