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Volumn 19, Issue 3, 2007, Pages 354-361

Obesity prevention and the primary care pediatrician's office

Author keywords

Body mass index; Children; Communication; Obesity; Physical activity; Screening

Indexed keywords

BEHAVIOR CHANGE; BODY MASS; BREAST FEEDING EDUCATION; CHILD NUTRITION; COMORBIDITY; DIET RESTRICTION; EARLY DIAGNOSIS; HUMAN; LIFESTYLE MODIFICATION; MOTIVATION; NUTRITION EDUCATION; NUTRITIONAL ASSESSMENT; NUTRITIONAL COUNSELING; NUTRITIONAL HEALTH; OBESITY; PATIENT EDUCATION; PEDIATRICIAN; PHYSICAL ACTIVITY; PHYSICIAN ATTITUDE; PRIMARY MEDICAL CARE; PRIMARY PREVENTION; PRIORITY JOURNAL; REVIEW;

EID: 34249101298     PISSN: 10408703     EISSN: None     Source Type: Journal    
DOI: 10.1097/MOP.0b013e328151c3e9     Document Type: Review
Times cited : (63)

References (55)
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    • Flower KB, Perrin EM, Viadro CI, et al. Using body mass index to identify overweight children: barriers and facilitators in primary care. Ambul Pediatr 2007; 7:38-44. This qualitative study of pediatricians reveals their frustrations regarding use of BMI in practice, but also highlights how BMI can be communicated to parents to motivate change. This study suggests the importance of incorporating the use of BMI into office systems and electronic records to foster routine use.
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    • Chien A, Coker T, Choi L, et al. What do pediatric primary care providers think are important research questions? A perspective from PROS providers. Ambul Pediatr 2006; 6:352-355. Based on a large survey of Pediatric Research in Office Settings, providers believed that primary care research has inadequately addressed several lines of important inquiry including strategies to prevent and treat obesity (as well as the related effective counseling techniques and well child care effectiveness).
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    • American Academy of Pediatrics. AAP publications retired or reaffirmed, October 2006. Pediatrics 2007; 119:405. This is an important reaffirmation of the 2003 American Academy of Pediatrics policy statement calling for the regular BMI screening of children to detect concerning weight trajectories as well as the encouragement of healthy dietary and activity behaviors.
    • American Academy of Pediatrics. AAP publications retired or reaffirmed, October 2006. Pediatrics 2007; 119:405. This is an important reaffirmation of the 2003 American Academy of Pediatrics policy statement calling for the regular BMI screening of children to detect concerning weight trajectories as well as the encouragement of healthy dietary and activity behaviors.
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    • Based on in-depth interviews with residency program directors, this paper is helpful in defining some of the barriers to adding overweight and obesity training to the resident curriculum
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    • CDC growth charts for the United States: Methods and development
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    • Comparison of body fatness measurements by BMI and skinfolds vs. dual energy X-ray absorptiometry and their relation to cardiovascular risk factors in adolescents
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    • Policy statement: Prevention of pediatric overweight and obesity
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    • Identification of overweight status is associated with higher rates of screening for co-morbidities of overweight in pediatric primary care practice
    • This notable study examines the association between evaluation of and referral for comorbidities and low rates of accurate identification of at-risk-for-overweight or overweight children
    • Dilley KJ, Martin LA, Sullivan C, et al. Identification of overweight status is associated with higher rates of screening for co-morbidities of overweight in pediatric primary care practice. Pediatrics 2007; 119:e148-e155. This notable study examines the association between evaluation of and referral for comorbidities and low rates of accurate identification of at-risk-for-overweight or overweight children.
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    • Institute of Medicine Committee on Prevention of Obesity in Children and Youth, Washington: National Academies Press;
    • Institute of Medicine Committee on Prevention of Obesity in Children and Youth. Preventing childhood obesity: health in the balance. Washington: National Academies Press; 2004.
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    • Television watching and frequency of family meals are predictive of overweight onset and persistence in a national sample of school-aged children
    • This longitudinal cohort study provides evidence to support a relationship between television viewing, family meal time and perception of outdoor activity safety and the onset of overweight in school-age children
    • Gable S, Chang Y, Krull JL. Television watching and frequency of family meals are predictive of overweight onset and persistence in a national sample of school-aged children. J Am Diet Assoc 2007; 107:53-61. This longitudinal cohort study provides evidence to support a relationship between television viewing, family meal time and perception of outdoor activity safety and the onset of overweight in school-age children.
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    • Davison KK, Marshall SJ, Birch LL. Cross-sectional and longitudinal associations between TV viewing and girls' body mass index, overweight status, and percentage of body fat. J Pediatr 2006; 149:32-37. This paper describes a longitudinal analysis of television viewing time for girls ages 7, 9 and 11, and offers some evidence of a positive relationship between overweight and television time exceeding the American Academy of Pediatrics recommendations.
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