US Pediatrician Practices and Attitudes Concerning Childhood Obesity: 2006 and 2017.

Details

• Alternative Title:
  J Pediatr
• Personal Author:
  Belay, Brook ; Frintner, Mary Pat ; Liebhart, Janice L. ; Lindros, Jeanne ; Harrison, Megan ; Sisk, Blake ; Dooyema, Carrie A. ; Hassink, Sandra G. ; Cook, Stephen R.
• Description:
  Objective
  
  To compare primary care pediatricians’ practices and attitudes regarding obesity assessment, prevention, and treatment in children 2 years and older in 2006 and 2017.
  
  Study design
  
  National, random samples of American Academy of Pediatrics members were surveyed in 2006, 2010, and 2017 on practices and attitudes regarding overweight and obesity (analytic n = 655, 592, and 558, respectively). Using logistic regression models (controlling for pediatrician and practice characteristics), we examined survey year with predicted values (PVs), including body mass index (BMI) assessment across 2006, 2010, and 2017 and practices and attitudes in 2006 and 2017.
  
  Results
  
  Pediatrician respondents in 2017 were significantly more likely than in 2006 and 2010 to report calculating and plotting BMI at every well-child visit, with 96% of 2017 pediatricians reporting they do this. Compared with 2006, in 2017 pediatricians were more likely to discuss family behaviors related to screen time, sugar-sweetened beverages, and eating meals together, P < .001 for all. There were no observed differences in frequency of discussions on parental role modeling of nutrition and activity-related behaviors, roles in food selection, and frequency of eating fast foods or eating out. Pediatricians in 2017 were more likely to agree BMI adds new information relevant to medical care (PV = 69.8% and 78.1%), they have support staff for screening (PV = 45.3% and 60.5%), and there are effective means of treating obesity (PV = 36.3% and 56.2%), P < .001 for all.
  
  Conclusions
  
  Results from cross-sectional surveys in 2006 and 2017 suggest nationwide, practicing pediatricians have increased discussions with families on several behaviors and their awareness and practices around obesity care.
  
  
• Subjects:
  Adult Article Attitude Of Health Personnel Body Mass Index Child Child, Preschool Cross-Sectional Studies Female Humans Male Middle Aged Overweight Pediatricians Pediatric Obesity Pediatrics Practice Patterns, Physicians' Predictive Value Of Tests Regression Analysis Surveys And Questionnaires United States

  More +
• Source:
  J Pediatr. 211:78-84.e2
• Pubmed ID:
  31113716
• Pubmed Central ID:
  PMC8856742
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/ ; U38 OT000167/OT/OSTLTS CDC HHSUnited States/
• Place as Subject:
  United States
• Volume:
  211
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:1d2a0da11e93ba776117b5afde828695c063a0a581768d00d989514246d7fb0c
• Download URL:
  https://stacks.cdc.gov/view/cdc/114607/cdc_114607_DS1.pdf
• File Type:
  [PDF - 574.35 KB ]