Abstract：
BACKGROUND:Few national data exist to assess primary care physicians' (PCPs') clinical practices with regard to childhood obesity. PURPOSE:To survey pediatricians and family practice physicians regarding their assessment, counseling, and management of diet, physical activity, and weight status among pediatric patients in the primary care setting. METHODS:A nationally representative cross-sectional survey of pediatricians and family practice physicians sampled from the American Medical Association (AMA) Masterfile was conducted in 2008 and analyzed in 2010. Outcomes included physicians' self-reported practice behaviors regarding assessments of pediatric patients' weight status, counseling of diet and physical activity, and referrals and follow-ups. RESULTS:Response rate excluding physicians listed as "no-contact" by the AMA was 73.7% among pediatricians and 66.9% among family physicians. Less than 50% of all PCPs assessed BMI percentiles regularly in children. Eighteen percent of all PCPs reported referring children for further evaluation or management. Fifty-eight percent of all PCPs reported never, rarely, or only sometimes tracking patients over time concerning weight or weight-related behaviors. Pediatricians were more likely than family physicians to assess weight status and provide behavioral counseling (p's<0.001). CONCLUSIONS:Active PCP participation in assessing or managing childhood obesity in the primary care setting appears low relative to the frequency of the problem in the U.S. Interventions to reduce the barriers to physician engagement in the assessment and management of healthy lifestyles are needed to prevent and control childhood obesity.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Huang TT,Borowski LA,Liu B,Galuska DA,Ballard-Barbash R,Yanovski SZ,Olster DH,Atienza AA,Smith AWdoi
10.1016/j.amepre.2011.03.016subject
Has Abstractpub_date
2011-07-01 00:00:00pages
24-32issue
1eissn
0749-3797issn
1873-2607pii
S0749-3797(11)00237-6journal_volume
41pub_type
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