An increasing trend in health-care professionals notifying children of unhealthy weight status: NHANES 1999–2014
| Autor: | Jian Zhang, J. A. Woo Baidal, Andrew R. Hansen, Ashley V. Hill, S. C. Turner, Dustin T. Duncan |
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| Rok vydání: | 2016 |
| Předmět: |
Male
Parents Health Knowledge Attitudes Practice Pediatric Obesity medicine.medical_specialty Adolescent Cross-sectional study Endocrinology Diabetes and Metabolism education MEDLINE Medicine (miscellaneous) Childhood obesity Body Mass Index 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Internal medicine Environmental health Health care Prevalence medicine Humans 030212 general & internal medicine Practice Patterns Physicians' Child Physician's Role Weight status Nutrition and Dietetics business.industry Nutrition Surveys medicine.disease Obesity United States humanities Weight Reduction Programs Cross-Sectional Studies Endocrinology Child Preschool Female medicine.symptom business Weight gain Body mass index |
| Zdroj: | International Journal of Obesity. 40:1480-1485 |
| ISSN: | 1476-5497 0307-0565 |
| Popis: | Pediatric obesity prevalence remains at historically high levels. The objective of this study was to examine secular trends in the percentages of overweight/obese children who received notification from a health-care professional (HCP) about their unhealthy weight.We analyzed data of 25 570 (including 8639 overweight/obese) children aged 2-18 years collected from seven cross-sectional biennial surveys (National Health and Nutrition Examination Survey, 1999-2014), in which adolescents (16 years and older) and caregivers, mostly biological mothers, of children (2-15 years) were asked 'Has a doctor or other health professional ever told you that you (or your child) were overweight?'Approximately 90% of overweight/obese children visited HCPs at least once in the past 12 months, but only 22.12% (s.e.=1.92) in 1999 to 34.43% (2.35) in 2014 of the overweight/obese children were notified by HCPs about unhealthy weight. The biennial increase in odds of receipt of notification of unhealthy weight was 1.08 (95% confidence interval=(1.04-1.12)). Greater likelihood for receipt of notification was associated with being obese (odds ratio=5.03 (4.29-5.89) vs overweight); black (1.24 (1.06-1.46)) or Hispanic race/ethnicity (1.72 (1.45-2.04) vs white); female sex (1.22 (1.07-1.11) vs boys); and child's insurance status (1.31 (1.08-1.59) vs uninsured). There were increasing odds of being notified with increasing age: 1.00 (reference), 2.24 (2.06-2.62), 3.22 (2.50-4.13) and 4.87 (3.76-6.32) for children 2-5, 6-11, 12-16 and 16+ year old, respectively. The frequency of medical contact was linearly associated with an increased likelihood of being notified.Notification of child's unhealthy weight by HCPs increased significantly between 1999 and 2014, but the opportunity of clinical intervention remained substantially under-utilized. |
| Databáze: | OpenAIRE |
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