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Clinical pediatrics · Feb 2010
Applying practice recommendations for the prevention and treatment of obesity in children and adolescents.
- Karen B Dorsey, Maria Mauldon, Ruth Magraw, Julie Valka, Sunkyung Yu, and Harlan M Krumholz.
- Yale University School of Medicine, New Haven, CT 06520-8064, USA. Karen.Dorsey@yale.edu
- Clin Pediatr (Phila). 2010 Feb 1; 49 (2): 137-45.
AbstractTo describe pediatric clinicians' adherence to practice recommendations for obesity prevention and treatment, we conducted a cross-sectional analysis of 227 medical records of 3- to 18-year-old patients (seen from September 2003 to April 2004) and a longitudinal analysis of data from 632 overweight and obese patients (followed through March 2006). The cross-sectional analysis showed that early practice adopters (n = 3) more frequently recorded BMI (91% of patients), a diagnosis (89%), and counseling (82%) compared with late adopters (n = 9; 34%, 51%, and 48% of patients, respectively; P < .001). The longitudinal analysis showed that among overweight and obese patients, documentation of BMI dropped from 96% at the first clinic visit to 27% by the fifth visit; documentation of individual risk behaviors fell from >or=72% at the first visit to
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