Receipt of pediatric weight-related counseling and screening in a national sample after the expert committee recommendations

Sally C. Moyce, Janice F Bell

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Objective. It is uncertain whether children of all weight classifications receive the recommended screening and counseling and if these affect weight status in the subsequent year. Methods. Data from the 2008-2011 Medical Expenditures Panel Survey were used to examine associations between weight classification and receipt of weight-related screening and counseling from the pediatric provider (n = 9835). Body mass index (BMI) z-score in the subsequent year was modeled as a function of the BMI z-score in year 1. Results. Normal and overweight children have lower odds than obese children of receiving counseling regarding diet (adjusted odds ratio [AOR] = 0.58, 95% confidence interval [CI] = 0.50-0.68; AOR = 0.75, 95% CI = 0.63-0.89, respectively) and exercise (AOR = 0.56, 95% CI = 0.48-0.65; AOR = 0.75, 95% CI = 0.64-0.89, respectively). Counseling was associated with a small increase in BMI z-score in the subsequent year (β = 0.06, 95% CI = 0.01-0.11), as was maternal weight class. Conclusions. Recommendations to focus prevention on the family unit may reduce childhood overweight and obesity.

Original languageEnglish (US)
Pages (from-to)1366-1374
Number of pages9
JournalClinical Pediatrics
Volume54
Issue number14
DOIs
StatePublished - Dec 1 2015

Keywords

  • counseling
  • prevention
  • primary care
  • screening

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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