Obesity screening in the pediatric emergency department.
Obesity screening in the pediatric emergency department.
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DOI：
10.1097/pec.0b013e318258ada0
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发表时间：
2012-06
影响因子：
1.4
通讯作者：
Mahabee-Gittens EM
中科院分区：
文献类型：
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作者：
Vaughn LM;Nabors L;Pelley TJ;Hampton RR;Jacquez F;Mahabee-Gittens EM
本研究的目的是：（1）通过测量体重指数（BMI）来检查父母对儿童肥胖和种族的看法，（2）确定父母是否接受儿科急诊室的肥胖筛查，以及接受程度是否因种族或体重状况而异，（3）确定饮食习惯是肥胖的预测因素。本研究是一项横断面研究，方便样本为213例患者（年龄4-16岁，由父母/法律的监护人陪同前往儿科急诊科）。获得了孩子的体重和身高，并要求父母完成一项关于他们对孩子体重、营养和运动习惯的看法的调查。目前的研究发现，父母对体重状况的看法是相当准确的，而且这种看法可以预测BMI。然而，种族并不能预测BMI。父母通常接受儿科急诊室的体重筛查，这并不随体重状况而变化;然而，接受性确实因种族而异，非洲裔美国人父母比白色父母更容易接受。研究发现，孩子每周吃快餐的次数和份量大可以预测肥胖。超过一半的儿童出现在我们的儿科急诊科超重或肥胖。父母对孩子体重的看法通常是准确的，但他们仍然接受在儿科急诊科进行肥胖预防和筛查。
The purposes of this study were (1) to examine parental perception of childhood obesity and race with measured body mass index (BMI), (2) to determine if parents are receptive to obesity screening in the pediatric emergency department and if receptivity varies by race or weight status, and (3) to determine eating habits that are predictors of obesity. This study is a cross-sectional study, with a convenience sample of 213 patients (aged 4–16 years accompanied by a parent/legal guardian to a pediatric emergency department). Weight and height were obtained, and parents were asked to complete a survey about perception of their child’s weight, nutrition, and exercise habits. The current study found that parent perception of weight status was fairly accurate, and perception was predictive of BMI. Race, however, was not predictive of BMI. Parents were generally receptive of weight screening in the pediatric emergency department, and this did not vary as a function of weight status; however, receptivity did vary based on ethnicity, with African American parents being more receptive than white parents. Large portion sizes and the number of times a child eats fast food per week were found to be predictive of obesity. Greater than half of the children presenting to our pediatric emergency department were overweight or obese. Parents were generally accurate in their perception of their child’s weight but were still receptive to obesity prevention and screening in the pediatric emergency department.