Prevention and treatment of childhood obesity: care received by a state medicaid population.
Prevention and treatment of childhood obesity: care received by a state medicaid population.
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DOI：
10.1177/0009922811406259
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发表时间：
2011-09
影响因子：
1.6
通讯作者：
DuBard CA
中科院分区：
文献类型：
--
作者：
Lazorick S;Peaker B;Perrin EM;Schmid D;Pennington T;Yow A;DuBard CA
本研究基于对 3 至 5 岁（n = 1951）和 13 至 16 岁（n = 1922）北卡罗来纳州医疗补助参保者代表性集群样本的图表审查，描述了 2007 年专家建议之前与超重/肥胖相关的患病率、实践模式和合并症。总的来说，两个年龄段的儿童都有 16% 超重，20%（3-5 岁）和 25%（13-16 岁）肥胖。对于 3 至 5 岁的儿童，很少记录体重指数百分位数 (22%) 或绘制在生长图表上 (24%)，并且很少记录体重状态类别 (10%)。青少年的结果相似（分别为 21%、20% 和 12%）。在这两个群体中，有关营养或身体活动咨询的记录很少（3-5 岁为 16%；13-16 岁为 7%）。在青少年中，大约 20% 的人接受了推荐的实验室筛查，超重/肥胖与图表记录的哮喘、背痛、糖尿病前期、胃食管反流病、高血压和睡眠呼吸暂停显着相关。护理记录的改进是否遵循这些新指南值得进一步研究。
Based on chart review for a representative cluster sample of North Carolina Medicaid enrollees aged 3 to 5 years (n = 1951) and 13 to 16 years (n = 1922) years, this study describes prevalence, practice patterns, and comorbidities related to overweight/obese immediately prior to 2007 Expert Recommendations. In total, 16% of children in both age groups were overweight, and 20% (ages 3–5 years) and 25% (ages 13–16 years) were obese. For 3- to 5-year-olds, body mass index percentile was infrequently recorded (22%) or plotted on growth charts (24%), and weight status category was rarely documented (10%). Results were similar for adolescents (21%, 20%, and 12%, respectively). In both groups, documentation of counseling in nutrition or physical activity was rare (16% for ages 3–5 years; 7% for ages 13–16 years). In adolescents, approximately 20% received recommended laboratory screening and overweight/obesity was significantly associated with chart-documented asthma, back pain, prediabetes, gastroesophageal reflux disease, hypertension, and sleep apnea. Whether improvements in documentation of care followed these new guidelines deserves further research.
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