Pediatricians' and family physicians' weight-related care of children in the U.S.
Pediatricians' and family physicians' weight-related care of children in the U.S.
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DOI：
10.1016/j.amepre.2011.03.016
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发表时间：
2011-07
影响因子：
5.5
通讯作者：
Smith AW
中科院分区：
文献类型：
--
作者：
Huang TT;Borowski LA;Liu B;Galuska DA;Ballard-Barbash R;Yanovski SZ;Olster DH;Atienza AA;Smith AW
很少有国家数据存在评估初级保健医生（PCP）关于儿童肥胖的临床实践。调查儿科医生和家庭医生对初级保健儿科患者饮食、身体活动和体重状况的评估、咨询和管理。2008年进行了一项具有全国代表性的横断面调查，调查对象是美国医学协会（AMA） Masterfile中抽样的儿科医生和家庭医生，并于2010年进行了分析。结果包括：医生自我报告的关于儿科患者体重状况评估的实践行为、饮食和身体活动咨询、转诊和随访。排除被美国医师协会列为“无接触”的医生后，儿科医生的回应率为73.7%，家庭医生的回应率为66.9%。不到50%的pcp定期评估儿童的BMI百分位数。18%的pcp报告将儿童转介给进一步的评估或管理。58%的pcp报告从未、很少或只是有时跟踪患者的体重或与体重相关的行为。儿科医生比家庭医生更有可能评估体重状况并提供行为咨询（p <0.001）。在美国，在初级保健机构中，积极参与PCP评估或管理儿童肥胖的情况相对于问题的发生频率而言显得很低
Few national data exist to assess primary care physicians’ (PCP) clinical practices with regard to childhood obesity. To survey pediatricians and family practice physicians regarding their assessment, counseling, and management of diet, physical activity, and weight status among pediatric patients in the primary care setting. A nationally representative cross-sectional survey of pediatricians and family practice physicians sampled from the American Medical Association (AMA) Masterfile was conducted in 2008 and analyzed in 2010. Outcomes included: Physicians’ self-reported practice behaviors regarding assessments of pediatric patients’ weight status, counseling of diet and physical activity, and referrals and follow-ups. Response rate excluding physicians listed as “no-contact” by the AMA was 73.7% among pediatricians and 66.9% among family physicians. Less than 50% of all PCPs assessed BMI percentiles regularly in children. Eighteen percent of all PCPs reported referring children for further evaluation or management. Fifty-eight percent of all PCPs reported never, rarely, or only sometimes tracking patients over time concerning weight or weight-related behaviors. Pediatricians were more likely than family physicians to assess weight status and provide behavioral counseling (Ps<0.001). Active PCP participation in assessing or managing childhood obesity in the primary care setting appears low relative to the frequency of the problem in the U.S.
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影响因子：
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作者：
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