Variation in establishing a diagnosis of obesity in children.

Clin Pediatr (Phila)

Agency for Healthcare Quality, Rockville, MD 20850, USA.

Published: April 2005

Consensus guidelines provide recommendations for the diagnosis and management of obesity. We conducted a medical record review of children initially diagnosed with obesity at a general pediatrics visit. The diagnosis was made most often at health maintenance visits (46%). Body mass index was documented in 5% of initial visits; 74% had documentation of obesity-related history; 64% had documentation of counseling. In multivariate analysis, male patients were more likely to have diet history documentation; female patients were more likely to have weight loss program referrals. Future research should assess pediatricians' perceptions about obesity to better understand clinical practice patterns.

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http://dx.doi.org/10.1177/000992280504400305DOI Listing

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