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Journal article
Children's Report of Lifestyle Counseling Differs by BMI Status
Childhood obesity, v 9(3)
01 Jun 2013
PMID: 23631343
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background: This study examined whether children's report of receiving weight, nutrition, and physical activity counseling from their clinicians differs by their BMI status and identified factors associated with higher rates of counseling.
Methods: Physical assessments and health surveys were collected from a school-based sample of 959 5th and 6th grade students. Multivariate logistic regression analysis was used to examine how lifestyle counseling differs by BMI status, adjusting for race, gender, socioeconomic status, co-morbidities, site of care provider, and age.
Results: Healthy weight children reported receiving the least amount of lifestyle counseling, with nearly one-quarter reporting none at all. Overweight children were no more likely than their healthy weight peers to report receiving weight and nutrition counseling. As expected, obese children were approximately two times more likely to report being counseled on their weight, nutrition, or physical activity as compared to healthy weight children (all p values at least <0.01). However, 23.9% of obese children reported receiving no counseling about their weight. After adjusting for BMI and all other confounding factors, for each lifestyle topic, Hispanics were at least 1.84 times more likely than whites to report being counseled (all p values at least <0.05). Blacks were at least 1.38 times more likely than whites to report being counseled (all p values at least <0.05). Girls were at least 1.38 times more likely than boys to report being counseled (all p values at least <0.05).
Conclusion: Although lifestyle counseling is universally recommended, many children report not receiving counseling. Despite clinical indications for more intensive counseling, overweight children report similar counseling rates as their healthy weight peers. Furthermore, a substantial proportion of obese children report not receiving lifestyle counseling. Future research should examine how lifestyle counseling can more effectively reach all children.
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Details
- Title
- Children's Report of Lifestyle Counseling Differs by BMI Status
- Creators
- Stacey Kallem - Yale UniversityAmy Carroll-Scott - Yale UniversityKathryn Gilstad-Hayden - Yale UniversitySusan M. Peters - Yale UniversityCatherine McCaslin - New Haven Publ Sch, New Haven, CT USAJeannette R. Ickovics - Yale University
- Publication Details
- Childhood obesity, v 9(3)
- Publisher
- Mary Ann Liebert, Inc
- Number of pages
- 7
- Grant note
- R01HD070740 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) Patrick and Catherine Weldon Donaghue Medical Research Foundation 1R01 HD070740 / National Institute of Child Health and Human Development; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) Kresge Foundation, Emerging and Promising Practices
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Community Health and Prevention
- Web of Science ID
- WOS:000336846600006
- Scopus ID
- 2-s2.0-84878942279
- Other Identifier
- 991020836458204721
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- Web of Science research areas
- Pediatrics