Identification, Prevention, and Management of Childhood Overweight and Obesity in a Pediatric Primary Care Center

Clin Pediatr (Phila). 2016 Aug;55(9):860-6. doi: 10.1177/0009922815614350. Epub 2015 Nov 18.


Background In the United States, overweight/obesity among youth has reached epidemic proportions. The purpose of this project was to (1) examine primary care provider adherence to American Academy of Pediatrics guidelines; (2) compare adherence based on patients' weight classification, age, race, and gender; and (3) identify areas for improvement in health care delivery. Methods A retrospective chart audit and feedback quality improvement project was conducted with a stratified random sample of 175 charts of 6- to 19-year-olds seen for well-child visits. Frequencies of provider adherence were reported. χ(2) Analyses of weight classification, age, race, or gender influence on adherence was calculated. Results After discussion with the primary care providers, 5 areas were identified as priorities for change (diagnosis based on BMI, parental history of obesity, sleep assessment, endocrine assessment, and attendance of patients at the follow-up visit). Conclusion Cost-efficient, feasible strategies to improve provider adherence to recommendations for identification, prevention and management of childhood overweight and obesity were identified.

Keywords: childhood obesity; identification; management; prevention; primary care practice; quality improvement project.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Female
  • Guideline Adherence
  • Humans
  • Male
  • Overweight / diagnosis*
  • Overweight / prevention & control
  • Overweight / therapy*
  • Pediatric Obesity / diagnosis
  • Pediatric Obesity / prevention & control
  • Pediatric Obesity / therapy
  • Pediatrics / methods*
  • Primary Health Care*
  • Retrospective Studies
  • United States
  • Young Adult