Evidence map›Paper›PMID 31113716›Full record

ArticleThe Journal of pediatrics2019

US Pediatrician Practices and Attitudes Concerning Childhood Obesity: 2006 and 2017.

Brook Belay, Mary Pat Frintner, Janice L Liebhart, Jeanne Lindros, Megan Harrison, Blake Sisk, Carrie A Dooyema, Sandra G Hassink, Stephen R Cook

Registry-linked trialAbstract read
In one paragraph

Article in The Journal of pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05041855 (Family Inclusive Childhood Obesity Treatment Designed for Low Income and Hispanic Families), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05041855 naactive not recruitingnot on this mapstarted 2021, after this paper: background citation

Family Inclusive Childhood Obesity Treatment Designed for Low Income and Hispanic Families

TypeinterventionalSponsorUniversity of Colorado, DenverRan2021 to 2026Enrolled554ConditionsPediatric Obesity, Healthy Eating, Physical Activity, Minority HealthArmsThe Healthy Living Program/La Vida Saludable, Recommended Treatment of Obesity in Primary Care
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Barriers and facilitators to implementing practices for prevention of childhood obesity in primary care: A mixed methods systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2022
    Pooled it
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  9. Content validation of a questionnaire to assess the knowledge of pediatricians, family, and community physicians on obesity.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2023
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  14. US Pediatrician Practices on Early Nutrition, Feeding, and Growth.Journal of nutrition education and behavior · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Brook BelayDivision of Nutrition, Physical Activity and Obesity, Centers for Disease Control and Prevention, Atlanta, GA. Electronic address: hup1@cdc.gov.
Mary Pat FrintnerDepartment of Research, American Academy of Pediatrics (AAP), Itasca, IL.
Janice L LiebhartInstitute for Healthy Childhood Weight, AAP, Itasca, IL.
Jeanne LindrosInstitute for Healthy Childhood Weight, AAP, Itasca, IL.
Megan HarrisonDivision of Nutrition, Physical Activity and Obesity, Centers for Disease Control and Prevention, Atlanta, GA.
Blake SiskDepartment of Research, American Academy of Pediatrics (AAP), Itasca, IL.
Carrie A DooyemaDivision of Nutrition, Physical Activity and Obesity, Centers for Disease Control and Prevention, Atlanta, GA.
Sandra G HassinkInstitute for Healthy Childhood Weight, AAP, Itasca, IL.
Stephen R CookInstitute for Healthy Childhood Weight, AAP, Itasca, IL; Department of Research, University of Rochester Medical Center, Rochester, NY.

Funding

Intramural CDC HHS CC999999OSTLTS CDC HHS U38 OT000167
6 · The paper itself

Abstract

objectiveTo compare primary care pediatricians' practices and attitudes regarding obesity assessment, prevention, and treatment in children 2 years and older in 2006 and 2017. STUDY

designNational, random samples of American Academy of Pediatrics members were surveyed in 2006, 2010, and 2017 on practices and attitudes regarding overweight and obesity (analytic n = 655, 592, and 558, respectively). Using logistic regression models (controlling for pediatrician and practice characteristics), we examined survey year with predicted values (PVs), including body mass index (BMI) assessment across 2006, 2010, and 2017 and practices and attitudes in 2006 and 2017.

resultsPediatrician respondents in 2017 were significantly more likely than in 2006 and 2010 to report calculating and plotting BMI at every well-child visit, with 96% of 2017 pediatricians reporting they do this. Compared with 2006, in 2017 pediatricians were more likely to discuss family behaviors related to screen time, sugar-sweetened beverages, and eating meals together, P < .001 for all. There were no observed differences in frequency of discussions on parental role modeling of nutrition and activity-related behaviors, roles in food selection, and frequency of eating fast foods or eating out. Pediatricians in 2017 were more likely to agree BMI adds new information relevant to medical care (PV = 69.8% and 78.1%), they have support staff for screening (PV = 45.3% and 60.5%), and there are effective means of treating obesity (PV = 36.3% and 56.2%), P < .001 for all.

conclusionsResults from cross-sectional surveys in 2006 and 2017 suggest nationwide, practicing pediatricians have increased discussions with families on several behaviors and their awareness and practices around obesity care.

Indexed as

PediatriciansAdultAttitude of Health PersonnelBody Mass IndexChildChild, PreschoolCross-Sectional StudiesFemaleHumansMaleMiddle AgedOverweightPediatric ObesityPediatricsPractice Patterns, Physicians'Predictive Value of Testschildhood overweight and obesitycounseling on overweight and obesityhealthy behaviorsmanagement of obesitypediatric practicespediatricsPeriodic Survey of Fellowsweight assessment

Identifiers

PMID31113716
PMCPMC8856742

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.