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Clin Pediatr (Phila). 2005 Apr;44(3):221-7.

Variation in establishing a diagnosis of obesity in children.

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


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.

[Indexed for MEDLINE]

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