Abstract
Child Public Health professionals in the Netherlands refer obese children to a pediatrician to check for underlying causes and comorbidity. What happens to these children in terms of diagnostics and treatment when they visit a pediatrician? To get an overview of the diagnostic procedures and treatment methods a questionnaire was developed and sent to all 583 pediatricians in the Netherlands. Data was obtained of 290 pediatricians from 85% of the general hospitals and all (8) academic hospitals. To define childhood obesity Dutch pediatricians most often use the adult Body Mass Index, only 34% use the sex and age specific IOTF-BMI-criteria. 11% of the (non-obese) overweight children visiting a pediatrician have already comorbidities. All pediatricians perform at least weight and height measurements. Waist circumference is measured by only 42%, ninety-five percent measure blood pressure. To treat obese children without comorbidity thirty different intervention programs were reported. A large variation in diagnostics and interventions of childhood obesity exist. Guidelines in pediatric obesity for diagnostics and treatment are urgently needed.
Original language | English |
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Pages (from-to) | 110-5 |
Number of pages | 6 |
Journal | Health Policy |
Volume | 111 |
Issue number | 2 |
DOIs | |
Publication status | Published - Jul 2013 |
Externally published | Yes |
Keywords
- Adolescent
- Body Mass Index
- Child
- Diagnostic Techniques and Procedures
- Female
- Humans
- Male
- Netherlands
- Obesity/diagnosis
- Practice Patterns, Physicians'
- Surveys and Questionnaires