Navigation Links
Can't chalk it up to 'baby fat'
Date:12/29/2008

Despite recent widespread media attention given to studies that have indicated one-third of American children have a weight problem, a new study shows just one-third of children who are overweight or obese actually receive that diagnosis by a pediatrician. The study, led by researchers at The MetroHealth System and Case Western Reserve University School of Medicine in Cleveland, also stresses that this failure to diagnose appears to mostly impact children who may most greatly benefit from early intervention. The study is published in the January issue of the journal Pediatrics.

Using electronic medical records (EMR), researchers reviewed BMI measurements recorded for 60,711 2-18 year olds who had at least one well-child visit between June 1999 and October 2007 at MetroHealth. The BMI measurement showed that 19% (11,277) of the children were overweight, 23% (14,105) obese, and 8% (4,670) severely obese. Researchers discovered that increasing BMI percentile increased the likelihood of a diagnosis. While 76% of severely obese children and 54% of obese children were diagnosed just 10% of overweight patients received a proper diagnosis. (Overweight is defined as a BMI between the 85th-95th percentile. Obesity is defined as a BMI greater than 95th percentile. And severely obese is a BMI equal or greater to the 99th percentile.)

"Despite having set pediatric BMI guidelines, this is a bit of a wake-up call to pediatricians that as many as 90% of overweight children are not being properly diagnosed," said David C. Kaelber, M.D., Ph.D., M.P.H., lead author of the study, as well as an internist and pediatrician and chief informatics officer at MetroHealth and assistant professor of internal medicine and pediatrics at Case Western Reserve University School of Medicine. "Better identification of this group of children who have just crossed into the 'unhealthy' weight category is essential for early intervention which will hopefully prevent not only a childhood of increased health problems, but also what now often becomes an ongoing battle through adulthood with life-long issues."

The researchers, which included an investigator from the Harvard Medical School, the Harvard School of Public Health, and Brigham and Women's Hospital in Boston, also found that although the percentage of patients whose condition was diagnosed increased steadily over the study period until 2005, the diagnosis rate plateaued in 2006 and 2007, implying the impact of publicity regarding weight problems may be reaching its peak. And despite adding an abnormal BMI flag in the EMR system from 2004-2007, there was no evidence of increased diagnosis in that time period.

"While early and accurate diagnosis of pediatric weight issues is an essential first step in identifying the problem, we must also look at possible solutions," says Dr. Kaelber. "For example, as the role of EMR grows, new methods such as automatic electronic alerts being sent to pediatricians and parents about a child's weight status and automatic referrals to special pediatric weight-management programs are some innovative ideas in using technology to help improve our children's health."


'/>"/>

Contact: Jessica Studeny
jessica.studeny@case.edu
216-368-4692
Case Western Reserve University
Source:Eurekalert

Related medicine news :

1. Allsup Applauds SSA for Move Toward Electronic Transmission of Medical Records for Disability Applicants
2. Combination of TYKERB(R) (lapatinib) Plus Letrozole Demonstrated Significant Improvement in Delaying Disease Progression for HER2+/ErbB2+ Post-Menopausal Metastatic Breast Cancer
3. Parents be aware this holiday season: Magnets in childrens toys pose significant health risk
4. Exjade(R) Benefits Chronically Transfused Patients by Significantly Reducing Toxic Iron That Can Damage Key Organs, According to Landmark Trial
5. Relsys International Launches the Pharmacovigilance Integrated Services Offering and Significantly Expands Project Delivery Capabilities
6. Cantel Medical Reports 72% Increase in Net Income on Record Sales - EPS of $0.20 vs. $0.12 for Quarter Ended October 31, 2008
7. New Tobacco Research Finds Minnesotas Latino Population Smoking Significantly Less than General Population
8. Allied National Partners With Healthplace America to Provide Significant Healthcare Savings
9. Cantel Medical Corp. to Hold Conference Call to Discuss Results for Its First Quarter Ended October 31, 2008
10. Pressure BioSciences, Inc. Announces Restructuring, Significant Cost Reduction Initiatives, and Sharpened Focus
11. Fujifilm Sees Significant Growth of Managed Services Business
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/2/2016)... ... December 02, 2016 , ... Center for Autism and Related ... those affected by autism spectrum disorder (ASD) and other developmental disabilities. The group, which ... give parents and other caregivers the opportunity to share stories and advice, seek help, ...
(Date:12/2/2016)... ... December 02, 2016 , ... ... of two ostomy patients, standing as living proof that attitude and determination can ... diseases and issues that spike around the holidays. This campaign will offer patients ...
(Date:12/2/2016)... ... December 02, 2016 , ... CloudLIMS.com, a class-leading provider of ... Lite. CloudLIMS Lite helps biobanks, clinical, research and testing laboratories keep track of ... new version is a faster and a more efficient product, allowing batch processing ...
(Date:12/2/2016)... ... December 02, 2016 , ... Rijuven Corp launches rejiva ( http://www.rejiva.com ... and night. No other wearable health technology on the market can deliver all that ... poeple more meaningful insights about their health than the usual heart rate and steps ...
(Date:12/2/2016)... ... December 02, 2016 , ... ... needy individuals and families from eight different sites throughout Miami-Dade and Broward counties. ... 1,000 volunteers worked very hard on Thanksgiving morning by putting together individual meals ...
Breaking Medicine News(10 mins):
(Date:12/2/2016)... YORK , December 2, 2016 ... Research titled "Global Market Study on Automated Endoscope Reprocessors: Single ... a CAGR of 8.6% Between 2016 and 2024 " the global automated ... and is expected to expand at a CAGR of 7.2% ... valuation of US$ 1,367.6 Mn by 2024. ...
(Date:12/2/2016)... , Dec. 2, 2016 In the ... sources apart from those derived from C. sativa, the ... Universita` di Napoli Federico II , the Universita` ... the first comprehensive, critical, integrated and unified inventory of ... article focuses on the remarkable chemical and structural ...
(Date:12/2/2016)... British Columbia , December 2, 2016 bioLytical ... den INSTI HIV-Selbsttest, bei den Mitgliedern des Apothekenbundes von Kenia eingeführt. ... ... INSTI HIV Self Test! (PRNewsFoto/bioLytical Laboratories) ...      (Photo: http://photos.prnewswire.com/prnh/20161201/444905 ) ...
Breaking Medicine Technology: