Navigation Links
Simple tools help parents understand a child's risk of obesity, make positive changes
Date:7/12/2010

CHAPEL HILL, N.C. Some simple interventions used by pediatricians were enough to change a parent's perspective about a child's being overweight or obese, and change the parent's behaviors at home to reduce those risks.

According to a study performed in North Carolina Children's Hospital, researchers confirmed previous reports that parents of overweight or obese children do not recognize their child's weight problem. But this time, by arming pediatricians with a "toolkit," an easily used chart and a series of questions and suggestions, the researchers addressed several problems.

"Doctors often don't have time to discuss overweight; they don't have the tools to do it; and many aren't confident that they're going to make a difference in their patients' lives," said Eliana Perrin, MD, MPH, assistant professor of pediatrics at the University of North Carolina at Chapel Hill School of Medicine and lead author of the study, published in the July-August issue of Academic Pediatrics.

"Also, parents don't recognize weight problems or don't know how to make things better, and even if they do, there are often barriers to healthier eating or more activity for these families," says Perrin.

As First Lady Michelle Obama's "Let's Move!" campaign aims to reduce childhood obesity almost one-third of young people are overweight two leading questions are how to affect that change and if it can be successful.

Perrin's study is likely the first evidence that a parent's assessment of their child's weight can be changed. Her study also showed improved dietary behaviors in children and reduced time playing video games or watching television, called "screen time."

"We found something we can do to help stem the obesity epidemic," says Perrin, whose previous research in childhood obesity has shown that using a body mass index, or BMI, chart color-coded like a traffic light helps parents understand the often confounding measurement.

Perrin's research group trained pediatric resident physicians on how to use the color-coded BMI chart and a revision of a questionnaire called "Starting the Conversation," originally designed by Alice Ammerman, DrPh, director of the Health Promotion and Disease Prevention program in the UNC Gillings School of Global Public Health and a co-author on the study. The STC gives health care providers a snapshot of potential red flags to help counsel patients as well as tips to implement change.

Parents were asked about their children's weight status and discussions about weight in the doctor's office. The Starting the Conversation form used in this study was revised by Perrin and asked parents about non-healthy eating habits frequency of sugary snacks, sugar-sweetened beverages and eating out at restaurants, as well as activity and screen time. It also asked about the parent's readiness to change. The pediatrics residents were instructed to show parents their children's weight status in a color-coded BMI chart and were taught to use the parents' responses to the questionnaire to engage the parents in discussions about healthier eating behaviors and activities.

Researchers enrolled 115 children ages 4 to 12 who were covered by Medicaid or the State Health Insurance Program and repeated the Starting the Conversation questionnaire as well as questions about weight status at one-month and three-month follow-up appointments.

The study showed the most significant improvement in dietary changes among children who were overweight. At follow up, they were more likely than healthy-weight children to drink lower-fat milk and showed the largest reduction in the frequency of eating out. But overall, children improved fruit and vegetable consumption, decreased sweetened beverages and unhealthy snacks, drank lower-fat milk more and reduced screen time.

In the initial visit, all of the parents of healthy-weight children accurately perceived their child's weight. However, only 57 percent of overweight children's parents did so at baseline. That improved significantly to 74 percent at three month follow up.

BMI was measured and tracked and a few children became more overweight, while more reached healthier weights but no significant improvements in weight status were noted in this short study, Perrin says. "The research has to be replicated and expanded, and it must determine if improvements in parental perception of children's weight motivates families to improve behavior and, ultimately, leads to healthier weight over time," she says.

"Everyone's talking about BMI and we have a lot of studies to show that parents do not see their overweight children as overweight. That often does not sink in with parents," Perrin says. "This is the first time we've seen a changed perspective from parents. We hope that parents who know their children are overweight will be empowered to help them achieve healthier lifestyles that can last a lifetime."


'/>"/>

Contact: Tom Hughes
tahughes@unch.unc.edu
919-966-6047
University of North Carolina School of Medicine
Source:Eurekalert  

Related medicine news :

1. Simpler and cheaper antibiotic prophylaxis with insertion of nutrition catheter in the stomach
2. Simple eye test measures damage from multiple sclerosis, UT Southwestern researchers find
3. Autism finding could lead to simple urine test for the condition
4. PC Encryption Compliance Delivered Through The Cloud Now Available As Simple Monthly Service For Business
5. Simple change results in fewer unnecessary imaging exams for patients
6. New research shows cardiologists can quickly detect significant coronary artery disease using a non-invasive simple, short respiratory stress test
7. New Implanted Defibrillator May Be Simpler, Safer
8. Simple Test May Identify Breast Cancer Subtypes
9. New "howsthepatient" iPhone App Provides a Simple, Seamless Way to Send Health Updates to Friends and Family
10. Simple gene test identifies clinically important subtypes of breast cancer
11. Dr. Keith Berman's Beach Body Secrets: 7 Simple Tips for Weight Loss Success
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Simple tools help parents understand a child's risk of obesity, make positive changes
(Date:7/24/2017)... OH (PRWEB) , ... July 24, 2017 , ... ... place August 13-17 in National Harbor, MD. This year's theme focuses on the ... the principal benchmarks for quality and integrity in testing and calibration will be ...
(Date:7/24/2017)... (PRWEB) , ... July 24, 2017 , ... A Southern ... food addiction to sexual abuse, and how she has overcome them. “Forbidden Memories: A ... in her life and how she has risen above. , In “Memories,” readers get ...
(Date:7/24/2017)... Church, VA (PRWEB) , ... July 24, 2017 ... ... and Managers, **Presented by FDAnews and MSceppa Consulting **, Aug. 22-23, 2017 – ... ends on Friday, July 28. , Increased FDA scrutiny and growing demands to ...
(Date:7/24/2017)... ... ... customizable and interactive Bible study guide for children. “The Perfect Gift” is the creation of ... accepted Christ as her Savior, yet never studied His word, surrendered to His will, or ... book to her children, so they would know the importance of the truth. She ...
(Date:7/24/2017)... ... 24, 2017 , ... The Center for Addiction Recovery Training ... host a second Multiple Pathways of Recovery Conference on October 23-26, 2017. This ... from CCAR’s foundational principle – a belief in multiple pathways of recovery, aims ...
Breaking Medicine News(10 mins):
(Date:7/20/2017)... July 20, 2017  Prime Therapeutics LLC (Prime) released this ... M.D., following today,s Institute for Clinical and Economic Review,s (ICER) ... the effectiveness and value of abuse-deterrent formulations (ADF) of opioids. ... roundtable at the meeting. ... cost benefit to the use of abuse-deterrent formulations (ADF) in ...
(Date:7/14/2017)... 2017 It should come as no surprise to ... in the midst of a crippling opioid epidemic. According to ... number of overdose deaths from opiate-based medications has quadrupled, Says, ... million dead from 2001 to 2015". During this time, the ... similarly quadrupled, drawing a compelling link between prescription and eventual ...
(Date:7/12/2017)... INDIANAPOLIS , July 12, 2017  Eli Lilly and ... settlement agreement with generic companies to resolve pending patent litigation ... Virginia regarding the Cialis ® ... expire on April 26, 2020. As part of the agreement, ... on September 27, 2018. "The unit dose patent ...
Breaking Medicine Technology: