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Childhood obesity: knowledge, attitudes, and practices of European pediatric care providers
Artur Mazur1, Pawel Matusik, Krista Revert
1Medical Faculty, University of Rzeszow, Rzeszow, Poland. drmazur@poczta.onet.pl
Insights
Primary healthcare providers in Europe feel crucial for childhood obesity management but lack confidence and skills. Poor adherence to guidelines highlights the need for better support systems, not just more guidelines.
Area of Science:
- Pediatrics
- Public Health
- Healthcare Management
Background:
- Childhood obesity is a significant global health concern.
- Effective management requires robust primary healthcare interventions.
- Variations in healthcare systems across Europe necessitate comparative studies.
Purpose of the Study:
- To assess and compare the attitudes, skills, and practices of primary healthcare providers in managing childhood obesity.
- To identify barriers to effective childhood obesity management in diverse European healthcare settings.
Main Methods:
- A cross-sectional survey was administered to primary healthcare providers across France, Italy, Poland, and Ukraine.
- 1119 participants completed the questionnaire, yielding a response rate of 32.4%.
Main Results:
- Most providers acknowledged their vital role in obesity management but reported insufficient competence.
- Adherence to recommended practices like regular measurements and BMI calculation was low.
- Providers expressed a strong need for continuing education, particularly in dietary counseling.
Conclusions:
- National guidelines for childhood obesity management are inadequately implemented across European countries.
- The primary challenge lies in establishing effective support systems for practitioners, rather than guideline development.
- Enhancing primary care provider support is essential for improving childhood obesity management outcomes.
Objective:
To determine and compare attitudes, skills, and practices in childhood obesity management in 4 European countries with different obesity prevalence, health care systems, and economic situations.
Methods:
A cross-sectional survey was distributed to primary health care providers from France, Italy, Poland, and Ukraine. The questionnaire was returned by 1119 participants with a response rate of 32.4%.
Results:
The study revealed that most of the primary health care providers were convinced of their critical role in obesity management but did not feel sufficiently competent to perform effectively. The adherence to recommended practices such as routine weight and height measurements, BMI calculation, and plotting growth parameters on recommended growth charts was poor. Most primary health care providers recognized the need for continuing professional education in obesity management, stressing the importance of appropriate dietary counseling.
Conclusions:
The study underlines insufficient implementation of national guidelines for management of obesity regardless of the country and its health system. It also makes clear that the critical problem is not elaboration of guidelines but rather creating support systems for implementation of the medical standards among the primary care practitioners.
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