Do pediatric gastroenterology doctors address pediatric obesity?

Area of Science:

• Pediatric Gastroenterology
• Public Health
• Obesity Medicine

Background:

• Childhood obesity is a growing public health concern.
• Pediatric gastroenterologists manage children with various health conditions, some of which are obesity-related.

Purpose of the Study:

• To determine the frequency of obesity diagnosis and management in pediatric gastroenterology outpatient settings.
• To identify factors associated with obesity diagnosis and the development of obesity management plans.

Main Methods:

• Retrospective chart review of 132 obese children seen in a pediatric gastroenterology clinic over one year.
• Data abstracted included demographics, comorbidities, referral reasons, obesity diagnosis, and obesity management plans.
• Statistical analyses (chi-square/Fisher's exact tests) were used to examine associations.

Main Results:

• Obesity was diagnosed in only 49% of identified children.
• A body mass index (BMI) reduction plan was provided to 52% of children.
• Diagnosis was more likely in younger males, those with obesity comorbidities, and those referred for obesity-related issues.

Conclusions:

• Obesity diagnosis rates are suboptimal in pediatric gastroenterology clinics, highlighting a missed opportunity for intervention.
• Further research is needed to understand barriers to diagnosis and to develop effective provider education strategies.
• Improving the identification and management of obesity in this setting is crucial for addressing the childhood obesity epidemic.