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General practitioners' practices for malnutrition screening in paediatric populations: a survey in one French
Valérie Bertrand1, Benoît Pichot2, Pierre Déchelotte3,4
1Paediatric Unit, Le Havre Hospital, BP 24, 76083, Le Havre Cedex, France. valerie.bertrand@ch-havre.fr.
Background:
Malnutrition remains a public health problem in Europe, not only in adults, but also in paediatrics. The aim of this study was to evaluate general practitioners (GPs) practices in paediatric malnutrition screening.
Methods:
An anonymised questionnaire was sent to GPs in one French area. We analysed GPs' data: sociodemographic, knowledge of malnutrition screening, practices, tools, and trainings.
Results:
Overall, 102 of 174 GPs replied to the questionnaire (58.6%). 79.4% of GPs routinely measured weight, but only 33.3% measured both height and BMI, despite having tools (98,6%). 43.6% of GPs systematically reviewed growth charts. 71.3% were familiar with dietary recommendations, 30.7% with blood tests for nutritional status assessment, and 13.7% with dietary supplements. GPs who routinely measured BMI reviewed significantly more growth charts (p = 0.001) and prescribed more dietary supplements (p = 0.001).
Conclusions:
GPs do not sufficiently measure children's height and BMI, despite the increasing availability of software. Failure to analyse growth charts can induce delays in malnutrition screening.
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