Pediatrician's Beliefs and Practices Around Rapid Infant Weight Gain: A Qualitative Study
Megan H Pesch1, Kimberley J Levitt1, Phoebe Danziger1
1University of Michigan, Ann Arbor, MI, USA.
Insights
Pediatricians lack clarity on rapid infant weight gain, its definition, and management. Further training is needed to address this knowledge gap and improve infant obesity prevention strategies.
Area of Science:
- Pediatrics
- Public Health
- Childhood Obesity
Background:
- Rapid infant weight gain is a significant risk factor for developing obesity later in life.
- Understanding healthcare providers' perspectives is crucial for effective intervention strategies.
Purpose of the Study:
- To investigate primary care pediatricians' beliefs and practices concerning rapid infant weight gain.
- To identify knowledge gaps and challenges in managing infant growth patterns.
Main Methods:
- A qualitative study involving semi-structured interviews with 16 primary care pediatricians.
- Grounded theory and constant comparative method were used for thematic analysis of interview transcripts.
Main Results:
- All pediatricians (100%) expressed uncertainty regarding the concept, definition, and implications of rapid infant weight gain.
- A majority (62.5%) felt more comfortable managing inadequate weight gain compared to excessive gain.
- Most pediatricians (62.5%) identified overfeeding as the primary cause of rapid infant weight gain.
Conclusions:
- Pediatricians demonstrate uncertainty about the definition, management, and long-term risks associated with rapid infant weight gain.
- There is a need for targeted interventions to enhance pediatricians' awareness and competence in addressing rapid infant weight gain.
- Improved understanding and management of infant growth are essential for early obesity prevention.
Abstract:
Rapid infant weight gain is a risk factor for later obesity. The objective of this study was to examine primary care pediatricians' beliefs and practices around rapid infant weight gain. Primary care pediatricians (N = 16) participated in a semi-structured interview about infant growth. Interviews were transcribed, analyzed for themes using the grounded theory and the constant comparative method then reliably coded for the presence of each theme. Three themes were identified, pediatricians (1) are uncertain about the concept, definition, and implications of excessive or rapid infant weight gain (N = 16, 100%), (2) are more comfortable with management of inadequate versus excessive or rapid weight gain (N = 10, 62.5%), and (3) perceive the primary cause of excessive or rapid infant weight gain to be overfeeding (N = 10, 62.5%). In conclusion, pediatricians are uncertain about the concept, definition, management, and long-term risks of rapid infant weight gain. Interventions to increase awareness and pediatrician sense of competence in management of rapid infant weight gain are needed.
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