Doctors need to say ‘Your kid’s overweight’

UNC-CHAPEL HILL (US) — Less than one-quarter of parents recall ever being told by a doctor or other health care provider that their child was overweight.

And although that percentage has increased over the last 10 years, more improvement is needed, according to a study published online in Archives of Pediatrics & Adolescent Medicine.

“Parents might be more motivated to follow healthy eating and activity advice if they knew their children were overweight, but very few parents of overweight children say they have ever heard that from their doctor,” says Eliana Perrin, associate professor of pediatrics at University of North Carolina at Chapel Hill and lead author of the study.

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“As health care providers, it’s our job to screen for overweight and obesity and communicate those screening results in sensitive ways, and we are clearly either not doing it or not doing it in a way that families can hear or remember. While we’ve done better in recent years, clearly there’s more work to be done.”

Perrin and co-authors Asheley Cockrell Skinner, and Michael J. Steiner, performed a secondary statistical analysis of data collected from 4,985 children ages 2 to 15 years old who had a body mass index (BMI) at or above the 85th percentile based on measured height and weight.

The data were collected as part of the National Health and Nutrition Examination Survey (NHANES) from 1999 to 2008.

During that time, only 22 percent of parents reported that a doctor or other health professional told them their child was overweight. This percentage increased from 19.4 percent in 1999 to 23.4 percent in 2004, and then to 29.1 percent in 2007-2008. Even among parents of very obese children, only 58 percent recall a doctor telling them.

“We need to figure out two things: How much does communication of weight status influence parents’ behaviors?” Perrin says.

“And, if hearing that their children are overweight is as big a wake-up call to changing lifestyle as we know from some other small studies, we need to figure out where this communication is breaking down so we can do better in the future. Our research group is working on both those issues.”

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