How pediatricians can improve diet and activity for overweight preschoolers: a qualitative study of parental attitudes.

Objective.-This study sought feedback from parents of over- weight preschoolers on terms for overweight and treatment strategies pediatricians could use to help parents improve diet and activity for their children. Methods.-Twenty-three parents of 21 children aged 2 to 6 years and between the 85th a...

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Publicado en:Academic Pediatrics Vol. 9; no. 3; pp. 172 - 179
Autores principales: Bolling C, Crosby L, Boles R, Stark L
Formato: research tables/charts Journal Article
Publicado: Elsevier B.V. May/Jun2009
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May/Jun2009
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      pub: Elsevier B.V.
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        atl: How pediatricians can improve diet and activity for overweight preschoolers: a qualitative study of parental attitudes.
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        au:
          Bolling C
          Crosby L
          Boles R
          Stark L
        affil: Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, ML 7035, 3333 Burnet Avenue, Cincinnati, Ohio 45229, USA. christopher.bolling@cchmc.org
      sug:
        subj:
          Eating Disorders In Infancy and Childhood
          Exercise
          Nutrition
          Obesity Therapy
          Pediatricians
          Adolescence
          Child
          Child, Preschool
          Demography
          Focus Groups
          Funding Source
          Human
          Adolescent: 13-18 years
          Child: 6-12 years
          Child, Preschool: 2-5 years
      ab: Objective.-This study sought feedback from parents of over- weight preschoolers on terms for overweight and treatment strategies pediatricians could use to help parents improve diet and activity for their children. Methods.-Twenty-three parents of 21 children aged 2 to 6 years and between the 85th and 94th percentile body mass index participated in focus groups conducted by a pediatrician to assess 1) terms and health risks that motivate parents, 2) barriers that prevent adoption of recommended behaviors, and 3) recommendations for pediatricians on strategies to help parents improve child diet and activity. Results.-With regard to weight status, parents preferred the terms overweight and obese as long as pediatricians provided rationale for the classification. Parents recommended that pediatricians avoid colloquial terms to describe weight status. With regard to American Academy of Pediatrics recommendations for weight management in overweight preschoolers, parents were reluctant to restrict 100% fruit juice, needed specific strategies to increase vegetable consumption, and said limiting screen time would be difficult, especially when busy or during inclement weather. Despite identification of barriers, parents reported confidence in adopting all recommended behaviors except vegetable intake if given the rationale for the recommendation and strategies for implementation. Conclusion.-Parents recommended that pediatricians speak clearly about weight status, explain rationale for concern, relate that concern to family history, and provide specific advice and treatment recommendations.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
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      ougenre: Article
    language: English
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