Children's report of lifestyle counseling differs by BMI status

This study examined whether children's report of receiving weight, nutrition, and physical activity counseling from their clinicians differs by their BMI status and identified factors associated with higher rates of counseling. Physical assessments and health surveys were collected from a schoo...

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Bibliographic Details
Published in:Childhood obesity 2013-06, Vol.9 (3), p.216-222
Main Authors: Kallem, Stacey, Carroll-Scott, Amy, Gilstad-Hayden, Kathryn, Peters, Susan M, McCaslin, Catherine, Ickovics, Jeannette R
Format: Article
Language:English
Subjects:
Adolescent
Body Mass Index
Child
Directive Counseling - standards
Exercise
Female
Health Education - standards
Health Surveys
Humans
Male
Nutrition Assessment
Nutritional Status
Obesity - epidemiology
Obesity - prevention & control
Obesity - psychology
Original
Patient Satisfaction - statistics & numerical data
Prevalence
Risk Reduction Behavior
School Health Services - standards
Self Report
Social Class
Students
Surveys and Questionnaires
United States - epidemiology
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Summary:This study examined whether children's report of receiving weight, nutrition, and physical activity counseling from their clinicians differs by their BMI status and identified factors associated with higher rates of counseling. Physical assessments and health surveys were collected from a school-based sample of 959 5(th) and 6(th) grade students. Multivariate logistic regression analysis was used to examine how lifestyle counseling differs by BMI status, adjusting for race, gender, socioeconomic status, co-morbidities, site of care provider, and age. Healthy weight children reported receiving the least amount of lifestyle counseling, with nearly one-quarter reporting none at all. Overweight children were no more likely than their healthy weight peers to report receiving weight and nutrition counseling. As expected, obese children were approximately two times more likely to report being counseled on their weight, nutrition, or physical activity as compared to healthy weight children (all p values at least
ISSN:2153-2168
2153-2176
DOI:10.1089/chi.2012.0100