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Clinical Pediatrics, Vol. 44, No. 1, 57-61 (2005)
DOI: 10.1177/000992280504400107

Diagnosis and Treatment Frequency for Overweight Children and Adolescents at Well Child Visits

Miriam V. Louthan, MD

Department of Pediatrics, University of Louisville/School of Medicine, Louisville, KY

Margaret J. Lafferty-Oza, MD

Departments of Pediatrics/C&Y, University of Louisville/School of Medicine, Louisville, KY

Elizabeth R. Smith, MD

Departments of Pediatrics/C&Y, University of Louisville/School of Medicine, Louisville, KY

C. A. Hornung, PhD, MPH

Departments of Epidemiology and Clinical Investigation Sciences, University of Louisville/School of Public Health/Health Information Sciences, Louisville, KY

Sofia Franco, MD

Departments of Pediatrics/C&Y, University of Louisville/School of Medicine, Louisville, KY

Judy A. Theriot, MD

Departments of Pediatrics/C&Y, University of Louisville/School of Medicine, Louisville, KY

Obesity in children is a rapidly growing problem and may be underrecognized by pediatricians. We reviewed 473 consecutive well child visits to assess frequency of correctly identifying overweight children. Of children with a body mass index greater than the 95th percentile for gender and age, only 27 (29%) were diagnosed as overweight by the physician. Our results suggest that the frequency of diagnosing children as overweight at well child visits is critically low.


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M. J. Gilbert and M. F. Fleming
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T. M. Selden
Compliance With Well-Child Visit Recommendations: Evidence From the Medical Expenditure Panel Survey, 2000-2002
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