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Variation in Establishing a Diagnosis of Obesity in Children

Agency for Healthcare Quality, Rockville, MD

Sarah J. Clark, MPH

Child Health Evaluation and Research (CHEAR) Unit, Division of General Pediatrics, University of Michigan Health System, Ann Arbor, MI

Alex Kemper, MD, MS, MPH

Child Health Evaluation and Research (CHEAR) Unit, Division of General Pediatrics, University of Michigan Health System, Ann Arbor, MI

Kiesha Fraser, MD

Department of Pediatrics, Loma Linda University Children's Hospital, Loma Linda, CA

Sharon Kileny, MD

Child Health Evaluation and Research (CHEAR) Unit, Division of General Pediatrics, University of Michigan Health System, Ann Arbor, MI

Michael D. Cabana, MD, MPH

Child Health Evaluation and Research (CHEAR) Unit, Division of General Pediatrics, University of Michigan Health System, Ann Arbor, MI

Consensus guidelines provide recommendations for the diagnosis and management of obesity. We conducted a medical record review of children initially diagnosed with obesity at a general pediatrics visit. The diagnosis was made most often at health maintenance visits (46%). Body mass index was documented in 5% of initial visits; 74% had documentation of obesity-related history; 64% had documentation of counseling. In multivariate analysis, male patients were more likely to have diet history documentation; female patients were more likely to have weight loss program referrals. Future research should assess pediatricians’ perceptions about obesity to better understand clinical practice patterns.

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