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Clinical Pediatrics
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Article

Healthy and Fit for Prevention: The Influence of Clinician Health and Fitness on Promotion of Healthy Lifestyles During Health Supervision Visits

Helen J. Binns, MD, MPH*, Margaret M. Mueller, MD, and Adolfo J. Ariza, MD

Children's Memorial Hospital

* To whom correspondence should be addressed. E-mail: hbinns{at}northwestern.edu.


  Abstract
To understand the relationship between pediatricians’ personal health and the delivery of pediatric preventive care, Illinois pediatricians were surveyed by mail. Responses from 387 pediatricians (55% response rate) regarding personal characteristics, their practice, and perceptions about preventive care patterns for children aged 2 through 10 years and management of overweight children were analyzed. Overall, 28% of pediatricians were healthy and fit (excellent/very good health and extremely/ very fit), 40% were either healthy or fit, and 33% were neither healthy nor fit. In logistic regression models controlling for personal and practice characteristics, healthy and fit pediatricians (vs neither healthy nor fit pediatricians) more routinely provided recommended care on child diet (odds ratio [OR], 3.1; 95% confidence interval [CI], 1.6-6.2) and physical activity (OR, 3.2; 95% CI, 1.6-6.3) and assessed television time (OR, 4.4; 95% CI, 2.0-10.1). Pediatricians who were either healthy or fit (vs pediatricians who were neither healthy nor fit) more often assessed television time. Therefore, clinician health influenced application of preventive care.

First published on July 19, 2007, doi:10.1177/0009922807303229

Clinical Pediatrics 2007;46:780.

A more recent version of this article appeared on December 1, 2007

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 CLIN PEDIATRHome page
K. M. Manning, A. J. Ariza, T. K. Massimino, H. J. Binns, and for the Pediatric Practice Research Group
Health Supervision Visits of Very Young Children: Time Addressing 3 Key Topics
Clinical Pediatrics, November 1, 2009; 48(9): 931 - 938.
[Abstract] [PDF]

Home page
 CLIN PEDIATRHome page
L. W. Trapp, A. A. Ryan, A. J. Ariza, C. M. Garcia, and H. J. Binns
Primary Care Identification of Infants at High Risk for Overweight and Obesity
Clinical Pediatrics, April 1, 2009; 48(3): 313 - 316.
[PDF]