Dietary and Physical Activity Counseling Trends in U.S. Children, 2002-2011. Am J Prev Med 2017 Jul;53(1):9-16
Date
04/04/2017Pubmed ID
28365089DOI
10.1016/j.amepre.2017.01.039Scopus ID
2-s2.0-85016548521 (requires institutional sign-in at Scopus site) 6 CitationsAbstract
INTRODUCTION: In 2007 and 2010, Expert Committee and U.S. Preventive Services Task Force guidelines were released, respectively, urging U.S. practitioners to deliver preventive obesity counseling for children. This study determined the frequency and evaluated predictors of receiving counseling for diet and physical activity among a national sample of children from 2002 to 2011.
METHODS: Children aged 6-17 years were used from the 2002-2011 Medical Expenditure Panel Surveys and analyzed in 2016. Parental report of two questions assessed whether children received both dietary and exercise counseling from the provider. Children were grouped by weight category. Bivariate analyses compared the frequency of receiving counseling; logistic regression evaluated predictors of receiving counseling.
RESULTS: The sample included 36,114 children; <50% of children received counseling. Across all time periods, children were more likely to receive counseling with increasing weight. Logistic regression models showed that obese children had greater odds of receiving counseling versus normal-weight children, even after adjusting for covariates. Additional significant positive correlates of receiving counseling were Hispanic ethnicity, living in an urban setting, and being in the highest income stratum. Being uninsured was associated with lower odds of counseling. Years 2007-2009 and 2010-2011 were associated with increased counseling versus the benchmark year category in the multivariable model.
CONCLUSIONS: Counseling appears more likely with greater weight and increased after both guidelines in 2007 and 2010. Overall counseling rates for children remain low. Future work should focus on marginalized groups, such as racial and ethnic minorities and rural populations.
Author List
Odulana A, Basco WT, Bishu KG, Egede LEAuthor
Leonard E. Egede MD Center Director, Chief, Professor in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentBody Weight
Child
Counseling
Diet Therapy
Exercise Therapy
Female
Health Care Surveys
Humans
Male
Medically Uninsured
Obesity
Practice Guidelines as Topic
Preventive Health Services
Rural Population
Socioeconomic Factors
Urban Population
