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Diagnostic procedures and treatment of childhood obesity by pediatricians: ‘The Dutch Approach’

Luuk Schwiebbe, Henk Talma, Edgar G. van Mil, Willem P.F. Fetter, Remy A. HiraSing and Carry M. Renders

Health Policy, 2013, vol. 111, issue 2, 110-115

Abstract: Child Public Health professionals in the Netherlands refer obese children to a pediatrician to check for underlying causes and comorbidity. What happens to these children in terms of diagnostics and treatment when they visit a pediatrician? To get an overview of the diagnostic procedures and treatment methods a questionnaire was developed and sent to all 583 pediatricians in the Netherlands. Data was obtained of 290 pediatricians from 85% of the general hospitals and all (8) academic hospitals. To define childhood obesity Dutch pediatricians most often use the adult Body Mass Index, only 34% use the sex and age specific IOTF-BMI-criteria. 11% of the (non-obese) overweight children visiting a pediatrician have already comorbidities. All pediatricians perform at least weight and height measurements. Waist circumference is measured by only 42%, ninety-five percent measure blood pressure. To treat obese children without comorbidity thirty different intervention programs were reported.

Keywords: Diagnostics; Treatment methods; Pediatricians; Obesity; Guidelines; Protocol (search for similar items in EconPapers)
Date: 2013
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Persistent link: https://EconPapers.repec.org/RePEc:eee:hepoli:v:111:y:2013:i:2:p:110-115

DOI: 10.1016/j.healthpol.2013.04.008

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