Clinician adherence to childhood overweight and obesity recommendations by race/ethnicity of the child

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This study describes school-based health center (SBHC) providers' adherence to obesity guidelines.

Design and Methods.

Providers (n = 28) were from SBHCs in six states serving children 5–12 years of age. A random sample of well-child charts (n = 850) were audited for body mass index percentage, blood pressure percentage, overweight/obesity diagnosis, and laboratory assessment.


Body mass index percentage was documented on 73% of charts and blood pressure percentage on 30.5%. Providers accurately diagnosed 40% overweight and 49.3% obese children. Laboratory guidelines were followed in 80.4% of cases. Assessments differed by child's race/ethnicity (p < .05), with most criteria having higher adherence in minority youth.

Practice Implications.

There is a need for increased accuracy in how SBHC providers screen overweight/obese children.

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