This Article Abstract Free Full Text (Free PDF) Free Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Miner, M. Search for Related Content Social Bookmarking                         What's this?

Patient Education: This Practitioner's Ignorance of Diet, Nutrition, and Exercise: A Call to Education

Brown University School of Medicine, Swansea Family Practice Group, Swansea, Massachusetts, Martin_Miner{at}brown.edu

The delivery of preventive health care services in the wellness visits of children and adolescents fails to adequately identify the child and adolescent overweight and at risk for obesity and its subsequent comorbidities. There are multiple competing issues and barriers addressed in this article. However, a brief inventory of exercise and dietary and nutritional guidance is presented for the primary care clinician. Included are the appropriate history, physical exam, and laboratory evaluation that should encompass any child or adolescent at risk for obesity.

Key Words: nutrition • diet • exercise • children and adolescents

References

• Podl TR, Goodwin MA, Kikano GE, Stange KC Direct observation of exercise counseling in community family practice. Am J Prev Med. 1999;17:207-210.[CrossRef][Medline] [Order article via Infotrieve]
• Flocke SA, Stange KC, Goodwin MA Patient and visit characteristics associated with opportunistic preventive services delivery. J Fam Pract. 1998;47:202-208.[Medline] [Order article via Infotrieve]
• Stange KC, Woolf SH, Gjeltema K. One minute for prevention: the power of lever-aging to fulfill the promise of health behavior counseling. Am J Prev Med. 2002;22:320-323.[CrossRef][Medline] [Order article via Infotrieve]
• Meriwether RA, Lobelo F., Pate RR Clinical interventions to promote physical activity in youth. Am J Lifestyle Med. 2008;2:7-25.[CrossRef]
• Goodwin MA, Flocke SA, Borawski EA, Zyzanski SJ, Stange KC Direct observation of health-habit counseling of adolescents. Arch Pediatr Adolesc Med. 1999;153:367-373.[Abstract/Free Full Text]
• Barlow SE, Dietz WH Obesity evaluation and treatment: expert committee recommendations. The Maternal and Child Health Bureau, Health Resources and Services Administration and the Department of Health and Human Services. Pediatrics. 1998;102:E29.[CrossRef][Medline] [Order article via Infotrieve]
• Institute of Medicine. Preventing Childhood Obesity: Health in the Balance. Washington, DC: Institute of Medicine; 2004. Available at: www.iom.edu/report.asp?id=22596. Accessed October 4, 2007.
• Miller LA, Grunwald GK, Johnson SL, Krebs NF Disease severity at time of referral for pediatric failure to thrive and obesity: time for a paradigm shift? J Pediatr. 2002;141:121.[CrossRef][Medline] [Order article via Infotrieve]
• Dietz WH, Robinson TN Clinical practice: overweight children and adolescents. N Engl J Med. 2005;352:2100.[Free Full Text]
• Hoppin AG Obesity. In: Walker WA, Goulet O, Kleinman RE, et al, eds. Pediatric Gastrointestinal Disease: Pathophysiology, Diagnosis, Management. 4th ed. Ontario, Canada: BC Decker; 2004:311.
• Daniels SR, Arnett DK, Eckel RH, et al. Overweight in children and adolescents: pathophysiology, consequences, prevention, and treatment. Circulation. 2005;111:1999.[Abstract/Free Full Text]
• Baker S., Barlow S., Cochran W., et al. Overweight children and adolescents: a clinical report of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol Nutr. 2005;40:533.[CrossRef]
• US Department of Health and Human Services (HHS), US Department of Agriculture (USDA). Dietary Guidelines for Americans, 2005. Washington, DC: US Government Printing Office; 2005. Available at: www.healthierus.gov/dietaryguidelines/. Accessed October 4, 2007.

American Journal of Lifestyle Medicine, Vol. 2, No. 1, 43-45 (2008)
DOI: 10.1177/1559827607309304


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This Article Abstract Free Full Text (Free PDF) Free Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Miner, M. Search for Related Content Social Bookmarking                         What's this?