title: Healthy and fit for prevention: the influence of clinician health and fitness on promotion of healthy lifestyles during health supervision visits.
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.
authors.affiliation: Department of Pediatrics, Children's Memorial Hospital, Northwestern University, Chicago, Illinois 60614, USA.
authors.forename: Helen J
authors.initials: HJ
authors.lastname: Binns
authors.forename: Margaret M
authors.initials: MM
authors.lastname: Mueller
authors.forename: Adolfo J
authors.initials: AJ
authors.lastname: Ariza
mesh_terms: D002648:Child; D002675:Child, Preschool; D003376:Counseling; D005260:Female; D006293:Health Promotion; D006304:Health Status; D006801:Humans; D008019:Life Style; D016015:Logistic Models; D008297:Male; D050177:Overweight / Q000517:prevention & control* / Q000628:therapy; D010372:Pediatrics; D010809:Physical Fitness; D010818:Practice Patterns, Physicians'; D011795:Surveys and Questionnaires