title: Pediatricians' weight assessment and obesity management practices.
abstract: BACKGROUND
  Clinician adherence to obesity screening guidelines from United States health agencies remains suboptimal. This study explored how personal and career demographics influence pediatricians' weight assessment and management practices.
  
  
  METHODS
  A web-based survey was distributed to U.S. pediatricians. Respondents were asked to identify the weight status of photographed children and about their weight assessment and management practices. Associations between career and personal demographic variables and pediatricians' weight perceptions, weight assessment and management practices were evaluated using univariate and multivariate modeling.
  
  
  RESULTS
  3,633 pediatric medical providers correctly identified the weight status of children at a median rate of 58%. The majority of pediatric clinicians were white, female, and of normal weight status with more than 10 years clinical experience. Experienced pediatric medical providers were less likely than younger colleagues to correctly identify the weight status of pictured children and were also less likely to know and use BMI criteria for assessing weight status. General pediatricians were more likely than subspecialty practitioners to provide diverse interventions for weight management. Non-white and Hispanic general practitioners were more likely than counterparts to consider cultural approaches to weight management.
  
  
  CONCLUSIONS
  Pediatricians' perceptions of children's weight and their weight assessment and management practices are influenced by career and personal characteristics. Objective criteria and clinical guidelines should be uniformly applied by pediatricians to screen for and manage pediatric obesity.
authors.affiliation: Department of Pediatrics, University of California, San Diego, CA 92103, USA. jshuang@ucsd.edu
authors.forename: Jeannie S
authors.initials: JS
authors.lastname: Huang
authors.forename: Michael
authors.initials: M
authors.lastname: Donohue
authors.forename: Golnaz
authors.initials: G
authors.lastname: Golnari
authors.forename: Susan
authors.initials: S
authors.lastname: Fernandez
authors.forename: Edward
authors.initials: E
authors.lastname: Walker-Gallego
authors.forename: Kate
authors.initials: K
authors.lastname: Galvan
authors.forename: Christina
authors.initials: C
authors.lastname: Briones
authors.forename: Jennifer
authors.initials: J
authors.lastname: Tamai
authors.forename: Karen
authors.initials: K
authors.lastname: Becerra
mesh_terms: D000328:Adult; D015992:Body Mass Index; D001835:Body Weight; D002648:Child; D002675:Child, Preschool; D003625:Data Collection; D019468:Disease Management; D005006:Ethnicity / Q000706:statistics & numerical data; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D007223:Infant; D008297:Male; D008403:Mass Screening / Q000592:standards; D009765:Obesity / Q000453:epidemiology / Q000628:therapy*; D050177:Overweight / Q000453:epidemiology; D010372:Pediatrics / Q000706:statistics & numerical data*; D010781:Photography; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D013851:Thinness / Q000453:epidemiology; D014481:United States / Q000453:epidemiology