title: Identification and assessment of childhood obesity by school-based health center providers.
abstract: BACKGROUND
  School-based health centers (SBHCs) serve many overweight/obese children, yet little is known about provider adherence to obesity guidelines. The purpose of this descriptive study was to evaluate obesity care assessment practices of SBHC providers prior to completing training on obesity guidelines.
  
  
  METHODS
  Providers (n = 33) from SBHCs in six states (AZ, CO, NM, MI, NY, and NC) completed The International Life Science Institute Research Foundation Assessment of Overweight in Children and Adolescents Survey.
  
  
  RESULTS
  Most providers reported using body mass index percentile (93.9%) to assess weight. In caring for overweight/obese children, providers reported screening for hypertension 100% of the time and cardiovascular disease 93.9% of the time, and approximately two thirds reported requesting total cholesterol and lipid profile laboratory assessments. Some assessment guidelines were not routinely followed.
  
  
  CONCLUSIONS
  SBHCs serve a high-risk population, and providers in this study may benefit from additional training on assessment guidelines and quality improvement processes to improve adherence to current guidelines.
authors: Heather
authors: H
authors: Aldrich
authors: Bonnie
authors: B
authors: Gance-Cleveland
authors: Sarah
authors: S
authors: Schmiege
authors: Danielle
authors: D
authors: Dandreaux
mesh_terms: D002648:Child; D002664:Child Nutritional Physiological Phenomena; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D008297:Male; D010290:Parents / Q000523:psychology; D063766:Pediatric Obesity / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control; D017410:Practice Guidelines as Topic; D018570:Risk Assessment; D012572:School Health Services / Q000458:organization & administration; D014481:United States / Q000453:epidemiology
keywords: Childhood obesity guidelines; expert recommendations; provider adherence; school-based health centers