title: Clinician adherence to childhood overweight and obesity recommendations by race/ethnicity of the child.
abstract: OBJECTIVE
  This study describes school-based health center (SBHC) providers' adherence to obesity guidelines.
  
  
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  There is a need for increased accuracy in how SBHC providers screen overweight/obese children.
authors.affiliation: College of Nursing, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
authors.forename: Bonnie
authors.initials: B
authors.lastname: Gance-Cleveland
authors.forename: Heather
authors.initials: H
authors.lastname: Aldrich
authors.forename: Sarah
authors.initials: S
authors.lastname: Schmiege
authors.forename: Cristi
authors.initials: C
authors.lastname: Coursen
authors.forename: Danielle
authors.initials: D
authors.lastname: Dandreaux
authors.forename: Lynn
authors.initials: L
authors.lastname: Gilbert
mesh_terms: D000328:Adult; D001794:Blood Pressure; D015992:Body Mass Index; D002648:Child; D002675:Child, Preschool; D005260:Female; D019983:Guideline Adherence; D054624:Health Status Disparities; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000208:ethnology / Q000517:prevention & control; D050177:Overweight / Q000208:ethnology* / Q000517:prevention & control*; D017410:Practice Guidelines as Topic; D012923:Social Class
keywords: Childhood obesity; health disparity; obesity guideline; overweight/obese child; school-based health center