management of childhood obesity. Maternal and Child Health Journal, 16, LOE: IV concern is associated with specific actions to improve diet and increase physical activity. Sampling: Stratified random sampling of parents of students in kindergarten, 2nd, 4th, 5th, 7th, and 9th grade in West Virginia. Sample size: 1,500 Methods: Parent interviews by trained personnel using an 82 item structured interview protocol addressing: demographics, parent perceptions, child physical activity, child/family diet, obesity knowledge, interactions with health care providers, and perceptions of the school’s role in childhood obesity prevention. Outcomes: Identification of variables that result in parental concern regarding their child’s weight. Of the 1,500 parents who participated, 95% were white, 74% were female, 90% married, 74% employed, 49% completed high school, 46% were college the degree of concern a parent feels about his/her child’s weight, and that concern about child weight may influence parents to take an active role in managing their child’s diet and physical activity levels. 2. Accurate assessment of child weight increases parental concern, but parental misconception of child weight is common. 3. Regular BMI screenings, education, and feedback from health care providers is an excellent way to increase parent’s ability to assess weight. decrease the generalizability. 2. The study used parental reports of their own and their child’s behaviors which may decrease its validity. Strengths: 1. Participants were from a rural state and my project will also be done in a rural state. 2. The shows that parental concern and their involvement in managing childhood obesity are directly related. Significance for my project: 1. The study explains the factors involved in increasing parental concern which is an important aspect of my project.
LOE: V clinical practice guidelines. Outcomes: Provides insight into clinical practice guidelines for interventional and management approaches in healthy overweight and otherwise healthy obese children. Interventions were divided in 3 groups: nonpharmacological, pharmacological, and surgical approaches. compliance. Behavioral interventions were more successful than psychological. The best results were seen with follow up studies. Pharmacological interventions also suggested diet and exercise. Orlistat had no significant benefit metformin was effective in the short term. Bariatric surgery is effective for weight loss and improved body image immediately and long term, but many complications are associated. Based on current guidelines, pharmacologic and surgical interventions are not to be considered until all other methods have failed. completed in the office of the PCP and other resources must be utilized. Strengths: 1. The study does provide a step by step tool for PCP to follow in the management of childhood obesity. 2. Insight into different methods of weight management interventions were explored. Significance for my project: 1. This provided an excellent step guide for assessing and managing childhood obesity inside the office of the PCP. This will be effective in supplementing my information when I am ready to implement my evidence-based project.