Bradford Kathleen, Kihlstrom Margaret, Pointer Ivy, Skinner Asheley Cockrell, Slivka Petr, Perrin Eliana M
Department of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599-7229, USA.
Hosp Pediatr. 2012 Jul;2(3):126-32. doi: 10.1542/hpeds.2011-0036.
Many studies have evaluated BMI screening, communication, and follow-up recommendations in the outpatient setting. However, few studies have examined parental attitudes toward using the inpatient setting as a time to screen and counsel families regarding their child's BMI. We sought to study parental attitudes about overweight and obesity screening in the inpatient setting.
Parents (N= 101) of children aged 2 to 18 years admitted to a general pediatric hospital or surgical service were queried regarding their attitudes about screening and counseling for overweight and obesity. Children's age, gender, height, weight, and diagnosis codes were extracted from electronic medical records and billing databases. BMI was calculated, plotted, and categorized according to standard Centers for Disease Control and Prevention growth charts and expert recommendation.
Fourteen percent of children in the study were overweight, and 17% were obese. Parents of overweight and obese children underestimated their child's weight status 68% of the time. The majority believed admitted children should always have their BMI calculated. Almost all parents (90%) indicated that their inpatient physician should inform them if their child were overweight or obese and that primary care providers should be informed of the results of BMI screening.
Parents of children admitted to the hospital believed their children should have their BMI screened. If their child was overweight or obese, parents believed they should be informed, and counseling should be initiated. These findings support using the inpatient time to screen and communicate BMI.
许多研究评估了门诊环境中的体重指数（BMI）筛查、沟通及后续建议。然而，很少有研究探讨家长对于利用住院时机筛查并为家庭提供有关其孩子BMI的咨询服务的态度。我们试图研究家长对住院环境中超重和肥胖筛查的态度。
对一家综合儿科医院或外科收治的2至18岁儿童的家长（N = 101）进行询问，了解他们对超重和肥胖筛查及咨询的态度。从电子病历和计费数据库中提取儿童的年龄、性别、身高、体重及诊断代码。根据疾病控制与预防中心的标准生长图表和专家建议计算、绘制BMI并进行分类。
研究中14%的儿童超重，17%的儿童肥胖。超重和肥胖儿童的家长有68%的时间低估了孩子的体重状况。大多数家长认为住院儿童应始终计算其BMI。几乎所有家长（90%）表示，如果孩子超重或肥胖，住院医生应告知他们，且应将BMI筛查结果告知初级保健提供者。
住院儿童的家长认为他们的孩子应该进行BMI筛查。如果孩子超重或肥胖，家长认为应该被告知，并应开始进行咨询。这些发现支持利用住院时间进行BMI筛查和沟通。
