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儿童肥胖相关基础知识:对医学生进行的横断面研究。

Foundational knowledge regarding childhood obesity: a cross-sectional study of medical students.

机构信息

Diabetes Institute, Ohio University, Athens, OH, 45701, USA.

Department of Family Medicine, Ohio University Heritage College of Osteopathic Medicine, Athens, OH, 45701, USA.

出版信息

BMC Public Health. 2019 Sep 11;19(1):1251. doi: 10.1186/s12889-019-7499-1.

Abstract

BACKGROUND

Documentation and diagnosis of childhood obesity in primary care is poor and providers are often unfamiliar with guidelines. This lack of knowledge may be attributed to insufficient training in medical school and residency; however, no studies have evaluated medical students' knowledge of recommendations.

METHODS

We distributed a modified version of the Physician Survey of Practice on Diet, Physical Activity, and Weight Control to medical students at a single university. Descriptive analyses assessed knowledge and attitudes of childhood obesity and diabetes.

RESULTS

Of the 213 participating students, 74% indicated being unfamiliar with obesity screening recommendations. Few correctly identified BMI percentile cut-points for child overweight (21.2%), obesity (23.7%), and normal weight (29.4%). They reported screening glucose 4.5 years earlier in patients with risk factors compared to those without (p < 0.001).

CONCLUSIONS

Although students recognized the need for earlier diabetes screening in children with risk factors, we determined that overall, student knowledge of obesity-related preventative care was inadequate.

摘要

背景

初级保健中儿童肥胖症的记录和诊断情况较差,而且医务人员通常不熟悉相关指导方针。这种知识的缺乏可能归因于医学院和住院医师培训中缺乏培训;但是,尚无研究评估医学生对建议的了解程度。

方法

我们向一所大学的医学生分发了经修改的医师关于饮食,身体活动和体重控制实践调查。描述性分析评估了儿童肥胖和糖尿病的知识和态度。

结果

在 213 名参与的学生中,有 74%的学生表示不熟悉肥胖筛查建议。很少有人正确地确定了儿童超重(21.2%),肥胖(23.7%)和正常体重(29.4%)的 BMI 百分位切点。与无风险因素的患者相比,他们报告称有风险因素的患者筛查葡萄糖的时间早 4.5 年(p <0.001)。

结论

尽管学生认识到需要对有风险因素的儿童进行更早的糖尿病筛查,但我们确定,总体而言,学生对肥胖相关预防保健的知识不足。

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