Feasibility of enhancing well-child visits with family nutrition and physical activity risk assessment on body mass index

L. Bailey-Davis, S. M.R. Kling, G. C. Wood, W. J. Cochran, J. W. Mowery, J. S. Savage, R. A. Stametz, G. J. Welk

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Objective: Integration of behavioural risk assessment into well-child visits is recommended by clinical guidelines, but its feasibility and impact is unknown. Methods: A quasi-experimental study evaluated the feasibility and effectiveness of risk assessment on body mass index (BMI) at 1-year follow-up. Children with assessments (intervention) were compared with those who did not complete assessments (non-respondent) and those who received standard care (non-exposed). Results: Analyses included 10,647 children aged 2–9 years (2,724 intervention, 3,324 non-respondent and 4,599 non-exposed). Forty-five per cent of parents completed the assessments. Intervention and non-respondent groups differed in change in BMI z-score at 1 year by −0.05 (confidence interval [CI]: −0.08, −0.02; P = 0.0013); no difference was observed with non-exposed children. The intervention group had a smaller increase in BMI z-score (0.07 ± 0.63) than non-respondent group (0.13 ± 0.63). For children with normal weight at baseline, intervention versus non-respondent groups differed in BMI z-score change by −0.06 (CI: −0.10, −0.02; P = 0.0025). However, children with overweight at baseline in the intervention versus the non-exposed group differed in BMI z-score change (0.07 [CI: 0.02, 0.14]; P = 0.016). When analysed by age, results were similar for 2- to 5-year-olds, but no differences were found for 6- to 9-year-olds. Conclusion: Automating risk assessment in paediatric care is feasible and effective in promoting healthy weight among preschool but not older children.

Original languageEnglish (US)
Pages (from-to)220-230
Number of pages11
JournalObesity Science and Practice
Volume5
Issue number3
DOIs
StatePublished - Jun 2019

All Science Journal Classification (ASJC) codes

  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

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    Bailey-Davis, L., Kling, S. M. R., Wood, G. C., Cochran, W. J., Mowery, J. W., Savage, J. S., Stametz, R. A., & Welk, G. J. (2019). Feasibility of enhancing well-child visits with family nutrition and physical activity risk assessment on body mass index. Obesity Science and Practice, 5(3), 220-230. https://doi.org/10.1002/osp4.339