Wednesday, August 2, 2017

US Pediatric Dentists’ Counseling Practices in Addressing Childhood Obesity

Department of Pediatric Dentistry
Lutheran Medical Center
           
Resident’s Name: Brian Darling                                                                                 Date: 8/2/17
Article Title: US Pediatric Dentists’ Counseling Practices in Addressing Childhood Obesity
Author(s): Lee JY et al
Journal: Pediatric Dentistry
Date: 2012; 34: 245-50
Major Topic: Childhood Obesity
Type of Article: Survey
Main Purpose: This article aimed to determine dentists’ attitudes toward providing weight-related counseling
Key Points: Through additional training, reasons dentists do not provide weight-related counseling, which largely relate to offending patients/parents, may be overcome.
·      Overweight in 2-19 year olds is ≥85th percentile BMI and ≥95th for obesity
·      ~10% of infants and toddlers have abnormally high BMI
·      ~12% of older children and teens have abnormally high BMI
·      Overweight/obesity rates have remained relatively constant over the past decade (article published in 2012)
·      Although a majority of dentists were interested in offering weight-related dietary counseling, only 9% offered them to patients
·      Hispanic ethnicity, female gender, and solo practice are more likely to provide weight-related counseling
·      Group practice, ownership in practice, and dentists who considered themselves overweight or obese were less likely to provide weight-related counseling
·      Dentists who have received education about weight-related counseling were more likely to provide this service
·      ~1/3 of respondents thought overweight people lacked willpower. However, most evidence suggests that 77% heredibility for both BMI and waist circumference.
·      Major reported barriers to offering weight-related services:
o   Fear of offending and appearing judgmental to patients/parents
o   Lack of patient acceptance of weight-loss advice from dentists
o   Insufficient time and training to provide the service
·      The above barriers to weight-related counseling may be overcome through education efforts and public and professional advocacy
·      There appears to be little evidence for an association between caries and obesity. However, Roughly 20-30% of respondents to the survey said they see more dental and periodontal disease in overweight patients.
·      Dentists who have received training on dietary counseling (caries or weight-related) consider themselves effective and confident in assessing and managing patients risk


Remarks:
1- I was shocked that 19% of respondents did not offer neither caries nor weight-related counseling
2- Results may actually be smaller because I think those more likely to give weight-related counseling would be more likely to fill out survey
Assessment of Article:  Level of Evidence/Comments: III


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