Prevention and treatment of childhood obesity: care received by a state medicaid population.


Journal Article

Based on chart review for a representative cluster sample of North Carolina Medicaid enrollees aged 3 to 5 years (n = 1951) and 13 to 16 years (n = 1922) years, this study describes prevalence, practice patterns, and comorbidities related to overweight/obese immediately prior to 2007 Expert Recommendations. In total, 16% of children in both age groups were overweight, and 20% (ages 3-5 years) and 25% (ages 13-16 years) were obese. For 3- to 5-year-olds, body mass index percentile was infrequently recorded (22%) or plotted on growth charts (24%), and weight status category was rarely documented (10%). Results were similar for adolescents (21%, 20%, and 12%, respectively). In both groups, documentation of counseling in nutrition or physical activity was rare (16% for ages 3-5 years; 7% for ages 13-16 years). In adolescents, approximately 20% received recommended laboratory screening and overweight/ obesity was significantly associated with chart-documented asthma, back pain, prediabetes, gastroesophageal reflux disease, hypertension, and sleep apnea. Whether improvements in documentation of care followed these new guidelines deserves further research.

Full Text

Duke Authors

Cited Authors

  • Lazorick, S; Peaker, B; Perrin, EM; Schmid, D; Pennington, T; Yow, A; DuBard, CA

Published Date

  • September 2011

Published In

Volume / Issue

  • 50 / 9

Start / End Page

  • 816 - 826

PubMed ID

  • 21525083

Pubmed Central ID

  • 21525083

Electronic International Standard Serial Number (EISSN)

  • 1938-2707

Digital Object Identifier (DOI)

  • 10.1177/0009922811406259


  • eng

Conference Location

  • United States