Rethinking Obesity Counseling: Having the French Fry Discussion

Childhood obesity is a complex problem that warrants early intervention. General recommendations for obesity prevention and nutrition counseling exist. However, these are notably imprecise with regard to early and targeted interventions to prevent and treat obesity in pediatric populations. This stu...

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Main Authors: Jonathan Bonnet, Aaron George, Pippa Evans, Mina Silberberg, Diana Dolinsky
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Journal of Obesity
Online Access:http://dx.doi.org/10.1155/2014/525021
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author Jonathan Bonnet
Aaron George
Pippa Evans
Mina Silberberg
Diana Dolinsky
author_facet Jonathan Bonnet
Aaron George
Pippa Evans
Mina Silberberg
Diana Dolinsky
author_sort Jonathan Bonnet
collection DOAJ
description Childhood obesity is a complex problem that warrants early intervention. General recommendations for obesity prevention and nutrition counseling exist. However, these are notably imprecise with regard to early and targeted interventions to prevent and treat obesity in pediatric populations. This study examines family medicine primary care providers’ (PCPs) perceived barriers for preventing and treating pediatric obesity and their related practice behavior during well-child visits. Methods. A written survey addressing perceived barriers and current practices addressing obesity at well-child visits were administered to PCPs at eleven family medicine clinics in the Duke University Health System. Results. The most common perceived barriers identified by PCPs to prevention or treatment of obesity in children were families not getting enough exercise (93%) and families too often having fast food meals (86%). Most PCPs do not discuss fast foods at or prior to the twelve-month well-child visit. The two-year visit is the first well-child visit at which a majority of PCPs (68%) discuss fast food. Conclusion. No clear consensus exists as to when PCPs should discuss fast food in early well-child checks. Previous research has shown a profound shift in children’s dietary habits toward fast foods, such as French fries, that occurs between the one- and two-year well-child checks. Consideration should be given to having a “French Fry Discussion” at every twelve-month well-child care visit.
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spelling doaj-art-abddeea3e1e343b08ccf87105397b3562025-02-03T05:58:18ZengWileyJournal of Obesity2090-07082090-07162014-01-01201410.1155/2014/525021525021Rethinking Obesity Counseling: Having the French Fry DiscussionJonathan Bonnet0Aaron George1Pippa Evans2Mina Silberberg3Diana Dolinsky4Department of Community and Family Medicine, Duke University Health System, P.O. Box 104425, Durham, NC 27710, USADepartment of Community and Family Medicine, Duke University Health System, P.O. Box 104425, Durham, NC 27710, USADuke Primary Care, Duke University Health System, 1820 Hillandale Road Suite 24B, Durham, NC 27705, USADepartment of Community and Family Medicine, Duke University Health System, P.O. Box 104425, Durham, NC 27710, USA113 Trail One, Burlington, NC 27715, USAChildhood obesity is a complex problem that warrants early intervention. General recommendations for obesity prevention and nutrition counseling exist. However, these are notably imprecise with regard to early and targeted interventions to prevent and treat obesity in pediatric populations. This study examines family medicine primary care providers’ (PCPs) perceived barriers for preventing and treating pediatric obesity and their related practice behavior during well-child visits. Methods. A written survey addressing perceived barriers and current practices addressing obesity at well-child visits were administered to PCPs at eleven family medicine clinics in the Duke University Health System. Results. The most common perceived barriers identified by PCPs to prevention or treatment of obesity in children were families not getting enough exercise (93%) and families too often having fast food meals (86%). Most PCPs do not discuss fast foods at or prior to the twelve-month well-child visit. The two-year visit is the first well-child visit at which a majority of PCPs (68%) discuss fast food. Conclusion. No clear consensus exists as to when PCPs should discuss fast food in early well-child checks. Previous research has shown a profound shift in children’s dietary habits toward fast foods, such as French fries, that occurs between the one- and two-year well-child checks. Consideration should be given to having a “French Fry Discussion” at every twelve-month well-child care visit.http://dx.doi.org/10.1155/2014/525021
spellingShingle Jonathan Bonnet
Aaron George
Pippa Evans
Mina Silberberg
Diana Dolinsky
Rethinking Obesity Counseling: Having the French Fry Discussion
Journal of Obesity
title Rethinking Obesity Counseling: Having the French Fry Discussion
title_full Rethinking Obesity Counseling: Having the French Fry Discussion
title_fullStr Rethinking Obesity Counseling: Having the French Fry Discussion
title_full_unstemmed Rethinking Obesity Counseling: Having the French Fry Discussion
title_short Rethinking Obesity Counseling: Having the French Fry Discussion
title_sort rethinking obesity counseling having the french fry discussion
url http://dx.doi.org/10.1155/2014/525021
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