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Implications for clinical care
- Multiple specific nutrition and activity risk factors need to addressed during obesity related counseling in all well visits
- Limited time in well visits and more concerns of parents of obese children are more likely to have other concerns as well
- Low cost technology assists by:
- Visit changed from majority of time on data gathering to discussion of issues
- Allow clinician to prioritize issues and plan counseling approach and understand which families may need another visit
- Parents have been prepared to discuss these issues
- Knowing if other psychosocial and developmental issues are playing a role
Asking about nutrition issues may prime parents
38% were concerned/ at beginning of PDA 55% interested in making change in nutrition later
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