Kindliches Übergewicht und Adipositas
摘要
Early prevention and intervention are essential in addressing childhood overweight and obesity. In this context pediatricians play a key role. The aim of this study was to assess the counselling priorities of pediatricians in the areas of physical activity, nutrition, media use and sleeping habits as well as their perceptions of parental competencies in these domains.
MethodsA nationwide survey was conducted among a random sample of 3750 office-based pediatricians in Germany. The data were analyzed using descriptive and inferential statistical methods, including variables related to the gender of the pediatricians, city size and the socioeconomic structure of the catchment area of the practice.
ResultsA total of 960 questionnaires were returned. Over 90% of pediatricians rated physical activity and nutrition as high-priority counselling topics but media use and sleep received this rating less often (68.4% and 25.7%, respectively). Parental competencies were rated low across all areas, especially in implementing and maintaining healthy behavior. The social structure of the practice environment was associated with the results in nearly all dimensions. A higher prioritization of counselling on nutrition and physical activity was associated with a higher appraisal of parental competencies in applying nutritional knowledge (p = 0.016) and maintaining changes in physical activity behavior (p = 0.032).
ConclusionCounselling priorities of pediatricians remain largely consistent across most areas, regardless of the estimation of parental competencies. While this can reflect equitable, nonprejudicial care, it could also suggest a low adaptation of counselling strategies to individual family needs.