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<p><b>Introduction</b> Childhood obesity remains one of the greatest health challenges faced by the United Kingdom. With shared risk factors, obesity and dental caries are often associated.</p><p><b>Aims</b> A quality improvement project (QIP) was conducted at a London dental hospital to: 1) improve recording of children's body mass index (BMI) prior to listing for dental general anaesthetic (DGA); 2) create a referral pathway for children causing weight-based concern; and 3) improve clinician confidence with weight-based conversations.</p><p><b>Methods</b> Gold standards were created considering age and medical/behavioural complexities in this two-cycle QIP. The intervention involved smart template creation and teaching by a consultant paediatrician. A childhood obesity pathway was developed to appropriately signpost and refer to weight-based services. A mnemonic (CARES: create, assess, rapport, engage/explore/educate, signpost) was created to support dental professionals with discussions.</p><p><b>Results</b> In Cycle 1, BMI was recorded in 12 patients (37.5%) and centile only in seven patients (21.9%) (mean BMI = 20.0 [range: 14.5–50.7]; mean centile = 70<sup>th</sup> [range: 1–99]). In Cycle 2, BMI was recorded in 20 patients (74.1%) and centile only in one patient (3.7%) (mean BMI = 17.1 [range: 14.6–21.1]; mean centile = 57<sup>th</sup> [range: 6–95]).</p><p><b>Conclusion</b> This QIP demonstrated clinicians were not routinely recording BMI prior to DGA listing. The creation of a smart template, childhood obesity pathway and mnemonic aided clinician engagement in conversations about weight.</p>

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Encouraging conversations about kid-friendly realistic eating strategies in the dental setting

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年10月21日

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  • Asees K. Lamba,
  • K. Julia Hurry,
  • Gin Peh,
  • Janet Davies

摘要

Introduction Childhood obesity remains one of the greatest health challenges faced by the United Kingdom. With shared risk factors, obesity and dental caries are often associated.

Aims A quality improvement project (QIP) was conducted at a London dental hospital to: 1) improve recording of children's body mass index (BMI) prior to listing for dental general anaesthetic (DGA); 2) create a referral pathway for children causing weight-based concern; and 3) improve clinician confidence with weight-based conversations.

Methods Gold standards were created considering age and medical/behavioural complexities in this two-cycle QIP. The intervention involved smart template creation and teaching by a consultant paediatrician. A childhood obesity pathway was developed to appropriately signpost and refer to weight-based services. A mnemonic (CARES: create, assess, rapport, engage/explore/educate, signpost) was created to support dental professionals with discussions.

Results In Cycle 1, BMI was recorded in 12 patients (37.5%) and centile only in seven patients (21.9%) (mean BMI = 20.0 [range: 14.5–50.7]; mean centile = 70th [range: 1–99]). In Cycle 2, BMI was recorded in 20 patients (74.1%) and centile only in one patient (3.7%) (mean BMI = 17.1 [range: 14.6–21.1]; mean centile = 57th [range: 6–95]).

Conclusion This QIP demonstrated clinicians were not routinely recording BMI prior to DGA listing. The creation of a smart template, childhood obesity pathway and mnemonic aided clinician engagement in conversations about weight.