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Diagnostic procedures and treatment of childhood obesity by pediatricians: ‘The Dutch Approach’

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  • Schwiebbe, Luuk
  • Talma, Henk
  • van Mil, Edgar G.
  • Fetter, Willem P.F.
  • HiraSing, Remy A.
  • Renders, Carry M.

Abstract

Child Public Health professionals in the Netherlands refer obese children to a pediatrician to check for underlying causes and comorbidity. What happens to these children in terms of diagnostics and treatment when they visit a pediatrician? To get an overview of the diagnostic procedures and treatment methods a questionnaire was developed and sent to all 583 pediatricians in the Netherlands. Data was obtained of 290 pediatricians from 85% of the general hospitals and all (8) academic hospitals. To define childhood obesity Dutch pediatricians most often use the adult Body Mass Index, only 34% use the sex and age specific IOTF-BMI-criteria. 11% of the (non-obese) overweight children visiting a pediatrician have already comorbidities. All pediatricians perform at least weight and height measurements. Waist circumference is measured by only 42%, ninety-five percent measure blood pressure. To treat obese children without comorbidity thirty different intervention programs were reported.

Suggested Citation

  • Schwiebbe, Luuk & Talma, Henk & van Mil, Edgar G. & Fetter, Willem P.F. & HiraSing, Remy A. & Renders, Carry M., 2013. "Diagnostic procedures and treatment of childhood obesity by pediatricians: ‘The Dutch Approach’," Health Policy, Elsevier, vol. 111(2), pages 110-115.
    • Handle: RePEc:eee:hepoli:v:111:y:2013:i:2:p:110-115
    DOI: 10.1016/j.healthpol.2013.04.008
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    References listed on IDEAS

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    1. Marlou L A De Kroon & Carry M Renders & Jacobus P Van Wouwe & Stef Van Buuren & Remy A Hirasing, 2010. "The Terneuzen Birth Cohort: BMI Changes between 2 and 6 Years Correlate Strongest with Adult Overweight," PLOS ONE, Public Library of Science, vol. 5(2), pages 1-8, February.
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