{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T17:30:04Z","timestamp":1787506204462,"version":"build-2736575974"},"reference-count":52,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2021,5,11]],"date-time":"2021-05-11T00:00:00Z","timestamp":1620691200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1047951121001566_as1\">\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>With increased survival, children with CHD are reaching adulthood, however, obesity amongst this cohort is an emerging problem. Making every contact count encourages clinicians to utilise contact to elicit behaviour change. The aim of this work was to identify whether the body habitus of children classified as obese was addressed during a clinical review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951121001566_as2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective observational cohort study was completed using a cardiology outpatient dataset from 2010 to 2019. Inclusion criteria are all children with a body mass index z score classified as obese (\u2265 2 z scores). Individual electronic patient records were reviewed to identify long-term anthropometric measures including (i) recognition of body habitus, (ii) prescription of physical activity or dietary intervention, and (iii) referral to a weight management programme or dietitian.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951121001566_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>From the cohort of 95 patients, 285 \u201cobese clinical encounters\u201d were identified, at the time of a cardiology clinic attendance. Of those, obesity was acknowledged in 25 clinic letters (8.65%), but only 8 used the correct terms \u201cobese\u201d or \u201cobesity\u201d (2.77%). Action to tackle obesity was recorded in 9.3% of cases with a direct referral to a dietitian being made on 3 occasions (1.04%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951121001566_as4\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Body habitus is not being routinely addressed by cardiologists caring for paediatric and young adult cardiac patients. This study has recognised an alarmingly high incidence of missed opportunities to make every contact count, to manage those with obesity and associated risk factors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1047951121001566","type":"journal-article","created":{"date-parts":[[2021,5,11]],"date-time":"2021-05-11T03:00:11Z","timestamp":1620702011000},"page":"77-82","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":4,"title":["Making every contact count: recognising obesity in paediatric and young adult cardiology"],"prefix":"10.1017","volume":"32","author":[{"given":"Aaron E.","family":"Smith","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tara","family":"Bharucha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1257-121X","authenticated-orcid":false,"given":"Luise V.","family":"Marino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2021,5,11]]},"reference":[{"key":"S1047951121001566_ref38","doi-asserted-by":"publisher","DOI":"10.1177\/003335490912400413"},{"key":"S1047951121001566_ref26","unstructured":"26. National Institute for Health and Care Excellence (NICE). (2015, 23rd July). Obesity in children and young people: Prevention and lifestyle weight management programmes. Retrieved from https:\/\/www.nice.org.uk\/guidance\/qs94."},{"key":"S1047951121001566_ref48","doi-asserted-by":"publisher","DOI":"10.12968\/hmed.2015.76.10.556"},{"key":"S1047951121001566_ref21","doi-asserted-by":"publisher","DOI":"10.1111\/j.1747-0803.2009.00359.x"},{"key":"S1047951121001566_ref10","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1614362"},{"key":"S1047951121001566_ref12","doi-asserted-by":"publisher","DOI":"10.21037\/cdt.2019.02.02"},{"key":"S1047951121001566_ref11","unstructured":"11. NHS Digital. (2017, 10th April). Statistics on obesity, physical activity and diet, England, 2019. Part 4: Childhood Overweight and Obesity. Retrieved from https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/statistics-on-obesity-physical-activity-and-diet\/statistics-on-obesity-physical-activity-and-diet-england-2019\/part-4-childhood-obesity."},{"key":"S1047951121001566_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2013.04.030"},{"key":"S1047951121001566_ref30","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.109.921544"},{"key":"S1047951121001566_ref33","unstructured":"33. World Health Organisation (WHO). 2020. Body Mass Index \u2013 BMI. \u2018Body Mass Index - BMI\u2019, accessed 10 August 2020, https:\/\/www.euro.who.int\/en\/health-topics\/disease-prevention\/nutrition\/a-healthy-lifestyle\/body-mass-index-bmi."},{"key":"S1047951121001566_ref51","doi-asserted-by":"publisher","DOI":"10.1097\/MCO.0000000000000464"},{"key":"S1047951121001566_ref22","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.116.026778"},{"key":"S1047951121001566_ref27","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-2607"},{"key":"S1047951121001566_ref4","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0178963"},{"key":"S1047951121001566_ref24","doi-asserted-by":"publisher","DOI":"10.1111\/chd.12266"},{"key":"S1047951121001566_ref7","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2016.7765"},{"key":"S1047951121001566_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.08.025"},{"key":"S1047951121001566_ref41","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2009.06.019"},{"key":"S1047951121001566_ref44","unstructured":"44. 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WHO AntroPlus. \u2018WHO | Application Tools\u2019, WHO (World Health Organization), accessed 10 August 2020, http:\/\/www.who.int\/growthref\/tools\/en\/."},{"key":"S1047951121001566_ref42","doi-asserted-by":"publisher","DOI":"10.1097\/HCO.0b013e32835dd005"},{"key":"S1047951121001566_ref16","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-011-0049-y"},{"key":"S1047951121001566_ref36","doi-asserted-by":"publisher","DOI":"10.1136\/bmjquality.u203067.w1454"},{"key":"S1047951121001566_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2015.04.018"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951121001566","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,13]],"date-time":"2022-10-13T04:26:52Z","timestamp":1665635212000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951121001566\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,11]]},"references-count":52,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["S1047951121001566"],"URL":"https:\/\/doi.org\/10.1017\/s1047951121001566","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,11]]},"assertion":[{"value":"\u00a9 The Author(s), 2021. 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