{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T03:35:30Z","timestamp":1793504130396,"version":"4.5.0"},"reference-count":34,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T00:00:00Z","timestamp":1728345600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T00:00:00Z","timestamp":1728345600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pediatr Res"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Periodical BMI measurement during visits with primary care pediatricians (PCP) can be central to diagnosing, managing, and treating overweight\/obesity. The aim was to evaluate among children and adolescents with similar BMI percentiles, whether recording a formal diagnosis by PCP, of overweight\/obesity is associated with improved performance rates of obesity-related care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The electronic database of the largest health maintenance organization in Israel was searched for all patients aged 2\u201318 years with BMI recorded at a visit with the PCP during 2017\u20132023. Among children with BMI percentiles consistent with overweight\/obesity, performance rates of obesity care were compared between those with a recorded diagnosis of \u201coverweight\u201d\/\u201cobesity\u201d placed by the PCP, and those with similar BMI percentiles without these recorded diagnoses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among children with versus without recorded diagnoses of overweight\/ obesity, rates were higher of referrals for screening measurements for obesity-related comorbidities, for dietitian and endocrine counseling, of performing subsequent BMI measurements, and of prescribing anti-obesity medications (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001 for all). Obesity-related comorbidities were more prevalent among those with than without recorded diagnoses (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Beyond BMI measurement, a recorded diagnosis of overweight\/obesity by a PCP is linked to higher rates of obesity care performance and interventions, which may improve clinical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact statement<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>BMI measurement during visits with primary care pediatricians (PCP) can be central to diagnosing, managing, and treating overweight\/obesity.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>We evaluated among children and adolescents with similar BMI percentiles, whether recording a formal diagnosis by PCP, of overweight\/obesity is associated with improved performance rates of obesity-related care.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>We found that among children with versus without recorded diagnoses of overweight\/obesity, rates were higher of referrals for screening measurements for obesity-related comorbidities, for dietitian and endocrine counseling, and of prescribing anti-obesity medications.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Therefore, PCP should increase rates of recording diagnoses of overweight\/obesity, to promote screening for obesity-related comorbidities, and aim to treat obesity as a chronic disease.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1038\/s41390-024-03619-0","type":"journal-article","created":{"date-parts":[[2024,10,7]],"date-time":"2024-10-07T20:01:32Z","timestamp":1728331292000},"page":"1554-1565","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Recorded diagnosis of overweight\/obesity in primary care is linked to obesity care performance rates"],"prefix":"10.1038","volume":"97","author":[{"given":"Shlomit","family":"Shalitin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moshe","family":"Phillip","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michal","family":"Yackobovitch-Gavan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,10,8]]},"reference":[{"key":"3619_CR1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-019-1449-8","volume":"17","author":"M Di Cesare","year":"2019","unstructured":"Di Cesare, M. et al. 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