{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,9]],"date-time":"2023-10-09T05:44:39Z","timestamp":1696830279354},"reference-count":21,"publisher":"Wiley","issue":"1-2","license":[{"start":{"date-parts":[[2013,3,14]],"date-time":"2013-03-14T00:00:00Z","timestamp":1363219200000},"content-version":"vor","delay-in-days":41,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Obesity"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Although childhood obesity is common, many paediatric practitioners are not familiar with screening for its associated, serious comorbidities. We aimed to determine the adequacy of screening for nine well\u2010recognized comorbidities in outpatients with severe morbid obesity (body mass index [<jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>]\u2009\u226550\u2009kg\u2009m<jats:sup>\u22122<\/jats:sup>) seen in a large tertiary paediatric hospital. Patients with a <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> of \u226550\u2009kg\u2009m<jats:sup>\u22122<\/jats:sup> seen at <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>exas <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hildren's <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ospital during calendar year 2009 were identified. Their medical records were reviewed for any documentation where hypertension, cardiac dysfunction, sleep apnoea, hepatosteatosis, diabetes, pseudotumour cerebri, dyslipidemia, orthopaedic issues and depression were noted and\/or addressed as evidence of clinician awareness of these problems. We identified 123 patients seen at least once in 2009, with an average of 3.4 physician visits per patient and by an average of 2 different specialists. Hypertension screening was the most documented (91% of patients) and depression screening was the least documented (41%) in this patient cohort. Twelve patients (10%) had documented screening for all nine comorbidities. Overall, 55 patients (45%) had five or fewer of the nine comorbidities noted and\/or addressed in the medical record. Adequate screening for comorbidities occurs in approximately half of children with severe morbid obesity, which means that many of these comorbidities are not being identified or treated. Educational programmes and new methodologies are needed to ensure comprehensive care of children with morbid obesity.<\/jats:p>","DOI":"10.1111\/cob.12008","type":"journal-article","created":{"date-parts":[[2013,3,15]],"date-time":"2013-03-15T00:21:47Z","timestamp":1363306907000},"page":"7-11","source":"Crossref","is-referenced-by-count":1,"title":["Morbidly obese paediatric patients are not adequately screened for comorbidities"],"prefix":"10.1111","volume":"3","author":[{"given":"D. S.","family":"Hsia","sequence":"first","affiliation":[{"name":"Department of Pediatrics Division of Pediatric Diabetes and Endocrinology Baylor College of Medicine Texas Children's Hospital  Houston TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N. R.","family":"Gwilliam","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine School of Medicine  Houston TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L. B.","family":"Ferrell","sequence":"additional","affiliation":[{"name":"Michael E. DeBakey Department of Surgery Division of Pediatric Surgery Baylor College of Medicine Texas Children's Hospital  Houston TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. W.","family":"Haymond","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Division of Pediatric Diabetes and Endocrinology Baylor College of Medicine Texas Children's Hospital  Houston TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. L.","family":"Brandt","sequence":"additional","affiliation":[{"name":"Michael E. DeBakey Department of Surgery Division of Pediatric Surgery Baylor College of Medicine Texas Children's Hospital  Houston TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,3,14]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.333.7570.695"},{"key":"e_1_2_9_3_1","first-page":"1","article-title":"CDC growth charts: United States","volume":"314","author":"Kuczmarski RJ","year":"2000","journal-title":"Adv Data"},{"key":"e_1_2_9_4_1","first-page":"1","article-title":"Changes in terminology for childhood overweight and obesity","volume":"25","author":"Ogden CL","year":"2010","journal-title":"Natl Health Stat Rep"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-2329C"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.40"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2006.08.042"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.1635"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-789X.2008.00475.x"},{"key":"e_1_2_9_10_1","doi-asserted-by":"crossref","first-page":"2723","DOI":"10.1093\/ajcn\/32.12.2723","article-title":"Obesity: adverse effects on health and longevity","volume":"32","author":"Van Itallie TB","year":"1979","journal-title":"Am J Clin Nutr"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/ijo.2010.237"},{"key":"e_1_2_9_12_1","doi-asserted-by":"crossref","first-page":"75","DOI":"10.47102\/annals-acadmedsg.V38N1p75","article-title":"Consequences of childhood obesity","volume":"38","author":"Lee YS","year":"2009","journal-title":"Ann Acad Med Singapore"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa031049"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2007.00435.x"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1586\/ers.11.7"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa012578"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11894-008-0011-1"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PEP.0000145911.83738.C6"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0904130"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.23373"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1038\/ijo.2010.222"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2010.277"}],"container-title":["Clinical Obesity"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcob.12008","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cob.12008","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,8]],"date-time":"2023-10-08T02:13:25Z","timestamp":1696731205000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cob.12008"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,2]]},"references-count":21,"journal-issue":{"issue":"1-2","published-print":{"date-parts":[[2013,2]]}},"alternative-id":["10.1111\/cob.12008"],"URL":"https:\/\/doi.org\/10.1111\/cob.12008","archive":["Portico"],"relation":{},"ISSN":["1758-8103","1758-8111"],"issn-type":[{"value":"1758-8103","type":"print"},{"value":"1758-8111","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,2]]}}}