TABLE 2.

Communication Content Areas Recommended for Screening and Assessing Overweight and Obesity During Health Supervision Visits

Content Area	Measure by Which Content Deemed Present	Proportion of Visitsa, %
Screening and assessment
Determine and interpret child’s BMI-for-age	• Growth chart used to communicate weight status	62
	• Child overweight directly communicated	81
Address culture	• Trained medical interpreter used, when indicatedb	25
	• Traditional Latino foods discussed/culturally relevant dietary recommendation made	42
Perform comprehensive physical assessment	• Abnormal physical examination findings communicated (eg, acanthosis nigricans)	42
Identify whether “weight status accompanied by any other disorder”	• Family history discussed	35
	• Laboratory studies related to elevated weight recommended/discussed	62
Treatment
Set treatment goal	• Goal for weight maintenance or loss discussed	50
Encourage healthy eating behaviors, regular physical activity, and reduced sedentary behaviors	• Sedentary activity behavior changes discussed	50
	• Physical activity changes discussed	81
	• Dietary changes discussed	96
Target both parents and children for behavior change	• Parent/family diet/lifestyle changes discussed	31
Maintain treatment program over long period of time	• Referral to nutritionist or weight-management program discussed	50
	• Follow-up visit for overweight discussed	65

N = 26.

^aOne-third of visits were audio-recorded only.

^bDuring visits in which pediatrician and parent languages were incongruent (n = 8).