Abstract
Practitioners have noted the escalating risk for children being overweight and having cardiovascular disease and type 2 diabetes. The purpose of this study was to apply current recommendations in examining children and to test an expanded model of assessment to predict risk. A nonexperimental descriptive design was applied at an academic nurse-managed clinic. Children who consented to participate (n = 118) were examined for height/weight (and calculated body mass index), blood pressure, family history, smoking exposure, acanthosis nigricans, and point-of-care nonfasting blood analysis of glucose, hemoglobin A(1C), total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, and triglycerides. Children with a body mass index greater than the 85th percentile were invited to return for fasting venipuncture, testing glucose, insulin, total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, and triglycerides (n = 23). High rates of being overweight and additional risk factors were identified. Point-of-care machines had limited usefulness beyond usual measurements in identifying childhood risk. Recommendations are made for nurses to take careful family histories an...Continue Reading
References
Jan 1, 1996·Circulation·W BaoG S Berenson
Apr 17, 1998·JAMA : the Journal of the American Medical Association·R E AndersenM Pratt
Jun 3, 1999·Pediatrics·D S FreedmanG S Berenson
Aug 11, 2000·Arteriosclerosis, Thrombosis, and Vascular Biology·H C McGillJ P Strong
Dec 16, 2000·Diabetes·C WeyerR E Pratley
Feb 27, 2001·Atherosclerosis·C E TanS K Chew
Apr 11, 2001·The Journal of Pediatrics·T T NguyenJ A Yanovski
May 12, 2001·Diabetes Care·A Fagot-CampagnaUNKNOWN Third National Health and Nutrition Examination Survey
Oct 13, 2001·JAMA : the Journal of the American Medical Association
Jan 24, 2002·Hormone Research·N KeremZ Hochberg
Feb 28, 2002·Pediatric Dermatology·Trinh Hermanns-LêGérald E Piérard
Jul 20, 2002·JAMA : the Journal of the American Medical Association
Apr 25, 2003·The Journal of Pediatrics·Rae-Ellen W KaveyUNKNOWN American Heart Association
Jun 17, 2004·JAMA : the Journal of the American Medical Association·Allison A HedleyKatherine M Flegal
Aug 3, 2004·Pediatrics·UNKNOWN National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents
Dec 25, 2004·Diabetes Care·UNKNOWN American Diabetes Association
Citations
Aug 22, 2006·Pediatric Dermatology·Kara A Mensink, Jennifer L Hand
Aug 31, 2012·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·Terry DelpierBitsy M Wedin
Aug 27, 2011·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·Elvira JaballasMarianne Urban
Nov 4, 2009·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·UNKNOWN NAPNAP
Sep 1, 2007·Appetite·John GunstadEvian Gordon
Feb 3, 2007·The Nursing Clinics of North America·Ruth C McGillis Bindler
Jan 13, 2009·Australian Dental Journal·B CurtisE Schwarz
Oct 25, 2016·Academic Pediatrics·Anna Jo SmithSanjay Kinra
Mar 26, 2010·The Journal of School Nursing : the Official Publication of the National Association of School Nurses·Debra E OttoMargarette L Shelton