Evidence for identifying children at risk for being overweight, cardiovascular disease, and type 2 diabetes in primary care

Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners
Ruth McGillis Bindler, Margaret Auld Bruya

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

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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
Feb 3, 2007·The Nursing Clinics of North America·Ruth C McGillis Bindler
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

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