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Role of emergency departments in screening for obese and overweight children

Considine, Julie, Craike, Melinda J, DeVilliers, Smit, Waddell, Danielle, Stergiou, Helen E and Hauser, Simon 2010, Role of emergency departments in screening for obese and overweight children, Australasian emergency nursing journal, vol. 13, no. 4, pp. 105-110, doi: 10.1016/j.aenj.2010.08.002.

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Title Role of emergency departments in screening for obese and overweight children
Author(s) Considine, JulieORCID iD for Considine, Julie orcid.org/0000-0003-3801-2456
Craike, Melinda J
DeVilliers, Smit
Waddell, Danielle
Stergiou, Helen E
Hauser, Simon
Journal name Australasian emergency nursing journal
Volume number 13
Issue number 4
Start page 105
End page 110
Total pages 6
Publisher Elsevier Ltd
Place of publication Amsterdam, The Netherlands
Publication date 2010-11
ISSN 1574-6267
Keyword(s) overweight
obesity
emergency medicine
paediatrics
preventative medicine
health promotion
Summary Introduction
Childhood obesity is a major and increasing public health issue. The role of Emergency Departments (EDs) in screening for overweight and obese children has not been studied extensively. The main aim of this study was to estimate the prevalence of overweight children in Emergency Department (ED) populations. A secondary objective was to compare the characteristics of overweight and obese children with healthy weight children.

Methods
This prospective exploratory study was conducted in the two district urban EDs in Melbourne, Australia. A total of 87 ED patients aged 2 to 15 years were included in the study. The main outcome measures were body mass index, weight and height percentiles.

Results
The median absolute BMI was 16.8 (IQR = 15.4 to 18.8). The total number of children found to be overweight (BMI > 85th percentile) or obese (BMI > 95th percentile) was 21.8% (n = 19). Of these, 5.7% (n = 5) of children in this study were classified as obese. Comparison of overweight/obese children and healthy weight children showed no differences in triage but a higher incidence of respiratory illness (15.8% compared to 2.9%).

Conclusions
This pilot study showed that 1 in 5 children who presented to EDs were either overweight or obese suggesting a possible role for EDs in the detection and referral of overweight and obese children to intervention programs. Our findings suggest that a sufficiently powered randomised controlled trial is warranted to examine the effectiveness and efficacy of EDs screening for obese and overweight children.
Language eng
DOI 10.1016/j.aenj.2010.08.002
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
111099 Nursing not elsewhere classified
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2010, College of Emergency Nursing Australasia Ltd.
Persistent URL http://hdl.handle.net/10536/DRO/DU:30031111

Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
Centre for Quality and Patient Safety Research
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Created: Tue, 09 Nov 2010, 12:07:50 EST by Jane Moschetti

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