Management Of Obesity In Childhood And Adolescence: A Survey Of Primary Health Care Physicians In Riyadh | 42859
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1King Khalid University Hospital and College of Medicine, King Saud University, Riyadh, Saudi Arabia
Department of Family and Community Medicine College of Medicine, King Saud University, Riyadh, Saudi Arabia
Background: Childhood and adolescent overweight and obesity undertaking at primary health care (PHC) level was assessed
by studying knowledge, attitudes and practices (KAP) of physicians as first line of control.
Methods: A survey of PHC physicians working at eight major hospitals in Riyadh was done in 2011 on management of
childhood and adolescence overweight and obesity. Physicians who always recommended and involved patient, parents, and
others, for weight management, when encountering overweight or obese children and/or adolescence during the past one year
were defined to have appropriate KAP. Questionnaires were distributed through administrative staff and were collected after
one week from each hospital keeping the confidentiality of respondents.
Results: Of the 58 physicians who responded; 35 were males; 50% had more than 10 years of working experience for 10-40
hours per week, and 51.7% had appropriate KAP. Physicians in appropriate KAP group (52.6%) differed from other physicians
by; being a female (p<0.016), attending workshops, seminars, and continued medical education sessions (p<0.026), referring
patients to Pediatric obesity specialist (p<0.041), reported lack of clinician time (p<0.055), did not lack clinical knowledge
about overweight/obesity (p<0.039), were not of opinion that recommendations for managing overweight/obesity were
ineffective (p<0.017), had concerns for precipitating eating disorders (p<0.019), did not feel uncomfortable when examining
an obese patient (p<0.02), and always considered patient’s readiness to make a weight change (p< 0.007).
Conclusion: PHC level desires enhanced KAP to deal with overweight and obese children and Adolescence to check the
increasing risk factors for chronic diseases in Saudi population
Majeedah Alotaibi has Graduated from king Saud university (Saudi Arabia) –collage of medicine and surgery on 2014, she is now ophthalmology resident on King Saud medical city.