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Parents appreciate health careproviders who demonstrate interest and a positive attitude inaddressing weight issues in children, whereas avoidance ofthe issue or placating concerned parents is viewed negatively(Edmunds, 2005). Grimmett, Crocker, Carnell, and Wardle(2008) found that most parents respond positively... show more Parents appreciate health careproviders who demonstrate interest and a positive attitude inaddressing weight issues in children, whereas avoidance ofthe issue or placating concerned parents is viewed negatively(Edmunds, 2005). Grimmett, Crocker, Carnell, and Wardle(2008) found that most parents respond positively toreceiving feedback on their child's body weight, even ifthe child already has a weight problem. It is clear that nursesare a primary source of information for parents and can thushave a positive influence in helping parents develop accurateperceptions of their preschool child's body weight. Avoidanceof the issue may be more comfortable for nurses andother providers, but accurate information and early perceptualunderstanding of the issue of childhood obesity are key.Suggestions for practicing nurses and other health careproviders working with preschool children and their parentsinclude assessment for early identification of children whoare at risk for or who are already overweight. Earlyidentification can be achieved via routine measurement ofvariables such as BMI, skin fold assessment, and bodyweight (American Academy of Pediatrics, 2003; SPN, 2007).One proposed goal identified in Health People 2020 is toincrease the number of children and adolescents who havetheir BMI assessed regularly (USDHHS, 2009). Whenchildren are at risk for or overweight, the nurse has toprovide honest and accurate information on the etiology,risks, and treatments associated with the condition. This willallow for prevention and early intervention for those childrenwith elevated physiologic measurements to prevent some ofthe long-term physiologic and psychosocial consequences ofoverweight and obesity (Anderson & Butcher, 2006; Doolenet al., 2009; Friedlander, Larkin, Rosen, Palermo, & Redline,2003; Reilly et al., 2003; Schwartz & Puhl, 2003; Styne,2001; USPSTF, 2010).
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