| The rate of childhood obesity has drastically increased in the past three decades, causing many immediate and long-term health problems. Researchers have investigated the role of parents, community, and schools on childhood obesity management and prevention. The purpose of this phenomenological study was to explore pediatricians' perspectives in addressing early childhood obesity (ECO). The conceptual framework was the chronic care model, which promotes preventive care using community resources. The beliefs, practices, challenges, and recommendations of 16 pediatricians were examined through face-to-face interviews. The data were manually coded, then analyzed for emerging themes. Results showed that pediatricians believe childhood obesity is an important issue that needs to be addressed early in an infant's life. Current practices include taking a history to determine behaviors at home, educating parents to correct misconceptions on childhood obesity, and using BMI charts to highlight growth patterns. Referral for nutrition counseling is seen as desirable, but limited by inadequate insurance coverage. Recommendations included a holistic approach with community stakeholders, including educational programs, changes to school lunches and physical education, and reimbursement of nutrition services. These respondents also recommended professional training in pediatric obesity. The potential for social change is to reduce childhood obesity rates, and to foster the understanding that childhood obesity prevention needs to be a community effort, and not solely the responsibility of parents and pediatricians. |
