148084 - Audit of assessment and management of weight in children
- : Online
The goal is to improve the assessment of children and the management of weight in those above the healthy weight range. The audit involves the following activities:
1. Introduction: The module focuses on prevalence and causes of unhealthy weight in children, how to raise the issue and chart the child’s weight using BMI for age charts.
2. Conduct a clinical medical record audit of children aged 2-13 years who have visited the practice in the past 12 months to determine if their weight and height was recorded and whether it was in the health weight range.
3. Review patients outside the healthy weight range and advise about referral programs and resources.
4. Review the practice’s management of children with weight outside the healthy range
5. Repeat the clinical medical record audit after 6 months of children aged 2-13 years who have visited the practice in the past 12 months to determine if their weight and height was recorded and if it was in the healthy weight range.
Relevance to General Practice
In 2010, 18.7 % of Kindergarten children (mean age 5.3yrs) were overweight or obese; an average annual increase of approximately 0.3% since 2004. This finding was similar to the 2007 national survey of 4-5 year children. Early intervention is clearly needed to prevent children starting school already overweight.
Most GPs acknowledge the importance of child obesity and their role in managing obese children, yet measuring height and weight and calculating body mass index (BMI)-a simple means of estimating body fatness- is not part of routine practice. GPs who do not weigh and measure children may fail to recognise overweight children, as visual cues are insufficient to diagnose excess weight.
- To describe the standards for assessment of child weight and plotting using BMI for age charts in general practice*
- To describe the prevalence, causes and impact of overweight children
- To identify steps in raising the issue of weight and techniques to engage parents and children in taking action.
- To describe the steps involved in assessing children’s diet and physical activity
- To describe resources and referral options for children with a weight outside the healthy range.