Racial and ethnic disparities exist during nutrition, lifestyle and weight advice | Image credit: © Pixel -Shot – © Pixel -Shot – Stock.adobe.com.
Find engines and obstacles to counseling for pediatric patients with obesity and high blood pressure () BP) to reduce inequalities in care, after there is new research that has revealed racial and ethnic disparities.
These observations were observed in a secondary analysis study published in Jama Network Open Regarding the reception of nutrition, lifestyle and weight advice in pediatric patients with high PA.
It is known that pediatric obesity and hypertension are strongly correlated, states the investigators of the study, led by Moonseong Heo, PHD, of the Department of Public Health, College of Social, Behavioral and Public Health Sciences, Clemson University, Clemson, South Caroline.
“Infantile obesity is widespread, often comes from the beginning of life and in disproportionately affect children of racial and ethnic minority groups and disadvantaged backgrounds,” wrote Heo and his colleagues.
“The consequences on health linked to obesity include a wide range of comorbidities, including a high PA, a high cholesterol rate, type 2 diabetes, asthma, sleep apnea, joint problems and mental health problems. Pediatric obesity remained constantly high at 19.7% (that is to say 1 in 5; n = 14.7 million) in children and adolescents aged 2 to 19 in the United States of 2017 to 2020. ”
Clinical practice directives based on the evidence of the American Academy of Pediatrics (AAP) recommend interventions for the modification of behavior, including advice on weight, lifestyle and nutrition in the midst of primary care visits pediatric. These 3 areas are “of crucial importance to alleviate weight and high PA problems in children and adolescents”.
However, despite the direct advice and the recommendation of the AAP, racial and ethnic disparities persist in the prevalence of hypertension and obesity in pediatric patients, noted the authors.
“This study aimed to examine and compare the rates of reception of nutrition, lifestyle and weight advice during primary care visits to a pediatric population with at least 1 high measure of PA,” said the authors. “Stratified analyzes by breed and ethnicity and weight groups have been carried out using basic data collected from the collaborative study (QIC) of awareness of the improvement of hypertension (BP- Wrestling), which has registered pediatric practices across the United States. ”
In a post hoc conception, a secondary analysis, urban primary, suburban and rural primary care practices across the United States – counted with a team of at least 1 doctor, 1 nurse and another Practice Partner, as than hypertension specialist – basic data subject to clinical meetings. These practices have identified the first 17 patients eligible with raised PA measures each month.
With exhibitions such as race and ethnicity and weight (with or without) obesity, the main result of secondary analysis was the reception of advice on nutrition, lifestyle and weight during visits primary care.
A total of 2,677 patients of 59 practices included in the analysis with an average age of 10.8 (5.2) years, and 56.6% of whom were men. In total, 593 patients were black, 414 were Hispanic, 1111 were white and 559 were “other race and ethnicity”.
The overall rates of injusted gross reception were:
- 63.5% (n = 1564 out of 2463) for nutrition
- 57.6% (n = 1419 out of 2462) for the lifestyle
- 47.5% (n = 571 out of 1202) for weight
- 46.4% (n = 1142 out of 2461) for all advice subjects
Hispanic participants, compared to the other 3 groups, received significantly higher adjusted nutrition rates (78.6%; 95%CI, 73.5%-83.8%), a lifestyle (69, 3%; 95%CI, 63.6%-74.9%), and all 3 (52.1%; 95%CI, 46.1%-58.2%) study results.
With regard to the rates of receipt of weight advice, there was no significant difference between group pairs. The results were generally similar among those without obesity. Study investigators noted that no significant difference in pairs was found between patients with obesity, except that “nutrition council rates were significantly different between white participants and those who point out Other breeds and ethnicity (68.3% (95% CI, 61.1% -75.4%) vs 81.6% (95% CI, 74.2% -89.1%); P = 0.02). “”
In children with high PA measures, there were important racial and ethnic disparities in the reception of nutrition, lifestyle and 3 advice, revealed this post hoc analysis.
“More efforts may need to be invested in the development of IQs or other interventions to promote all recommended advice subjects, perhaps more intensively in children with obesity and to mitigate racial and ethnic disparities in Pediatric primary care establishments, “concluded study authors.
“Our study also suggests that quality measures should be stratified by demographic categories to highlight disparities and prevent the worsening of inequalities while efforts continue to improve and normalize care for all children.”
Reference::
Heo M, Rea CJ, Brady TM, et al. Racial and ethnic disparities in pediatric advice on nutrition, lifestyle and weight: a secondary analysis of the clinical trial randomized by BP-CATCH. Jama Netw open.2025; 8 (1): E2456238. DOI: 10.1001 / JamanetWorkopen.2024.56238