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Discussing overweight in primary care
  1. Winifred D Paulis,
  2. Marienke van Middelkoop,
  3. Herman J Bueving,
  4. Pim A J Luijsterburg,
  5. Bart W Koes
  1. Department of General Practice, Erasmus MC, University Medical Center, Rotterdam, The Netherlands
  1. Correspondence to Winifred D Paulis, Department of General Practice, Erasmus MC, PO Box 2040, Rotterdam 3000 CA, The Netherlands; w.paulis{at}

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Several clinical guidelines have been developed over the last couple of years to help general practitioners (GPs) with weight management in children.1 ,2 However, GPs experience barriers to discussing weight with children and parents. We therefore explored weight management in a cohort of Dutch children presenting in general practice.

GPs measured height and weight of 715 enrolled children (2–18 years) during regular consultation in 73 general practices. Details on procedure and measurements have been published.3 Data were extracted from medical records on the reason for consultation at recruitment and in the previous 12 months and on whether weight was reported as relevant information in the medical history. Weight management by the GP was determined by whether GPs gave healthy lifestyle advice during consultations with overweight and obese children, planned a follow-up appointment to discuss weight, or referred children for …

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