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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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  • Contributors WDP was involved in planning, conducting and reporting the data. MvM was involved in planning, conducting and reporting the data. HJB, PAJL and BWK were involved in planning and reporting the data.

  • Funding The study was fully funded by the Department of General Practice of the Erasmus University Medical Center, Erasmus MC.

  • Competing interests None declared.

  • Ethics approval The Institutional Review Board of the Erasmus University Medical Center, Erasmus MC, approved the study. Parents of all participating children gave informed consent, and children aged 12 years and older gave informed assent.

  • Provenance and peer review Not commissioned; externally peer reviewed.