摘要：

INTRODUCTION. Childhood overweight is now a major health problem,but it may be underdiagnosed by the paediatricians. Theaim of our study was to determine which method (BMI charts, Wtand Ht charts, Wt alone, Visual impression) and how frequentlywas used by the paediatricians.MATERIAL AND METHODS. 73 paediatricians and paediatric endocrinologistscompleted a questionnaire using two different casevignette version. They received the same hypothetical overweight child's height and weight data, percentile, charts (Ht and Wt Group)or her BMI, percentile and chart (BMI Group). Respondentsrated levels of fatness and concern about medical and psychologicalconsequences by using Linkert scales and the frequency ofuse of methods to determine overweight.RESULTS. The BMI Group rated the hypothetical child with a highermean on a scale of fatness (p < 0,05). There were no statisticallydifferences in level of concern about all consequences betweengroups of respondents. All groups of respondents statisticallyfrequently use Wt and Ht charts (combined) than BMI charts(level in Linkert scale 4,8 vs. 3,9 p < 0,001). 38% of respondentsreported "always" and 5,5% "never" using BMI.CONCLUSIONS. BMI charts give greater estimation of a weightproblem than weight and height charting, but BMI is inconsistentlyused.

展开