Doctors Doing Better but Still Avoiding Talks About Overweight Kids

Though doctors are doing better than they used to, the vast majority are still not telling the parents of overweight kids that their kids are overweight.

In a new study in the Archives of Pediatrics and Adolescent Medicine (study), researchers asked the parents of close to 5,000 kids aged 2 - 15 years who were overweight if they'd ever been told by their pediatrician that their child was overweight.  Overall, between 1999 - 2008, only 22 percent of parents recalled being told.  The lowest percentage was in 1999, where only 19% recalled being told that their child was overweight, while the highest was in 2008, where 29% recalled being told.

The ten percentage point improvement over a decade is heartening but doesn't mask that well over two-thirds of parents with overweight kids in 2008 couldn't recall being told by their pediatrician that their kids were overweight.

With the obesity epidemic hitting tragic proportions - and overweight in kids becoming more and more of a societal norm - it becomes increasingly important for health care providers to help parents understand the full health status of their kids, which includes a true, if at times unsettling, assessment of their weight.  This gives parents further opportunity to intervene and steer their kids in the direction all parents want:  toward a life of good health.



(Video) Inequality and Health - Richard Wilkinson on TED

At CNiC, we're big fans of many of the TED presentations, the way they often communicate complex ideas through the use of effective displays of hard data.   One recent TED post we like is a sixteen minute presentation by Richard Wilkinson on the impact of economic inequality on a wide range of issues that relate to health and quality of life.  Using a range of straightforward and engaging graphics, Wilkinson -  who is Professor Emeritus of Social Epidemiology at the University of Nottingham - makes a strong case that in much of today's world, broad inequality has a hugely negative impact within countries - regardless of their overall economic standing.

Inequality and health disparities are topics we cover often on CNiC, since health status can vary so greatly by people's income and education level.  That income inequality in the US alone is advancing with more speed than ever (Economist), it's an issue that - despite the current economic and political climate - needs to be addressed through public policy and other efforts before its health and broader societal effects reach tragic proportions.  This video shows exactly why.



Smoking cessation: The rapid road to preventing cancer mortality






One third of the 571,000 cancer deaths in 2011 are due to smoking. That is 188,744 men and women will die unnecessarily because of their smoking habits. These are avoidable deaths. Strong evidence supports the benefits of smoking cessation, not just lowering cancer deaths but also reducing deaths form heart disease and total mortality. The time for prevention to achieve a reduction in cancer incidence or mortality is quite rapid. Despite this strong scientific evidence a substantial gap in implementation of prevention strategies remains. Smoking cessation reduces lung cancer and total mortality with benefits increasing over time. See Figure. Compared to continuing smokers, those who successfully quit have a 20% reduction in lung cancer mortality within 1 to 4 years of quitting and more than a 40% reduction within 5 to 9 years [1]. Smoking cessation also reduces total mortality by 13% in less than 5 years and by 33% in less than 10 years, due to the additional benefits of reduced risk of cardiovascular death and other smoking related cancer deaths [1].
New excitement has been present in the cancer control community since the results of the randomized trial of CT screening for lung cancer was published. This trial screened current smokers between age 55 and 74 who had a history of smoking 30 pack-years or more, or those who had quit within the past 15 years. This randomized controlled trial showed a 20% reduction in lung cancer mortality after an average of 6 years of follow-up, and a reduction in total mortality of 6.7% [2]. These results are not as strong as those observed for smoking cessation and apply only to the lung cancer – screening for lung cancer does not reduce mortality from heart disease, for example. Thus, the benefits for smoking cessation are unarguable.
Within the USA, states such as Utah that have a low prevalence of current cigarette smoking, 9.8% overall by 2009. This is a huge difference from the smoking prevalence of more than 25% in Kentucky and Oklahoma [3].  Based on the National Program of Cancer Registries, the CDC estimates that the corresponding lung cancer mortality varied from 26.4 per 100,000 in Utah to 97.7 deaths per 100,000 in Kentucky, a rate 73% lower when almost 10% of the population continues to smoke cigarettes [4].
Based on state level differences like these, we conservatively estimate that 75% or more of lung cancer could be prevented through elimination of cigarette smoking in the USA. We have the potential to achieve enormous improvements in our population health – the time to act is now.

 Literature cited