ArticlePediatric research2026
Understanding knowledge, practices, and barriers in pediatric weight-management: a multisite cross-sectional study of primary care providers.
Article in Pediatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
3 authors.
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Abstract
backgroundPediatric overweight and obesity (OW/OB) are growing global health concerns, with rapidly increasing prevalence in Latin America and the Caribbean.
methodsThis cross-sectional study was conducted from January to March 2025 in 15 pediatric clinics in the Dominican Republic. Surveys assessed healthcare providers' knowledge, attitudes, self-reported counseling behaviors, and perceptions of the clinical environment related to pediatric OW/OB management. Descriptive statistics and multivariable regression analyses were used to examine the associations between provider characteristics and management practices.
resultsOf the 103 respondents, 79.6% were women and 93.2% were attending physicians. Correct identification of clinical OW/OB definitions ranged from 57.3% to 75.3%. Although 93.2% reported being confident in diagnosing OW/OB, only 27.2% consistently asked families about their priorities for healthy living, and 62.1% regularly addressed physical activity during well-child visits. While 91.3% of providers "always" referred patients to a dietician/nutritionist, only 51.5% consistently scheduled follow-up visits. DISCUSSION: The findings of this study highlight gaps in provider knowledge and inconsistencies in obesity-related counseling practices during well-child visits. Strengthening pediatric OW/OB management in LMICs will require targeted training and enhanced support systems that promote family-centered care in resource-limited settings. IMPACT: The key message is that pediatric obesity management shows strong provider confidence but clear gaps in knowledge and counseling practices. This article provides the first multisite evidence on pediatric weight-management practices in a low-resource Latin American setting. Highlights discrepancies between confidence and consistent application of lifestyle counseling. Underscores the urgent need for targeted training, family-centered approaches, and system-level support in LMICs to strengthen sustainable pediatric obesity care.
Identifiers
42177310What Socratic holds
Registered trials
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