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Pediatrician’s Beliefs and Practices Around Rapid Infant Weight Gain: A Qualitative Study

Authors
  • Pesch, Megan H.1
  • Levitt, Kimberley J.1
  • Danziger, Phoebe1
  • Orringer, Kelly1
  • 1 University of Michigan, Ann Arbor, MI, USA
Type
Published Article
Journal
Global Pediatric Health
Publisher
SAGE Publications
Publication Date
Feb 08, 2021
Volume
8
Identifiers
DOI: 10.1177/2333794X21992164
PMID: 33614855
PMCID: PMC7874340
Source
PubMed Central
Keywords
Disciplines
  • Childhood Obesity and Nutrition
  • Original Article
License
Unknown

Abstract

Rapid infant weight gain is a risk factor for later obesity. The objective of this study was to examine primary care pediatricians’ beliefs and practices around rapid infant weight gain. Primary care pediatricians (N = 16) participated in a semi-structured interview about infant growth. Interviews were transcribed, analyzed for themes using the grounded theory and the constant comparative method then reliably coded for the presence of each theme. Three themes were identified, pediatricians (1) are uncertain about the concept, definition, and implications of excessive or rapid infant weight gain (N = 16, 100%), (2) are more comfortable with management of inadequate versus excessive or rapid weight gain (N = 10, 62.5%), and (3) perceive the primary cause of excessive or rapid infant weight gain to be overfeeding (N = 10, 62.5%). In conclusion, pediatricians are uncertain about the concept, definition, management, and long-term risks of rapid infant weight gain. Interventions to increase awareness and pediatrician sense of competence in management of rapid infant weight gain are needed.

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