Table 1 Definitions used to assess for cardiovascular risk factor documentation and obesity management
Risk factor | Definitiona |
|---|---|
Obesity | Documentation of BMI value plus documentation of interpretation “obese”, “quite heavy”, “elevated BMI”, “BMI is high”, “BMI is ≥95th percentile”, “large for age”, or “overweight” (this term was sometimes used by clinicians when the patient was at or above the 95th percentile) |
Dysglycemia | Documentation of glucose-related labs (e.g., glucose, hemoglobin A1c, insulin, or liver function tests) or exam findings of acanthosis nigricans |
Physical inactivity | Documentation of screen time, participation in sports, and/or participation in other physical activities |
Child dyslipidemia | Documentation of lipid-related labs (e.g., lipid panel, cholesterol, triglycerides) or recommendation to test for dyslipidemia |
Elevated blood pressure | Documentation of elevated blood pressure such as “high blood pressure” or “hypertension” |
Unhealthy diet | Documentation of dietary habits |
Cigarette smoke exposure | Documentation of caregiver smoking status or exposure to tobacco in the home or daycare |
Family history of CAD | Documentation of positive or negative family history of early CAD |
Obesity management | Documentation of recommendations given on diet or exercise such as encouraging a “heart healthy lifestyle”, “weight reduction”, “60 min exercise/day’’ or “daily aerobic activity’’; documentation of obesity associated lab evaluation (e.g., glucose, lipid panel or LFTs); documentation of follow-up for obesity or referral to an obesity related subspecialist (lipid, nutrition, obesity clinic) |