Senior Honors Projects, 2010-2019

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

Date of Graduation

Fall 2014

Document Type


Degree Name

Bachelor of Science in Nursing (BSN)

Archival Department Name

Deaprtment of Nursing


Karen Jagiello

Julie Strunk


In 2007, the CDC reported approximately 12.5 million children and adolescents in the U.S. were obese. Among 24-month old clinically obese children, only 23% were diagnosed as obese. The most concerning is the prevalence of obesity in 6-month olds; 16% of 6-month old infants in the U.S. are obese, of which only 14% are diagnosed as being obese. Previous research concentrates on the factors that influence infant obesity, but does not address the prevalence of diagnosing obesity in children, particularly those under two years of age. The purpose of this project was to pioneer a survey exploring the prevalence of diagnosing obesity in children less than two years of age, and to gain an understanding of why obesity is, or is not, being diagnosed in this population in the Commonwealth Virginia. Using an anonymous Qualtric survey, a mix of demographic, quantitative, and qualitative questions were asked of healthcare providers who practice pediatrics in Virginia. All practitioners agreed that they have seen obesity in patients less than two years of age, but most providers do not make clinical decisions about obesity until after the child is two years old. This descriptive, mixed-methods study demonstrated that providers are waiting until children are older than two years of age to make a diagnosis of obesity.

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