关键词: 肥胖, 门诊, 干预, 儿童

Abstract: Objective To evaluate the outcome of the childhood obesity management in the obesity clinic. Method During 1995 and 2011,there were 1 045 obese children and adolescents (boys 712,girls 333)visited the obesity clinic.The outcome of intervention and the possible influencing factors were evaluated of the 115 patients who followe-up for more than one month. Results The number of patients who treated more than one month were 115.After 1~3 months,4~6 months and more than 6 months follow-up intervention respectively,the degrees of obesity of the low age group (≤11 yrs) and high age group (＞11 yrs) outpatients were decreased by 8.8% and 7.8%,18.8% and 16.5%,27.4% and 25.2% respectively (P<0.05).Outcome of outpatients who adhered to the follow-up for 4~6 months and more than 6 months showed significant efficiency (87.2% and 87.5% respectively) than the 1~3 months group (51.6%)(χ² = 26.29,P<0.01).The change of the obesity degree was positively correlated with the initial obesity degree and follow-up time(r= 0.35 and 0.53,respectively,P<0.01).In addition a negative correlation was found between initial age and the change of obesity degree (r=-0.24,P<0.05). Conclusion It is very effective to treat the obesity children at the outpatient clinic.But the compliance of the patients was not optimistic.

Key words: obesity, outpatient, intervention, children