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
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References
[1] 李珊珊,王海俊,马军.儿童肥胖的流行趋势[J].中国生育健康杂志,2008,19(3):173-175.
[2] Biro FM,Wien M.Childhood obesity and adult morbidities[J].Am J Clin Nutr,2010,91(5S):1499-1505.
[3] Ekelund U,Anderssen S,Andersen LB,et al.Prevalence and correlates of the metabolic syndrome in a population-based sample of European youth[J].Am J Clin Nutr,2009,89(1):90-96.
[4] Tim JC,Mary CB,Kancherine MF,et al.Establishing a standerd definition for child overweight and obesity worldwide international suevey[J].BMJ,2000,320:1-6.
[5] 胡亚美,江载芳.儿童期单纯肥胖症诸福棠实用儿科学[M].7版.北京:人民卫生出版社,2002:552-557.
[6] 万燕萍.患了儿童肥胖病怎么办[M].上海:上海科学技术文献出版社,2001:30-35.
[7] 《中华儿科杂志》编辑委员会.儿童青少年血脂异常防治专家共识[J].中华儿科杂志,2009,60(6):426-428.
[8] De Piano A,Prado WL.Metabolic and nutritional profile of obese adolescents with nonalcoholic fatty liver disease[J].J Pediatr Gastroenterol Nutr,2007,44(4):446-452.
[9] Denzer C,Reithofer E,Wabitsch M,et al.The outcome of childhood obesitymanagement depends highly upon patient compliance[J].Eur J Pediatr,2004,163(2):99-104.
[10] Patrick H,Nicklas TA.A review of family and social determinants of children's eating patterns and diet quality[J].J Am Coll Nutr,2005,24:83-92.
[11] Pearson N,Biddle SJ.Family correlates of fruit and vege table consumption in children and adolescents:A systematic review[J].Public Health Nutr,2009,12:267-283.
[12] Hollie AR.The Relationship between child and parent food hedonics and parent and child food group intake in children with overweight/obesity[J].J Am Diet Assoc,2011,111:425-430.
[13] O'Brien SH,Holubkov R.Identification,evaluation,and management of obesity in an academic primary care center[J].Pediatrics,2004,114(2):e154-159.
[14] Yücel O,Kinik ST.Diagnosis of a trend towards obesity in preschool children:a longitudinal study[J].Eur J Pediatr,2011,170(6):751-756.
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