肥胖已经成为严峻的全球性公共卫生问题。截至2014年,我国7岁以上学龄儿童青少年的超重率为12.2%,肥胖率为7.3%,共有3 496万人。2030年可达5 000万。儿童青少年肥胖的医学营养治疗,包括积极的高危人群筛查,肥胖儿童青少年的饮食、运动、生活方式综合干预等。上海儿童医学中心-上海潍坊社区服务中心医联体门诊采用“医院-社区-家庭(HCH)管理模式”对上海地区儿童青少年肥胖进行医学营养综合治疗,获得良好效果,值得进一步应用推广。
Abstract
Obesity has become a serious global public health problem. By 2014,12.2% of school-age children over 7 years old in China were overweight and 7.3% were obese,with a total of 34.96 million children. This number could increased to 50 million by 2030. Medical nutrition therapy of obesity in children and adolescents includes active screening of high-risk groups and comprehensive intervention involving diets,physical exercises and lifestyle change of obesity children and adolescents. Shanghai Children′s Medical Center-Shanghai Weifang Community Service Center Joint Nutrition Clinic adopts the "Hospital-Community-Home (HCH)” management mode to carry out the comprehensive medical nutrition therapy for the obesity of children and adolescents in Shanghai.It is proved that this management already obtains good effects,and it is worthy for further application and promotion.
关键词
肥胖 /
儿童青少年 /
医学营养治疗 /
医院-社区-家庭
Key words
obesity /
children and adolescents /
medical nutrition therapy /
Hospital-Community-Home
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参考文献
[1] 马军,蔡赐河,王海俊,等.1985-2010年中国学生超重与肥胖流行趋势[J].中华预防医学杂志,2012,46(9):776-780.
[2] 王向军,杨漾,吴艳强,等.上海市2000-2014年中小学生体质量指数变化趋势[J].中国学校卫生,2017,38(3):400-403.
[3] 北京大学公共卫生学院和联合国儿童基金会.2017中国儿童肥胖报告[J].中华预防医学杂志,2017,51(6):576.
[4] 中国肥胖问题工作组.中国学龄儿童青少年超重、肥胖筛查体重指数值分类标准[J].中华流行病学杂,2004,25(2):97-102.
[5] US Preventive Services Task Force,Grossman DC,Bibbins-Domingo K,et al. Screening for overweight and obesity in children and adolescents:US Preventive Services Task Force recommendation statement[J].JAMA,2017,317 (23):2417-2426.
[6] 中国营养学会.学龄儿童膳食指南[J].中国学校卫生,2016,37(7):961-967.
[7] The European Society of Endocrinology and the Pediatric Endocrine Society. Pediatric obesity guidelines[J]. J Clin Endocrinol Metab,2017,102 (3):709-757.
[8] 《儿童青少年糖尿病营养治疗专家共识(2018版)》编写委员会.儿童青少年糖尿病营养治疗专家共识2018版[J].中华糖尿病杂志,2018,10(9):569-577.
[9] 中国超重肥胖医学营养治疗专家共识编写委员会.中国超重/肥胖医学营养治疗专家共识(2016年版)[J].中华糖尿病杂志,2016,8(9):525-540.
[10] 中国抗癌协会肿瘤营养与支持治疗专业委员会.营养管理新模式-HCH[J/OL].肿瘤代谢与营养电子杂志,2015,2(3):23-26.
基金
国家科技部重点研发专项(2016YFC1305204); 上海卫健委临床营养重要薄弱学科建设项目(2019ZB0103)
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