Obesity in children- a chronic disease?
| Autor: | Sigrid C. Disse, Klaus-Peter Zimmer |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Adolescent Diet therapy Child Welfare Disease Overweight Germany Health care medicine Outpatient clinic Humans Obesity Child Socioeconomic status Evidence-Based Medicine business.industry General Medicine medicine.disease Exercise Therapy Weight Reduction Programs Treatment Outcome Editorial Family medicine Chronic Disease Female medicine.symptom business Developed country Diet Therapy |
| Zdroj: | Deutsches Arzteblatt international. 111(48) |
| ISSN: | 1866-0452 |
| Popis: | The term “epidemic” was originally reserved for -infectious diseases, such as Ebola disease or influenza, but is now used to describe non-communicable conditions as well, including obesity. The prevalence of obesity and overweight in children and adolescents has risen rapidly since the 1980s in industrialized countries and in most emerging countries (1). The systematic review of conservative weight-loss methods by Muhlig et al. that appears in the current issue of this journal thus comes at a very opportune time (2). Extrapolated data from the German KiGGS survey reveal that, in 2008, about 1.7 million children and -adolescents in Germany aged 2 to 17 years were overweight; of this number, about 750 000 were obese (3). Fortunately, data from school entrance examinations currently reveal a stabilization or even a mild decrease in the prevalence of overweight and obesity in most of Germany (4). Until just a few years ago, obesity was generally thought of as no more than a risk factor for other diseases; there was controversy about whether it should be classified as a disease in itself (5). The past decade has seen a fundamental change, with obesity being recognized as a disease not only nationally in Germany (e.g., by the Federal Social Court and the German Obesity -Society), but on the international level as well (WHO, American Medical Association). In Germany, the legal and socioeconomic implications of calling obesity a disease are still being debated. In particular, where obese and overweight children are concerned, the reimbursement paid by the statutory health insurance carriers for the treatment of obesity, whether in the outpatient setting (ambulatory health care; teaching-hospital outpatient clinics) or in the inpatient setting (rehabilitation), is generally perceived as inadequate. |
| Databáze: | OpenAIRE |
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