Medical care of obese children and adolescents
| Autor: | Gernot Schmahlfeldt, Brunhild Richter, Susanna Wiegand, Rainer Stachow, Andreas van Egmond-Fröhlich, Klaus Mohnike, H Mayer, J. Oepen, Uwe Kilian, Carmen Fromme, Martin Wabitsch, Gerd Schauerte, Thomas Reinehr, O.A. Hampel, Thomas Lob-Corzilius, Hilde Kolbe, Peer Smuda, Jannie Weiten, Reinhard W. Holl, Klaus M. Keller, Volker Zindel, Annette Chen-Stute, Sabine Witte, Wolfgang Siegfried, Nikola Riedinger, Werner Andler, Wolfgang Marg, Peter Beyer, Antje Böttner, Clemens Povel |
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| Rok vydání: | 2004 |
| Předmět: |
Adult
Blood Glucose Male Pediatrics medicine.medical_specialty Adolescent Hypercholesterolemia Overweight Ambulatory Care Facilities Rehabilitation Centers Body Mass Index Risk Factors Germany Humans Mass Screening Medicine Obesity Prospective Studies Risk factor Child Prospective cohort study Triglycerides Mass screening Diagnostic Tests Routine business.industry Cholesterol HDL Cholesterol LDL medicine.disease Blood pressure El Niño Cardiovascular Diseases Child Preschool Health Care Surveys Hypertension Pediatrics Perinatology and Child Health Female medicine.symptom business Body mass index |
| Zdroj: | European Journal of Pediatrics. 163:308-312 |
| ISSN: | 1432-1076 0340-6199 |
| DOI: | 10.1007/s00431-004-1421-1 |
| Popis: | So far in Europe, no studies have been published on the structuring of medical care for obese children and adolescents. Besides anthropometric parameters, evaluations of the cardiovascular risk factors hypertension, dyslipidaemia, impaired glucose metabolism and treatment modalities were documented in a standardised multicentre evaluation survey (APV) of 18 primarily outpatient and nine rehabilitation institutions. In total, 3837 children (aged 2–20 years) took part in the years 2000 up to March 2003, of whom 1985 were treated in outpatient institutions and 1852 in rehabilitation institutions. Of these children, 10% were overweight, 37% obese, 49% extremely obese and 4% of normal weight at initial presentation. The frequencies of diagnostic procedures performed and documented were low (measurement of blood pressure 43%, lipids 40%, glucose metabolism 21%). In the subgroup of obese children who were screened for cardiovascular risk factors, 23% suffered from hypertension, 11% displayed increased cholesterol, 9% increased low-density lipoprotein-cholesterol, 29% increased triglycerides, 11% decreased high-density lipoprotein-cholesterol and 6% had impaired glucose metabolism. Conclusion: despite the high prevalence of cardiovascular risk factors in obese children and adolescents confirmed in this report, diagnostic procedures failed in a considerable percentage even in specialised treatment centres for obese children and adolescents. In future, the feedback based on standardised evaluation of diagnostic and treatment procedures should aim to improve the quality of medical care. |
| Databáze: | OpenAIRE |
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