A Comprehensive Multidisciplinary Management Plan Is Effective in Reducing the Prevalence of Overweight and Obesity in Childhood and Adolescence
Autor: | Eleni Koui, Penio Kassari, Evangelia Charmandari, Christos Giannios, Sofia-Maria Genitsaridi, Ifigeneia Papageorgiou, Eleni Terzioglou, Yannis Manios, Georgios Papadopoulos, Stamatis Romas, Alexandra Georgiou, Chryssanthi Papathanasiou, Sofia Karampatsou, Ioanna Farakla |
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Rok vydání: | 2019 |
Předmět: |
Male
Pediatrics medicine.medical_specialty Pediatric Obesity Adolescent Endocrinology Diabetes and Metabolism Psychological intervention 030209 endocrinology & metabolism Overweight Multidisciplinary team Body Mass Index 03 medical and health sciences 0302 clinical medicine Endocrinology Multidisciplinary approach medicine Prevalence Humans Child 030219 obstetrics & reproductive medicine Greece business.industry Task force Disease Management Mean age medicine.disease Obesity Child Preschool Pediatrics Perinatology and Child Health Female medicine.symptom business Clinical evaluation |
Zdroj: | Hormone research in paediatrics. 93(2) |
ISSN: | 1663-2826 |
Popis: | Background: Obesity in childhood and adolescence represents a major health problem of our century. In Greece, 30–35% of children and adolescents are overweight or obese. Objective and Hypotheses: To investigate the effectiveness of a comprehensive multidisciplinary personalized management plan at reducing the prevalence of overweight and obesity in childhood and adolescence. Patients and Methods: One thousand (n = 1,000) children and adolescents aged 2–18 years (mean age ± SD: 10.09 ± 2.86 years; 520 females, 480 males) were studied prospectively. Subjects were classified as obese (n = 579, 57.9%), overweight (n = 295, 29.5%) or having a normal body mass index (BMI) (n = 126, 12.6%) according to the International Obesity Task Force cutoff points. All subjects were evaluated by a multidisciplinary team at frequent intervals, received personalized advice on diet and exercise and were studied prospectively for 1 year. Detailed clinical evaluation and laboratory investigations were performed at the beginning and at the end of the study. Results: At initial evaluation, 57.9% of subjects were obese, 29.5% overweight and 12.6% of normal BMI. Indices of cardiometabolic disease were higher in obese than in overweight and normal-BMI subjects. Following 1 year of multidisciplinary management interventions, the prevalence of obesity decreased by 16.8%, the prevalence of normal BMI increased by 8.2%, and all cardiometabolic indices improved significantly. Conclusions: A personalized multidisciplinary management plan is effective at reducing the prevalence of obesity in childhood and adolescence. |
Databáze: | OpenAIRE |
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