Changing Characteristics of Obese Children and Adolescents Entering Pediatric Lifestyle Intervention Programs in Germany over the Last 11 Years: An Adiposity Patients Registry Multicenter Analysis of 65,453 Children and Adolescents
| Autor: | Apv initiative, Kurt Widhalm, Thomas Hermann, J. Oepen, Ines Gellhaus, Thomas Reinehr, Susanna Wiegand, Martin Wabitsch, Rainer Stachow, Reinhard W. Holl, Barbara Bohn, Wieland Kiess, Helmut Langhof |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Lifestyle intervention Pediatrics Pediatric Obesity Health (social science) Comorbidity Overweight Logistic regression Adolescents 600 Technik Medizin angewandte Wissenschaften::610 Medizin und Gesundheit Body Mass Index Comorbidities 0302 clinical medicine Germany 030212 general & internal medicine Registries Child lcsh:RC620-627 Children Obesity in Germany Adiposity Time trends Weight Reduction Programs lcsh:Nutritional diseases. Deficiency diseases Population study Female Original Article medicine.symptom lcsh:Nutrition. Foods and food supply medicine.medical_specialty Adolescent 030209 endocrinology & metabolism lcsh:TX341-641 600 Technik Medizin angewandte Wissenschaften::610 Medizin und Gesundheit::616 Krankheiten Childhood obesity 03 medical and health sciences Ambulatory care Outpatient care Physiology (medical) medicine Humans Obesity Life Style business.industry Body Weight Inpatient care medicine.disease business Risk Reduction Behavior Dyslipidemia |
| Zdroj: | Obesity Facts, Vol 10, Iss 5, Pp 517-530 (2017) |
| DOI: | 10.17169/refubium-23852 |
| Popis: | Objective: To examine whether characteristics of children and adolescents who start lifestyle intervention (LI) for obesity in Germany changed over the last decade. Methods: 65,453 subjects (Results: Extreme obesity was found to be more frequent at the onset of LI (2005: 11.6; 2015: 12.7%) with a similar trend in subgroups (p < 0.001). Obesity increased (2005: 50.3%; 2015: 55.1%), and overweight decreased (2005: 34.1%; 2015: 29.0%) in the whole study population. Trends were similar for inpatient or outpatient care (all p < 0.001). Hypertension increased from 45.7% to 49.2% in the whole study population, and similar data were obtained in the subgroup of inpatients (both p < 0.0001). Dyslipidemia increased in all patients (2005: 21.9%; 2015: 28.0%) and in inpatients (2005: 20.2%; 2015: 25.7%; both p < 0.0001). Abnormal carbohydrate metabolism rose in all patients (from 5.2 to 6.4%; p = 0.0002) without significant trends in subgroups. Conclusion: During the last decade, children and adolescents presented with higher BMI SDS at the onset of LI and the proportion with obesity-related comorbidities increased. Particularly the presence of comorbidities differed between outpatients and inpatients. |
| Databáze: | OpenAIRE |
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