McLennan John
Aust Fam Physician. 2004 Jan-Feb;33(1-2):33-6.
Childhood and adolescent obesity has increased dramatically over the past 25 years in Australia. Currently over 20% of Australian children are overweight or obese. The National Health and Medical Research Council has recently developed the 'Clinical practice guidelines for the management of overweight and obesity in children and adolescents'.
This article discusses the assessment and management of childhood and adolescent overweight and obesity.
Children and adolescents with a body mass index over the 85th centile for age are classified overweight and those over the 95th centile, obese. Obesity has significant health consequences for children and adolescents, both in the short term and for their adult life. Family involvement is important in management, particularly in primary aged children. A combination of dietary modification, increased physical activity, decreased sedentary activity and behaviour modification is recommended.
在过去25年里，澳大利亚儿童和青少年肥胖率急剧上升。目前，超过20%的澳大利亚儿童超重或肥胖。澳大利亚国家健康与医学研究委员会最近制定了“儿童和青少年超重与肥胖管理临床实践指南”。
本文讨论儿童和青少年超重与肥胖的评估和管理。
体重指数超过同年龄第85百分位数的儿童和青少年被归类为超重，超过第95百分位数的则为肥胖。肥胖对儿童和青少年的健康有重大影响，无论是短期还是成年后。家庭参与管理很重要，尤其是对小学年龄段的儿童。建议综合采取饮食调整、增加体育活动、减少久坐活动和行为改变等措施。
