Spector Nancy D, Chanoine Pierre
St. Christopher's Hospital for Children, Philadelphia, Pennsylvania 19134, USA.
Curr Opin Pediatr. 2007 Dec;19(6):726-32. doi: 10.1097/MOP.0b013e3282f24086.
This article is intended to review the recent literature on three topics that are very important in pediatric office practice: hypertension, sports supplements and motivational interviewing. Review of current literature will help pediatricians understand current data on the epidemiology and pathophysiology of hypertension, as well as new diagnostic tools and criteria. This article also provides practitioners with a summary of the most current literature on sports supplements. We conclude with a summary of recent studies evaluating the utility of motivational interviewing in the primary care setting.
Recent literature demonstrates the increasing prevalence of pediatric hypertension, as well as new insight into the pathophysiology. Current literature also suggests that sports-supplement use by children is on the rise. Recent literature emphasizes the need for pediatric practitioners to become proficient in motivational interviewing as a method to decrease health-risk behaviors and increase adherence to treatment plans by their patients.
Hypertension and sports-supplement use are both extremely common problems which negatively impact the lives of children and adolescents. Practitioners must acquire strategies such as motivational interviewing to aid their patients and families with behavior change in order to combat health problems related to behavior.
本文旨在回顾近期在儿科门诊实践中非常重要的三个主题的文献：高血压、运动补剂和动机性访谈。回顾当前文献将有助于儿科医生了解高血压流行病学和病理生理学的现有数据，以及新的诊断工具和标准。本文还为从业者提供了关于运动补剂的最新文献总结。我们最后总结了近期评估动机性访谈在初级保健环境中的效用的研究。
近期文献表明儿科高血压患病率不断上升，以及对病理生理学有了新的认识。当前文献还表明儿童使用运动补剂的情况在增加。近期文献强调儿科从业者需要熟练掌握动机性访谈，以此作为减少健康风险行为并提高患者对治疗计划依从性的一种方法。
高血压和使用运动补剂都是极其常见的问题，对儿童和青少年的生活产生负面影响。从业者必须掌握如动机性访谈等策略，以帮助患者及其家庭改变行为，从而应对与行为相关的健康问题。
