Institute of Preventive Medicine, Centre for Health and Society, Copenhagen, Denmark.
Obes Facts. 2010;3(2):131-7. doi: 10.1159/000295112. Epub 2010 Apr 6.
The prevalence of obesity among children and adolescents is on the rise. The majority of overweight or obese children are treated by primary health care providers including paediatricians, family practitioners, dieticians, nurses, and school health services - and not by specialists. The majority of obese children have no underlying medical disorder causing their obesity yet a significant proportion might suffer from obesity-related co-morbidities. This text is aimed at providing simple and practical tools for the identification and management of children with or at risk of overweight and obesity in the primary care setting. The tips and tools provided are based on data from the recent body of work that has been published in this field, official statements of several scientific societies along with expert opinion provided by the members of the Childhood Obesity Task Force (COTF) of the European Association for the Study of Obesity (EASO). We have attempted to use an evidence-based approach while allowing flexibility for the practicing clinician in domains where evidence is currently lacking and ensuring that treating the obese child involves the entire family as well.
儿童和青少年肥胖症的患病率呈上升趋势。大多数超重或肥胖儿童由初级卫生保健提供者治疗，包括儿科医生、家庭医生、营养师、护士和学校卫生服务机构，而不是由专家治疗。大多数肥胖儿童没有导致肥胖的潜在医学疾病，但相当一部分儿童可能患有与肥胖相关的合并症。本文旨在为初级保健环境中识别和管理超重和肥胖儿童或有超重和肥胖风险的儿童提供简单实用的工具。提供的提示和工具基于该领域最近发表的大量工作数据、几个科学协会的官方声明以及欧洲肥胖研究协会（EASO）儿童肥胖工作组（COTF）成员提供的专家意见。我们试图在证据不足的领域采用循证方法，同时为执业临床医生提供灵活性，并确保治疗肥胖儿童时涉及整个家庭。
