Helen DeVos Children's Hospital, D129 Women and Children's Center, 330 Barclay NE, Grand Rapids, MI 49503, USA.
Pediatrics. 2011 Sep;128 Suppl 2:S51-8. doi: 10.1542/peds.2011-0480D.
This article provides descriptive information on the assessments conducted in stage 3 or 4 pediatric obesity-management programs associated with National Association of Children's Hospital and Related Institutions hospitals enrolled in FOCUS on a Fitter Future. Eighteen institutions completed a survey that considered the following assessments: patient/family medical history; physical examination; blood pressure; body size and composition; blood chemistry; aerobic fitness; resting metabolic rate; muscle strength and flexibility; gross motor function; spirometry; sedentary behavior and physical activity; dietary behavior and nutrition; and psychological assessments. Frequency distributions were determined for each question. Overall, the results indicate that most programs that participated in this survey were following 2007 Expert Committee assessment recommendations; however, a variety of measurement tools were used. The variation in assessment tools, protocols, etc is partially caused by the program diversity dictated by personnel, both in terms of number and duties. It also shows the challenges in standardizing methodologies across clinics if we hope to establish a national registry for pediatric obesity clinics. In addition to providing a better understanding of the current assessment practices in pediatric obesity-management programs, the results provided herein should assist other clinics/hospitals that are developing pediatric obesity programs.
本文提供了有关在与参加 FOCUS on a Fitter Future 的国家儿童健康协会和相关机构医院相关的 3 或 4 期儿科肥胖管理计划中进行的评估的描述性信息。有 18 家机构完成了一项调查，其中考虑了以下评估：患者/家庭病史；体检；血压；身体大小和组成；血液化学；有氧健身；静息代谢率；肌肉力量和柔韧性；粗大运动功能；肺活量测定；久坐行为和体力活动；饮食行为和营养；以及心理评估。为每个问题确定了频率分布。总体而言，结果表明，大多数参与这项调查的计划都遵循了 2007 年专家委员会的评估建议；但是，使用了各种测量工具。评估工具、方案等的差异部分是由人员决定的计划多样性造成的，无论是在数量还是职责方面。如果我们希望为儿科肥胖诊所建立一个国家登记处，那么这也表明了在整个诊所标准化方法方面的挑战。除了更好地了解儿科肥胖管理计划中的当前评估实践外，本文提供的结果还应有助于其他正在开发儿科肥胖计划的诊所/医院。
