Section of Nutrition, Department of Pediatrics, University of Colorado School of Medicine, 12700 E 19th Ave, C-225, Aurora, CO 80045, USA.
Pediatrics. 2011 Sep;128 Suppl 2(Suppl 2):S71-7. doi: 10.1542/peds.2011-0480G.
Large gaps exist in the capacity of the US medical system to participate meaningfully in childhood obesity-prevention efforts and to meet the treatment needs of obese children. Current primary care practice for the prevention and treatment of childhood obesity often varies from evidence-based recommendations. Childhood obesity specialists have partnered successfully with schools of medicine, professional societies, and other organizations to collaboratively engage with primary care providers in quality improvement for obesity prevention and treatment. This review and commentary targets 2 audiences. For childhood obesity experts and their organizational partners, methods to support change in primary practice and the evidence supporting their use are outlined. For primary care providers and non-obesity specialists, effective strategies for changing practice and the potential benefits of addressing childhood obesity systematically are discussed.
美国医疗体系在参与儿童肥胖预防工作以及满足肥胖儿童治疗需求方面存在巨大差距。目前,预防和治疗儿童肥胖的初级保健实践常常与循证建议不符。儿童肥胖专家已成功与医学院、专业协会和其他组织合作,共同参与肥胖预防和治疗方面的质量改进,以与初级保健提供者合作。本综述和评论针对 2 个受众群体。对于儿童肥胖专家及其组织合作伙伴,概述了支持在初级实践中进行变革的方法以及支持其使用的证据。对于初级保健提供者和非肥胖专家,讨论了改变实践的有效策略以及系统解决儿童肥胖问题的潜在益处。