Medical Faculty, University of Rzeszow, Rzeszow, Poland.
Pediatrics. 2013 Jul;132(1):e100-8. doi: 10.1542/peds.2012-3239. Epub 2013 Jun 10.
To determine and compare attitudes, skills, and practices in childhood obesity management in 4 European countries with different obesity prevalence, health care systems, and economic situations.
A cross-sectional survey was distributed to primary health care providers from France, Italy, Poland, and Ukraine. The questionnaire was returned by 1119 participants with a response rate of 32.4%.
The study revealed that most of the primary health care providers were convinced of their critical role in obesity management but did not feel sufficiently competent to perform effectively. The adherence to recommended practices such as routine weight and height measurements, BMI calculation, and plotting growth parameters on recommended growth charts was poor. Most primary health care providers recognized the need for continuing professional education in obesity management, stressing the importance of appropriate dietary counseling.
The study underlines insufficient implementation of national guidelines for management of obesity regardless of the country and its health system. It also makes clear that the critical problem is not elaboration of guidelines but rather creating support systems for implementation of the medical standards among the primary care practitioners.
在肥胖流行率、医疗体系和经济状况各异的 4 个欧洲国家中，评估并比较在儿童肥胖管理方面的态度、技能和实践情况。
采用横断面调查的方法，向法国、意大利、波兰和乌克兰的基层医疗服务提供者发放调查问卷。共回收了 1119 名参与者的问卷，应答率为 32.4%。
研究表明，大多数基层医疗服务提供者认识到其在肥胖管理中的关键作用，但认为自身能力不足以有效开展工作。推荐的做法，如常规体重和身高测量、BMI 计算以及在推荐的生长图表上描绘生长参数，实施情况较差。大多数基层医疗服务提供者认识到需要继续接受肥胖管理方面的专业教育，强调适当的饮食咨询的重要性。
本研究强调了无论国家及其医疗体系如何，国家肥胖管理指南的实施情况都不理想。这也明确表明，关键问题不在于制定指南，而在于为基层医疗从业者实施医疗标准创造支持系统。
