Dept. of General Practice, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.
Prev Med. 2013 Nov;57(5):448-55. doi: 10.1016/j.ypmed.2013.08.010. Epub 2013 Aug 26.
Review of clinical guidelines.
Most national clinical guidelines for the management of childhood obesity in primary care were published since 2003. It is unknown whether there is international consensus concerning the diagnosis and management of childhood obesity.
To present an overview of available guidelines for the management of childhood obesity in primary care
Guidelines were included if they met the following criteria: (1) the guideline makes recommendations concerning the management of childhood obesity, (2) the target group consists of primary care health practitioners, (3) the guideline is available in English or Dutch.
Clinical guidelines from six different countries published from 2003 until 2010 met the selection criteria and were included in this review. The recommendations of the guidelines regarding the management of childhood obesity appeared to be quite similar. A consistent feature was the recommended combined intervention, with diet, physical activity and counselling being the three most important elements. There were discrepancies between the guidelines for recommendations regarding diagnostic classification criteria for childhood obesity.
The present review shows that there is international consensus regarding the recommendations for management of childhood obesity. There is less international consensus regarding the diagnostic classification of childhood obesity.
临床指南回顾。
自 2003 年以来，大多数针对初级保健中小儿肥胖管理的国家临床指南已经发布。目前尚不清楚在儿童肥胖症的诊断和管理方面是否存在国际共识。
介绍可用于初级保健中儿童肥胖管理的现有指南概述。
如果符合以下标准，则将指南纳入：（1）指南就儿童肥胖管理提出建议，（2）目标人群由初级保健卫生从业者组成，（3）指南有英文或荷兰文版本。
从 2003 年到 2010 年，来自六个不同国家的临床指南符合入选标准并被纳入本综述。这些指南中关于儿童肥胖管理的建议似乎非常相似。一个一致的特点是建议进行综合干预，饮食、身体活动和咨询是三个最重要的要素。在儿童肥胖的诊断分类标准的建议方面，指南之间存在差异。
本综述表明，在儿童肥胖管理的建议方面存在国际共识。在儿童肥胖的诊断分类方面，国际共识较少。
