Ariza Carles, Ortega-Rodríguez Eduard, Sánchez-Martínez Francesca, Valmayor Sara, Juárez Olga, Pasarín M Isabel
Agència de Salut Pública de Barcelona, Barcelona, España; Ciber de Epidemiología y Salud Pública (CIBERESP), España; Institut d'Investigació Biomédica Sant Pau (IIB Sant Pau), Barcelona, España.
Area Básica de Salut Nova Lloreda (Badalona Serveis Assistencials), Badalona, Barcelona, España.
Aten Primaria. 2015 Apr;47(4):246-55. doi: 10.1016/j.aprim.2014.11.006.
The percentage of failure and relapse in the treatment of obesity is high. Where possible, the preferred strategy for preventing obesity is to modify eating habits and lifestyles. This article aims to provide a framework for evidence on the most effective interventions for addressing childhood obesity, both from a prevention point of view, as well as reducing it, when it is already established. After a review of the scientific literature, the issues that must be considered both in the universal and selective prevention of childhood obesity are presented. Also, in light of the controversy over the tools for measuring and controlling the problem, some clarification is provided on the criteria. Finally, the approach to the prevention of overweight and obesity with a community perspective is separated, with two short protocols being offered with diagrams of the basic procedure to follow.
肥胖治疗中的失败率和复发率很高。在可能的情况下,预防肥胖的首选策略是改变饮食习惯和生活方式。本文旨在提供一个框架,以便从预防以及在肥胖已经形成时减轻肥胖的角度,获取有关解决儿童肥胖最有效干预措施的证据。在对科学文献进行综述之后,阐述了在儿童肥胖的普遍预防和选择性预防中都必须考虑的问题。此外,鉴于在测量和控制该问题的工具方面存在争议,对相关标准进行了一些说明。最后,从社区角度出发,将预防超重和肥胖的方法区分开来,并提供了两个简短的方案以及基本操作步骤的示意图。