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解决门急诊儿童肥胖问题:我们在哪里,我们要去哪里?

Addressing Pediatric Obesity in Ambulatory Care: Where Are We and Where Are We Going?

机构信息

Nutrition and Fitness for Life Program, Department of Pediatrics, Boston Medical Center, Boston University School of Medicine, Vose Hall-3, 88, East Newton Street, Boston, MA, 02118, USA.

Boston Combined Residency Program, Boston University School of Medicine and Harvard Medical School, Dowling 3-870 Harrison Avenue, Boston, MA, 02118, USA.

出版信息

Curr Obes Rep. 2016 Jun;5(2):214-40. doi: 10.1007/s13679-016-0210-2.

DOI:10.1007/s13679-016-0210-2
PMID:27048522
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5497516/
Abstract

Since the "2007 summary report of child and adolescent overweight and obesity treatment" published by Barlow, many obesity intervention studies have been conducted in pediatric ambulatory care. Although several meta-analyses have been published in the interim, many studies were excluded because of the focus and criteria of these meta-analyses. Therefore, the primary goal of this article was to identify randomized case-control trials conducted in the primary care setting and to report on treatment approaches, challenges, and successes. We have developed four themes for our discussion and provide a brief summary of our findings. Finally, we identified major gaps and potential solutions and describe several urgent key action items.

摘要

自 Barlow 发表的“2007 年儿童和青少年超重和肥胖治疗总结报告”以来,许多肥胖干预研究已经在儿科门诊中进行。尽管在此期间已经发表了几项荟萃分析,但由于这些荟萃分析的重点和标准,许多研究被排除在外。因此,本文的主要目标是确定在初级保健环境中进行的随机病例对照试验,并报告治疗方法、挑战和成功。我们已经为讨论确定了四个主题,并简要总结了我们的发现。最后,我们确定了主要差距和潜在解决方案,并描述了几个紧急的关键行动项目。

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本文引用的文献

1
An Integrated Framework For The Prevention And Treatment Of Obesity And Its Related Chronic Diseases.肥胖及其相关慢性病的预防和治疗综合框架
Health Aff (Millwood). 2015 Sep;34(9):1456-63. doi: 10.1377/hlthaff.2015.0371.
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Treatment Interventions for Early Childhood Obesity: A Systematic Review.幼儿肥胖的治疗干预措施:一项系统评价
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An Early Feeding Practices Intervention for Obesity Prevention.一项预防肥胖的早期喂养习惯干预措施。
Pediatrics. 2015 Jul;136(1):e40-9. doi: 10.1542/peds.2014-4108. Epub 2015 Jun 8.
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Why don't families initiate treatment? A qualitative multicentre study investigating parents' reasons for declining paediatric weight management.为何家庭不启动治疗?一项调查父母拒绝儿童体重管理原因的多中心定性研究。
Paediatr Child Health. 2015 May;20(4):179-84. doi: 10.1093/pch/20.4.179.
5
Comparative effectiveness of childhood obesity interventions in pediatric primary care: a cluster-randomized clinical trial.儿科初级保健中儿童肥胖干预措施的比较效果:一项集群随机临床试验。
JAMA Pediatr. 2015 Jun;169(6):535-42. doi: 10.1001/jamapediatrics.2015.0182.
6
Sustainability of Effects of an Early Childhood Obesity Prevention Trial Over Time: A Further 3-Year Follow-up of the Healthy Beginnings Trial.随着时间的推移,儿童期肥胖预防试验效果的可持续性:健康开端试验的进一步 3 年随访。
JAMA Pediatr. 2015 Jun;169(6):543-51. doi: 10.1001/jamapediatrics.2015.0258.
7
Motivational interviewing and dietary counseling for obesity in primary care: an RCT.基层医疗中针对肥胖的动机性访谈与饮食咨询:一项随机对照试验
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Outcomes of a 1-year randomized controlled trial to evaluate a behavioral 'stepped-down' weight loss intervention for adolescent patients with obesity.一项为期1年的随机对照试验的结果,该试验旨在评估针对肥胖青少年患者的行为“逐步减量”减肥干预措施。
Pediatr Obes. 2016 Feb;11(1):18-25. doi: 10.1111/ijpo.12013. Epub 2015 Feb 19.
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