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儿童肥胖的预防和医学管理综述。

A Review of the Prevention and Medical Management of Childhood Obesity.

机构信息

Hasbro Children's Hospital and Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903, USA.

出版信息

Child Adolesc Psychiatr Clin N Am. 2018 Jan;27(1):63-76. doi: 10.1016/j.chc.2017.08.003. Epub 2017 Oct 21.

Abstract

Prevention and management of childhood obesity remains a public health priority and necessitates an integrated chronic care approach. Obesity prevention efforts should focus on healthy family-based lifestyle modifications. The United States Prevention Services Task Force recommends children older than age 6 of years be screened for obesity and, if clinically indicated, be referred for moderate to high intensity comprehensive behavioral interventions. Childhood obesity and its comorbidities affect most medical specialties. A shared understanding of prevention strategies, lifestyle recommendations, screening guidelines for comorbidities, and stages of treatment will allow for more integrated and collaborative care.

摘要

预防和管理儿童肥胖仍然是公共卫生的重点,需要采取综合的慢性病管理方法。肥胖预防工作应侧重于健康的以家庭为基础的生活方式改变。美国预防服务工作组建议对年龄大于 6 岁的儿童进行肥胖筛查,如果临床上有指征,应转介进行中高强度的综合行为干预。儿童肥胖及其合并症影响大多数医学专业。对预防策略、生活方式建议、合并症筛查指南以及治疗阶段的共同理解,将有助于实现更综合和协作的医疗服务。

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