Division of Endocrinology, Metabolism and Diabetes, First Department of Pediatrics, National and Kapodistrian University of Athens Medical School, "Aghia Sophia" Children's Hospital, Athens, Greece.
Department of Informatics, University of Piraeus, Piraeus, Greece.
Eur J Clin Invest. 2018 Mar;48(3). doi: 10.1111/eci.12887. Epub 2018 Feb 11.
Obesity in childhood and adolescence represents a major health problem in our century. In Greece, more than 30%-35% of children and adolescents are either overweight or obese.
Using information and communication technologies, we developed a "National Registry for the Prevention and Management of Overweight and Obesity in Childhood and Adolescence" for guidance and training of Pediatricians and General Practitioners. The application supports interoperability with other national infrastructures and multi-layered security spanning preventive, detective and administrative controls. The Patient Summary Dataset includes information on medical history, family history, medications, immunizations, clinical examination and laboratory findings and appointment booking service.
The application was launched in September 2015 and is accessible by: http://app.childhood-obesity.gr/. Based on the data that the doctor registers, the system calculates a personalized therapeutic algorithm that provides information on diet, physical exercise and sleep, as well as guidance on laboratory investigations and referral to specialized centres. A pilot study performed in 1270 children and adolescents indicated that using this system resulted in a reduction in obesity rates by 30% and overweight rates by 35% within 1 year.
This National e-Health System appears to be effective in the management of overweight and obesity in childhood and adolescence.
儿童和青少年肥胖是我们这个世纪的一个主要健康问题。在希腊，超过 30%-35%的儿童和青少年超重或肥胖。
我们利用信息和通信技术，为儿科医生和全科医生开发了一个“国家预防和管理儿童和青少年超重和肥胖症登记处”，用于指导和培训。该应用程序支持与其他国家基础设施的互操作性以及涵盖预防、检测和行政控制的多层安全性。患者总结数据集包括病史、家族史、药物、免疫接种、临床检查和实验室结果以及预约服务信息。
该应用程序于 2015 年 9 月推出，可通过以下网址访问：http://app.childhood-obesity.gr/。根据医生注册的信息，系统会计算出个性化的治疗算法，提供饮食、体育锻炼和睡眠方面的信息，以及实验室检查和转介到专门中心的指导。在 1270 名儿童和青少年中进行的一项试点研究表明，使用该系统可在 1 年内将肥胖率降低 30%，超重率降低 35%。
这个国家电子健康系统似乎在儿童和青少年超重和肥胖的管理中是有效的。
