Zheng Anthony, Cretikos Michelle
Centre for Epidemiology and Evidence, NSW Ministry of Health, Sydney, Australia,
Centre for Population Health, NSW Ministry of Health, Sydney, Australia.
Public Health Res Pract. 2019 Mar 6;29(1):2911903. doi: 10.17061/phrp2911903.
More than a quarter of Australian children are above a healthy weight (overweight or obese) and risk significant immediate and future health harms. While childhood overweight and obesity is a complex problem requiring multifaceted solutions, identifying children at risk and preventing these health harms should be a part of good clinical care in all health services. Effective secondary and tertiary prevention is feasible. This paper argues that health services can use serial growth assessment to routinely identify and manage children who are above a healthy weight, just as we might routinely identify and manage hypertension in older patients. We highlight the evidence for the acceptability and effectiveness of family-focused clinical intervention for weight management in children. We also outline system-level changes that health services should consider to enable and support routine clinical identification and management of affected children and their families.
超过四分之一的澳大利亚儿童体重超过健康水平（超重或肥胖），面临着重大的当前和未来健康危害。虽然儿童超重和肥胖是一个复杂的问题，需要多方面的解决方案，但识别有风险的儿童并预防这些健康危害应该成为所有医疗服务中良好临床护理的一部分。有效的二级和三级预防是可行的。本文认为，医疗服务机构可以利用连续生长评估来常规识别和管理体重超过健康水平的儿童，就像我们常规识别和管理老年患者的高血压一样。我们强调了以家庭为重点的临床干预对儿童体重管理的可接受性和有效性的证据。我们还概述了医疗服务机构为了能够并支持对受影响儿童及其家庭进行常规临床识别和管理而应考虑的系统层面的变革。
