Silber Molly, Weiss Lindsay, Sharaf Salma, Wang Yan, Hager Erin, Carter Rebecca
University of Maryland, Baltimore, MD, USA.
Joe DiMaggio Children's Hospital, Hollywood, FL, USA.
Glob Pediatr Health. 2020 Jun 26;7:2333794X20928215. doi: 10.1177/2333794X20928215. eCollection 2020.
. Pediatric obesity has become a significant public health concern. Pediatricians are the ideal group to help identify and treat this epidemic, but unfortunately, many pediatricians are not trained to discuss obesity with patients and their families. Standardized training initiatives for pediatric residents on prevention and/or management of obesity are needed to equip emerging pediatricians to combat the obesity epidemic. . This systematic literature review aims to examine the effectiveness of childhood obesity prevention/counseling resident training interventions. . A comprehensive literature search was performed using preidentified search terms and limited to articles published prior to November 6, 2019. Articles were analyzed by 2 reviewers with a standardized evaluation tool. . A total of 698 articles were identified by the search. These were reduced to 111 articles after title review and 11 articles following abstract/full paper review. The 11 articles described 10 different obesity training interventions for residents. The articles varied in their size, length of training session, and study design. Despite these variations, all articles outlined positive outcomes, including an increase in physician confidence, positive changes in behavior, and/or improved electronic medical record documentation. . With the continued increase in pediatric obesity, there is a need for practical, easy-to-implement, standardized trainings for pediatric residents on obesity prevention and treatment. More investigation needs to be done to look at long-term results of current interventions as well as other outcomes such as whether physicians are correctly identifying patients who are overweight or obese and whether there is improvement in patient follow-up.
小儿肥胖已成为一个重大的公共卫生问题。儿科医生是帮助识别和治疗这一流行病的理想群体，但不幸的是，许多儿科医生并未接受过与患者及其家人讨论肥胖问题的培训。需要为儿科住院医师开展关于肥胖预防和/或管理的标准化培训项目，以使新晋儿科医生有能力应对肥胖流行问题。 本系统文献综述旨在考察儿童肥胖预防/咨询住院医师培训干预措施的有效性。 使用预先确定的检索词进行了全面的文献检索，检索范围限于2019年11月6日之前发表的文章。由2名评审人员使用标准化评估工具对文章进行分析。 检索共识别出698篇文章。经过标题审查后减少至111篇文章，经过摘要/全文审查后减少至11篇文章。这11篇文章描述了针对住院医师的10种不同的肥胖培训干预措施。这些文章在规模、培训课程时长和研究设计方面各不相同。尽管存在这些差异，但所有文章都概述了积极的结果，包括医生信心的增强、行为的积极改变和/或电子病历记录的改善。 随着小儿肥胖问题持续增加，需要为儿科住院医师提供实用、易于实施的肥胖预防和治疗标准化培训。需要进行更多研究，以考察当前干预措施的长期结果以及其他结果，如医生是否正确识别超重或肥胖患者，以及患者随访情况是否有所改善。
