Division of Endocrinology, Metabolism and Diabetes, First Department of Pediatrics, National and Kapodistrian University of Athens Medical School, "Aghia Sophia" Children's Hospital, 11527 Athens, Greece.
Division of Endocrinology and Metabolism, Center of Clinical, Experimental Surgery and Translational Research, Biomedical Research Foundation of the Academy of Athens, 11527 Athens, Greece.
Nutrients. 2020 Sep 18;12(9):2858. doi: 10.3390/nu12092858.
Obesity in childhood and adolescence represents one of the most challenging public health problems of the 21st century owing to its epidemic proportions worldwide and the associated significant morbidity, mortality and public health costs. In Greece, the prevalence of overweight and obesity in childhood and adolescence exceeds 30-35%. To address the increasing prevalence of overweight and obesity in children and adolescents in our country, we developed the 'National e-Health Program for the Prevention and Management of Overweight and Obesity in Childhood and Adolescence', which provides specific and detailed guidance to all primary health care physicians about the personalized management of children and adolescents with overweight or obesity. In the present study we evaluated 2400 children and adolescents [mean age ± SEM: 10.10 ± 0.09 years.; Males: 1088, Females: 1312; Obesity ( = 1370, 57.1%), Overweight ( = 674, 28.1%), normal BMI ( = 356, 14.8%)], who followed the personalized multi-disciplinary management plan specified by the 'National e-Health Program for the Prevention and Management of Overweight and Obesity in Childhood and Adolescence', and were studied prospectively for 1 year. We demonstrated that at the end of the first year, the prevalence of obesity decreased by 32.1%, the prevalence of overweight decreased by 26.7%, and the cardiometabolic risk factors improved significantly. These findings indicate that our National e-Health Program is effective at reducing the prevalence of overweight and obesity in childhood and adolescence after one year of intervention in the largest sample size reported to date.
儿童和青少年肥胖是 21 世纪最具挑战性的公共卫生问题之一，其在全球范围内呈流行趋势，与肥胖相关的发病率、死亡率和公共卫生成本显著增加。在希腊，儿童和青少年超重和肥胖的患病率超过 30-35%。为了解决我国儿童和青少年超重和肥胖率不断上升的问题，我们制定了“国家电子健康计划预防和管理儿童和青少年超重和肥胖”，为所有初级保健医生提供了关于超重或肥胖儿童和青少年个性化管理的具体和详细指导。在本研究中，我们评估了 2400 名儿童和青少年[平均年龄±SEM：10.10±0.09 岁；男性：1088 名，女性：1312 名；肥胖症（=1370 名，57.1%），超重（=674 名，28.1%），正常 BMI（=356 名，14.8%）]，他们遵循“国家电子健康计划预防和管理儿童和青少年超重和肥胖”规定的个性化多学科管理计划，并进行了为期 1 年的前瞻性研究。我们证明，在第一年结束时，肥胖症的患病率下降了 32.1%，超重的患病率下降了 26.7%，心血管代谢危险因素显著改善。这些发现表明，我们的国家电子健康计划在干预一年后，在迄今为止报告的最大样本量中，有效地降低了儿童和青少年超重和肥胖的患病率。
