Weight Management Services, The Children's Hospital at Westmead, Westmead, New South Wales, Australia.
Boden Collaboration for Obesity, Nutrition, Exercise and Eating Disorders, University of Sydney, Camperdown, New South Wales, Australia.
J Paediatr Child Health. 2021 Aug;57(8):1259-1266. doi: 10.1111/jpc.15439. Epub 2021 Mar 16.
To identify multi-disciplinary paediatric weight management services currently available in Australia and determine gaps in service provision for children and adolescents with obesity.
Surveys were distributed to 17 identified Australian multi-disciplinary paediatric weight management services. A representative from each service was asked to complete an online survey regarding service and patient characteristics, assessment and management practices, and professional development approaches.
Representatives from 16 multi-disciplinary paediatric weight management services completed the survey. Fourteen services were based in major metropolitan cities and two in regional areas. Fourteen services provided care to pre-school aged children (0-4 years old), 15 to primary school aged children (5-12 years old) and 13 to high school aged children (13-18 years old). The number of patients seen per year per service ranged from 20 to 250 and duration of waiting lists ranged from 2 months to more than 12 months.
The current availability and accessibility of multi-disciplinary paediatric weight management services is inadequate to service Australian children and adolescents with obesity, particularly those with severe obesity and those in rural and remote communities. To better address the issue of paediatric obesity, establishment of additional multi-disciplinary services, training for health-care professionals and monitoring of the provision of evidence-based care is urgently needed.
确定澳大利亚现有的多学科儿科体重管理服务，并确定为肥胖儿童和青少年提供服务方面的差距。
向 17 家已确定的澳大利亚多学科儿科体重管理服务机构分发了调查问卷。要求每个服务机构的代表填写一份关于服务和患者特征、评估和管理实践以及专业发展方法的在线调查。
16 家多学科儿科体重管理服务机构的代表完成了调查。14 家服务机构位于主要大都市地区，2 家位于区域地区。14 家服务机构为学龄前儿童（0-4 岁）、15 家为小学生（5-12 岁）和 13 家为高中生（13-18 岁）提供服务。每家服务机构每年接诊的患者人数从 20 人到 250 人不等，等候名单的时间从 2 个月到 12 个月以上不等。
目前，多学科儿科体重管理服务的可及性和可获得性不足以为澳大利亚肥胖儿童和青少年提供服务，特别是那些患有严重肥胖症的儿童和青少年，以及农村和偏远社区的儿童和青少年。为了更好地解决儿童肥胖问题，迫切需要建立更多的多学科服务机构，培训医疗保健专业人员，并监测提供循证护理的情况。
