Amati J Blakely, Brackbill Erin L
Department of Pediatrics, University of South Carolina School of Medicine Greenville, Prisma Health, Greenville, SC, USA (JBA, ELB).
Am J Lifestyle Med. 2024 Apr 14;18(5):621-631. doi: 10.1177/15598276241238682. eCollection 2024 Sep-Oct.
Pediatric overweight and obesity is a complex chronic medical condition with a multitude of contributing factors. Rates are now nearly double what they were before the COVID-19 pandemic and if the current trajectory holds it is anticipated that by 2050 one in every two US children will experience obesity before the age of thirty-five. Pediatric obesity guidelines emphasize referral to intensive health behavior and lifestyle therapy programs, but these are difficult to access. Front line providers caring for children can use a lifestyle medicine approach within the medical home to make lifestyle changes easier. Lifestyle Medicine can promote a family-oriented, weight-neutral approach by (1) Educating and equipping providers to assess readiness to change and providing high-quality motivational interviewing and lifestyle counseling, (2) Equipping patients and their families with tools involving the six lifestyle interventions to optimize health starting an early age, and (3) Offering a longitudinal uniform office approach to effectively prevent, manage and often reverse obesity and related comorbidities through healthy habit change.
儿童超重和肥胖是一种复杂的慢性疾病,有多种促成因素。目前的发病率几乎是新冠疫情之前的两倍,如果当前的趋势持续下去,预计到2050年,每两个美国儿童中就有一个将在35岁之前患上肥胖症。儿童肥胖指南强调转诊至强化健康行为和生活方式治疗项目,但这些项目很难获得。照顾儿童的一线医疗服务提供者可以在医疗之家采用生活方式医学方法,使生活方式的改变更容易。生活方式医学可以通过以下方式促进以家庭为导向、体重中性的方法:(1) 教育并使医疗服务提供者有能力评估改变的准备情况,并提供高质量的动机性访谈和生活方式咨询;(2) 为患者及其家人提供涉及六种生活方式干预措施的工具,以便从幼年开始优化健康;(3) 提供一种纵向统一的门诊方法,通过健康习惯的改变有效预防、管理并常常逆转肥胖症及相关合并症。