Delayed Intervention for Severe Childhood Obesity in Poland: A 7-Year Gap Between Onset and Specialized Care.

Childhood obesity is a growing global health concern, with an increasing prevalence of severe obesity among young children. This study aimed to determine the average age of severe obesity onset in Polish children and evaluate the time gap between diagnosis and referral for specialized care. This data analysis was conducted across four Polish pediatric endocrinology centers specializing in childhood obesity management (Szczecin, Cracow, Zabrze, Rzeszów) between July 2022 and November 2023. The study included 367 children and adolescents (186 boys, 181 girls) aged 0-18 years, diagnosed with severe obesity based on age-specific BMI criteria. Anthropometric measurements were performed during the patient's inclusion into the study and based on past medical records. BMI and BMI Z-scores were calculated for all current and past measurements. The median age of the study population at the moment of inclusion into the study was 13.7 ± 2.9 years (range: 2.2-18 years). The median BMI was 40.9 ± 5.1 kg/m (range: 30.1-65.8 kg/m), and the median BMI Z-score was 2.7 ± 0.4 (range: 2.3-6.2). Out of the 367 children included, 327 (89%) had entered puberty. An analysis of past measurements revealed that 83% of children had severe obesity at their earliest recorded BMI measurement, with n median onset age of 3.2 years. The median age of referral to specialized care was 10 ± 5.0 years, reflecting a delay of almost 7 years from diagnosis to targeted medical care. This study highlights a substantial delay between the onset of severe obesity and referral for specialized care, underscoring the need for earlier intervention strategies tailored to age, sex, and developmental stage.