Widhalm K
Padiatr Padol. 1985;20(4):403-12.
Obesity during childhood represents one of the most common nutritional disorders in industrialized countries. The duration of obesity in childhood correlates well with the probability to become an obese adult. Diagnosis of obesity requires reference weight for height tables and the measurement of skinfolds with the caliper technique. Using this method a differentiation between overweight and overnutrition can easily be performed also in an outpatient clinic. For therapeutic purpose a longterm dietary regime with a hypocaloric nutrition has to be reached. Some other dietary regimes ("Protein-modified fast" and "very low calorie diets") are presented and their clinical practicability discussed. The earlier treatment starts for obese children and adolescents the higher is the likelihood for longterm-success. It is emphasized that even pediatricians should focus their interest on prevention of obesity by means of prudent diet education.
儿童期肥胖是工业化国家最常见的营养失调问题之一。儿童肥胖的持续时间与成年后成为肥胖者的可能性密切相关。肥胖的诊断需要参考身高体重表，并使用卡尺技术测量皮褶厚度。使用这种方法，在门诊也能轻松区分超重和营养过剩。出于治疗目的，必须实现长期的低热量饮食方案。还介绍了一些其他饮食方案（“蛋白质改良禁食”和“极低热量饮食”）并讨论了它们的临床实用性。肥胖儿童和青少年的治疗开始得越早，长期成功的可能性就越高。强调即使是儿科医生也应通过谨慎的饮食教育，将兴趣集中在预防肥胖上。
