The outcome of childhood obesity management depends highly upon patient compliance
The outcome of childhood obesity management depends highly upon patient compliance
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DOI：
10.1007/s00431-003-1376-7
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发表时间：
2004-02-01
影响因子：
3.6
通讯作者：
Widhalm, K
中科院分区：
文献类型：
--
作者：
Denzer, C;Reithofer, E;Widhalm, K
在过去20年中，儿童和青少年肥胖由于患病率急剧上升，已成为一个主要的公共卫生问题。我们评估了294名6-16岁（中位数10.9岁）儿童（135名女孩，159名男孩）参加单一中心门诊肥胖干预计划的结果，该计划包括定期到门诊就诊，定期进行医疗和饮食咨询，旨在改变患者和父母的饮食和活动模式。平均门诊次数为3.6次（SD 2.7），平均就诊间隔为62.1天。每次预约之间的平均退出率为27.5%。在逐步回归模型中，患者体重指数（BMI-SDS）标准偏差评分的降低和饮食咨询对总就诊次数都没有贡献。唯一重要的贡献因素是患者最初的BMI-SDS，解释了4.6%的就诊差异（经年龄和性别调整）。将患者分为“肥胖”亚组（初始BMI-SDS大于或等于第90百分位数，至少3次就诊，n =59）和“过度肥胖”亚组（初始BMI-SDS大于或等于第99百分位数，至少4次就诊，n =75），“肥胖”组在第3次就诊时BMI-SDS平均降低0.14 (SD 0.21， P
Over the last 20 years, obesity in childhood and adolescence has become a major public health concern due to dramatically increasing prevalence rates. We evaluated the outcome of 294 children (135 girls, 159 boys) aged 6-16 years (median 10.9 years) enrolled in a single centre outpatient obesity intervention programme consisting of periodical visits to the outpatient unit with regular medical and dietetic counselling aiming at a modification of dietary and activity patterns of patients and parents. The average number of visits to the outpatient unit was 3.6 (SD 2.7) with a mean visit interval of 62.1 days. A mean drop-out rate of 27.5% between each scheduled appointment occurred. In a stepwise regression model, neither reduction of the standard deviation score of patients' body mass index (BMI-SDS) nor dietary counselling contributed to the total number of visits. The only significant contributor was the patients' initial BMI-SDS explaining 4.6% of the variance of attended visits adjusted for age and sex. Segregation of the patients into an "obesity" (initial BMI-SDS greater than or equal to90th percentile, at least three visits attended, n =59) and an "excessive obesity" (initial BMI-SDS greater than or equal to99th percentile, at least four visits attended, n =75) subgroup showed a mean reduction of BMI-SDS in the "obesity" group at visit three of 0.14 (SD 0.21, P