Short-term and long-term positive outcomes of the multidisciplinary care implemented by the French health networks for the prevention and care of paediatric overweight and obesity
Short-term and long-term positive outcomes of the multidisciplinary care implemented by the French health networks for the prevention and care of paediatric overweight and obesity
复制标题
DOI：
10.1111/ijpo.12522
复制
发表时间：
2019-08-01
影响因子：
3.8
通讯作者：
Tauber, Maithe
中科院分区：
文献类型：
--
作者：
Carriere, Caroline;Thibault, Helene;Tauber, Maithe
法国9个地区预防和治疗儿童肥胖症的健康网络提供了一个为期2年的多学科初级保健计划（医疗，饮食，心理，适应性体力活动）的基础上多方面的生活方式干预。目的评估护理管理的短期和长期影响。方法采用多学科综合护理的方法，通过观察患者在护理期间及护理结束后2年内的体重指数（BMI）Z评分的变化，评价多学科综合护理的效果。在基线和护理结束时通过数字医疗文件或通过与转诊人的直接电话联系收集人体测量数据。通过与随访后评价相关的研究评估长期结局。结果6947名儿童中有72.9%的儿童在网络护理期结束时，其BMI Z评分从基线时的3.6 +/- 1.0 DS下降到结束时的3.3 +/- 1.1 DS。与长期评估相关的四项研究显示，在开始护理后的5.1年内，BMI Z评分一直在下降。结论：法国地区儿童肥胖预防和护理网络提供的护理可降低BMI，并持续下去。
Background The nine French regional health networks for the prevention and care of paediatric obesity offer a 2-year program of multidisciplinary primary care (medical, dietetical, psychological, adapted physical activity) based on multicomponent lifestyle interventions. Objectives To assess the short-term and long-term impact of care management. Methods The impact of the multidisciplinary care was assessed by changes in the body mass index (BMI) Z score during the period of the care, and at least 2 years after the end. Anthropometric data were collected at baseline and at the end of the care either through a digital medical file or through direct phone contacts with the referring. Long-term outcomes were assessed through studies relative to post follow-up evaluation. Results At the end of the period of the care in a network, 72.9% of 6947 children had decreased their BMI Z score from 3.6 +/- 1.0 DS at baseline to 3.3 +/- 1.1 DS at the end. The four studies relative to long-term evaluation showed a pursuit of the decrease of BMI Z score during the 5.1 years after the beginning of the care. Conclusions The care provided by regional French networks for prevention and care of paediatric obesity induce a reduction of BMI that continues afterwards.