The Role of the Pediatrician in Primary Prevention of Obesity
The Role of the Pediatrician in Primary Prevention of Obesity
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DOI：
10.1542/peds.2015-1558
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发表时间：
2015-07-01
期刊：
影响因子：
8
通讯作者：
Hassink, Sandra G.
中科院分区：
文献类型：
--
作者：
Daniels, Stephen R.;Hassink, Sandra G.
个人和家庭采用健康的生活方式可以减少许多慢性疾病和病症，其中肥胖症是最普遍的。除治疗外，预防肥胖症也是一项重要的公共卫生优先事项。这份临床报告描述了儿科医生成为肥胖预防工作不可分割的一部分的基本原理。此外，2012年医学研究所的报告“加速肥胖预防的进展”包括医疗保健提供者作为成功控制体重的关键组成部分。本文综述了在儿科保健环境中预防肥胖的研究以及循证的实用方法和预防目标。儿科医生应该使用纵向的，发育适当的生命过程方法来帮助识别儿童早期肥胖的路径和基础预防工作的家庭动力学和减少高风险的饮食和活动行为。他们应该提倡不含糖饮料的饮食，少吃高热量的食物，多吃水果和蔬菜。同样重要的是，要提倡一种减少久坐行为的生活方式，每天进行60分钟的中度到剧烈的身体活动。该报告还确定了需要通过未来研究填补的证据方面的重要空白。
The adoption of healthful lifestyles by individuals and families can result in a reduction in many chronic diseases and conditions of which obesity is the most prevalent. Obesity prevention, in addition to treatment, is an important public health priority. This clinical report describes the rationale for pediatricians to be an integral part of the obesity-prevention effort. In addition, the 2012 Institute of Medicine report "Accelerating Progress in Obesity Prevention" includes health care providers as a crucial component of successful weight control. Research on obesity prevention in the pediatric care setting as well as evidence-informed practical approaches and targets for prevention are reviewed. Pediatricians should use a longitudinal, developmentally appropriate life-course approach to help identify children early on the path to obesity and base prevention efforts on family dynamics and reduction in high-risk dietary and activity behaviors. They should promote a diet free of sugar-sweetened beverages, of fewer foods with high caloric density, and of increased intake of fruits and vegetables. It is also important to promote a lifestyle with reduced sedentary behavior and with 60 minutes of daily moderate to vigorous physical activity. This report also identifies important gaps in evidence that need to be filled by future research.