Obesity management最新文献

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CORE Tools and Patient Information: Kids’ Healthy Breakfasts 核心工具和患者信息:儿童健康早餐

Obesity management

Pub Date : 2009-04-26 DOI: 10.1089/OBE.2009.0210

K. Gorman, S. Kirk

引用次数: 0

Primary Care Perspective 初级保健观点

Obesity management

Pub Date : 2009-02-16 DOI: 10.1089/OBE.2009.0102

T. L. McKnight, J. Herrin

引用次数: 5

Tertiary care - surgical center perspective. 三级护理-外科中心视角。

Obesity management

Pub Date : 2009-02-16 DOI: 10.1089/OBE.2009.0105

Wendy M Slusser, F. Frankel, D. DeUgarte

引用次数: 1

Seven steps to success: a handout for parents of overweight children and adolescents. 成功的七个步骤:给超重儿童和青少年父母的讲义。

Obesity management

Pub Date : 2009-02-16 DOI: 10.1089/OBE.2009.0107

D. Kirschenbaum, D. DeUgarte, F. Frankel, J. Germann, T. L. McKnight, P. Nieman, R. Sandler, Wendy M Slusser

© Mary Ann Liebert, Inc. February 2009 Obesity Management 29 The Expert Panel recommended four stages of treatment for overweight children (and their families).1 They used the principle of least intervention, starting slowly with a basic educational approach and then adding stages (steps) if necessary to achieve substantial improvement. That step-wise method is sensible and clear. However, we believe an expanded set of steps, from four to seven, will prove more useful, making it even clearer to parents of overweight children and teens what they can do to help their children. The seven steps defined below all make one very important assumption: pediatric obesity is a family affair. Parents who want their children to succeed must become fully involved, knowledgeable, and participate very actively in major lifestyle changes for themselves as well as their children. The illustration, “Seven Steps to Success,” can serve as a useful handout for the families with whom you work, summarizing seven levels of intensity of intervention. As shown in the illustration, each step could lead to favorable outcomes (notice the directional arrow pointing to “Health and Wellness” from each step), for some families some of the time. For example, by providing explicit feedback about BMI percentile and category (e.g., 97%–obese), clear suggestions for changing diet and activities, and appropriate parent guidebooks, some highly motivated families may be able to make substantial lifestyle changes and produce significant weight loss in their overweight children. However, most families with obese children or teens will find it necessary to go from the first step up to the second and often higher, adding levels of intensity to get the knowledge, skills, and support necessary to master this challenging problem. You will help your families with overweight children tremendously by doing what you can to promote an attitude of persistence. One, two, or even five steps may not produce healthier weights (and modified lifestyles), but you can make the following points:

©Mary Ann Liebert, Inc。肥胖管理专家小组建议将超重儿童(及其家庭)的治疗分为四个阶段他们采用最少干预的原则，从基本的教育方法慢慢开始，然后在必要时增加阶段(步骤)来实现实质性的改进。这种循序渐进的方法是明智而明确的。然而，我们相信，扩大一套步骤，从4个增加到7个，将证明更有用，使超重儿童和青少年的父母更清楚他们可以做些什么来帮助他们的孩子。下面定义的七个步骤都有一个非常重要的假设:儿童肥胖是一个家庭问题。想要孩子成功的父母必须充分参与，知识渊博，并积极参与自己和孩子生活方式的重大改变。“成功的七个步骤”的图解可以作为你所接触的家庭的一份有用的讲义，它总结了七个干预强度的等级。如图所示，每一步都可能导致有利的结果(注意每一步指向“健康和健康”的方向箭头)，对于某些家庭来说，有时是这样。例如，通过提供关于BMI百分位数和类别的明确反馈(例如，97%肥胖)，明确的改变饮食和活动的建议，以及适当的家长指南，一些高度积极的家庭可能能够做出实质性的生活方式改变，并使超重的孩子体重显著减轻。然而，大多数有肥胖儿童或青少年的家庭会发现有必要从第一步到第二步，通常更高，增加强度水平，以获得掌握这一具有挑战性的问题所需的知识、技能和支持。你将通过尽你所能促进坚持不懈的态度，极大地帮助你有超重孩子的家庭。一、两步，甚至五步可能不会产生更健康的体重(也不会改变生活方式)，但你可以做以下几点:

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引用次数: 18

Comprehensive Multidisciplinary Program Perspective 综合多学科项目视角

Obesity management

Pub Date : 2009-02-16 DOI: 10.1089/OBE.2009.0103

J. Germann

ment of child and adolescent overweight and obesity1,2 provide specific and detailed guidance for a staged approach to address childhood weight concerns in primary practice. During 6 years as the clinical director of the FitMatters Weight Control Program, a comprehensive multidisciplinary intervention (such as would be recommended in Stage 3 of the expert recommendations), in which the average child BMI was 45,3 it became evident that earlier interventions were needed to truly address the obesity epidemic. FitMatters implemented empirically supported behavioral approaches (problem solving, contingency management, environmental control),2 including child and parental self-monitoring.3,4 Many of the participants joined the program without prior basic interventions, and thus lacked basic knowledge about healthy habits and the risks of obesity. Because the program served primarily a low-income, minority population, additional barriers included numerous psychosocial stressors, which often impeded participation in the program and implementation of specific weight management strategies on a day-to-day basis. The combination of already being severely overweight for many years, the lack of a foundation of health knowledge, and numerous psychosocial barriers made it difficult for many participants to manage their weight successfully, despite the intensive intervention, although some were successful despite these barriers.3–6 Primary care settings are ideally poised to provide primary interventions for eliminating racial/ethnic and socioeconomic-associated health disparities7 (a goal of Healthy People 2010). Since obesity treatment is rarely reimbursed, economically disadvantaged families may not have access to expensive specialized treatment programs. A staged approach, which begins with assessment and education for all children and families, provides the opportunity to spread health messages to all families, regardless of weight status, at an early stage of the child’s life, hopefully before excessive weight is evident; provide basic education about health habits; and increase families’ awareness of the risks associated with excessive weight. Based on experience in a comprehensive, multidisciplinary program, the following is a perspective on the most and least valuable recommendations, as well as suggestions for improving the recommendations.

儿童和青少年超重和肥胖的治疗1,2为在初级实践中分阶段解决儿童体重问题提供了具体和详细的指导。在担任FitMatters体重控制项目临床主任的6年里，一项综合的多学科干预(如专家建议的第三阶段所建议的)，其中儿童的平均BMI为45,3，很明显，需要更早的干预来真正解决肥胖流行病。FitMatters实施了经验支持的行为方法(解决问题、应急管理、环境控制)2，包括儿童和父母的自我监控。3,4许多参与者在没有事先基本干预的情况下加入了这个项目，因此缺乏关于健康习惯和肥胖风险的基本知识。由于该项目主要服务于低收入、少数民族人群，额外的障碍包括许多社会心理压力因素，这些因素往往阻碍了参与项目和日常具体体重管理策略的实施。多年来已经严重超重，缺乏健康知识基础，以及许多社会心理障碍，这些因素加在一起，使许多参与者难以成功控制体重，尽管进行了密集干预，尽管有些人在这些障碍下取得了成功。3-6初级保健机构理想地为消除种族/民族和社会经济相关的健康差异提供初级干预措施7(2010年健康人目标)。由于肥胖治疗很少报销，经济困难的家庭可能无法获得昂贵的专业治疗方案。采取分阶段的办法，首先对所有儿童和家庭进行评估和教育，提供机会向所有家庭传播健康信息，无论其体重状况如何，在儿童生命的早期阶段，希望在超重明显出现之前;提供有关健康习惯的基本教育;并提高家庭对超重风险的认识。根据在一个综合性、多学科项目中的经验，以下是对最有价值和最没有价值的建议的看法，以及对这些建议的改进建议。

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引用次数: 1

Review of Seven Popular Books on Pediatric Weight Loss 七本关于儿童减肥的畅销书综述

Obesity management

Pub Date : 2009-02-16 DOI: 10.1089/OBE.2009.0109

K. Boutelle, Taya Cromley, Roxanne E. Rockwell

引用次数: 3

Childhood Obesity Action Network’s Website: Answering the Key Question for Pediatric Healthcare Practitioners—“Where Should I Begin?” 儿童肥胖行动网络网站:回答儿科保健从业者的关键问题-“我应该从哪里开始?”

Obesity management

Pub Date : 2009-02-16 DOI: 10.1089/OBE.2009.0108

K. Edwards

引用次数: 0

Tertiary care - immersion program perspective. 三级护理浸入式方案的观点。

Obesity management

Pub Date : 2009-02-16 DOI: 10.1089/OBE.2009.0104

D. Kirschenbaum, P. Nieman, R. Sandler, T. J. Brady

引用次数: 2

2007 Expert Committee Recommendations About the Treatment of Pediatric Obesity 2007年专家委员会关于儿童肥胖治疗的建议

Obesity management

Pub Date : 2009-02-16 DOI: 10.1089/OBE.2009.0100

D. Kirschenbaum

© Mary Ann Liebert, Inc. February 2009 Obesity Management 1 Epidemiologic analyses leave no doubt that we have witnessed a global epidemic of childhood and adolescent obesity over the past three decades. In the United States, prevalence rates of overweight and obesity have tripled for children aged 6–19 (from approximately 10% to 34%) and projections suggest that by 2015, just 6 years from the date of this publication, that rate could quintuple—getting frighteningly close to 50%.1 Obesityassociated hospital costs (adjusted for inflation) more than tripled over just two of the prior decades (1979–1999),2 with far greater healthcare costs likely to emerge over the ensuing decades. The human costs, measured in terms of

©Mary Ann Liebert, Inc。肥胖管理1流行病学分析毫无疑问地表明，在过去的三十年中，我们目睹了儿童和青少年肥胖的全球流行。在美国，6 - 19岁儿童中超重和肥胖的流行率增加了两倍(从大约10%增加到34%)，预测表明，到2015年，也就是本文发表之日起的6年，这一比例可能会增加五倍，惊人地接近50%与肥胖相关的住院费用(经通货膨胀调整后)仅在之前的20年(1979-1999)中就增加了两倍多，2在随后的几十年里，可能会出现更大的医疗费用。人力成本，以

引用次数: 1

Comments on the comments: Substantial agreement on three points and a couple of disagreements 对评论的评论:在三点上基本一致，但也有一些分歧

Obesity management

Pub Date : 2009-02-01 DOI: 10.1089/OBE.2009.0106

D. Kirschenbaum, J. Germann, T. L. McKnight, Wendy M Slusser, F. Frankel

引用次数: 0

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