Clinical aspects of obesity in childhood and adolescence—diagnosis, treatment and prevention

Kieß, Wieland; Reich, Andrea; Müller, German; Meyer, Kara; Galler, Angela; Bennek, J; Kratzsch, Jürgen

doi:10.1038/sj.ijo.0801704

Cited by 64 publications

(39 citation statements)

References 29 publications

(31 reference statements)

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“…A obesidade nas crianças é decorrente de muitos fatores, tais como dieta pobre e inatividade física 17 . Estudos prévios demonstraram que, se um dos pais ou ambos forem obesos, o risco de a criança se tornar obesa na idade adulta aumenta de 3-10 vezes 15 .…”

Section: Introductionunclassified

Mothers’ perception of obesity in schoolchildren: a survey and the impact of an educational intervention

Pakpour¹,

Yekaninejad²,

Chen³

2011

J Pediatr (Rio J)

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Objectives: To investigate mothers' awareness of their children's weight problem, and to evaluate the impact of an educational intervention on improving mothers' recognition of obesity in their children. Methods:Twelve primary schools from Tehran, Iran, were randomly chosen. Obese children were selected, and 300 mothers participated in the study. A questionnaire was completed by the mothers, who were then randomly divided into two groups. One group received education on obesity, whereas the other group did not receive any intervention. After 2 months, the same questionnaire was completed by both groups. A multiple logistic regression was performed. Results:Mother's pre-existing knowledge on obesity, their education and occupation, as well as family income, had significant effects on mothers' accuracy in identifying obesity in their children. The educational intervention significantly improved mothers' ability to identify obesity in their children compared with those without any intervention (OR = 15.23; 95%CI 5.95-38.96). Conclusions:In Iran, a large proportion of mothers do not have general knowledge on healthy body weight for children, thus failing to recognize that their children are obese. Educational interventions could reduce the rate of such mistake and subsequently alter parental care.J Pediatr (Rio J). 2011;87(2):169-174: Obesity, parents, children, misperception, health education, Iran. ResumoObjetivos: Investigar o conhecimento das mães a respeito do problema de peso dos filhos e avaliar o impacto de uma intervenção educativa na conscientização das mães sobre a obesidade dos filhos.Métodos: Doze escolas primárias foram escolhidas aleatoriamente na cidade de Teerã, Irã. As crianças obesas foram selecionadas, e 300 mães participaram do estudo. Um questionário foi preenchido pelas mães, que a seguir foram divididas aleatoriamente em dois grupos. Um grupo recebeu instrução sobre obesidade, enquanto o outro grupo não recebeu nenhuma intervenção. Depois de 2 meses, o mesmo questionário foi preenchido pelos dois grupos. Foi realizada regressão logística múltipla.Resultados: O conhecimento preexistente da mãe sobre obesidade, sua escolaridade e ocupação, assim como a renda familiar, tiveram efeitos significativos na exatidão das mães em identificar a obesidade nos filhos. A intervenção educativa melhorou significativamente a capacidade das mães em identificar a obesidade dos filhos, quando comparadas às que não receberam intervenção (OR = 15,23; IC95% 5,96). Conclusões

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Section: Introductionunclassified

Mothers’ perception of obesity in schoolchildren: a survey and the impact of an educational intervention

Pakpour¹,

Yekaninejad²,

Chen³

2011

J Pediatr (Rio J)

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“…Both obesity and eating disorders (ED) are problems with substantial health consequences and are highly resistant to treatment (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12) . ED are serious mental disorders, with a clear chronic tendency and high co-morbidity with other mental disorders, highly resistant to treatment and associated with adverse medical conditions (1,3,5) .…”

Section: Prevalence Of Eating-and Weight-related Problemsmentioning

confidence: 99%

Integrated prevention of obesity and eating disorders: barriers, developments and opportunities

Sánchez-Carracedo

Neumark‐Sztainer

López-Guimerà

2012

Public Health Nutr.

109

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AbstractObjectiveThe serious consequences of obesity and eating disorders (ED), difficulties encountered in treatment and the high prevalence of these conditions are important reasons to develop efforts aimed at their prevention. The implementation of integrated interventions aimed at preventing risk factors for both obesity and ED constitutes a very exciting development. In the present paper we discuss and review the main reasons for an integrated approach to the spectrum of eating- and weight-related problems, which include anorexia nervosa, bulimia nervosa, anorexic and bulimic behaviours, unhealthy dieting practices, body dissatisfaction, binge-eating disorder, overweight and obesity. Given differences between the fields with regard to current perspectives and objectives, key barriers to an integrated approach to prevention are discussed. In order to show the possibilities of development of this approach, we review the main contributions made to date in the fields of both obesity and ED prevention. In particular, environmental approaches in the prevention of obesity and ED are reviewed, given their potential for preventing a broad spectrum of eating- and weight-related problems. Furthermore, several examples of initiatives that have utilized an integrated approach to prevention are discussed.DesignNarrative review.ConclusionsWe recommend a scenario in which the two fields share knowledge to enhance the difficult work of preventing and treating both ED and obesity.

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“…The 1999-2000 National Health and Nutrition Examination Survey (NHANES) found that 15.5% of 12-19-year-olds and 15.3% of 6-11-year-olds are overweight, defined as a body mass index (BMI) exceeding the 95th percentile for age and gender [1]. Child and adolescent overweight are associated with a myriad of medical and psychosocial consequences [2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Weight and its relationship to adolescent perceptions of their providers (WRAP): A qualitative and quantitative assessment of teen weight-related preferences and concerns

Cohen

Tanofsky‐Kraff

Young-Hyman

et al. 2005

Journal of Adolescent Health

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Purpose-To examine the relationship of body weight to satisfaction with care in adolescents, and to obtain qualitative data on preferences for general and weight-related medical care in normal weight and overweight adolescents. Methods-TheWeight and its Relationship to Adolescent Perceptions of their Providers survey, a 4-page questionnaire containing previously validated satisfaction scales and open-ended qualitative questions regarding health care preferences, was administered to 62 severely overweight (body mass index [BMI] 38.9 ± 8.4 kg/m 2 ) and 29 normal weight (BMI 22.5 ± 4.0 kg/m 2 ) adolescents (age 13.9 ± 1.7 years; 57% female; 50% Caucasian, 47% African-American, 3% Hispanic).Results-The affective subscale of the medical satisfaction scale was negatively correlated with BMI standard deviation score (r = −.22, p < .05). Multiple regression models predicting affective satisfaction with medical care included BMI standard deviation score; however, continuity with provider appeared to be the strongest independent predictor of affective satisfaction. Fifty-five percent of participants identified their mother as the person they felt most comfortable talking with about weight, although 68% believed their provider knew the most about healthy eating. "Overweight" was identified by 47% of participants as the preferred term for heavy teens. Seventynine percent of overweight adolescents stated their health care provider discussed their weight with them; however, only 41% of overweight adolescents desired to discuss their weight. Compared to normal-weight adolescents, overweight teens were more likely to report that their provider raised topics of weight (p < .001), diet (p < .01), and exercise (p < .01) at their last physical, and were more likely to report that they would have liked their provider to discuss diet and exercise (both p < .05). Ten percent of overweight teens expressed concerns regarding the public location of their provider's office scale.Conclusions-Satisfaction with affective aspects of the provider-patient relationship is negatively correlated with BMI standard deviation score. Length of experience with one's provider is also a strong predictor of teen satisfaction with their medical care. Teens prefer the term "overweight" for those with high body weight. Sensitivity to confidentiality, privacy, and embarrassment regarding physical examination and weight are important for teen satisfaction. Overweight adults report feeling stigmatized, stereotyped [6], and treated disrespectfully [7] within their communities and by medical professionals. Health care providers, nurses, and medical students have been reported to perceive obese adult patients as lazy and lacking selfcontrol [8,9] and to believe they are less likely to comply with prescribed treatment regimens than patients of normal weight [10,11]. Based upon these findings, it is perhaps not surprising that many overweight adults report that physicians do not understand the extent to which overweight causes difficulty in their lives [12]...

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Clinical aspects of obesity in childhood and adolescence—diagnosis, treatment and prevention

Cited by 64 publications

References 29 publications

Mothers’ perception of obesity in schoolchildren: a survey and the impact of an educational intervention

Mothers’ perception of obesity in schoolchildren: a survey and the impact of an educational intervention

Integrated prevention of obesity and eating disorders: barriers, developments and opportunities

Weight and its relationship to adolescent perceptions of their providers (WRAP): A qualitative and quantitative assessment of teen weight-related preferences and concerns

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