Electronic registry for the management of childhood obesity in Greece

Kassari, Penio; Papaioannou, Panagiotis; Billiris, Antonis; Karanikas, Haralampos; Eleftheriou, Stergiani; Thireos, Eleftherios; Μanios, Yannis; Chrousos, George P.; Charmandari, Evangelia

doi:10.1111/eci.12887

Cited by 17 publications

(29 citation statements)

References 25 publications

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“…BORIS' approach is a national network for systematic evaluation, enabling quality improvement of treatment care delivery, engaging patients and professional providers, clinical trials and clinical research. In similarity to other paediatric obesity treatment registers/initiatives, patient data, including degree of obesity and cardio‐metabolic profile, is collected among many other variables.…”

Section: Discussionmentioning

confidence: 99%

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Paediatric obesity treatment during 14 years in Sweden: Lessons from the Swedish Childhood Obesity Treatment Register—BORIS

et al. 2020

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Background: Treatment of paediatric obesity has been offered customarily and free of charge for more than 15 years in Sweden. The Swedish Childhood Obesity Treatment Register (BORIS) is a prospective register of children and adolescents undergoing obesity treatment.Objectives: To investigate how patient characteristics and treatment efficacy has changed over 14 years on a national scale.Methods: All subjects in BORIS with data from 2004 until 2017 were included, n = 21 499. Outcomes were age and BMI SDS at treatment initiation, dropout rates and treatment outcome up to 3 years after treatment initiation.Results: Age and BMI SDS at treatment initiation have decreased during the years (both P < .0001). Of the patients who started treatment before 2009, more than 80% had at least 1-year follow-up. This number has decreased to about 60% in 2017.Since 2004, no trend in improvement of treatment results was observed when evaluating change in either BMI SDS or proportion of obesity remission. There was no difference between the sexes.Conclusion: Although children in Sweden receive treatment at an earlier age, which is a major determinant of treatment success, and at a lower degree of obesity at treatment initiation, the effect of childhood obesity treatment on standard anthropometric measures has not improved over the investigated years. K E Y W O R D Sbehavioural treatment, childhood obesity treatment, epidemiology

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Section: Discussionmentioning

confidence: 99%

“…Long‐term register outcome data where different treatment strategies have been used in combination with clinical trials will together help to clarify how behavioural treatment can be optimised. Further, international collaborations, for example, with other paediatric obesity registers, could potentially generate great research.…”

Section: Discussionmentioning

confidence: 99%

Paediatric obesity treatment during 14 years in Sweden: Lessons from the Swedish Childhood Obesity Treatment Register—BORIS

et al. 2020

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“…Upon entering the EMRF, each pediatrician or general practitioner has the opportunity to create a new EMRF in order to record a new patient, while he/she is able to view only the EMRFs of the patients under his/her care. In the EMRF, the physician records information on personal and demographic data, such as the social security number, name, surname, birth date and demographic data, the child's medical history (perinatal history, present and past medical history, nutrition, level of physical activity and exercise, allergies, immunizations, hospitalizations, surgeries, gynaecological history and medical treatments), family history, clinical examination findings (including the anthropometric parameters and arterial blood pressure) and patient consent [15]. The electronic database system (EDS) then automatically calculates the BMI from the data on height and weight, and informs the physician whether the patient has normal or increased BMI.…”

Section: A/the Hellenic National Registry For the Prevention And Manamentioning

confidence: 99%

Novel e-Health Applications for the Management of Cardiometabolic Risk Factors in Children and Adolescents in Greece

et al. 2020

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Obesity in childhood and adolescence represents a major health problem. Novel e-Health technologies have been developed in order to provide a comprehensive and personalized plan of action for the prevention and management of overweight and obesity in childhood and adolescence. We used information and communication technologies to develop a “National Registry for the Prevention and Management of Overweight and Obesity” in order to register online children and adolescents nationwide, and to guide pediatricians and general practitioners regarding the management of overweight or obese subjects. Furthermore, intelligent multi-level information systems and specialized artificial intelligence algorithms are being developed with a view to offering precision and personalized medical management to obese or overweight subjects. Moreover, the Big Data against Childhood Obesity platform records behavioral data objectively by using inertial sensors and Global Positioning System (GPS) and combines them with data of the environment, in order to assess the full contextual framework that is associated with increased body mass index (BMI). Finally, a computerized decision-support tool was developed to assist pediatric health care professionals in delivering personalized nutrition and lifestyle optimization advice to overweight or obese children and their families. These e-Health applications are expected to play an important role in the management of overweight and obesity in childhood and adolescence.

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“…These programs incorporate health strategies for individuals, families, communities and governments. In Greece, using information and communication technologies, we developed a web application, which provides in one unified platform (i) a “National Registry for the Prevention and Management of Overweight and Obesity in Childhood and Adolescence” and more importantly (ii) guidance and training of pediatricians and general practitioners regarding the management of overweight and obesity [13]. The application supports interoperability with other national infrastructures and multilayered security spanning preventive, detective and administrative controls.…”

Section: Introductionmentioning

confidence: 99%

“…The application was launched in September 2015 and is accessible by the following URL: http://app.childhood-obesity.gr/. Based on the data that the doctor registers, the system calculates a personalized therapeutic algorithm that provides information on diet, physical exercise and sleep, as well as guidance on laboratory investigations and referral to specialized centers, when indicated [13].…”

Section: Introductionmentioning

confidence: 99%

A Comprehensive Multidisciplinary Management Plan Is Effective in Reducing the Prevalence of Overweight and Obesity in Childhood and Adolescence

Genitsaridi¹,

Giannios²,

Karampatsou³

et al. 2020

Horm Res Paediatr

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Background: Obesity in childhood and adolescence represents a major health problem of our century. In Greece, 30-35% of children and adolescents are overweight or obese. Objective and Hypotheses: To investigate the effectiveness of a comprehensive multidisciplinary personalized management plan at reducing the prevalence of overweight and obesity in childhood and adolescence. Patients and Methods: One thousand (n = 1,000) children and adolescents aged 2-18 years (mean age ± SD: 10.09 ± 2.86 years; 520 females, 480 males) were studied prospectively. Subjects were classified as obese (n = 579, 57.9%), overweight (n = 295, 29.5%) or having a normal body mass index (BMI) (n = 126, 12.6%) according to the International Obesity Task Force cutoff points. All subjects were evaluated by a multidisciplinary team at frequent intervals, received personalized advice on diet and exercise and were studied prospectively for 1 year. Detailed clinical evaluation and laboratory investigations were performed at the beginning and at the end of the study. Results: At initial evaluation, 57.9% of subjects were obese, 29.5% overweight and 12.6% of normal BMI. Indices of cardiometabolic disease were higher in obese than in overweight and normal-BMI subjects. Following 1 year of multidisciplinary management interventions, the prevalence of obesity decreased by 16.8%, the prevalence of normal BMI increased by 8.2%, and all cardiometabolic indices improved significantly. Conclusions: A personalized multidisciplinary management plan is effective at reducing the prevalence of obesity in childhood and adolescence.

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Electronic registry for the management of childhood obesity in Greece

Abstract: This National e-Health System appears to be effective in the management of overweight and obesity in childhood and adolescence.

Cited by 17 publications

References 25 publications

Paediatric obesity treatment during 14 years in Sweden: Lessons from the Swedish Childhood Obesity Treatment Register—BORIS

Paediatric obesity treatment during 14 years in Sweden: Lessons from the Swedish Childhood Obesity Treatment Register—BORIS

Novel e-Health Applications for the Management of Cardiometabolic Risk Factors in Children and Adolescents in Greece

A Comprehensive Multidisciplinary Management Plan Is Effective in Reducing the Prevalence of Overweight and Obesity in Childhood and Adolescence

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