Optimizing Childhood Obesity Management: The Role of Edmonton Obesity Staging System in Personalized Care Pathways

被引:2
作者
De Wolf, Astrid [1 ]
Nauwynck, Elise [2 ]
Vanbesien, Jesse [2 ]
Staels, Willem [2 ,3 ]
De Schepper, Jean [2 ,4 ]
Gies, Inge [2 ,4 ]
机构
[1] Vrije Univ Brussel VUB, Univ Ziekenhuis Brussel, Dept Paediat, B-1090 Brussels, Belgium
[2] Vrije Univ Brussel VUB, Univ Ziekenhuis Brussel, Dept Paediat, Div Paediat Endocrinol, B-1090 Brussels, Belgium
[3] Vrije Univ Brussel VUB, Genet Reprod & Dev GRAD, B-1090 Brussels, Belgium
[4] Vrije Univ Brussel VUB, Growth & Dev GRON, B-1090 Brussels, Belgium
来源
LIFE-BASEL | 2024年 / 14卷 / 03期
关键词
childhood obesity; Edmonton Obesity Staging System; multidisciplinary care; WEIGHT-LOSS; SEDENTARY BEHAVIOR; BARIATRIC SURGERY; PEDIATRIC OBESITY; ADOLESCENTS; CHILDREN; OVERWEIGHT; PREVALENCE; RISK; INTERVENTIONS;
D O I
10.3390/life14030319
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
Childhood obesity, affecting 29% of 7-9-year-olds across 33 European countries, is a significant public health challenge. Its persistence into adulthood poses grave health risks influenced by genetic, environmental, and socio-economic factors. Belgium introduced a new care pathway in December 2023, based on the Edmonton Obesity Staging System for Pediatrics (EOSS-P), addressing four health domains and staging obesity severity. This pathway operates across three levels: primary care physicians, Paediatric Multidisciplinary Obesity Management Centres (PMOCs), and Centers of Expertise for Paediatric Obesity Management (CEPOs). Each stage of EOSS-P demands tailored interventions. Early stages involve dietary interventions, physical activity promotion, and behavior modifications. As obesity severity progresses, treatments intensify, encompassing psychological support, anti-obesity medications, and, in some cases, bariatric surgery. Throughout these stages, the involvement of multidisciplinary teams is crucial, emphasizing family-based approaches and continuous monitoring. This article provides detailed guidelines for healthcare professionals, delineating interventions and recommendations tailored to each EOSS-P stage. It emphasizes a holistic approach that extends beyond BMI-based diagnosis, promoting personalized care and prompt escalations between care levels, thereby ensuring optimal management of childhood obesity. This comprehensive framework aims to address the complexities of childhood obesity, emphasizing the importance of timely and targeted interventions for better health outcomes.
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页数:15
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