Childhood Obesity: Position Statement of Polish Society of Pediatrics, Polish Society for Pediatric Obesity, Polish Society of Pediatric Endocrinology and Diabetes, the College of Family Physicians in Poland and Polish Association for Study on Obesity

被引:20
作者
Mazur, Artur [1 ]
Zachurzok, Agnieszka [2 ]
Baran, Joanna [3 ]
Deren, Katarzyna [3 ]
Luszczki, Edyta [3 ]
Weres, Aneta [3 ]
Wyszynska, Justyna [3 ]
Dylczyk, Justyna [4 ]
Szczudlik, Ewa [5 ]
Drozdz, Dorota [6 ]
Metelska, Paulina [7 ]
Brzezinski, Michal [8 ]
Koziol-Kozakowska, Agnieszka [9 ]
Matusik, Pawel [10 ]
Socha, Piotr [11 ]
Olszanecka-Glinianowicz, Magdalena [12 ]
Jackowska, Teresa [13 ]
Walczak, Mieczyslaw [14 ]
Peregud-Pogorzelski, Jaroslaw [15 ]
Tomiak, Elzbieta [16 ]
Wojci, Malgorzata [5 ]
机构
[1] Univ Rzeszow, Med Coll Rzeszow Univ, Inst Med Sci, PL-35310 Rzeszow, Poland
[2] Med Univ Silesia, Fac Med Sci Zabrze, Dept Pediat, PL-40055 Zabrze, Poland
[3] Univ Rzeszow, Med Coll Rzeszow Univ, Inst Hlth Sci, PL-35310 Rzeszow, Poland
[4] Jagiellonian Univ Med Coll, Childrens Univ Hosp, PL-31008 Krakow, Poland
[5] Jagiellonian Univ Med Coll, Pediat Inst, Dept Pediat & Adolescent Endocrinol, Pediat, PL-31008 Krakow, Poland
[6] Jagiellonian Univ Med Coll, Pediat Inst, Dept Pediat Nephrol & Hypertens, Pediat, PL-31008 Krakow, Poland
[7] Med Univ Gdansk, Dept Publ Hlth & Social Med, PL-80210 Gdansk, Poland
[8] Med Univ Gdansk, Chair & Dept Paediat Gastroenterol Allergol & Chi, PL-80210 Gdansk, Poland
[9] Jagiellonian Univ Med Coll, Dept Pediat Gastroenterol & Nutr, PL-31008 Krakow, Poland
[10] Med Univ Silesia, Fac Med Sci Katowice, Dept Pediat Pediat Obes & Metab Bone Dis, Pediat & Pediat Endocrinol, PL-40055 Katowice, Poland
[11] Childrens Mem Hlth Inst, PL-04736 Warsaw, Poland
[12] Med Univ Silesia, Med Fac Katowice, Dept Pathophysiol, Hlth Promot & Obes Management Unit, PL-40055 Katowice, Poland
[13] Ctr Postgrad Med Educ, Dept Pediat, PL-01813 Warsaw, Poland
[14] Pomeranian Med Univ, Dept Pediat Endocrinol Diabetol Metab Disorders &, PL-70204 Szczecin, Poland
[15] Pomeranian Med Univ, Dept Pediat Pediat Oncol & Immunol, PL-70204 Szczecin, Poland
[16] Coll Family Phys Poland, PL-00209 Warsaw, Poland
关键词
obesity; children; adolescents; join statement; BINGE-EATING DISORDER; FATTY LIVER-DISEASE; BODY-MASS INDEX; LAPAROSCOPIC SLEEVE GASTRECTOMY; COGNITIVE-BEHAVIORAL THERAPY; CARDIOVASCULAR RISK-FACTORS; INSULIN-RESISTANCE MARKERS; SCHOOL-AGED CHILDREN; BARIATRIC SURGERY; WEIGHT-LOSS;
D O I
10.3390/nu14183806
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Childhood obesity is one of the most important problems of public health. Searching was conducted by using PubMed/MEDLINE, Cochrane Library, Science Direct, MEDLINE, and EBSCO databases, from January 2022 to June 2022, for English language meta-analyses, systematic reviews, randomized clinical trials, and observational studies from all over the world. Five main topics were defined in a consensus join statement of the Polish Society of Pediatrics, Polish Society for Pediatric Obesity, Polish Society of Pediatric Endocrinology and Diabetes and Polish Association for the Study on Obesity: (1) definition, causes, consequences of obesity; (2) treatment of obesity; (3) obesity prevention; (4) the role of primary care in the prevention of obesity; (5) Recommendations for general practitioners, parents, teachers, and regional authorities. The statement outlines the role of diet, physical activity in the prevention and treatment of overweight and obesity, and gives appropriate recommendations for interventions by schools, parents, and primary health care. A multisite approach to weight control in children is recommended, taking into account the age, the severity of obesity, and the presence of obesity-related diseases. Combined interventions consisting of dietary modification, physical activity, behavioral therapy, and education are effective in improving metabolic and anthropometric indices. More actions are needed to strengthen the role of primary care in the effective prevention and treatment of obesity because a comprehensive, multi-component intervention appears to yield the best results.
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页数:41
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