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首页> 外文期刊>Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz >Overweight and obesity in childhood and adolescence. Evaluation of inpatient and outpatient care in Germany: the EvAKuJ study
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Overweight and obesity in childhood and adolescence. Evaluation of inpatient and outpatient care in Germany: the EvAKuJ study

机译：儿童和青少年时期的超重和肥胖。评估德国的住院和门诊服务：EvAKuJ研究

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摘要

Numerous forms of therapy exist for the increasing number of obese children and adolescents in Germany, but these are heterogeneous and have not been evaluated. Access to health care, long- and short-term treatment outcome, as well as factors determining success of therapy were examined for the first time using standardized instruments to measure somatic and psychosocial variables. A total of 1,916 children aged 8-16 years from 48 (5 rehabilitation, 43 outpatient) institutions were examined. Data were collected for height, weight, blood pressure, and lipid status before treatment started (t0), at the end of treatment (t1), and 1 year after completion of treatment (t2). Furthermore, psychosocial variables were documented using questionnaires for parents and children. The mean BMI-SDS (body mass index standard deviation score) reduction at t1 was -0.27 and 1 year later at t2 was -0.23 (per protocol analysis; intention to treat: t1=-0.24; t2=-0.06). Psychological health and quality of life, which were markedly impaired at the beginning, improved. However, physical activity, media consumption, and nutrition remained basically unchanged. A reduction in weight is associated with an improvement in cardiovascular risk profiles, and long-term behavior changes are possible. However, the institutions differed considerably in the percentage of follow-up examinations and in the weight reduction accomplished.
机译：在德国，越来越多的肥胖儿童和青少年可以使用多种疗法，但是这些疗法是异类的，尚未得到评估。首次使用标准化工具测量躯体和社会心理变量，以检查获得医疗保健，长期和短期治疗结果以及决定治疗成功的因素。对来自48个机构（5个康复机构，43个门诊机构）的1,916名8-16岁儿童进行了检查。在开始治疗之前（t0），治疗结束（t1）和治疗结束后一年（t2）收集有关身高，体重，血压和血脂状况的数据。此外，使用针对父母和孩子的问卷记录了社会心理变量。 t1时的平均BMI-SDS（体重指数标准差评分）降低为-0.27，一年后t2时的平均降低为-0.23（根据方案分析;打算治疗：t1 = -0.24; t2 = -0.06）。开始时明显受损的心理健康和生活质量得到改善。但是，体育锻炼，媒体消耗和营养基本保持不变。体重减轻与心血管风险特征的改善有关，并且长期行为可能发生改变。但是，这些机构在后续检查的百分比和减轻的体重方面差异很大。

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