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The COPAT project – current options for the treatment of childhood obesity in the GP‘s surgery


Authors: P. Hlavatý;  H. Zamrazilová;  L. Dušátková;  B. Kalvachová;  M. Kunešová;  V. Hainer
Authors‘ workplace: Ředitel: doc. MUDr. Vojtěch Hainer, CSc. ;  Endokrinologický ústav, Praha
Published in: Prakt. Lék. 2010; 90(2): 86-89
Category: Of different specialties

Overview

Introduction:
Increasing prevalence of overweight and obese children and adolescents is associated with increased cardiometabolic risks later in life. Efficient treatment of obesity in childhood and adolescence prevents the development of metabolic syndrome in young adults. Comprehensive care of obese/overweight children and adolescents requires special attitudes and treatment methods that differ from those employed in obese adult patients. One of the goals of a new project COPAT (Childhood Obesity Prevalence and Treatment) was to characterize the currently available diagnostic and treatment tools in childhood obesity in primary care. This paper reports on a survey on obesity management that was conducted among paediatricians.

Methods:
Primary care paediatricians (n = 637) were addressed and asked to fill in a questionnaire on their current abilities and approaches for diagnosing and treating obesity in children and adolescents.

Results:
Forty one percent of the primary care paediatricians addressed responded. Our survey revealed that only 36.8 % of respondents intentionally treat obese children. Most physicians emphasized that the quality of care for an obese child has been substantially affected by time constraints for this demanding procedure. Sixty five percent of physicians declared that they have only 10-15 minutes available for each visit of an obese child. Forty two percent of respondents considered about 30 minutes as adequate time for examination of an obese child, whereas 30 % recommended an even lengthier examination. Only one fifth of respondents achieved appropriate weight loss and/or improvement in the metabolic and hormonal profile in their patients. Over 50 % respondents reported failure in obesity management.

Conclusion:
The survey conducted among paediatricians revealed inadequate care of obese children in primary care. Taking into account all the serious consequences of childhood obesity, a greater emphasis should be placed on the development of a comprehensive obesity management system, which should include obesity specialists, dietitians, physiatrists and psychologists in addition to the trained primary care paediatricians

Key words:
obesity, children, adolescents, questionnaire, treatment, Childhood Obesity Prevalence and Treatment (COPAT).


Sources

1. August, G.P., Caprio, S., Fennoy, I. et al. Prevention and treatment of pediatric obesity: an endocrine society clinical practice guideline based on expert opinion. J. Clin. Endocrinol. Metab. 2008, 93(12), p. 4576–4599.

2. Bláha, P., Vignerová, J. VI. celostátní antropologický výzkum dětí a mládeže 2001. Čes-slov. Pediat. 2003, 58, 12, s. 766–770.

3. Baker, J.L., Olsen, L.W., Sørensen ,T.I. Childhood body-mass index and the risk of coronary heart disease in adulthood. N. Engl. J. Med. 2007, 357, p. 2329–2337.

4. Bibbins-Domingo, K., Coxson, P., Pletcher, M.J. et al. Adolescent overweight and future adult coronary heart disease. N. Engl. J. Med. 2007, 357, p. 2371–2379.

5. Christian, A.H., Mochari, H., Mosca, L.J. Waist circumference, body mass index, and their association with cardiometabolic and global risk. J. Cardiometab. Syndr. 2009, 4(1), p. 12–19.

6. Demerath. E.W., Reed, D., Choh, A.C. et al. Rapid postnatal weight gain and visceral adiposity in adulthood: the fels longitudinal study. Obesity (Silver Spring), 2009, Epub ahead of print.

7. Després, J.P., Lemieux, I., Bergeron, J. et al. Abdominal obesity and the metabolic syndrome: contribution to global cardiometabolic risk. Arterioscler. Thromb. Vasc. Biol. 2008, 28(6), p. 1039–1049.

8. Finkelstein, E.A., Ruhm, C.J., Kosa, K.M. Economic causes and consequences of obesity. Annu. Rev. Public. Health 2005, 26, p. 239–257.

9. Flynn, M.A.T., McNeil, D.A., Maloff, B. et al. Reducing obesity and related chronic disease risk in children and youth: a synthesis of evidence with ‘best practice’ recommendations. Obes. Rev. 2005, 7, Suppl. 1, p. 7–66.

10. Ghandehari, H., Le, V., Kamal-Bahl, S. et al. Abdominal obesity and the spectrum of global cardiometabolic risks in US adults. Int. J. Obes. (Lond) 2009, 33(2), p. 239–248.

11. Herman, K.M., Craig, C.L., Gauvin, L., Katzmarzyk, P.T. Tracking of obesity and physical activity from childhood to adulthood: The Physical Activity Longitudinal Study. Int. J. Pediatr. Obes. 2008, 15, p. 1–8.

12. Ho, T.F. Cardiovascular risks associated with obesity in children and adolescents. Ann. Acad. Med. Singapore 2009, 38(1), p. 48–49.

13. Jackson-Leach, R., Lobstein, T. Estimated burden of paediatric obesity and co-morbidities in Europe. Part 1. The increase in the prevalence of child obesity in Europe is itself increasing. Int. J. Pediatr. Obes. 2006, 1, p. 26–32.

14. Janssen, I. Influence of age on the relation between waist circumference and cardiometabolic risk markers. Nutr. Metab. Cardiovasc. Dis. 2009, 19(3), p. 163–169.

15. Kim, J.A., Park, H.S. Association of abdominal fat distribution and cardiometabolic risk factors among obese Korean adolescents. Diabetes Metab. 2008, 34(2), p. 126–130.

16. Ludwig, D.S., Pollack, H.A. Obesity and the economy: from crisis to opportunity. JAMA 2009, 301(5), p. 533–535.

17. Mamun. A.A., Hayatbakhsh, M.R., O’Callaghan, M et al. Early overweight and pubertal maturation-pathways of association with young adults’ overweight: a longitudinal study. Int. J. Obes. (Lond) 2009, 33(1), p. 14–20.

18. Ogden. C.L., Carroll, M.D., Flegal, K.M. High body mass index for age among US children and adolescents, 2003-2006. JAMA 2008, 299, p. 2401–2405.

19. Rhodes, E.T., Ludwig, D.S. Obesity: Guiding the management of pediatric obesity. Nat. Rev. Endocrinol. 2009, 5, p. 247-249.

20. Rolland-Cachera, M.F., Castetbon, K., Arnault, N. et al. Body mass index in 7–9-y-old French children frequency of obesity, overweight and thinness. Int. J. Obes. Relat. Metab. Disord. 2002, 26, p. 1610–1616.

21. Sung, R.Y., Yu, C.C., Choi, K.C. et al. Waist circumference and body mass index in Chinese children: cutoff values for predicting cardiovascular risk factors. Int. J. Obes. (Lond) 2007, 31(3), p. 550–558.

22. Togashi. K., Masuda, H., Rankinen, T. et al. A 12-year follow-up study of treated obese children in Japan. Int. J. Obes. Relat. Metab. Disord. 2002, 26(6), p. 770–777.

23. Virdis, A., Ghiadoni, L., Masi, S. et al. Obesity in the childhood: a link to adult hypertension. Curr. Pharm. Des. 2009, 15(10), p. 1063–1071.

24. Weiss, R., Dziura, J., Burgert, T.S. et al. Obesity and the metabolic syndrome in children and adolescents. N. Engl. J. Med. 2004, 350, p. 2362–2374.

25. Young. K.M., Northern, J.J., Lister, K.M. et al. A meta-analysis of family-behavioral weight-loss treatments for children. Clin. Psychol. Rev. 2007, 27(2), p. 240-249.

26. Xanthopoulos, M.S., Khouri, L.M. Clinician management of pediatric obesity: a survey of knowledge, attitudes, practices and barriers. Obesity 2009, 17(2) p. S123.

27. Currie, C., Roberts, C., Morgan, A. et al. (eds). Young people’s health in context. Health Behaviour in School-aged Children (HBSC) study: international report from the 2001/2002 survey. WHO: Health Policy for Children and Adolescents, No. 4, 2004 [on line]. Dostupný na http://www.euro.who.int/Document/e82923.pdf.

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