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Obesity in childhood and adolescence and what we can do with an obese child in a pediatric health care


Authors: Jan Boženský 1;  Bohuslav Procházka 2
Authors‘ workplace: dětská obezitologická ambulance, dětské oddělení Vítkovické nemocnice, a. s., Ostrava 1;  ordinace PLDD Kutná Hora, Odborná společnost praktických dětských lékařů ČLS JEP 2
Published in: Čas. Lék. čes. 2020; 159: 111-117
Category: Review Article

Overview

Childhood obesity is one of the most serious public health challenges of the 21st century. The problem is global and it is steadily affecting health care of many countries. Increase in obesity prevalence has been slowing down in numerous countries recently.

WHO Europe has organized surveillance of childhood obesity (Childhood Obesity Surveillance Initiative, COSI) since 2008. Prevalence of overweight and obesity of children from ages 6 to 9 is followed during this study. The seven-year-old children are examined in the Czech Republic, where overweight and obesity prevalence of whom is stable. In 2016 overweight was found in 7,6 % of boys and in 6,5 % of girls, obesity in 8,8 % of boys and 6,5 % of girls.

However, the study "Children's Health 2016" shows that after the period of global increase of obesity until 2011, there is a period of a certain stabilization, in which there are no major changes of weight. The incidence of overweight and obesity in preschool children remains favorable in the long period. The most problematic is the incidence of obesity of school children, especially boys.

To improve the care of obese children in the Czech Republic, general practitioners for children and adolescents (PLDD) were involved in the health care, the educational program for PLDD was created and implemented in 2015-2017, and in 2020 the Ministry of Health approved examination, which will enable PLDD not only to look for overweight and obese children, but also to treat them effectively. The general recommendations are supplemented by practical knowledge and recommendations of doctors treating obese children.

Keywords:

prevalence of childhood obesity – Childhood Obesity Surveillance Initiative (COSI) – therapy of childhood obesity


Sources
  1. Vignerová J, Riedlová J, Bláha P a kol. 6. celostátní antropologický výzkum dětí a mládeže 2001. Česká republika. Souhrnné výsledky. PřF UK, SZÚ, Praha, 2006.
  2. SZÚ. Hodnocení růstu a vývoje mládeže. Dostupné na: www.szu.cz/publikace/data/rustove-grafy
  3. Jia P, Xue H, Zhang J, Wang Y. Time trend and demographic and geographic disparities in childhood obesity prevalence in China – evidence from twenty years of longitudinal data. Int J Environ Res Public Health 2017; 14: 369.
  4. Hernández-Cordero S, Cuevas-Nasu L, Morán-Ruán MC et al. Overweight and obesity in Mexican children and adolescents during the last 25 years. Nutr Diabetes 2017; 7: e247.
  5. Ogden CL, Carroll MD, Lawman HG et al. Trends in obesity prevalence among children and adolescents in the United States, 1988–1994 through 2013–2014. JAMA 2016; 315: 2292–2299.
  6. Kess A, Spielau U, Beger C et al. Further stabilization and even decrease in the prevalence rates of overweight and obesity in German children and adolescents from 2005 to 2015: a cross-sectional and trend analysis. Public Health Nutr 2017; 20: 3075–3083.
  7. Hardy LL, Mihrshahi S, Gale J et al. 30-year trends in overweight, obesity and waist-to-height ratio by socioeconomic status in Australian children, 1985 to 2015. Int J Obes (Lond) 2017; 41: 76–82.
  8. Bancej C, Jayabalasingham B, Wall RW et al. Evidence brief-trends and projections of obesity among Canadians. Health Promot Chronic Dis Prev Can 2015; 35: 109–112.
  9. Kunešová M, Procházka B, Taxová Braunerová R a kol. Prevalence nadváhy a obezity u sedmiletých dětí v ČR (COSI ČR), vztah k rozložení tukové tkáně. Česko-slovenská pediatrie 2019; 74: 77–80.
  10. Procházka B, Kratěnová J, Žejglicová K a kol. Aktuální výskyt rizikových faktorů ischemické choroby srdeční u dětí v ČR v roce 2016. Česko-slovenská pediatrie 2018; 73: 501–508.
  11. Singhal V, Schwenk WF, Kumar S. Evaluation and management of childhood and adolescent obesity. Mayo Clin Proc 2007; 82: 1258–1264.
  12. Kytnarová J a kol. Obezita v dětském věku. IPVZ, Praha, 2013.
  13. Nutrition and Childhood. In: Langley-Evans S. Nutrition: A Lifespan Approach (2nd ed.). John Wiley & Sons, 2015.
  14. FAO. Human energy requirements. Report of a Joint FAO/WHO/UNU Expert Consultation Rome, 17–24 October 2001.
  15. Kunešová M. Sacharidy. Encyklopedie výživy, 2015. Dostupné na: www.vyzivaspol.cz/sacharidy
  16. EFSA Panel on Dietetic Products, Nutrition and Allergies. Scientific opinion on dietary reference values for carbohydrates and dietary fibre. EFSA J 2010; 8: 1462: 77 s.
  17. Stephen A, Alles M, de Graaf C et al. The role and requirements of digestible dietary carbohydrates in infants and toddlers. Eur J Clin Nut 2012; 66: 765–779.
  18. Kudlová E, Tláskal P, Boženský J a kol. Stravitelné sacharidy ve stravě kojenců a batolat. Výživa a potraviny 2016; 71(5): 114–116.
  19. WHO. WHO Guideline. Sugars intake for adults and children. WHO, Ženeva, 2015.
  20. WHO. WHO Healthy Diet Fact sheet N°394. WHO, 2015. Dostupné na: www.who.int/mediacentre/factsheets/ fs394/en
  21. FAO/WHO. Carbohydrates in human nutrition. Report of a joint FAO/WHO expert consultation. FAO Food and Nutrition Paper No. 66. WHO/FAO, Ženeva, 1998.
  22. Templin T, Hashiguchi T, Thomson B et al. The overweight and obesity transition from the wealthy to the poor in low- and middle-income countries: a survey of household data from 103 countries. PLoS Med 2019: 16: e32767.
  23. 02039 Záchyt a sledování pacienta s obezitou v ordinaci praktického lékaře pro děti a dorost. Seznam zdravotních výkonů. ÚZIS ČR, MZČR, 2016. Dostupné na: https://szv.mzcr.cz/Vykon/Detail/02039
  24. Kytnarová J a kol. Obezita v dětském věku. IPVZ, Praha, 2013.
  25. Vignerová J, Riedlová J, Bláha P a kol. 6. celostátní antropologický výzkum dětí a mládeže 2001. Česká republika. Souhrnné výsledky. PřF UK, SZÚ, Praha 2006.
  26. STOB klub. Nápoje nealkoholické. Dostupné na: www.stobklub.cz/potraviny-kategorie/480
  27. Kunešová M. Základy obezitologie. Galén, Praha, 2016.
  28. STOB. Proč a co snídat? STOB, 22. 11. 2014. Dostupné na: www.stob.cz/cs/proc-a-co-snidat
  29. STOB klub. Kolik zeleniny bychom měli sníst? Dostupné na: www.stobklub.cz/clanek/kolik-zeleniny-bychom-meli-snist-
  30. Hainer V. Základy klinické obezitologie (2. vyd.). Grada, Praha, 2011.
  31. STOB klub. Databáze potravin. Dostupné na: www.stobklub.cz/potraviny-kategorie
  32. Frömel K, Mitáš J, Kerr J. The associations between active lifestyle, the size of a community and SES of the adult population in Czech Republic. Health and Place 2009; 15: 447–454.
  33. Tudor-Locke C, Bassett DR jr. How many steps/day are enough? Premilinary pedometer indices for public health. Sports Med 2004; 34: 1–8.
  34. Kunešová M. Životní styl a obezita v České republice – hlavní zjištění studie. Tisková konference. STEM/MARK, 2006.
  35. Sigmundová D, Badura P, Sigmund E et al. Weekday–weekend variations in mother-/father–child physical activity and screen time relationship: A cross-sectional study in a random sample of Czech families with 5- to 12-year-old children. Eur J Sport Sci 2018; 18: 1158–1167.
  36. Waters E, de Silva-Sanigorski A, Hall BJ et al. Interventions for preventing obesity in children. Cochrane Database Syst Rev 2011; 12: CD001871.
  37. Pavlíček J, Strnadel J, Gruszka T et al. Echocardiographic evaluation of cardiac structure and function in children with hypertension. Cor et Vasa 2016; 58: e615–e622.
  38. Šuláková T, Feber J, Strnadel J et al. The importance of pulse wave velocity measurement in paediatric population with an increased risk of cardiovascular diseases –type 1 diabetes and chronic kidney disease. Cor et Vasa 2016; 58: e623–e630.
Labels
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management

Article was published in

Journal of Czech Physicians

Issue 3-4

2020 Issue 3-4

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