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Outcomes of pediatric obesity-related lifestyle disease screenings in Kumamoto

Fusa Nagamatsu1, Jun Kido1,2, Yoshiko Suginohara3

  • 1Department of Pediatrics, Kumamoto University Hospital, Kumamoto, Japan.

Pediatrics International : Official Journal of the Japan Pediatric Society
|December 23, 2022
PubMed

Insights

Kumamoto City

Area of Science:

  • Pediatrics
  • Public Health
  • Preventive Medicine

Background:

  • Childhood obesity presents significant health and socioeconomic challenges.
  • Kumamoto City implements regular obesity screenings for fourth-grade students.
  • Screenings include physical exams, blood tests, and referrals for specialized care.

Purpose of the Study:

  • To retrospectively analyze the outcomes of obesity-related lifestyle disease screenings in Kumamoto City from 2011 to 2020.
  • To evaluate the effectiveness of screenings in identifying and managing childhood obesity and associated risks.

Main Methods:

  • Retrospective analysis of data from Kumamoto City's Lifestyle Disease Screening Board (2011-2020).
  • Calculation of overweight percentages and evaluation of abdominal circumference, blood pressure, and laboratory test results.
  • Focus on fourth-grade students eligible for Secondary Lifestyle Disease Tests.

Main Results:

  • Obesity rates in Kumamoto were higher in younger grades (1-4) than the national average.
  • Among screened fourth graders, a significant percentage of both boys (25.9%) and girls (19.2%) required further intervention, including nonobese individuals.
  • A high proportion of nonobese children needing special examination had elevated waist circumference (≥75cm) or waist-to-height ratio (≥0.5).

Conclusions:

  • Obesity-related lifestyle disease screenings are effective in preventing obesity progression.
  • Abdominal circumference measurement is a valuable tool for identifying nonobese children at risk of lifestyle diseases.
  • Early detection and intervention are crucial for managing childhood obesity and its health consequences.
Abstract

Keywords:
hypercholesterolemialifestyle diseasemetabolic syndromeobesitywaist circumference

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