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子供と青年の高体量指数に対する介入:米国の予防サービスタスクフォースの勧告声明
, Wanda K Nicholson1, Michael Silverstein2
1George Washington University, Washington, DC.
JAMA
|June 18, 2024
まとめ
子供の肥満は大きな問題であり,米国の若者の約20%に影響しています. 米国予防サービスタスクフォースは,高体量指数 (BMI) を有する6歳以上の子どもの集中的な行動介入を推奨しています.
科学分野:
- 小児肥満と公衆衛生
- 予防医学
- 証拠に基づいた臨床勧告
背景:
- 高体重指数 (BMI) は,米国の子供と青少年 (2歳から19歳) の約19. 7%に影響します.
- 高BMIの流行は年齢とともに増加し,ヒスパニック/ラテン系,ネイティブアメリカン/アラスカ系,非ヒスパニック系黒人の若者,低所得家庭からの若者に不釣り合いに影響する.
研究 の 目的:
- 子供と青年の体重管理のための介入に関する証拠を体系的に検討する.
- 米国予防サービスタスクフォース (USPSTF) の初等保健施設の勧告を参考にすること.
主な方法:
- 体重減少や管理のための介入の体系的なレビュー
- 行動カウンセリングと薬物療法の評価
主要な成果:
- 6歳以上の高BMIの子供や青少年に対して,包括的で集中的な行動介入は,中程度の純利益を示しています.
- 証拠は,初等医療から提供される介入を支持しています.
結論:
- USPSTFは,高BMI (≥95パーセント) の子供や青少年に対して,臨床医が包括的で集中的な行動介入を行うことを推奨しています.
- この勧告は,適度な純利益の適度な確実性 (B勧告) に基づいています.
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