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Updated: May 13, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
管理儿童肥胖:临床实践指南
Geoff D C Ball1, Roah Merdad2, Catherine S Birken2
1Department of Pediatrics, Faculty of Medicine & Dentistry, College of Health Sciences (Ball, Wijesundera), University of Alberta, Edmonton, Alta.; Department of Community Medicine, Faculty of Medicine (Merdad), King Abdulaziz University, Jeddah, Saudi Arabia; The Hospital for Sick Children and Department of Pediatrics (Birken), University of Toronto, Toronto, Ont.; Faculty of Land and Food Systems, Food, Nutrition and Health (Cohen), University of British Columbia, Vancouver, BC; Youth representative (Goodman), Toronto, Ont.; Department of Pediatrics, Faculty of Medicine (Hadjiyannakis), Children's Hospital of Eastern Ontario Research Institute, University of Ottawa, Ottawa, Ont.; Division of Endocrinology, Hospital for Sick Children, Department of Paediatrics, University of Toronto (Hamilton), Toronto, Ont.; Department of Pediatrics, Université de Montréal and Centre de Recherche CHU Sainte-Justine and School of Public Health, Department of Social and Preventive Medicine, Université de Montréal (Henderson), Montréal, Que.; Family representative (Lammey), Ottawa, Ont.; Department of Pediatrics, Centre for Metabolism, Obesity and Diabetes Research (Morrison), McMaster University, Hamilton, Ont.; Dalhousie University (Moore), Halifax, NS; Department of Psychology (Mushquash), Lakehead University, Thunder Bay, Ont.; Obesity Canada (Patton, Pearce), Edmonton, Alta.; Division of General & Thoracic Surgery, The Hospital for Sick Children and Department of Surgery, Temerty School of Medicine, University of Toronto (Ramjist), Toronto, Ont.; Family representative (Lebel), Edmonton, Alta.; McMaster University (Timmons), Hamilton, Ont.; Children's Hospital for Eastern Ontario (Buchholz), Ottawa, Ont.; Family representative (Cantwell, Cooper), Toronto, Ont.; McGill University (Erdstein), Montréal, Que.; School of Nursing, Faculty of Health Sciences (Fitzpatrick-Lewis, Sherifali), McMaster University, Hamilton, Ont.; University of Alberta (Hatanaka), Edmonton, Alta.; Heart and Stroke Foundation (Lindsay), Toronto, Ont.; Edmonton Weight Management Centre & Family Clinic (Sajwani), Edmonton, Alta.; Cochrane Collaboration (Sebastianski), Edmonton, Alta.; Department of Pediatrics (St. Pierre), McGill University, Montréal, Que.; Department of Health Research, Evidence and Impact, Faculty of Health Sciences (Ali), McMaster University, Hamilton, Ont.; Department of Health, Kinesiology, and Applied Physiology (Alberga, Baluyot), Concordia University, Montréal, Que.; School of Health and Human Performance, Faculty of Health (Ausman), Dalhousie University, Halifax, NS; University of Calgary (Delacruz, Kucera), Calgary, Alta.; School of Health and Human Performance (Burke), Dalhousie University, Halifax, NS; Lakehead University (Dadgostar), Thunder Bay, Ont.; The Hospital for Sick Children (Dettmer, Langer, Oei), Toronto, Ont.; Department of Psychology (Dymarski), Carleton University, Ottawa, Ont.; Department of Nutrition, College of Agriculture and Life Sciences (Esmaeilinezhad, Johnston, Rigsby), Texas A&M University, College Station, Tex.; University of British Columbia (Hale), Kimberley, BC; Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute (Harnois-Leblanc), Boston, Mass.; Centre de recherche Azrieli, CHU Sainte-Justine (Harnois-Leblanc), Montréal, Que.; Division of Endocrinology, Department of Pediatrics, Cumming School of Medicine (Ho), University of Calgary, Calgary, Alta.; School of Public Health, College of Health Sciences (Gehring), University of Alberta, Edmonton, Alta.; Holland Bloorview Rehabilitation Hospital (McPherson), Toronto, Ont.; Department of Family Medicine (Naji), McMaster University, Hamilton, Ont.; School of Physiotherapy (O'Malley), Royal College of Surgeons in Ireland, University of Medicine and Health Sciences, Dublin, Ireland; Department of Pediatrics (Wahi), McMaster University, McMaster Children's Hospital, Hamilton, Ont.; Institute for Better Health (Zenlea), Trillium Health Partners, Mississauga, Ont. gdball@ualberta.ca bjohnston@dal.ca.
本指南为儿童肥胖管理提供基于证据的策略,强调行为干预和儿童和家庭的共同决策. 它支持对治疗的益处和危害进行知情讨论.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 公共卫生 公共卫生
- 临床实践指南 临床实践指南
背景情况:
- 儿童肥胖是一种复杂的慢性疾病,影响健康,生活质量和寿命.
- 它经常受到污名化,需要敏感和全面的管理方法.
- 现有的指导方针旨在提供基于证据的建议,用于管理儿科肥胖.
研究的目的:
- 为儿童肥胖管理制定基于证据的建议.
- 支持儿童,家庭和医疗保健提供者的共同决策.
- 确保管理选项根据个人价值观和偏好量身定制.
主要方法:
- 遵循推评估,开发和评价 (GRADE) 方法的分级.
- 参与护理人员,医疗保健提供者和肥胖患者在指导方针制定中的个人.
- 对行为,药物和手术干预以及患者价值观和偏好进行系统审查.
主要成果:
- 该指南包括10条建议和9条良好实践声明.
- 行为和心理干预是护理的基础,强烈建议采用多组件方法.
- 药物和手术干预被认为是有条件的选择,以共享决策为指导.
结论:
- 本指南旨在促进有关儿童肥胖干预措施的益处和危害的知情讨论.
- 它强调个性化的方法,整合患者和家庭的价值观.
- 这些建议支持儿童肥胖管理中的价值和偏好敏感的决策.
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