在儿童肥胖治疗中识别和管理饮食障碍:美国各地体重管理计划的当前做法
Eileen Chaves1,2, Cristina Fernandez3,4, Sanita Ley5,6
1Department of Pediatrics, Division of Neuropsychology and Pediatric Psychology, Nationwide Children's Hospital, Columbus, OH, USA.
Childhood obesity (Print)
|February 18, 2026
概括
儿童体重管理计划需要更好的培训和指导方针,以有效地查和治疗肥胖青少年的饮食障碍 (ED). 目前EDs的识别和管理实践尚未成熟,这阻碍了最佳的患者护理.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 临床心理学 临床心理学
- 公共卫生 公共卫生
背景情况:
- 饮食障碍 (ED) 在患有肥胖的青少年中很普遍.
- 在儿科体重管理计划 (PWMP) 中有效识别ED对于适当的治疗至关重要.
- 目前在美国PWMP中对ED评估和管理的实践并不成熟.
研究的目的:
- 调查美国各地PWMP中ED评估和管理的现行做法.
- 在这些计划中识别ED查和治疗的障碍.
主要方法:
- 专家开发了一项调查,以评估PWMP中ED查,诊断,转诊和治疗实践.
- 调查分发给美国PWMP的医疗和行为健康提供者.
- 根据计划和提供商的特点分析和比较了回复.
主要成果:
- 大多数PWMP (74%) 对ED进行了查,但通常是非正式的 (69%).
- 查的障碍包括缺乏培训,时间和治疗的不确定性.
- 行为健康提供者在诊断暴饮暴食障碍 (BED) 时比医疗提供者更有信心.
结论:
- 改善培训和结构化的指导方针对于加强ED查,转诊和治疗在PWMP中至关重要.
- 解决提供者培训缺口对于优化对肥胖和EDs的青少年的护理至关重要.
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