Assessment of child and adolescent overweight and obesity

被引:616
作者
Krebs, Nancy F. [1 ]
Himes, John H. [2 ]
Jacobson, Dawn [3 ]
Nicklas, Theresa A. [4 ]
Guilday, Patricia [5 ]
Styne, Dennis [6 ]
机构
[1] Univ Colorado, Sch Med, Dept Pediat, Denver, CO 80262 USA
[2] Univ Minnesota, Sch Publ Hlth, Div Epidemiol & Community Hlth, Minneapolis, MN USA
[3] Dept Hlth & Human Serv, Off Dis Prevent & Hlth Promot, Rockville, MD USA
[4] Baylor Coll Med, Dept Pediat, Houston, TX 77030 USA
[5] PS duPont Elementary Sch, Wilmington, DE USA
[6] Univ Calif Davis, Dept Pediat, Sacramento, CA 95817 USA
关键词
obesity; clinical assessment; BMI; diet; physical activity;
D O I
10.1542/peds.2007-2329D
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Accurate appropriate assessment of overweight and obesity in children and adolescents is a critical aspect of contemporary medical care. However, physicians and other health care professionals may find this a somewhat thorny field to enter. The BMI has become the standard as a reliable indicator of overweight and obesity. The BMI is incomplete, however, without consideration of the complex behavioral factors that influence obesity. Because of limited time and resources, clinicians need to have quick, evidence-based interventions that can help patients and their families recognize the importance of reducing overweight and obesity and take action. In an era of fast food, computers, and DVDs, it is not easy to persuade patients to modify their diets and to become more physically active. Because research concerning effective assessment of childhood obesity contains many gaps, this report is intended to provide a comprehensive approach to assessment and to present the evidence available to support key aspects of assessment. The discussion and recommendations are based on >300 studies published since 1995, which examined an array of assessment tools. With this information, clinicians should find themselves better equipped to face the challenges of assessing childhood overweight and obesity accurately.
引用
收藏
页码:S193 / S228
页数:36
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