학술논문
Short‐term and long‐term positive outcomes of the multidisciplinary care implemented by the French health networks for the prevention and care of paediatric overweight and obesity.
Document Type
Article
Author
Carriere, Caroline; Thibault, Hélène; Barat, Pascal; Guemazi‐Kheffi, Fatiha; Mellouet‐Fort, Blandine; Ancillon, Laurent; Bertrand, Anne‐Marie; Quinart, Sylvain; Guilmin‐Crépon, Sophie; Arsan, Armine; Lestournelle, Anne; Brument, Régine; Saison‐Canaple, Camille; Renel, Lise; Daussac, Adeline; Jouret, Béatrice; Negre, Véronique; Tauber, Maïthé
Source
Subject
*PREVENTION of childhood obesity
*MEDICAL care
*BEHAVIOR modification
*HEALTH behavior
*INTEGRATED health care delivery
*MEDICAL screening
*HEALTH outcome assessment
*PRIMARY health care
*QUALITY of life
*WELL-being
*BODY mass index
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Language
ISSN
2047-6302
Abstract
Summary: Background: The nine French regional health networks for the prevention and care of paediatric obesity offer a 2‐year program of multidisciplinary primary care (medical, dietetical, psychological, adapted physical activity) based on multicomponent lifestyle interventions. Objectives: To assess the short‐term and long‐term impact of care management. Methods: The impact of the multidisciplinary care was assessed by changes in the body mass index (BMI) Z score during the period of the care, and at least 2 years after the end. Anthropometric data were collected at baseline and at the end of the care either through a digital medical file or through direct phone contacts with the referring. Long‐term outcomes were assessed through studies relative to post follow‐up evaluation. Results: At the end of the period of the care in a network, 72.9% of 6947 children had decreased their BMI Z score from 3.6 ± 1.0 DS at baseline to 3.3 ± 1.1 DS at the end. The four studies relative to long‐term evaluation showed a pursuit of the decrease of BMI Z score during the 5.1 years after the beginning of the care. Conclusions: The care provided by regional French networks for prevention and care of paediatric obesity induce a reduction of BMI that continues afterwards. [ABSTRACT FROM AUTHOR]