儿童青少年肥胖门诊干预效果分析

Outcome of childhood obesity intervention in outpatient clinic

【目的】对肥胖门诊儿童青少年肥胖干预效果进行评价,以了解干预效果及影响因素。【方法】1995-2011年肥胖门诊就诊肥胖患儿1 045人,选取随访时间持续1个月以上的115人,评价肥胖干预效果及其影响因素。【结果】初诊肥胖患儿1 045人(男712人,女333人),随访时间持续1个月以上115人(男74人,女41人),低年龄组(≤11岁)及高年龄组(>11岁)经门诊干预1～3个月、4～6个月及6个月以上干预后,肥胖度分别降低8.8%和7.8%、18.8%和16.5%、27.4%和25.2%。两个年龄组在肥胖门诊干预4～6个月和6个月以上显效率(87.2%和87.5%)明显高于1～3个月(51.6%)((χ2=26.29,P<0.01))。初诊肥胖度及随访持续时间与肥胖度改善正相关(r分别为0.35和0.53,P<0.01),初诊年龄与肥胖度变化负相关(r=-0.24,P<0.05)。【结论】通过肥胖门诊对肥胖患儿进行相关健康指导有助于儿童肥胖的预防和控制,但目前肥胖门诊患儿的依从性还不是很乐观。

[Objective] To evaluate the outcome of the childhood obesity management ifi the obesity clinic. [Meth-od] During 1995 and 2011,there were 1045 obese children and adolescents （boys 722,girls 333）visited the obesity clinic. The outcome of intervention and the possible influencing factors were evaluated of the 115 patients who followe-up for more than one month. [Results] The number of patients who treated more than one month were 115. After 143 months,4-6 months and more than 6 months follow-up intervention respectively, the degrees of obesity of the low age group （≤11 yrs） and high age group （〉11 yrs） outpatients were decreased by 8.8% and 7.8% ,18.8% and 16.5% ,27.4% and 25.2% re-spectively （P〈0. 05）. Outcome of outpatients who adhered to the follow-up for 4-6 months and more than 6 months showed significant efficiency （87.2% and 87.5% respectively） than the 1-3 months group （51.6 %）（X^2 = 26.29, P〈0.01）. The change of the obesity degree was positively correlated with the initial obesity degree and follow-up time（r=0.35 and 0. 53,respectively,P〈0. 01）. In addition a negative correlation was found between initial age and the change of obesity degree （r=-0.24,P〈0.05）. [Conclusion] It is very effective to treat the obesity children at the outpatient clinic. But the compliance of the patients was not optimistic.