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Veronica Mocanu

Latest posts by Veronica Mocanu (see all)

  • Screening and prevention of childhood obesity – practical considerations - 03/08/2015
  • DEPISTAREA SI PREVENTIA OBEZITATII LA COPII – CONSIDERATII PRACTICE - 03/08/2015

Articole semnate de acelasi autor in Revista Romana de Pediatrie:

Screening and prevention of childhood obesity – practical considerations

SELECT ISSUE

Revista Romana de PEDIATRIE | Volumul LX, Nr. 3, An 2011
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

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Screening and prevention of childhood obesity – practical considerations

Veronica Mocanu, Corina Galeşanu, Silvia Măndăşescu, Raluca Haliga, Anca Roxana Costan and Magda Bădescu

ABSTRACT

Care of obese children by their primary health care providers requires a thorough medical evaluation that begins with appropriate identification of overweight. Most practitioners used multiple methods to assess overweight. Different methods as clinical impression, weight-for-age percentile, weight-for-height percentile, change in weight velocity, Body Mass Index (BMI) percentile, skinfold thickness, and waist circumference are used. After a clinician identifies overweight in a child, the next step is to identify current medical problems and risk factors for future disease. Further medical assessment may include: medical history and physical examination, measurement of arterial pressure, examination to look for orthopedic problems and type 2 diabetes or insulin resistance. Some conditions require additional testing: laboratory tests, bone radiographs or sleep studies. Increased prevalence of overweight in Romanian children (24.5% of children aged 7-11 years old in our studies carried out in Moldavia region) points to the need for educational efforts to increase awareness of medical risks and for tools to facilitate more complete evaluation during office visits. Clinicians need help incorporating these assessments into the constraints of a standard office visit and national guidelines for screening recommendations are required. Current international best practice suggests that the prevention and management of obesity requires a range of co-ordinated actions to improve diet and physical activity levels in the early years, at school, in the family and community

Key words: childhood obesity, screening, prevention

Full text | PDF

Veronica Mocanu

DEPISTAREA SI PREVENTIA OBEZITATII LA COPII – CONSIDERATII PRACTICE

SELECT ISSUE

Revista Romana de PEDIATRIE | Volumul LX, Nr. 3, An 2011
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

Indexed

DOI - Crossref
Similarity Check by iThenticate, worldwide No 1 professional plagiarism checking system
DOAJ
Scopus
NLM Catalog
Ebsco Host - Medline
Google Academic
Semantic Scholar

HIGHLIGHTS

National Awards “Science and Research”

NEW! RJP has announced the annually National Award for "Science and Research" for the best scientific articles published throughout the year in the official journal.

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

The published medical research literature is a global public good. Medical journal editors have a social responsibility to promote global health by publishing, whenever possible, research that furthers health worldwide.

DEPISTAREA SI PREVENTIA OBEZITATII LA COPII – CONSIDERATII PRACTICE

Ioana Micle, Veronica Mocanu, Corina Galeşanu, Silvia Măndăşescu, Raluca Haliga, Anca Roxana Costan and Magda Bădescu

REZUMAT

Îngrijirea copiilor obezi de către către furnizorii de asistenţă medicală primară necesită o evaluare medicală amănunţită care începe cu identificarea adecvată a excesului de greutate. Majoritatea practicienilor folosesc mai multe metode pentru a evalua supraponderalitatea. Sunt utilizate diferite metode cum ar fi impresia clinică, percentila greutate pentru vârstă, percentila greutate pentru înalţime, schimbarea vitezei creşterii în greutate, percentila indicelui de masă corporală (IMC), pliul cutanat şi circumferinţa taliei. După ce clinicianul identifică un copil supraponderal, următorul pas este de a identifica problemele medicale curente şi factorii de risc pentru viitoarele boli cronice. O evaluare suplimentară medicală ar putea include: anamneza şi examenul fizic, măsurarea tensiunii arteriale, identificarea problemelor ortopedice şi diabetului de tip 2 sau a rezistenţei la insulină. Unele condiţii necesită investigări suplimentare: examene de laborator, radiografii osoase sau studii de somn. Creşterea prevalenţei excesului de greutate la copii români (24,5% dintre copiii cu vârste între 7 şi 11 ani în studiile noastre efectuate în regiunea Moldovei) subliniază necesitatea unor eforturi de educare pentru creşterea gradului de conştientizare a riscurilor medicale şi instrumentelor care pot fi utilizate pentru a facilita evaluarea cât mai completă în timpul consultaţiilor medicale. Clinicienii au nevoie de ajutor pentru a efectua toate aceste evaluări complexe în cadrul limitat al consultaţiilor standard şi ar fi necesare ghiduri naţionale de recomandări pentru depistarea obezitatăţii şi riscurilor asociate. Ghidurile actuale de bună practică la nivel internaţional sugerează că prevenirea şi gestionarea obezităţii la copii presupune o serie de acţiuni coordonate pentru îmbunătăţirea dietei şi creşterii nivelului activităţii fizice în primii ani de viaţă, la şcoală, în familie şi în comunitate.

Cuvinte cheie: obezitatea la vârsta copilăriei, depistare, prevenţie

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Ioana Micle


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