TY - JOUR
TI - A Comprehensive Multidisciplinary Management Plan Is Effective in Reducing the Prevalence of Overweight and Obesity in Childhood and Adolescence
AU - Genitsaridi, S.-M.
AU - Giannios, C.
AU - Karampatsou, S.
AU - Papageorgiou, I.
AU - Papadopoulos, G.
AU - Farakla, I.
AU - Koui, E.
AU - Georgiou, A.
AU - Romas, S.
AU - Terzioglou, E.
AU - Papathanasiou, C.
AU - Kassari, P.
AU - Manios, Y.
AU - Charmandari, E.
JO - Hormone Research in Paediatrics
PY - 2020
VL - 93
TODO - 2
SP - 94-107
PB - S Karger AG
SN - 1663-2818
TODO - 10.1159/000507760
TODO - 25 hydroxyvitamin D;  alanine aminotransferase;  albumin;  alkaline phosphatase;  androstenedione;  apolipoprotein A1;  apolipoprotein B;  aspartate aminotransferase;  C reactive protein;  cholesterol;  corticotropin;  ferritin;  follitropin;  glucose;  glutathione peroxidase;  hemoglobin A1c;  high density lipoprotein cholesterol;  hydrocortisone;  insulin;  lipoprotein;  low density lipoprotein cholesterol;  luteinizing hormone;  prasterone;  prolactin;  testosterone;  thyroglobulin antibody;  thyroid peroxidase antibody;  thyrotropin;  thyroxine;  triacylglycerol, adolescent;  adult;  Article;  body mass;  chemiluminescence immunoassay;  child;  childhood obesity;  female;  follow up;  hip circumference;  HOMA index;  human;  hydrocortisone blood level;  major clinical study;  male;  multidisciplinary team;  obesity;  physical activity;  prevalence;  priority journal;  prospective study;  psychologic assessment;  waist circumference;  young adult;  childhood obesity;  disease management;  Greece;  obesity;  preschool child;  prevalence, Adolescent;  Body Mass Index;  Child;  Child, Preschool;  Disease Management;  Female;  Greece;  Humans;  Male;  Overweight;  Pediatric Obesity;  Prevalence
TODO - Background: Obesity in childhood and adolescence represents a major health problem of our century. In Greece, 30-35% of children and adolescents are overweight or obese. Objective and Hypotheses: To investigate the effectiveness of a comprehensive multidisciplinary personalized management plan at reducing the prevalence of overweight and obesity in childhood and adolescence. Patients and Methods: One thousand (n = 1,000) children and adolescents aged 2-18 years (mean age ± SD: 10.09 ± 2.86 years; 520 females, 480 males) were studied prospectively. Subjects were classified as obese (n = 579, 57.9%), overweight (n = 295, 29.5%) or having a normal body mass index (BMI) (n = 126, 12.6%) according to the International Obesity Task Force cutoff points. All subjects were evaluated by a multidisciplinary team at frequent intervals, received personalized advice on diet and exercise and were studied prospectively for 1 year. Detailed clinical evaluation and laboratory investigations were performed at the beginning and at the end of the study. Results: At initial evaluation, 57.9% of subjects were obese, 29.5% overweight and 12.6% of normal BMI. Indices of cardiometabolic disease were higher in obese than in overweight and normal-BMI subjects. Following 1 year of multidisciplinary management interventions, the prevalence of obesity decreased by 16.8%, the prevalence of normal BMI increased by 8.2%, and all cardiometabolic indices improved significantly. Conclusions: A personalized multidisciplinary management plan is effective at reducing the prevalence of obesity in childhood and adolescence. © 2020 S. Karger AG. All rights reserved.
ER -