Medical care of obese children and adolescents: APV: a standardised multicentre documentation derived to study initial presentation and cardiovascular risk factors in patients transferred to specialised treatment institutions

So far in Europe, no studies have been published on the structuring of medical care for obese children and adolescents. Besides anthropometric parameters, evaluations of the cardiovascular risk factors hypertension, dyslipidaemia, impaired glucose metabolism and treatment modalities were documented...

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Published in:	European journal of pediatrics 2004-06, Vol.163 (6), p.308-312
Main Authors:	REINEHR, Thomas, WABITSCH, Martin, KOLBE, Hilde, LOB-CORZILIUS, Thomas, MARG, Wolfgang, MAYER, Hermann, MOHNIKE, Klaus, OEPEN, Johannes, POVEL, Clemens, RICHTER, Brunhild, RIEDINGER, Nikola, SCHAUERTE, Gerd, ANDLER, Werner, SCHMAHLFELDT, Gernot, SIEGFRIED, Wolfgang, SMUDA, Peer, STACHOW, Rainer, VAN EGMOND-FRÖHLICH, Andreas, WEITEN, Jannie, WIEGAND, Susanna, WITTE, Sabine, ZINDEL, Volker, HOLL, Reinhard W, BEYER, Peter, BÖTTNER, Antje, CHEN-STUTE, Annette, FROMME, Carmen, HAMPEL, Olaf, KELLER, Klaus M, KILIAN, Uwe
Format:	Article
Language:	eng
Subjects:	Adolescent Adult Ambulatory Care Facilities Biological and medical sciences Blood Glucose - metabolism Body Mass Index Cardiovascular Diseases - prevention & control Child Child, Preschool Cholesterol, HDL - blood Cholesterol, LDL - blood Diagnostic Tests, Routine - statistics & numerical data Female Fundamental and applied biological sciences. Psychology General aspects Genetics of eukaryotes. Biological and molecular evolution Germany - epidemiology Health Care Surveys Humans Hypercholesterolemia - epidemiology Hypertension - epidemiology Male Mass Screening Medical sciences Molecular and cellular biology Obesity - epidemiology Prospective Studies Rehabilitation Centers Risk Factors Triglycerides - blood
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Summary:	So far in Europe, no studies have been published on the structuring of medical care for obese children and adolescents. Besides anthropometric parameters, evaluations of the cardiovascular risk factors hypertension, dyslipidaemia, impaired glucose metabolism and treatment modalities were documented in a standardised multicentre evaluation survey (APV) of 18 primarily outpatient and nine rehabilitation institutions. In total, 3837 children (aged 2-20 years) took part in the years 2000 up to March 2003, of whom 1985 were treated in outpatient institutions and 1852 in rehabilitation institutions. Of these children, 10% were overweight, 37% obese, 49% extremely obese and 4% of normal weight at initial presentation. The frequencies of diagnostic procedures performed and documented were low (measurement of blood pressure 43%, lipids 40%, glucose metabolism 21%). In the subgroup of obese children who were screened for cardiovascular risk factors, 23% suffered from hypertension, 11% displayed increased cholesterol, 9% increased low-density lipoprotein-cholesterol, 29% increased triglycerides, 11% decreased high-density lipoprotein-cholesterol and 6% had impaired glucose metabolism. Despite the high prevalence of cardiovascular risk factors in obese children and adolescents confirmed in this report, diagnostic procedures failed in a considerable percentage even in specialised treatment centres for obese children and adolescents. In future, the feedback based on standardised evaluation of diagnostic and treatment procedures should aim to improve the quality of medical care.
ISSN:	0340-6199 1432-1076