Abstract
Childhood obesity must be faced through an integrated multi-level preventive approach. This study was aimed at assessing the adherence and the outcomes of an outpatient service for childhood obesity treatment activated in the province of Naples, Italy, throughout a 2-year follow-up period. At first visit (T0), weight, height, waist circumference, and body composition of children were assessed, together with sociodemographic features and physical activity levels of children and parents. Anthropometric and body composition parameters of children were measured at 6 ± 3 months (T1) and 12 ± 3 months (T2). A total of 451 non-related children who accessed the service were analyzed: 220 (48.7%) of them returned at least once (attrition rate 51.3%). Returner outpatients showed higher age (p = 0.046) and father’s educational level (p = 0.041) than non-returner ones. Adherence to the treatment was found to be related to father’s (Rho = 0.140, p = 0.005) and mother’s (Rho = 0.109, p = 0.026) educational level. All the outcomes improved between T0 and T1 (p < 0.001), while only body mass index (BMI) decreased significantly at T2. Changes in BMI-SDS were associated with baseline value (OR 0.158, 95%CI 0.017–0.298, p = 0.029). The multidisciplinary approach seems to be promising to treat childhood obesity in this geographic context. Lower parents’ educational level should be considered as an attrition determinant.
Subject
Pediatrics, Perinatology and Child Health
Reference44 articles.
1. WHO (2021, November 11). Obesity and overweight. Available online: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.
2. Freemark, M. (2018). Pediatric Obesity: Etiology, Pathogenesis and Treatment, Springer International Publishing.
3. Wilding, S., Ziauddeen, N., Smith, D., Roderick, P., Chase, D., and Alwan, N.A. (2020). Are environmental area characteristics at birth associated with overweight and obesity in school-aged children? Findings from the SLOPE (Studying Lifecourse Obesity PrEdictors) population-based cohort in the south of England. BMC Med., 18.
4. The impact of childhood obesity on morbidity and mortality in adulthood: A systematic review;Park;Obes. Rev.,2012
5. Vandoni, M., Calcaterra, V., Carnevale Pellino, V., De Silvestri, A., Marin, L., Zuccotti, G.V., Tranfaglia, V., Giuriato, M., Codella, R., and Lovecchio, N. (2021). An Italian Cross-Sectional Study. Children, 8.
Cited by
6 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献