Limited availability of childhood overweightand obesity treatment programmes in Danish paediatric departments

Marianne Eg; Dina Cortes; Anders Johansen; Kirsten Frederiksen; Vibeke Lorentzen; Lone Marie Larsen; Jens-Christian Holm; Marianne Vámosi

Limited availability of childhood overweightand obesity treatment programmes in Danish paediatric departments

Marianne Eg, Dina Cortes, Anders Johansen, Kirsten Frederiksen, Vibeke Lorentzen, Lone Marie Larsen, Jens-Christian Holm, Marianne Vámosi

Institut for Klinisk Medicin

Abstract

INTRODUCTION: The prevalence of children and adolescents with overweight and obesity has tripled over the past 30 years. One in five children in Denmark is overweight, a condition which is accompanied by serious medical and psychosocial complications. So far, an overview of the Danish treatment of childhood overweight and obesity has been lacking.

METHODS: Telephone interviews with all Danish paediatric departments were conducted in 2014. The results, constituting a baseline, were analysed using the clinical guidelines for overweight and obesity published by the Danish Paediatric Society’s Overweight Committee in 2015.

RESULTS: About 32% of the 19 departments had multidisciplinary programmes resembling the guideline recommendations. Roughly 37% of the departments offered considerably less comprehensive programmes than proposed by the guidelines, and roughly 32% offered only a general basic consultation. Body mass index was the primary parameter used to decide whether obesity management was indicated, varying from the > 90 to the > 99 percentile for sex and age.

CONCLUSIONS: In Denmark, one third of paediatric departments nearly complied with the national clinical guidelines. Another third of departments offered less comprehensive programmes. The final third offered no multidisciplinary treatment programme for the target group. The criteria for referral to the paediatric departments that offered obesity programmes were heterogeneous.

FUNDING: Funding for this study was received from Region Midtjyllands Sundhedsvidenskabelige Forskningsfond, Familien Hede Nilsens Fond and Søster Marie Dalgaards Fond.

TRIAL REGISTRATION: not relevant.

Originalsprog	Engelsk
Artikelnummer	A5269
Tidsskrift	Danish Medical Journal
Vol/bind	63
Udgave nummer	9
Sider (fra-til)	1-5
Antal sider	5
ISSN	2245-1919
Status	Udgivet - sep. 2016

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http://www.danmedj.dk/portal/page/portal/danmedj.dk/dmj_forside/PAST_ISSUE/2016/DMJ_2016_09/A5269Licens: CC BY-NC

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Eg, M., Cortes, D., Johansen, A., Frederiksen, K., Lorentzen, V., Larsen, L. M., Holm, J.-C., & Vámosi, M. (2016). Limited availability of childhood overweightand obesity treatment programmes in Danish paediatric departments. Danish Medical Journal, 63(9), 1-5. Artikel A5269. http://www.danmedj.dk/portal/page/portal/danmedj.dk/dmj_forside/PAST_ISSUE/2016/DMJ_2016_09/A5269

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title = "Limited availability of childhood overweightand obesity treatment programmes in Danish paediatric departments",

abstract = "INTRODUCTION: Age-related macular degeneration (AMD) leads to visual impairment that affects visual functioning and thereby the ability to be physically active. We investigated physical activity patterns in patients with AMD.METHODS: Patients with early and late AMD and elderly controls were recruited for this hospital-based cross-sectional study. All participants had their best-corrected visual acuity measured and were interviewed about their physical activity based on questions that covered regular physical activity, physical activity that would work up sweat, climbing the stairs and time spent on walking outdoors.RESULTS: We recruited 198 participants of whom 196 were eligible for inclusion in the analyses (68 controls, 25 with early AMD and 103 with late AMD). The frequency of regular physical activity did not differ between patients with early and late AMD and elderly controls. Lower best-corrected visual acuity in the best-seeing and the worse-seeing eye was associated with less engagement in physical activities that would work up sweat and a lower number of steps taken daily. Patients with bilateral vision loss from late AMD engaged in physical activities that were more controlled and less demanding of sharp central vision.CONCLUSION: Patients with late AMD may still be physically active even when the disease progresses and vision is lost, but activities may change into more controlled and less central vision-demanding ones.FUNDING: The Lundbeck Foundation.TRIAL REGISTRATION: not relevant.",

author = "Marianne Eg and Dina Cortes and Anders Johansen and Kirsten Frederiksen and Vibeke Lorentzen and Larsen, {Lone Marie} and Jens-Christian Holm and Marianne V{\'a}mosi",

year = "2016",

month = sep,

language = "English",

volume = "63",

pages = "1--5",

journal = "Danish Medical Journal",

issn = "2245-1919",

publisher = "Almindelige Danske Laegeforening",

number = "9",

}

TY - JOUR

T1 - Limited availability of childhood overweightand obesity treatment programmes in Danish paediatric departments

AU - Eg, Marianne

AU - Cortes, Dina

AU - Johansen, Anders

AU - Frederiksen, Kirsten

AU - Lorentzen, Vibeke

AU - Larsen, Lone Marie

AU - Holm, Jens-Christian

AU - Vámosi, Marianne

PY - 2016/9

Y1 - 2016/9

N2 - INTRODUCTION: Age-related macular degeneration (AMD) leads to visual impairment that affects visual functioning and thereby the ability to be physically active. We investigated physical activity patterns in patients with AMD.METHODS: Patients with early and late AMD and elderly controls were recruited for this hospital-based cross-sectional study. All participants had their best-corrected visual acuity measured and were interviewed about their physical activity based on questions that covered regular physical activity, physical activity that would work up sweat, climbing the stairs and time spent on walking outdoors.RESULTS: We recruited 198 participants of whom 196 were eligible for inclusion in the analyses (68 controls, 25 with early AMD and 103 with late AMD). The frequency of regular physical activity did not differ between patients with early and late AMD and elderly controls. Lower best-corrected visual acuity in the best-seeing and the worse-seeing eye was associated with less engagement in physical activities that would work up sweat and a lower number of steps taken daily. Patients with bilateral vision loss from late AMD engaged in physical activities that were more controlled and less demanding of sharp central vision.CONCLUSION: Patients with late AMD may still be physically active even when the disease progresses and vision is lost, but activities may change into more controlled and less central vision-demanding ones.FUNDING: The Lundbeck Foundation.TRIAL REGISTRATION: not relevant.

AB - INTRODUCTION: Age-related macular degeneration (AMD) leads to visual impairment that affects visual functioning and thereby the ability to be physically active. We investigated physical activity patterns in patients with AMD.METHODS: Patients with early and late AMD and elderly controls were recruited for this hospital-based cross-sectional study. All participants had their best-corrected visual acuity measured and were interviewed about their physical activity based on questions that covered regular physical activity, physical activity that would work up sweat, climbing the stairs and time spent on walking outdoors.RESULTS: We recruited 198 participants of whom 196 were eligible for inclusion in the analyses (68 controls, 25 with early AMD and 103 with late AMD). The frequency of regular physical activity did not differ between patients with early and late AMD and elderly controls. Lower best-corrected visual acuity in the best-seeing and the worse-seeing eye was associated with less engagement in physical activities that would work up sweat and a lower number of steps taken daily. Patients with bilateral vision loss from late AMD engaged in physical activities that were more controlled and less demanding of sharp central vision.CONCLUSION: Patients with late AMD may still be physically active even when the disease progresses and vision is lost, but activities may change into more controlled and less central vision-demanding ones.FUNDING: The Lundbeck Foundation.TRIAL REGISTRATION: not relevant.

M3 - Journal article

SN - 2245-1919

VL - 63

SP - 1

EP - 5

JO - Danish Medical Journal

JF - Danish Medical Journal

IS - 9

M1 - A5269

ER -

Limited availability of childhood overweightand obesity treatment programmes in Danish paediatric departments

Abstract

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