Article Text

A LONG-TERM, INTENSIVE PLAN OF SURVEILLANCE OF HYGIENIC AND DIETETIC STRATEGY IN A GROUP OF OBESE PATIENTS
  1. M J Ballester1,
  2. L Santillana2,
  3. E Palomo1,
  4. P Giralt1,
  5. L Zapata1
  1. 1Pediatric Endocrinology Unit, Hospital General de Ciudad Real, Ciudad Real, Spain
  2. 2Pediatric and Neonatal Intensive Care Unit, Hospital General de Ciudad Real, Ciudad Real, Spain

Abstract

Background and Aims In the management of obesity, the intensive application of hygienic and dietetic counseling has turned out to be the most effective treatment, even in the long term.

Objectives Long-term follow-up of an obese patient group. Adherence to the proposed strategy. To check for continued good results as in previous observations.

Methods 33 children were surveyed, 40/60 male/female. Mean age was 11 years and 5 months (range 3–15 years). By age group: 3–5 years, 9%; 5–10 years, 21.2%; 10–15 years, 69.6%. Average time of surveillance: 14.6 months. Intensive guide of surveillance: (i) Oral and written information about menu elaboration and counseling on cooking and doing exercise. (ii) Clinical appointments every 1–2 months. Review height, weight and degree of achievement. Continuous training

Results There was a mean decrease of 1.4 standard deviation (SD) in body mass index (BMI) in 87.8% of patients. Only 4 male patients had a mean BMI increase of 1.6 SD. By age group, the mean BMI decrease was: 0.65 SD in the under 5 age group, 1.6 SD in the 5–10 year old group and 1.5 SD in 87% of children in 10–15 year old group. In a short term review, previously performed in the same population, the number of patients that achieved significant weight loss was lower (85%) and the mean decrease of BMI was less important (0.7 SD).

Conclusions Intensive use of hygienic and dietetic counseling could lower BMI in long term surveys. There was no significant statistical differences between sexes or age groups.

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