中国儿童保健杂志 ›› 2020, Vol. 28 ›› Issue (2): 120-122.DOI: 10.11852/zgetbjzz2019-0005

• 专家笔谈 • 上一篇    下一篇

儿童青少年肥胖的医学营养治疗与HCH管理模式

洪莉1, 刘云曼1, 周路路2, 余晓丹1   

  1. 1 国家儿童医学中心/上海交通大学医学院附属上海儿童医学中心,上海 200127;
    2 上海浦东新区潍坊社区服务中心,上海 200127
  • 收稿日期:2019-12-25 发布日期:2020-02-10 出版日期:2020-02-10
  • 作者简介:洪莉(1972-),女,科主任,主任医师,博士生导师,主要研究方向为儿科临床营养。
  • 基金资助:
    国家科技部重点研发专项(2016YFC1305204); 上海卫健委临床营养重要薄弱学科建设项目(2019ZB0103)

Medical nutrition therapy for the obesity of children and adolescents with HCH management mode

HONG Li 1, LIU Yun-man1, ZHOU Lu-lu2, YU Xiao-dan 1   

  1. 1 National Children′s Medical Center/Shanghai Children′s Medical Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200127,China;
    2 Shanghai Weifang Community Service Center,Pudong New Area,Shanghai 200127,China
  • Received:2019-12-25 Online:2020-02-10 Published:2020-02-10

摘要: 肥胖已经成为严峻的全球性公共卫生问题。截至2014年,我国7岁以上学龄儿童青少年的超重率为12.2%,肥胖率为7.3%,共有3 496万人。2030年可达5 000万。儿童青少年肥胖的医学营养治疗,包括积极的高危人群筛查,肥胖儿童青少年的饮食、运动、生活方式综合干预等。上海儿童医学中心-上海潍坊社区服务中心医联体门诊采用“医院-社区-家庭(HCH)管理模式”对上海地区儿童青少年肥胖进行医学营养综合治疗,获得良好效果,值得进一步应用推广。

关键词: 肥胖, 儿童青少年, 医学营养治疗, 医院-社区-家庭

Abstract: Obesity has become a serious global public health problem. By 2014,12.2% of school-age children over 7 years old in China were overweight and 7.3% were obese,with a total of 34.96 million children. This number could increased to 50 million by 2030. Medical nutrition therapy of obesity in children and adolescents includes active screening of high-risk groups and comprehensive intervention involving diets,physical exercises and lifestyle change of obesity children and adolescents. Shanghai Children′s Medical Center-Shanghai Weifang Community Service Center Joint Nutrition Clinic adopts the "Hospital-Community-Home (HCH)” management mode to carry out the comprehensive medical nutrition therapy for the obesity of children and adolescents in Shanghai.It is proved that this management already obtains good effects,and it is worthy for further application and promotion.

Key words: obesity, children and adolescents, medical nutrition therapy, Hospital-Community-Home

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