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Severe obesity in children and adolescents : a paediatrician's registration

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Severe obesity in children and adolescents : a paediatrician's registration

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Samenvatting

Objective: The rising prevalence of overweight and obesity is also observed in the Netherlands and there is also found an increase in the degree of obesity in children and adolescents. The aim of this study was to assess the number of children and adolescents with severe obesity, diagnosed by paediatricians in the Netherlands. Methods: The Dutch Paediatric Surveillance Unit (DPSU), a nation wide paediatric register, was used to asses the new cases of severe obesity. Data on characteristics and obesity – related co morbidity were collected by a questionnaire. Severe obesity was determined according to three different criteria; a BMI – for – age > 99.0th, a BMI – for – age > 99.9th percentile and Dutch age – dependent cut – off values for BMI > 35 at 18 years of age. Results: During the 2 – year’s registration period, 515 children with new onset of severe obesity were reported to the DSPU. In total 262 questionnaires were filled in and returned, of which 251 were eligible for analyses. Overall, 97% of children had a BMI – for – age > 99.0th percentile and 81% > 99.9thpercentile. Of the 2 to 12 year old children 99% was severely obese according to 99.0th percentile and 80% according to 99.9th percentile. Based on Dutch age – dependent cut – off values for BMI > 35 for at 18 years of age, 92% of the 2 to 12 year olds were severely obese. More than 50% of all children and adolescents with severe obesity had at least one obesity – related morbidity. Conclusion: This study shows that the number of children with severe obesity and related morbidity diagnosed by pediatricians in the Netherlands is worrying. Moreover, there are only small differences in numbers of severe obesity in children, when using various cut off values. The development of protocols for the detection and treatment of severe obese children is recommended.

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OrganisatieHogeschool van Amsterdam
InstituutBewegen, Sport en Voeding
Gepubliceerd in
Jaar2009
TypeBachelorscriptie
TaalEngels

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