DEFINITION OF MEASURES TO REDUCE THE OBESITY LEVEL IN CHILDREN BASED ON RESEARCH RESULTS OF PREVALENCE AND RISK FACTORS

Authors

  • V. A. Ohniev Kharkiv National Medical University, Kharkiv, Ukraine
  • K. G. Pomohaibo Kharkiv National Medical University, Kharkiv, Ukraine

DOI:

https://doi.org/10.11603/1681-2786.2020.3.11622

Keywords:

overweight, obesity, children, prevalence, risk factors, medical care

Abstract

Purpose: to study prevalence and main risk factors for overweight and obesity in children and adolescents aged 6–17 and develop appropriate prevention measures.

Materials and Methods. Bibliographic, statistical and sociological methods.

Results. It is noted an insufficient level of registration of obesity among children. During the study it was found that true prevalence of obesity and overweight in children and adolescents in Kharkiv is significantly different from the official statistics in Kharkiv region ((151.0±5.2)‰). 22 factors of risk had a reliable impact on the development of overweight in children and adolescents. The main risk factors for the formation of the overweight were biological and social and hygienic. Based on the results of the research it was proved that the key measures to reduce the prevalence of obesity and its consequences should be aimed at modifying risk factors, namely: changing stereotypes and habitats that contribute to pathology and at improving the quality of health care, basically at the primary level. Thus priority measures for improvement the quality of health care for children and adolescents with obesity should include: mandatory monitoring of body mass index among children from the age of 3 and assessment of the harmony of physical development; introduction of an information system for accounting, monitoring of obesity and overweight and the main risk factors (electronic medical record of the patient); introduction of patient registers at the territorial and regional level; preferential supervision by the family doctor, involvement of all experts; raising public awareness at the group, individual level; timely identification of risk factors, formation of risk groups, organization of dynamic monitoring, creation of differentiated prevention programs and study of public awareness of the main risks of overweight; advanced training of doctors, conducting training seminars on nutrition.

Conclusions. Thus, to solve the problem of obesity in children such structures as local governments, educational institutions, healthcare institutions and public organizations should be obligatory involved. Special attention is paid to measures to optimize medical care at the primary level for such children.

Author Biographies

V. A. Ohniev, Kharkiv National Medical University, Kharkiv, Ukraine

DM (Medicine), Professor, Head of the Department Public health and Healthcare Management, Kharkov National Medical University

K. G. Pomohaibo, Kharkiv National Medical University, Kharkiv, Ukraine

PhD (Medicine), Associate Professor of the Department Public health and Healthcare Management, Kharkov National Medical University

References

Dyachuk, D.D., & Zabolotna, I.E. (2017). Obhruntuvannia orhanizatsii medyko-sotsiolohichnoho monitorynhu ozhyrinnia u ditei v bahatoprofilnomu zakladi okhorony zdorovia [Substantiation of organization of medical and sociological monitoring of obesity in children in a multidisciplinary health care institution]. Visnyk sotsialnoi hihiieny ta orhanizatsii okhorony zdorovia Ukrainy – Bulletin of Social Hygiene and Health Care Organization of Ukraine, 4, 41-47 [in Ukrainian].

Dyachuk, D.D., Matyukha, L.F., & Zabolotna, I.E. (2017). Obiznanist simeinykh likariv z pytan nadmirnoi masy tila ta ozhyrinnia u ditei (za danymy anketuvannia likariv zahalnoi praktyky-simeinykh likariv) [Awareness of family doctors on overweight and obesity in children (according to the questionnaire of general practitioners-family doctors)]. Simeina medytsyna – Family Medicine, 3, 69-72 [in Ukrainian].

Zelinska, N.B., & Rudenko, N.H. (2015). Stan nadannia medychnoi dopomohy ditiam z endokrynnoiu patolohiieiu v Ukraini u 2014 rotsi [The state of medical care for children with endocrine pathology in Ukraine in 2014]. Ukrainskyi zhurnal dytiachoi endokrynolohii – Ukrainian Journal of Pediatric Endocrinology, 2, 5-13 [in Ukrainian].

Lezhenko, G.O., & Gladun, K.V. (2017). Osoblyvosti perebihu ozhyrinnia u ditei pidlitkovoho viku [Peculiarities of obesity in adolescents]. Dytiachyy likar – Pediatrician, 1, 5-12 [in Ukrainian].

Machado, A.P., Lima, B.M., & Laureano, M.G. (2016). Educational strategies for the prevention of diabetes, hypertension, and obesity. Rev. Assoc. Med. Bras., 62 (8), 800-808. DOI: 10.1590/1806-9282.62.08.800. DOI: https://doi.org/10.1590/1806-9282.62.08.800

(2016). Report of the commission on ending childhood obesity. WHO Library Cataloguing-in-Publication Data. Retrieved from: http://apps.who.int/iris/bitstream/10665/204176/1/9789241510066_eng.pdf.

(2016). World Health Organization. Using price policies to promote healthier diets. Retrieved from: http://www.euro.who.int/en/publications/abstracts/using-price-policies-to-promote-healthier-diets.

Published

2020-12-23

How to Cite

Ohniev, V. A., & Pomohaibo, K. G. (2020). DEFINITION OF MEASURES TO REDUCE THE OBESITY LEVEL IN CHILDREN BASED ON RESEARCH RESULTS OF PREVALENCE AND RISK FACTORS. Bulletin of Social Hygiene and Health Protection Organization of Ukraine, (3), 51–55. https://doi.org/10.11603/1681-2786.2020.3.11622

Issue

Section

Health of the population:tendencies and forecasts