title: [Childhood obesity].
abstract: Childhood obesity, due to the exponential increase of this chronic disease, is now considered a XXI century epidemic disease. Portugal, the sixth European country where this disease is more prevalent, expends 3,5% of the annual health budget with this pathology.
  
  
  OBJECTIVE
  Characterization of the obese children followed in the pediatric outpatient clinic.
  
  
  METHODS
  A twelve year cohort study who comprehended 482 kids, analysing demographic variables; family and social backgrounds; personal backgrounds; habits; body mass index (BMI); comorbidities; blood tests; clinical intervention and follow-up.
  
  
  RESULTS
  A positive family history with, at least, two obese elements was found in 64%, of the 246 boys (51%) and 236 girls (49%) analysed. We observed a 93% rate of eutocic delivery for an average birth weight of 3585 gr. These children were exclusively breastfeed for, at least, four months, in 38% of the cases. In our sample, we found an average of three meals per day, with an 81% rate of take-way. The absence of a regular physical activity plan was observed in 89% of the sample. Anthropometric evaluation and counselling about healthy habits were focused through all appointments. For a follow-up of 16 months (+/- 7 months), a 10% success rate was obtained, with an 1,22 BMI reduction. We verified a 20% dismissed rate, averagely occurring in the first 12 months (+/- 3 months).
  
  
  CONCLUSIONS
  On the whole, the characterization of our sample seems to be according to the children obesity literature. Trough out follow-up, commitment to the interventional schedule was critical for life-style modification and desirable BMI achievement. Regular appointments and periodic evaluation of the results seems to be reliable strategies in the fight of this epidemic disease.
authors.affiliation: Consulta de Pediatria Geral, Hospital Garcia de Orta, Almada.
authors.forename: Cláudia Dias
authors.initials: CD
authors.lastname: da Costa
authors.forename: Maria Gomes
authors.initials: MG
authors.lastname: Ferreira
authors.forename: Rosário
authors.initials: R
authors.lastname: Amaral
mesh_terms: D002648:Child; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008297:Male; D009765:Obesity / Q000453:epidemiology*