[Study EXPO 2010: Overweight and Obesity in Childwood].
BACKGROUND
During the last decades, overweight and obesity in childwood have been suffering a significant rise. National data point towards a total prevalence up to 30% between 7 and 9 years of age. The tendency is worsening, especially in the lower socioeconomic status. The mentioned weight changes expose children to a higher risk of severe co-morbidities, justifying this way the need for early detection and orientation of the problem, particularly in the ages focused in Global Health Exams.


OBJECTIVE
Ensure technical and scientific quality of the following records: overweight and obesity records in problems list, minimum diagnosis tests request and therapeutic counseling.


METHODS
Dimension: technical and scientific quality of the records. Unit of study: children watched in health unit of authors, born from 01/01 to 31/12 2002 (inc) and 01/01 to 31/12 1995 (inc), with at least one medical surveillance carried out, respectively, to 5 or 6 years and at 11, 12 or 13 years, with BMI = 85th percentile; Evaluated Professionals: all family doctors; Time period evaluated: 2006-2009, inc. Data Type: clinical data.


METHODS
SINUS ® and SAM ® version 9.2.


RESULTS
internal. Criteria for groups with overweight and Obesity, respectively: I and II) Registration in problems list, III and IV) Registration of minimum diagnosis tests request, V and VI) Registration of therapeutic counseling.


METHODS
May 2010.


RESULTS
Retrospective.


METHODS
institutional basis, not random. Type of Intervention: Educational and structural.


RESULTS
There were included 118 children with weight changes (prevalence of 15.2% for overweight and 10,1% for obesity). In 5-6 years-old children, all the criteria were "Unsatisfactory" (the best result was the record of therapeutic plan on overweight but still only 26,2%). Regarding to teenagers, the results were "Good" for Criterion III, "Satisfactory" for the IV and VI and "Unsatisfactory" for all the others.


CONCLUSIONS
Devaluation of overweight and obesity as a health risk to child, diagnostic errors, Child and Youth Health Program limitations, lack of national clinical guidelines, eviction of traumatic procedures, registration failure and follow-up in Pediatrician or Nutritionist are factors that may justify the results. The re-evaluation will be realized after the application of the planned corrective measures.
Departamento de Medicina Geral e Familiar, Unidade de Saúde Familiar, Nova Via, ACES Espinho/Gaia, Gaia, Portugal.
Diana L
DL
Martins
Ana Isabel
AI
Branco
J Luís
JL
Fernandes
Mónica
M
Chaves
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006801:Humans; D009765:Obesity / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control; D050177:Overweight / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control; D017410:Practice Guidelines as Topic