Aile hekimliği fiziksel aktivite ve beslenme konularında çocukların eğitimi için uygun ve doğalbir çevredir. Bu çalışmanın amacı aile hekimliğinde karşılaşılan obezite ve aşırı kilonunönlenmesinde ana zorlukları araştırmaktır. 34 aile hekimi bu çalışmada yar almıştır. Önleyiciölçümlerin organizasyonunun direk olarak gözlenmesinin yanı sıra, aile hekimleri ile degörüşmeler yapılmıştırYazılı belgeler kadar çocuklarda obezite üzerine uygun formlarda materyalin olmaması veyetersiz finansman çocuklarda obezitenin önlenmesinde aile hekimlerin karşılaştığı anaengellerdir. Bulgaristan’daki reformun bu aşamasında çocuklarda obezite ile ilgili problemlerüzerinde yetersiz sayıda ve kalitede önleyici tedbirleri ilgilendiren ciddi organize zorluklarmevcuttur
General practice is a suitable and natural environment for educating children on the issues ofnutrition and physical activity. The aim of the study is to research the main difficulties inprevention of overweight and obesity encountered in general practice. 34 general practitionersare encompassed in the study. Interviews with general practitioners have been made as well asa direct open observation of the preventive measures organization has been applied. The insufficient funding, lack of materials in appropriate form on the obesity in children as wellas the written documentation are the main barriers the general practitioners meet in theprevention of obesity in children. At this stage of the reform in Bulgaria there are substantialorganizational difficulties with regard to the insufficient volume and quality of preventivemeasures on the problem with obesity in children
___
Cifuentes M, Green LA. Obesity trial: knowledge without systems, BMJ 328: 272-274, 2004
Dietz WH, Nelson A. Barriers to the treatment of childhood obesity: a call to action. J Pediatr 134: 535-536, 1999
Gauthier BM, Hickner JM, Ornstein S. High prevalence of overweight children and adolescents in the Practice Partner Research Network. Arch Pediatr Adol Med 154: 625-628, 2000
Kalagotla L., Adams W. Ambulatory Management of Childhood Obesity. Obesity Research 12: 2, 275-283, 2004
King AC. Two year results of the activity counselling trial (ACT). Int J Behav Med 7: 188, 2000
McCallum Z, Gerner B. Weighty mattersAn approach to childhood overweight in general practice, Reprinted from Australian Family Physician 34; 9, 2005.
Melissa A, McCallum W, McCallum Z. Secondary prevention of overweight in primary school children: what place for general practice?, MJA 181(2): 82-84, 2004
Morris SE, Lean ME, Hankey CR et al. Who gets what treatment for obesity? A survey of GPs in Scotland., Health Educ Res. 21(6):783-95, 2006
Ockene JK, McBride PE, Sallis JF et al. Syn-, thesis of lessons learned from cardiopulmonary preventive interventions in healthcare practice settings. Ann Epidemiol 7(Suppl): S32- S45, 1997 Total number % Sp number % Sp number % Sp
Lack of interest on the part of the parents 62 5 07 13 66 Insufficient time 33 65 52 5 Insufficient funding 67 86 5 65 61 29 Lack of materials 33 5 13 87 8 Written documentation 67 12 5 43 87 8 Total Table 2: Barriers in conducting preventive measures.