Gergana FOREFA, Radost ASENOVA, Valentina MADJOVA

Difficulties In Prevention Of Overweight And Obesity In Children In General Practice In Bulgaria

Aile hekimliği fiziksel aktivite ve beslenme konularında çocukların eğitimi için uygun ve doğal bir çevredir. Bu çalışmanın amacı aile hekimliğinde karşılaşılan obezite ve aşırı kilonun önlenmesinde ana zorlukları araştırmaktır. 34 aile hekimi bu çalışmada yar almıştır. Önleyici ölçümlerin organizasyonunun direk olarak gözlenmesinin yanı sıra, aile hekimleri ile de görüşmeler yapılmıştır Yazılı belgeler kadar çocuklarda obezite üzerine uygun formlarda materyalin olmaması ve yetersiz finansman çocuklarda obezitenin önlenmesinde aile hekimlerin karşılaştığı ana engellerdir. Bulgaristandaki reformun bu aşamasında çocuklarda obezite ile ilgili problemler üzerinde yetersiz sayıda ve kalitede önleyici tedbirleri ilgilendiren ciddi organize zorluklar mevcuttur.

Bulgaristan da Aile Hekimliğinde Çocuklarda Obezite ve Aşırı Kilonun Önlenmesindeki Zorluklar

General practice is a suitable and natural environment for educating children on the issues of nutrition and physical activity. The aim of the study is to research the main difficulties in prevention of overweight and obesity encountered in general practice. 34 general practitioners are encompassed in the study. Interviews with general practitioners have been made as well as a 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 well as the written documentation are the main barriers the general practitioners meet in the prevention of obesity in children. At this stage of the reform in Bulgaria there are substantial organizational difficulties with regard to the insufficient volume and quality of preventive measures on the problem with obesity in children.

PDF

___

1. Cifuentes M, Green LA. Obesity trial: knowledge without systems, BMJ 328: 272-274, 2004
2. Dietz WH, Nelson A. Barriers to the treatment of childhood obesity: a call to action. J Pediatr 134: 535-536, 1999
3. 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
4. Kalagotla L., Adams W. Ambulatory Management of Childhood Obesity. Obesity Research 12: 2, 275-283, 2004
5. King AC. Two year results of the activity counselling trial (ACT). Int J Behav Med 7: 188, 2000
6. McCallum Z, Gerner B. Weighty mattersAn approach to childhood overweight in general practice, Reprinted from Australian Family Physician 34; 9, 2005.
7. 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
8. 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
9. 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
10.Olesen F, Dickinson J, Hjortdahl P. Medical Psychology and Medical sociology, General practice time for a new definition BMJ; 320:354-357, 2000
11.Sallis J, Patrick K, Frank E et al. Interventions in Health Care Settings to Promote Healthful Eating and Physical Activity in Children and Adolescents. Preventive Medicine 31; S 112S 120 (2000) doi: 10.1006/pmed.1999.0576, available online at www.idealibrary.com
12.Stettler N. Comment: The global epidemic of childhood obesity: is there a role for the paediatrician?, The International Association for the Study of Obesity. obesity reviews 5 (Suppl. 1): 13, 2004
13.Story MT, Neumark-Stzainer DR, Sherwood NE et al. Management of child and adolescent obesity: attitudes, barriers, skills, and training needs among health care professionals. Pediatrics 110: 210214, 2002
14.Wake M, Waters E, Salmon L et al. Parent-reported health status of overweight and obese Australian primary school children: a cross-sectional population survey. Int J Obesity 26: 717-724, 2002
15.Whitaker RC. Obesity prevention in pediatric primary care. Arch Pediatr Adolesc Med 157: 725-727, 2003.