scholarly journals The role of family doctor in management of overweight and obese children and adolescents

2015 ◽  
Vol 62 (2) ◽  
pp. 105-110
Author(s):  
Mihaela Adela Iancu ◽  
◽  
Dumitru Matei ◽  
Gabriel Cristian Bejan ◽  
◽  
...  
Keyword(s):  
Childhood Obesity ◽  
Children And Adolescents ◽  
Lifestyle Modification ◽  
Family Doctor ◽  
Primary Treatment ◽  
Obese Children ◽  
Family Doctors ◽  
The Family ◽  
Prevalence Of Obesity

The children and adolescents obesity is one of the most important public health problems. The prevalence of obesity among children and adolescents is increasing in our country as in other European countries. Overweight and obese children are likely to stay obese into adulthood and more likely to develop cardiovascular diseases or diabetes. The majority of the overweight and obese children can be diagnosed, monitored and treated by the family doctors. Our intended purpose is to help family doctors with practical tools for the identification and management of overweight and obese children. The most recent recommendations regarding prevention of childhood obesity focus on increased exercise and improved diet to prevent childhood obesity. Intensive lifestyle modification remains the primary treatment of the children obesity. The family doctors must know how to prevent the development of overweight and obese complications.

scholarly journals Prevention of road crashes in older adults: perspectives on facilitators, barriers and the role of the family doctor

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mario Rivera-Izquierdo ◽  
Luz María Valverde-Cano ◽  
Virginia Martínez-Ruiz ◽  
María Rosa Sánchez-Pérez ◽  
Francisco Javier Atienza-Martín ◽  
...  
Keyword(s):  
Older Adults ◽  
Traffic Safety ◽  
Older Patients ◽  
Traffic Accidents ◽  
Family Doctor ◽  
Negative Consequences ◽  
Family Doctors ◽  
Road Crashes ◽  
The Family

Abstract Background People over 64 years have a high fatality rate when they are involved in traffic accidents. Besides, older victims of road crashes are expected to rise in the future due to population aging. The purpose of the study was to document their perception on the role of the family doctor, the main facilitating factors, and the perceived barriers to the temporary or permanent restriction of their driving. Methods This qualitative study used focus group methodology. A sample of 16 people over 65 years old was obtained through a series of segmentation criteria at an active participation centre for older adults in a small town in Jaén province (Spain). All were invited to participate in a discussion during which they were asked to express their opinions and subjective experiences concerning the role of their family doctor. The group conversation was taped, fully transcribed and analysed, and codes were generated with both deductive and inductive methods. Results After merging the codes to generate themes, we identified 9 relevant categories: perception of age-related risk, road safety, role of public authorities, driver assessment centre, role of the family doctor, role of the family, proposals for addressing traffic accidents in older adults, consequences of the driving prohibition, and public transport. All categories help to explain the subjective driving and traffic safety experiences of older road users. Conclusions Although family doctors do not usually ask their older patients about road driving, they are highly valued by these patients. Thus, family doctors have a great potential to act, along with the family members, for the benefit of older patients’ traffic safety, in ways that can prevent their involvement in road crashes and reduce the negative consequences of having to stop driving if necessary.

scholarly journals Role of the family doctor in the management of adults with obesity: a scoping review

BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e019367 ◽  
Author(s):  
Elizabeth A Sturgiss ◽  
Nicholas Elmitt ◽  
Emily Haelser ◽  
Chris van Weel ◽  
Kirsty A Douglas
Keyword(s):  
Primary Care ◽  
Scoping Review ◽  
Grey Literature ◽  
Family Doctor ◽  
Secondary Outcome ◽  
International Guidelines ◽  
Family Doctors ◽  
Whole Person ◽  
The Family

ObjectivesObesity management is an important issue for the international primary care community. This scoping review examines the literature describing the role of the family doctor in managing adults with obesity. The methods were prospectively published and followed Joanna Briggs Institute methodology.SettingPrimary care. Adult patients.Included papersPeer-reviewed and grey literature with the keywords obesity, primary care and family doctors. All literature published up to September 2015. 3294 non-duplicate papers were identified and 225 articles included after full-text review.Primary and secondary outcome measuresData were extracted on the family doctors’ involvement in different aspects of management, and whether whole person and person-centred care were explicitly mentioned.Results110 papers described interventions in primary care and family doctors were always involved in diagnosing obesity and often in recruitment of participants. A clear description of the provider involved in an intervention was often lacking. It was difficult to determine if interventions took account of whole person and person-centredness. Most opinion papers and clinical overviews described an extensive role for the family doctor in management; in contrast, research on current practices depicted obesity as undermanaged by family doctors. International guidelines varied in their description of the role of the family doctor with a more extensive role suggested by guidelines from family medicine organisations.ConclusionsThere is a disconnect between how family doctors are involved in primary care interventions, the message in clinical overviews and opinion papers, and observed current practice of family doctors. The role of family doctors in international guidelines for obesity may reflect the strength of primary care in the originating health system. Reporting of primary care interventions could be improved by enhanced descriptions of the providers involved and explanation of how the pillars of primary care are used in intervention development.

scholarly journals The role of the family doctor in the era of multi-disciplinary primary care

2016 ◽  
Vol 33 (5) ◽  
pp. 447-448
Author(s):  
Cindy L K Lam
Keyword(s):  
Primary Care ◽  
Family Doctor ◽  
The Family

scholarly journals Orthopedic Problems in Overweight and Obese Children

2018 ◽  
Vol 1 (1) ◽  
pp. 05-07
Author(s):  
GL Di Gennaro
Keyword(s):  
United States ◽  
Coronary Artery Disease ◽  
Body Mass Index ◽  
Childhood Obesity ◽  
Body Mass ◽  
The United States ◽  
Obese Children ◽  
The World ◽  
Prevalence Of Obesity ◽  
Artery Disease

According to the data published by Haslam and James, about 10% of the world populations aged up to 18 areoverweight or obese [1]. In Europe, there are about 20% children with excessive body mass, 5% of whom sufferfrom obesity [2,3]. Childhood obesity is an ongoing epidemic in the United States [4,5]. The most recent data fromthe US indicate that 16.9% of children and adolescents are obese, defined as a body mass index (BMI) for age >95thpercentile [6,7] and there is evidence that the prevalence of obesity among children will reach 30% by 2030 [8].Childhood obesity is a risk factor for greater morbidity later in life, including diabetes, coronary artery disease andincreased mortality [4,5,9,10].

scholarly journals The role of the family doctor in the management of adults who are obese: a scoping review protocol

SpringerPlus ◽  
2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Elizabeth Ann Sturgiss ◽  
Nicholas Elmitt ◽  
Chris van Weel ◽  
Emily Haesler ◽  
Ginny Sargent ◽  
...  
Keyword(s):  
Scoping Review ◽  
Family Doctor ◽  
The Family ◽  
Review Protocol

scholarly journals Antibiotics Use in Adult Population, as Perceived by Family Doctors in Romania

2018 ◽  
Vol 24 (2) ◽  
pp. 82-85
Author(s):  
Chirila Sergiu ◽  
Alexiu Sandra Adalgiza
Keyword(s):  
Adult Population ◽  
Family Doctor ◽  
Daily Basis ◽  
Emergency Rooms ◽  
Self Medication ◽  
Family Doctors ◽  
Medical Practitioners ◽  
The Family ◽  
Personal Recommendation ◽  
Doctor's Office

Abstract Introduction: In recent years, the problem of overprescribed antibiotics has become one of the most serious public health issues at global level. Clear evidence shows direct relation between antibiotics consumption and the resistance developed by the microbial agents Objectives: The aim of this study is to evaluate the frequency of antibiotics recommendations from other medical practitioners or pharmacists and reported self-medication, in the family doctor’s office Methods: We conducted a survey questionnaire on 184 family doctors from Romania that volunteered to gather information for one week on a daily basis. he questionnaire for adults had four questions, related to the frequency of antibiotics consumption based on the recommendation from emergency rooms or other doctors, self-medication, antibiotics recommended and delivered by pharmacies and personal recommendation of antibiotics Conclusion: We conclude that the level of antibiotics recommendations for diseases, which usually do not benefit from this type of treatment, is high, with a large proportion of adult patients coming to the family doctor for reimbursement. The level of auto-medication with antibiotics, in adults, is also elevated, in most of the cases based on leftover medication.

scholarly journals Adiponectin and Cardiovascular Risk. From Pathophysiology to Clinic: Focus on Children and Adolescents

2019 ◽  
Vol 20 (13) ◽  
pp. 3228 ◽  
Author(s):  
Antonina Orlando ◽  
Elisa Nava ◽  
Marco Giussani ◽  
Simonetta Genovesi
Keyword(s):  
Risk Factors ◽  
Cardiovascular Risk ◽  
Children And Adolescents ◽  
Plasma Levels ◽  
Lifestyle Modification ◽  
Intima Media Thickness ◽  
Carotid Intima Media Thickness ◽  
Organ Damage ◽  
Obese Children ◽  
Peripheral Tissues

Adiponectin (Ad) is a cytokine produced by adipocytes that acts on specific receptors of several tissues through autocrine, paracrine, and endocrine signaling mechanisms. Ad is involved in the regulation of cell survival, cell growth, and apoptosis. Furthermore, Ad plays an important pathophysiological role in metabolic activities by acting on peripheral tissues involved in glucose and lipid metabolism such as skeletal muscle, and the liver. Adiponectin has anti-inflammatory, anti-atherogenic, and insulin-sensitizing effects. For this reason, low levels of Ad are associated with the development of cardiovascular complications of obesity in adulthood. Numerous studies have shown that, even in children and adolescents, Ad is associated with risk factors for cardiovascular diseases. In obese children, reduced levels of Ad have been reported and Ad plasma levels are inversely related with abdominal obesity. Moreover, lower Ad concentrations are associated with the development of metabolic syndrome, insulin resistance and hypertension in pediatric subjects. In addition to a higher prevalence of cardiovascular risk factors, plasma values of Ad are also inversely associated with early organ damage, such as an increase in carotid intima-media thickness. It has been suggested that low Ad levels in childhood might predict the development of atherosclerosis in adulthood, suggesting the possibility of using Ad to stratify cardiovascular risk in obese children. Some evidence suggests that lifestyle modification may increase Ad plasma levels. The aim of this review is to summarize the evidence on the relationship between Ad, obesity, metabolic alterations and hypertension in children and adolescents, and to address the possibility that Ad represents an early marker of cardiovascular risk in pediatric subjects. Furthermore, the effects of non-pharmacological treatment (weight loss and physical activity) on Ad levels are considered.

scholarly journals Contextual Complexities in Implementing a Family-Based Childhood Obesity Intervention: The Perspectives of Enrolled Children and Their Parents

Children ◽  
2020 ◽  
Vol 7 (12) ◽  
pp. 267
Author(s):  
Didde Hoeeg ◽  
Ulla Christensen ◽  
Louise Lundby-Christensen ◽  
Dan Grabowski
Keyword(s):  
Childhood Obesity ◽  
Family Dynamics ◽  
Qualitative Interviews ◽  
Family Intervention ◽  
Healthy Habits ◽  
The Family ◽  
Obesity Interventions ◽  
Supportive Environments ◽  
Family Based

Family interventions to treat childhood obesity are widely used, but knowledge about how family dynamics are affected by these interventions is lacking. The present study aims to understand how a family intervention impacts the context of family dynamics, and how different contexts affect the families’ implementation of the intervention. Based on qualitative interviews, we studied families with a child between 9–12 years enrolled in a family intervention to treat childhood obesity at a pediatric outpatient clinic. We conducted 15 family interviews including 36 family members. We found that the family intervention created a new context for the enrolled children. They had to navigate in different contexts and non-supportive environments and push for change if they needed more supportive environments in their attempt to adhere to healthy habits. We show the complexities experienced by parents and grandparents when trying to comply with siblings’ and/or grandchildren’s different needs. The enrolled children were often indirectly blamed if others had to refrain from unhealthy preferences to create supportive environments. These findings are significant in understanding the important role of contexts in family-obesity interventions. This knowledge is relevant to health professionals, researchers, and policymakers.

Sign in / Sign up

Export Citation Format

Share Document