Evaluation of children's services the outpatient Child Obesity Clinic The Motol university hospital, Prague, Czech Republic
Abstract
We evaluated the effectiveness and efficiency after 10th year of implementation of comprehensive treatment practice at children obesity clinic. The number of patients who have gone through the educational phase of the protocol, has doubled to 656 clients in comparison with the first five-year period. 3% of clients had been diagnosed with secundar obesity, 40% with primar obesity and 57% with primar obesity with complex metabolic changes.
In the group of common obesity, boys represented 54% and girls 46%. The entry SDS BMI parameters: overweight 13%, non-severe obesity I. grade 20%, severe obesity II. grade 35%, morbid obesity III. grade 21% and a monstrous obesity IV. grade 11% of children. 75% of clients completed the outpatient clinic program.
We have processed the results of 184 children with a mean follow of 13/4 year. Their entry SDS BMI was at the level of morbid obesity with SDS BMI 2.8.
All patients passed through the therapeutic reduction phase with an average reduction of SDS BMI -0.57. Average final reduction was SDS BMI -0.59.
Types of clients, complexity of services and achievements of outpatient clinic are at the level of the world's successful child obesitology centers at significantly lower cost. Timely assessment of the health risks of developing overweight and its diagnosis is desirable and establishment of a regime of monitoring and treatment within the proposed national concept of child obesitology.
Our daily practice despite satisfactory results prove that the simplest and most effective treatment of childhood obesity is its prevention.