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A national e-health program for the prevention and management of overweight and obesity in childhood and adolescence in Greece
journal contributionposted on 13.11.2020, 00:18 by A Tragomalou, George MoschonisGeorge Moschonis, P Kassari, I Papageorgiou, SM Genitsaridi, S Karampatsou, Y Manios, E Charmandari
© 2020 by the authors. Licensee MDPI, Basel, Switzerland. Obesity in childhood and adolescence represents one of the most challenging public health problems of the 21st century owing to its epidemic proportions worldwide and the associated significant morbidity, mortality and public health costs. In Greece, the prevalence of overweight and obesity in childhood and adolescence exceeds 30–35%. To address the increasing prevalence of overweight and obesity in children and adolescents in our country, we developed the ‘National e-Health Program for the Prevention and Management of Overweight and Obesity in Childhood and Adolescence’, which provides specific and detailed guidance to all primary health care physicians about the personalized management of children and adolescents with overweight or obesity. In the present study we evaluated 2400 children and adolescents [mean age ± SD: 10.10 ± 0.09 years.; Males: 1088, Females: 1312; Obesity (n = 1370, 57.1%), Overweight (n = 674, 28.1%), normal BMI (n = 356, 14.8%)], who followed the personalized multi-disciplinary management plan specified by the ‘National e-Health Program for the Prevention and Management of Overweight and Obesity in Childhood and Adolescence’, and were studied prospectively for 1 year. We demonstrated that at the end of the first year, the prevalence of obesity decreased by 32.1%, the prevalence of overweight decreased by 26.7%, and the cardiometabolic risk factors improved significantly. These findings indicate that our National e-Health Program is effective at reducing the prevalence of overweight and obesity in childhood and adolescence after one year of intervention in the largest sample size reported to date.
The study was sponsored by the i) National Strategic Reference Framework (NSRF) 2007-2013 under the Operational Program "Human Resources Development" (EP.AN.A.D) 2007-2013 and was co-funded by the European Social Fund (ESF) and National Funding; and ii) the Operational Program "Competitiveness, Entrepreneurship & Innovation, EPAnEK 2014-2020" (project code: T1EDK-01386, MIS: 5030543, Acronym: PEDOBESITY), which is co-funded by Greece and the European Union, and represents continuation of the Program "Development of a National System for the Prevention and Management of Overweight and Obesity in Childhood and Adolescence in Greece".
- School of Allied Health