小児生活習慣病外来における肥満改善は可能か

概要

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Regarding the degree of obesity, body fat percentage, abdominal circumference, and abdominal circumference/height ratio in 64 patients (37 males ; 27 females) with simple obesity who visited the "Pediatric Lifestyle-related Disease clinic," Department of Pediatrics, Kurume University Medical Center, we compared changes between the initial visit (pre-guidance) and post-guidance visit, and investigated the relationship between changes and number of visits. All subjects bear the MHLW's diagnostic criterion (abdominal circumference/height ≥0.5 (6-15 years)) for pediatric metabolic syndrome and abdominal circumference/height ratio showed a positive correlation with degree of obesity (p<0.001). However, after guidance, 51.6% of subjects significantly reduced their degree of obesity by ≥10%, with decreased body fat percentage (p<0.001). Negative correlations were seen between number of visits and the degree of obesity as well as in abdominal circumference/height ratio in terms of improvement rate following guidance (p<0.001 ; p<0.05). Patients continuing visits and receiving guidance frequently showed a favorable obesity improvement rate. We consider that early intervention and periodical visits are important to improve pediatric obesity from the viewpoint of preventing metabolic syndrome.