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Family Practice Advance Access published online on September 30, 2008
Family Practice, doi:10.1093/fampra/cmn062
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© The Author 2008. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org.

Co-morbidity obese children in family practice in The Netherlands: the results of a pilot study

Françoise Langensa, Ton Dappera, Roos Nuboerb, Chris van Weela and Jaap van Binsbergena

a Department of General Practice, 117-HAG, Radboud University Nijmegen Medical Centre, Nijmegen
b Meander Medical Centre, Postbus 1502, 3800 BM Amersfoort, The Netherlands

Correspondence to Françoise Langens, Bruggensingel noord 13, 3823BA Amersfoort, The Netherlands; E-mail: francoise.langens{at}orange.nl

Received 24 May 2008; Revised 3 August 2008; Accepted 26 August 2008.


  Abstract

Objectives. The aim of this pilot study was to assess the prevalence of co-morbidity in obese children. Particular emphasis was on cardiovascular risk.

Method. In this retrospective, cross-sectional, observational study the data of 155 obese children, who visited a paediatric obesity outdoor clinic, have been studied.

Results. In all, 92% of the population had at least one cardiovascular risk factor. In all, 48% showed a high systolic and 9% a high diastolic blood pressure, while 18% had an increased fasting glucose. In 60%, we diagnosed insulin resistance: the homeostasis model assessment was elevated.

Discussions. The prevalence of high blood pressure, dyslipidaemia, abnormal fasting glucose and insulin resistance are high in this retrospective study. Outcomes of foreign studies on this object are difficult to compare because various populations and cut-off points are used. A new, prospective, study will be conducted to asses the prevalence of co-morbidity in obese children in general practice.

Keywords. Children, co-morbidity, general practice, obesity, insulin resistance.

Langens F, Dapper T, Nuboer R, van Weel C and van Binsbergen J. Co-morbidity obese children in family practice in The Netherlands: the results of a pilot study. Family Practice 2008; 4: 1–4.


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