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Reducing childhood obesity through coordinated care:Development of a park prescription program

World Journal of Clinical Pediatrics 2016年第3期5卷 234-243页

作者： Sarah E Messiah Sandy Jiang jack kardys Eric Hansen Maria Nardi Lourdes Forster Division of Community-Based Research and Training Mailman Center for Child DevelopmentDepartment of PediatricsMiller School of MedicineUniversity of Miami Department of Public Health Sciences Miller School of MedicineUniversity of Miami Miami Dade County Department of Parks Recreation and Open Spaces Department of Pediatrics Miller School of MedicineUniversity of Miami

Major hindrances to controlling the current childhood obesity epidemic include access to prevention and/or treatment programs that are affordable,provide minimal barriers for participation,and are available to the general ***,successful childhood obesity prevention efforts will require coordinated partnerships in multiple sectors such as government,health care,school/afterschool,and the community but very few documented sustainable programs currently ***,community-based health and wellness programs with a focus on maintaining healthy weight via physical activity and healthy eating have the potential to be a powerful referral resource for pediatricians and other healthcare professionals who have young patients who are overweight/*** Miami Dade County Department of Parks,Recreation and Open Spaces in partnership with the University of Miami UHealth Systems have created a "Park Prescription Program(Parks Rx4Health^(TM))" that formally coordinates pediatricians,families,parents,caregivers,and child/adolescents to provide daily obesity-prevention *** Parks Rx4Health^(TM)program that we describe here allows UHealth pediatricians to seamlessly refer their overweight and obese patients to Fit2Play^(TM),an evidence-based,park-based afterschool health and wellness *** outcomes that include body mass index,blood pressure,fitness,and nutrition knowledge are being collected at baseline and at 3-and 6-mo after referral to document patient *** are then shared with the referring physician so they can follow up with the patient if *** successful models that integrate primary care,public health,and community-based efforts is important to accelerating progress in preventing childhood ***,community-based health and wellness programs with a focus on physical activity and nutrition education could be a powerful referral resource for pediatricians who have obese patients.

关键词： Obesity Overweight Prevention Community-based Children Adolescents Primary care

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