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dc.contributor.authorOrtiz-Pinto, Maira Alejandra 
dc.contributor.authorOrtiz-Marrón, Honorato
dc.contributor.authorEsteban-Vasallo, María D
dc.contributor.authorQuadrado-Mercadal, Agueda
dc.contributor.authorCasanova-Pardomo, Dayami
dc.contributor.authorGonzález-Alcón, Marta
dc.contributor.authorOrdobás-Gavin, María
dc.contributor.authorGalan, Iñaki 
dc.date.accessioned2020-11-11T14:01:38Z
dc.date.available2020-11-11T14:01:38Z
dc.date.issued2020
dc.identifier.citationArch Dis Child. 2020 Mar;105(3):292-297.es_ES
dc.identifier.urihttp://hdl.handle.net/20.500.12105/11318
dc.description.abstractObjectives: To evaluate the association between excess weight and the demand of health services in preschool children compared with healthy weight. Methods: The data come from the Longitudinal Study of Childhood Obesity cohort (1884 4-year-old children, residing in the Madrid region, Spain) who provided information through telephone questionnaire, physical examination and electronic medical records. We defined overweight, general and abdominal obesity based on body mass index, waist circumference and waist-to-height ratio. Using mixed models of multivariable negative binomial regression we calculated the incidence rate ratio (IRR) regarding primary care (PC) doctor visits, drug prescriptions and hospital admissions by weight status at the end of the 2-year follow-up. Results: Childhood general obesity was associated with a higher demand for PC services related to psychological problems (IRR=1.53; 95% CI 1.02 to 2.28) and childhood abdominal obesity, according to waist-to-height ratio, was related to more frequent problems of the musculoskeletal system (IRR=1.27; 95% CI 1.00 to 1.62). Drugs were prescribed more frequently to children falling under all three definitions of excess weight, compared with healthy weight children. No differences in the number of hospital admissions were observed. Conclusions: The demand of health services related to early childhood obesity was small. Nevertheless, obesity was associated with a slightly greater demand for drug prescriptions and for PC doctor visits related to psychological and musculoskeletal problems.es_ES
dc.language.isoenges_ES
dc.publisherBMJ Publishing Group es_ES
dc.type.hasVersionAMes_ES
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/*
dc.subjectChild obesityes_ES
dc.subjectDrug prescriptionses_ES
dc.subjectHealthcarees_ES
dc.subject.meshAdolescent es_ES
dc.subject.meshBody Mass Index es_ES
dc.subject.meshChild es_ES
dc.subject.meshChild Health Services es_ES
dc.subject.meshChild, Preschool es_ES
dc.subject.meshFacilities and Services Utilization es_ES
dc.subject.meshFemale es_ES
dc.subject.meshHospitalization es_ES
dc.subject.meshHumans es_ES
dc.subject.meshMale es_ES
dc.subject.meshPatient Acceptance of Health Care es_ES
dc.subject.meshPediatric Obesity es_ES
dc.subject.meshPhysical Examination es_ES
dc.subject.meshPrescription Drugs es_ES
dc.subject.meshPrimary Health Care es_ES
dc.subject.meshProspective Studies es_ES
dc.subject.meshSpain es_ES
dc.subject.meshWaist Circumference es_ES
dc.titleDemand for health services and drug prescriptions among overweight or obese preschool childrenes_ES
dc.typejournal articlees_ES
dc.rights.licenseAtribución-NoComercial-CompartirIgual 4.0 Internacional*
dc.identifier.pubmedID31434642es_ES
dc.format.volume105es_ES
dc.format.number3es_ES
dc.format.page292-297es_ES
dc.identifier.doi10.1136/archdischild-2019-316895es_ES
dc.description.peerreviewedes_ES
dc.identifier.e-issn1468-2044
dc.relation.publisherversionhttp://dx.doi.org/10.1136/archdischild-2019-316895es_ES
dc.identifier.journalArchives of disease in childhoodes_ES
dc.repisalud.centroISCIII::Centro Nacional de Epidemiologíaes_ES
dc.repisalud.institucionISCIIIes_ES
dc.rights.accessRightsopen accesses_ES


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Atribución-NoComercial-CompartirIgual 4.0 Internacional
Este Item está sujeto a una licencia Creative Commons: Atribución-NoComercial-CompartirIgual 4.0 Internacional