2026-04-29T17:03:13Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/113182025-04-30T06:40:53Zcom_20.500.12105_2052com_20.500.12105_2051com_20.500.12105_15322col_20.500.12105_19608col_20.500.12105_16963

00925njm 22002777a 4500 dc Ortiz-Pinto, Maira Alejandra author Ortiz-Marrón, Honorato author Esteban-Vasallo, María D author Quadrado-Mercadal, Agueda author Casanova-Pardomo, Dayami author González-Alcón, Marta author Ordobás-Gavín, María author Galan, Iñaki author 2020 Objectives: 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. Arch Dis Child. 2020 Mar;105(3):292-297. 10.1136/archdischild-2019-316895 1468-2044 Archives of disease in childhood 31434642 http://hdl.handle.net/20.500.12105/11318 Child obesity Drug prescriptions Healthcare Demand for health services and drug prescriptions among overweight or obese preschool children