关键词: 肥胖, 体质量管理, 儿童, 青少年, 医院-社区-家庭模式, 上海

Abstract: Background　Compared with that in 1985，the obesity rate of school children over seven years old in China increased from 0.5% to 7.3% in 2014.Currently，there is no specialized and professional continuous weight management of obese children and adolescents.Clinical interventions from hospitals would be provided only when obesity causes diseases，which increases the psychological burden of the individual and the economic burden of the family and society.There is an urgent need for the management of obesity in children and adolescents.Objective　To explore the effects of hospital-community-family model on weight management of obese children and adolescents.Methods　Obesity clinic was set up in Weifang Community Health Service Center in September 2017.BMI was used to screen children over six years old for obesity.Selected obese children and adolescents were management according to the hospital-community-family model，and the differences of height，body weight，abdominal circumference，BMI and body fat percentage were evaluated after six months of management.Results　There were significant differences in the height of 65 children and adolescents increased，body weight，waist circumference，BMI and body fat rate decreased after intervention（P<0.05）.Conclusion　Hospital-community-family model has a significant effect on the weight management of obese children and adolescents so as to optimize the medical treatment process and enable the regional obese children and adolescents to have professional and continuous weight management.

Key words: Obesity, Weight management, Child, Adolescents, Hospital-community-family model , Shanghai