PDF(Pubmed)
Abstract：
The transition to adult health care (HCT, Health Care Transition), is the purposeful, planned movement of patients from paediatric to adult services. For the adolescent living with obesity (ALwO), the HCT represents a crucial window for effective intervention that can help improve body weight, adiposopathy, and metabolic complications. Nevertheless, no transition guidelines, models, and tools have been developed for these patients. The present statement of the Italian Society of Obesity examines the critical transition of ALwO from paediatric to adult healthcare. It synthesises current knowledge and identifies gaps in HCT of ALwO. Drawing on successful practices and evidence-based interventions worldwide, the paper explores challenges, including disparities and barriers, while advocating for patient and family involvement. Additionally, it discusses barriers and perspectives within the Italian health care scenario. The need for specialised training for healthcare providers and the impact of transition on healthcare policies are also addressed. The conclusions underscore the significance of well-managed transitions. The SIO recognises that without proper support during this transition, ALwOs risk facing a gap in healthcare delivery, exacerbating their condition, and increasing the likelihood of complications. Addressing this gap requires concerted efforts to develop effective transition models, enhance healthcare provider awareness, and ensure equitable access to care for all individuals affected by obesity. The document concludes by outlining avenues for future research and improvement.
摘要：
向成人医疗保健的过渡(HCT，医疗保健过渡)，是有目的的，计划将患者从儿科转移到成人服务。对于患有肥胖症的青少年（ALwO），HCT代表了有效干预的关键窗口，可以帮助改善体重，脂肪病,和代谢并发症。然而，没有过渡准则，模型，并为这些患者开发了工具。意大利肥胖学会的本声明研究了ALwO从儿科到成人医疗保健的关键转变。它综合了当前的知识，并确定了ALwOHCT中的差距。借鉴世界各地的成功做法和循证干预措施，这篇论文探讨了挑战，包括差距和障碍，同时倡导患者和家庭参与。此外,它讨论了意大利医疗保健方案中的障碍和观点。还解决了对医疗保健提供者进行专门培训的需求以及过渡对医疗保健政策的影响。结论强调了管理良好的过渡的重要性。SIO认识到，在此过渡期间如果没有适当的支持，所有面临医疗服务缺口的风险，加剧了他们的病情,增加并发症的可能性。解决这一差距需要齐心协力制定有效的过渡模式,提高医疗保健提供者的意识，并确保所有受肥胖影响的人都能公平获得护理。该文件最后概述了未来研究和改进的途径。
