Zabolotna I. Medico-social substantiation of improvement of the preventing system of overweight in children on the example of a multidisciplinary health care institution

The dissertation is devoted to the decision of an actual scientific and practical problem – medical and social reasoning of the model of improving the prevention of obesity in school-age children. The aim of the work was to improve the system of obesity prevention in school-age children at the level of the health care institution. The research was conducted on the basis of a children's counseling and treatment center State Scientific Institution «Scientific and Practical Center for Preventive and Clinical Medicine» State Administrative Department. The research was made in six stages according to the set goal and defined tasks using adequate methods: system approach and analysis, bibliosemantic, epidemiological, content analysis, medical-statistic, sociological, conceptual modeling and expert assessments. Data on the prevalence of obesity and overweight in children according to statistics of Center for Disease Control and Prevention та WHO European Region, the results of international WHO, current recommendations and strategies for the prevention of obesity in children were studied. According to official industry statistics, the current state of obesity prevalence among children in Ukraine in different age groups and prognose have been determined. The analysis of normative documents of the Ministry of Public Health of Ukraine which regulate the procedure and main components of medical preventive examinations of children in Ukraine, the scheme of their periodicity, criterias of physical development of children and the account of results of medical examination of the child with normal checking of its physical development was made. To substantiate the model of improving the system of obesity prevention in children, four areas of research were formed: 1. To study the awareness of primary care physicians in providing medical care to children about the problem of overweight and obesity, their ability and attitude to detect overweight in children and prevent the development of comorbidities. 2. Conduct a clinical audit to assess the quality of preventive medical examinations of children. 3. Investigate the features of the anamnesis of children, unfavorable behavioral characteristics of the families in which they live and identify among them risk factors for overweight. 4. To study the state of health of schoolchildren and the risks of developing diseases associated with overweight.