{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T04:43:25Z","timestamp":1774413805674,"version":"3.50.1"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"01\/02","license":[{"start":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T00:00:00Z","timestamp":1762819200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dtsch Med Wochenschr"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Die Pr\u00e4valenz von \u00dcbergewicht und Adipositas im Kindes- und Jugendalter stellt ein erhebliches Gesundheitsproblem dar, das mit vielf\u00e4ltigen Komorbidit\u00e4ten einhergeht. In Deutschland ist die Betreuung dieser jungen Patienten h\u00e4ufig unzureichend. Mit der Einf\u00fchrung eines Disease-Management-Programms (DMP) f\u00fcr Adipositas bei Kindern und Jugendlichen soll die interdisziplin\u00e4re und leitliniengerechte Versorgung verbessert werden. Die vorliegende Studie untersucht die Wahrnehmung und Einsch\u00e4tzung der Versorgungslage durch niedergelassene Kinder- und Jugend\u00e4rzte.<\/jats:p>\n                  <jats:p>Eine Online-Umfrage wurde unter 9662 Kinder- und Jugend\u00e4rzten in Deutschland durchgef\u00fchrt. 802 Teilnehmende lieferten vollst\u00e4ndige Antworten, die in die Auswertung eingeschlossen wurden. Sie gaben unter anderem Auskunft zur H\u00e4ufigkeit adipositasbezogener Konsultationen, zur Entscheidung f\u00fcr das Ansprechen des Themas und zur Verf\u00fcgbarkeit von Behandlungsangeboten.<\/jats:p>\n                  <jats:p>Die Mehrheit der Befragten (82,0 % von 802) sch\u00e4tzte die Versorgungslage als schlecht oder sehr schlecht ein. Zeitmangel und eine begrenzte Infrastruktur wurden als Hauptgr\u00fcnde f\u00fcr die Schwierigkeiten bei der Adipositasversorgung genannt. Nur ein geringer Anteil der Befragten konnte auf ein ausreichendes Netzwerk von Ern\u00e4hrungs-, Bewegungs- und psychotherapeutischen Angeboten zugreifen.<\/jats:p>\n                  <jats:p>Die Ergebnisse unterstreichen den dringenden Bedarf von strukturierten, umfassenden Versorgungsangeboten f\u00fcr Kindern und Jugendliche mit Adipositas, einschlie\u00dflich einer besseren Infrastruktur und des Aufbaus interdisziplin\u00e4rer Angebote. Die aktuelle Einf\u00fchrung des DMP k\u00f6nnte dabei eine Schl\u00fcsselrolle spielen, um die Versorgungssituation nachhaltig zu verbessern.<\/jats:p>","DOI":"10.1055\/a-2704-4586","type":"journal-article","created":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T23:47:15Z","timestamp":1762904835000},"page":"e1-e8","source":"Crossref","is-referenced-by-count":1,"title":["\u00dcbergewicht und Adipositas im Kindes- und Jugendalter \u2013 ungen\u00fcgende Versorgungslage aus Sicht der niedergelassenen Kinder- und Jugend\u00e4rzte in Deutschland"],"prefix":"10.1055","volume":"151","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2455-8901","authenticated-orcid":false,"given":"Christine","family":"Joisten","sequence":"additional","affiliation":[{"name":"Deutsche Sporthochschule Institut fur Bewegungs- und Neurowissenschaft, K\u00f6ln, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antje","family":"B\u00fcssensch\u00fctt","sequence":"additional","affiliation":[{"name":"Praxis Ern\u00e4hrungsberatung und -therapie, Schulung \u00fcbergewichtiger und adip\u00f6ser Kinder und Jugendliche, Bremen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ines","family":"Gellhaus","sequence":"additional","affiliation":[{"name":"Fachklinik Sylt f\u00fcr Kinder und Jugendliche, Westerland, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Jaeschke","sequence":"additional","affiliation":[{"name":"Fachkliniken Wangen, Rehabilitationsklinik f\u00fcr Kinder und Jugendliche, Wangen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas Michael","family":"Kapellen","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Kinder- und Jugendmedizin, Universit\u00e4tsklinikum Leipzig, Leipzig, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Kauth","sequence":"additional","affiliation":[{"name":"Praxis f\u00fcr Kinder- und Jugendmedizin, Sportmedizin\/Ern\u00e4hrungsmedizin, Ausschuss Pr\u00e4vention BVKJ e.V., Ludwigsburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katja","family":"Knab","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Neugeborene, Kinder und Jugendliche, Klinikum N\u00fcrnberg, Universit\u00e4tsklinik der ParacelsusMedizinischen Universit\u00e4t, N\u00fcrnberg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"R\u00f6bl","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Kinder- und Jugendmedizin, Universit\u00e4tsmedizin G\u00f6ttingen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriel","family":"Torbahn","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Neugeborene, Kinder und Jugendliche, Klinikum N\u00fcrnberg, Universit\u00e4tsklinik der ParacelsusMedizinischen Universit\u00e4t, N\u00fcrnberg, Deutschland"},{"name":"Universit\u00e4tsklinik f\u00fcr Kinder- und Jugendheilkunde, Uniklinikum der Paracelsus Medizinischen Universit\u00e4t, Salzburg, \u00d6sterreich"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Wabitsch","sequence":"additional","affiliation":[{"name":"Sektion P\u00e4diatrische Endokrinologie und Diabetologie, Universit\u00e4tsklinik f\u00fcr Kinder- und Jugendmedizin Ulm, Ulm, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susann","family":"Weihrauch-Bl\u00fcher","sequence":"additional","affiliation":[{"name":"Department for Operative und Konservative Kinder- und Jugendmedizin, Klinik f\u00fcr P\u00e4diatrie I, Universit\u00e4tsmedizin Halle (Saale), Halle, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susanna","family":"Wiegand","sequence":"additional","affiliation":[{"name":"Sozialp\u00e4diatrisches Zentrum f\u00fcr chronisch-kranke Kinder, P\u00e4diatrische Endokrinologie und Diabetologie, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, corporate member of Freie Universit\u00e4t Berlin and Humboldt-Universit\u00e4t zu Berlin, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,11,11]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1027","DOI":"10.1016\/S0140-6736(23)02750-2","article-title":"Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults","volume":"403","author":"NCD Risk Factor Collaboration (NCD-RisC)","year":"2024","journal-title":"Lancet"},{"issue":"01","key":"ref2","first-page":"15","article-title":"Overweight and obesity among children and adolescents in Germany. 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