Changing Atittudes Towards Patients in Family Medicine- Intrafamilial Predictive Medicine

Background: According to WHO 2018, 41 million children are obese in the world (1)

In Romania, 24.5% of children aged 5 to 19 years are obese (2016, NIS)

Aims: Introduction of Intrafamilial Predictive Model (MIP) - Preventive interventional mechanism applicable to the child with the role of reducing the risk of major chronic diseases in the future adult

Method: Between 10.2017- 04.2018, we developed a prospective observational interventional cohort study, including two groups of 36 children (study group- control group) aged 6-18 years old, sex ratio girls: boys 2: 1, average BMI(body mass index) 27, coming from families struggling with chronic diseases: HBP(high blood pressure), dyslipidemia, diabetes. Clinical parameters were recorded: 3 visits for every patient over a period of 6 months: Weight, Height, BP(blood pressure), PA(abdominal perimeter), BMI (2, 3, 4). Based on these data, a MIP has been prepared and a schedule of recommendations for the child and the his /her family has been developed and applied (5).

Results: After 6 months:

- 10% weight loss in children

- Reduction of Systolic BP values averaged by 15mmHg in girls and 10mmHg in boys

- Daily sports activity - average 60 min

- Professional orientation for children with static vertebral disorders

- 30 min every day- spending quality time with family (sport, dinner)

Conclusions:

1. Obesity remains the main common, identified major risk factor (MRF) in the studied patient.
2. MPI allows the early identification and evaluation of MRF in childhood with a possible role in the etiology of chronic diseases in adulthood
3. MPI allows the development and implementation of a personalized, cost-effective program, based on education for health

Future study is needed for a larger group of children to allow correlations between RF(risk factors) and chronical diseases occurrence.