Abstract
NHS-Centres of paediatric nutrition are not distributed evenly. Therefore, patients are often addressed to private and/or non-paediatric Centres, that, usually, they only access when the situation worsens. A random group of 527 patients ( M = 224) were selected according to their district area and distance from our Centre: group A (Rome) 366 (M 163), mean age 10.44 ± 2.77; B (Rome Province) 115 (M 43), age 9.97 ± 2.77; C (other municipalities, any region) 46 (M 18), age 9.24 ± 2.67. z-BMI and WTHR at 1st visit were considered. The degree of overweight was lower in patients from Rome and surrounding municipalities (z-BMI A = 1.83 ± 0.66; B = 1.82 ± 0.91) compared with those from other provinces/regions (z-BMI C = 1.96 ± 0.65), NS differences. WtHR (index of visceral adiposity and cardio metabolic complications risk factor) was progressively increased ( p = 0.02) from Rome outward ( A = 0.57 ± 0.06; B = 0.59 ± 0.06; C = 0.59 ± 0.05). Data on an extended sample will be presented at the Meeting. Nonetheless, seems to be directly proportional to the overweight degree, expressed in both z-BMI and WTHR. A more even distribution of paediatric Centres of nutrition would guarantee greater accessibility for patients at an earlier stage, and a wider cooperation with health-care workers spread across the country.
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