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Revista Mexicana de Pediatría

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2007, Number 3

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Rev Mex Pediatr 2007; 74 (3)

Children’s obesity in the outpatient clinic of a social security hospital Neonatal hypoacusia associated to hyperbilirubinemia

Flores GA, Ávila MO
Full text How to cite this article

Language: Spanish
References: 21
Page: 101-105
PDF size: 87.24 Kb.


Key words:

Obesity, insulin resistance, lipids profile children, arterial hypertension.

ABSTRACT

Objective. To study the results related to the somatic, clinical and biochemical characteristics of obese children, attended in an outside clinic of a general hospital.
Material and methods. Seventy six obesity patients, 37 girls and 39 boys were studied. In all of them a clinical history was obtained and a careful clinical exam was done. Determinations of glucose and insulin, the curve of glucose tolerance the lipids profile were studied.
Results. The frequency of inherit-family background for obesity and diseases related to obesity were higher in boys and girls. The physical inactivity and the time of the day which they dedicated to watch the television, both, were found in most of the children. The frequency of patients with abnormal lipids was high; insulin resistance was found in 28.2% of children and the HOMA in 17.9%. The hypertension was abnormal in seven of each ten children.
Conclusions. It is necessary to subject the obese children to studies usually done in obese adults, because the frequency of lipids alterations and the insulin resistance to glucose, and hypertension are also in the obese children.


REFERENCES

  1. Barlow SE, Dietz WH. Obesity evaluation and treatment: Expert Committee Recommendations. Pediatrics 1998; 102: 3. E29.

  2. Bray GA. Medical consequences of obesity. J Clin Endocrinol Metab 2004; 89: 2583-9.

  3. Olaiz-Fernández O, Rivera-Domarcos J. Shamah Levy T, Rojas R, Villalpando-Hernández S, Ávila M et al. Encuesta Nacional de Salud y Nutrición 2006. Cuernavaca Mex: Instituto Nacional de Salud Pública. 2006: 12-4.

  4. Del Río NBF, Velásquez MO, Sánchez CC, Lara EA, Berber A, Fanghänel G et al. The Encuesta Nacional de Salud (ENSA) 2000 Working Group. The high prevalence of overweight and obesity in mexican children. Obesity Res 2004; 12: 215, 223.

  5. Lobstein L, Baur L, Uauy R. Obesity in children and young people: a crisis in public health. IASO International Obesity Task Force. Obesity reviews 2004; 5: 4-85.

  6. Dietz W. Overweight in childhood and adolescence. N Engl J Med 2004; 350: 855-7.

  7. Barros FAA. Obesity: a puzzling disorder. Journal Pediatr (Rio J) 2004; 80: 1-3.

  8. Centro Nacional de Estadísticas de Salud y Centro Nacional para la Prevención de Enfermedades Crónicas y Promoción de Salud, EUA. Percentiles del índice de masa corporal por edad y sexo. (2000). http://www.cdc.gov/growthcharts

  9. National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents. Pediatrics 2004; 114: 556-60.

  10. Ingelfinger JR. Pediatric antecedents of adult cardiovascular disease- awareness and intervention. N Engl J Med 2004; 350: 2123-6.

  11. American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care 2004; 27: S9.

  12. I. Rationale for attention to cholesterol levels in children and adolescents. Pediatrics 1992; 89: 535 http://www. Pediatrics.org

  13. Committee on Nutrition AAP. Cholesterol in childhood. Pediatrics 1998; 10: 145. htpp://www.pediatrics. org/cgi/content/ full/101/1/141.

  14. Keskin M, Kurtoglu SK, Kendirci M, Atabek ME, Yazici C. Homeostasis model assessment is more reliable than the fasting glucose/insulin ratio and quantitative insulin sensitivity check index for assessing insulin resistance among obese children and adolescents. Pediatrics 2005; 115: e502 (doi: 10.1542/peds.2004-1921).

  15. Conwell LS, Trost SG, Brown WJ, Batch JA. Indexes of insulin resistance and secretion in obese children and adolescents. Diabetes Care 2004; 27: 314-9.

  16. Styne DM. Obesidad en niños y adolescentes. Clínicas Pediátricas de Norteamérica 2001; 4: 874-80.

  17. Whitaker RC, Wright JA, Pepe, Seidel KD, Dietz WH. Predicting obesity in young adulthood from childhood and parenteral obesity. N Engl J Med 1997; 337: 869-73.

  18. de Mello ED, Lifi VC, Meyer E. Childhood obesity – Towards effectiveness. J Pediatr 2004; 80: 174-9.

  19. American Diabetes Association. Type 2 diabetes in children and adolescents. Pediatrics 2000; 105: 671-80. http://www.pediatrics.org/cgi/content/full/105/3/676.

  20. Sinha R, Fisch G, Teague B, Tamborlane WV, Banyas B, Allen K et al. Prevalence of impaired glucose tolerance among children and adolescents with marked obesity. N Engl J Med 2002; 346: 802, 810.

  21. Boyd GS, Koenigsberg J, Falkner B, Gidding S, Hassink S. Effect of obesity and high blood pressure on plasma lipid levels in children and adolescents. Pediatrics 2005; 16: 442-6.




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Rev Mex Pediatr. 2007;74