Ricardo BRE, Rivero GM, Ozores SFJ, Sosa PO

Language: Spanish
References: 0
Page: 238-251
PDF size: 292.96 Kb.

ABSTRACT

Introduction: obesity in the pediatric age predisposes to early atherosclerotic disease in adulthood, regardless of future weight.
Objective: to characterize the anthropometric pattern, associated morbidity and atherogenic risk factors in obese patients.
Methods: a descriptive and prospective study was carried out with 62 obese patients attended in the Endocrinology clinic of "William Soler" Pediatric Hospital, from January to December 2016. Demographic, anthropometric and atherogenic risk variables were analyzed by means of prevalence (%) and hypothesis testing (significant: p< 0.05 or Eta coefficient 1).
Results: obesity was significant in schoolchildren and male sex (p= 0.000). Abdominal obesity (n= 48/77.4 %) predominated in females (n= 20/90.9 %), and among 6 and 10 years old (n= 14/63.6 %). Generalized obesity had a significantly higher diagnosis than abdominal obesity (p = 0.001) and didn´t have relation with sex (Eta= 0.049) and age (p= 0.066). The prevalence of acanthosis nigricans (n= 39 / 62.9 %) was significant (p= 0.042). The humoral, clinical and ultrasonographic alterations analyzed were above 70 % in the presence of abdominal and generalized obesity, both associated with elevated C-reactive protein (p< 0.05), and at the same time, the generalized with left ventricular remodeling (p= 0.049).
Conclusions: obesity is distinctive among school children and males, but abdominal type characterizes girls. There is a low prevalence of atherogenic risk factors in the patients studied. Abdominal and generalized adiposity imply an increase in plasma Creactive protein. Left ventricular remodeling is evidenced when there is generalized obesity.