| Abstrakt: |
Purpose. This paper intended to reveal the physiological features and benefic effects of the hygienic-dietetic regime and practicing of a sustained physical effort during the prevention period and the obesity period as well in children and adolescents. Methods. A study was conducted for this purpose from February 2015 to September 2017, using the database of "Grigore Alexandrescu" Emergency Clinical Hospital for Children of Bucharest. This study included 52 obese children -the experimental group and 15 normal weight children - the control group, with ages ranging from 7 to 18 years. The following elements were used on this occasion: anthropometric data, clinical examination (systolic blood pressure, diastolic blood pressure) and para-clinical data (complete blood count; lipid, hepatic and pancreatic profiles; glycaemia). Results. By implementing the multi-factorial therapeutic methods joined with hygienic-dietetic regime, sustained physical effort, psychological assessment and support and an effective treatment with Omega-3 fatty acids, the body weight of the obese children decreased, their body mass index improved, the abdominal circumference diminished, the blood pressure values got smaller and the lipid profile had significant changes. The echography images proved that the number of patients with high risk of developing hepatic steatosis decreased by 49% approximately. Discussion. The specialized literature highlights the concerns about overweight and obesity in children aged 2 to 18 years, the body mass index, the higher intake of calories, fats, carbohydrates and sugar from the fast-food meals, the scientific evidence regarding the negative impact of the sedentary behavior on the health, a subsequent relationship between the sedentary time and the incidence of cancer, cardiovascular diseases and diabetes, the metabolic syndrome which is also defined by high blood pressure and hypertrigliceridemia, the properties of leptin as possible therapeutic neuroprotective agent etc. Conclusions. The continuously increasing prevalence of pediatric obesity entails severe complications such as high blood pressure, diabetes mellitus type 2, cardiovascular diseases, osteoarthritis and hepatic steatosis. It is recommended to use a multi-factorial treatment including hygienic-dietetic regime, organized physical effort, psychological evaluation and counseling leading to significant results in terms of clinical parameters (weight, BMI, abdominal circumference, systolic blood pressure, diastolic blood pressure) and para-clinical parameters too (lipid, hepatic and echographic profile). [ABSTRACT FROM AUTHOR] |
