Associations between obesity severity and medical comorbidities for children with obesity in low intensity hospital intervention
| Autor: | Ronald J. Williams, Helen M. Hendy, Maya Tsao-Wu, Marsha B. Novick |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
Risk 0301 basic medicine Pediatric Obesity Pediatrics medicine.medical_specialty Adolescent Endocrinology Diabetes and Metabolism Hyperlipidemias 030209 endocrinology & metabolism Comorbidity Type 2 diabetes Severity of Illness Index Childhood obesity 03 medical and health sciences 0302 clinical medicine Diabetes mellitus Weight management medicine Humans Child Retrospective Studies Sleep Apnea Obstructive 030109 nutrition & dietetics Nutrition and Dietetics Class III obesity business.industry Age Factors medicine.disease Obesity United States Weight Reduction Programs Obstructive sleep apnea Blood pressure Diabetes Mellitus Type 2 Child Preschool Hypertension Female business |
| Zdroj: | Obesity Research & Clinical Practice. 13:555-560 |
| ISSN: | 1871-403X |
| DOI: | 10.1016/j.orcp.2019.11.001 |
| Popis: | Childhood obesity has increased dramatically in the United States. Most available research has followed obesity prevalence with little attention to medical comorbidities, which could guide prevention and intervention.A retrospective chart review examined 2038 children referred to a Pediatric Weight Management Clinic providing low intensity (26 contact hours) intervention. Linear regression examined associations between obesity severity level (I, II, III) and blood pressure percentile scores (systolic, diastolic) while controlling for gender, age group, and ethnicity. Logistical regression examined associations between obesity severity level and five medical diagnoses (hypertension, type 2 diabetes, elevated ALT, hyperlipidemia, obstructive sleep apnea), again controlling for demographics.Results revealed that children with Class III obesity severity had significantly greater risk for five of the seven medical conditions examined, with higher systolic and diastolic blood pressure scores, and higher odds for hypertension, type 2 diabetes, and obstructive sleep apnea.The US Preventive Services Task Force has documented the effectiveness of intensive behavioral interventions (26 contact hours for changes in diet, exercise, screen time) for reducing obesity severity in children. Additional research is required to determine whether more intensive behavioral approaches should be added before a child's obesity reaches the Class III level of severity in order to prevent medical comorbidities. |
| Databáze: | OpenAIRE |
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