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Associations between obesity severity and medical comorbidities for children with obesity in low intensity hospital intervention.
Tsao-Wu, Maya; Williams, Ronald J; Hendy, Helen M; Novick, Marsha B.
Afiliación
  • Tsao-Wu M; College of Medicine, Penn State Milton S. Hershey Medical Center, Hershey, PA, United States. Electronic address: mtsaowu@pennstatehealth.psu.edu.
  • Williams RJ; Department of Pediatrics and Medicine, Penn State Milton S. Hershey Medical Center Hershey, PA, United States. Electronic address: rwilliams@pennstatehealth.psu.edu.
  • Hendy HM; Psychology Program, Penn State Schuylkill, Schuylkill Haven, PA, United States. Electronic address: hl4@psu.edu.
  • Novick MB; Department of Pediatrics, Penn State Milton S. Hershey Medical Center, Hershey, PA, United States. Electronic address: mnovick@pennstatehealth.psu.edu.
Obes Res Clin Pract ; 13(6): 555-560, 2019.
Article en En | MEDLINE | ID: mdl-31791923
BACKGROUND: 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. METHODS: 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: 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. CONCLUSION: 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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Apnea Obstructiva del Sueño / Diabetes Mellitus Tipo 2 / Programas de Reducción de Peso / Obesidad Infantil / Hiperlipidemias / Hipertensión Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Adolescent / Child / Child, preschool / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Obes Res Clin Pract Año: 2019 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Apnea Obstructiva del Sueño / Diabetes Mellitus Tipo 2 / Programas de Reducción de Peso / Obesidad Infantil / Hiperlipidemias / Hipertensión Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Adolescent / Child / Child, preschool / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Obes Res Clin Pract Año: 2019 Tipo del documento: Article Pais de publicación: Países Bajos