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Paediatric obesity

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https://www.readbyqxmd.com/read/28992355/severe-obesity-is-a-limitation-for-the-use-of-body-mass-index-standard-deviation-scores-in-children-and-adolescents
#1
Pétur B Júlíusson, Mathieu Roelants, Beate Benestad, Samira Lekhal, Yngvild Danielsen, Jøran Hjelmesaeth, Jens K Hertel
AIM: We analysed the distribution of the body mass index standard deviation scores (BMI SDS) in children and adolescents seeking treatment for severe obesity, according to the International Obesity Task Force (IOTF), World Health Organization (WHO) and the national Norwegian Bergen Growth Study (BGS) BMI reference charts and the percentage above the International Obesity Task Force 25 cut-off (IOTF-25). METHODS: This was a cross-sectional study of 396 children aged 4-17 years, who attended a tertiary care obesity centre in Norway from 2009-2015...
October 9, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28960483/families-perceived-benefits-of-home-visits-for-managing-paediatric-obesity-outweigh-the-potential-costs-and-barriers
#2
Nicole D Gehring, Geoff D C Ball, Arnaldo Perez, Nicholas L Holt, Daniel Neuman, Nicholas Spence, Laura Mercier, Mary Jetha
AIM: Home visits have successfully been used to deliver various health services, but what role could they play in paediatric weight management? Low treatment initiation and high attrition prompted our multidisciplinary paediatric weight management clinic to investigate how families perceived the benefits and barriers of home visits. METHODS: We focused on children with obesity aged 2-17 who were enrolled in our tertiary-level clinic in Alberta, Canada. None had received a home visit...
September 28, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28956801/surveillance-of-childhood-overweight-comparison-of-okkio-alla-salute-survey-and-general-paediatrics-data-in-the-province-of-trento
#3
Silvano Piffer, Lucia Bombarda, Riccardo Pertile, Maria Grazia Zuccali
Estimates of childhood overweight and obesity for the Province of Trento provided by the 2014 "OKkio alla SALUTE" survey (Italian national surveillance system for weight and nutrition in children) were compared with estimates provided by paediatric health forms. The Province of Trento is the only region that makes use of the information gathered through these forms, which are completed by primary care paediatricians as part of the 6-year health evaluation. OKkio alla SALUTE data for children, obtained from students enrolled in the third year of primary school in 2014 (845 children aged 8-9 years), were compared with data collected at the age of 6 for cohorts born in 2006, evaluated in 2012-2013 (3101 subjects)...
July 2017: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/28943259/-spanish-collaborative-study-description-of-usual-clinical-practice-in-infant-obesity
#4
Alfonso Lechuga Sancho, Enrique Palomo Atance, María José Rivero Martin, Mercedes Gil-Campos, Rosaura Leis Trabazo, María Pilar Bahíllo Curieses, Gloria Bueno Lozano
INTRODUCTION: Childhood obesity is a high prevalence health problem. Although there are clinical guidelines for its management, there is variability in its clinical approach. The aim of this study is to describe the usual clinical practice in Paediatric Endocrinology Units in Spain and to evaluate if it resembles the recommended guidelines. MATERIAL AND METHODS: An observational, cross-sectional and descriptive study was carried out by means of a questionnaire sent to paediatric endocrinologists of the Spanish Society of Paediatric Endocrinology...
September 21, 2017: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/28930627/fitness-body-composition-and-vascular-health-in-adolescent-and-young-adult-survivors-of-paediatric-brain-cancer-and-cranial-radiotherapy
#5
Treya M Long, Shoshana R Rath, Tessa D Maroni, Karen E Wallman, Helen C Atkinson, Nicholas G Gottardo, Catherine H Cole, Catherine S Choong, Louise H Naylor
Background Survivors of paediatric brain cancer and/or cranial radiotherapy (CRT) are at an increased risk of developing serious comorbidities. Established risk factors for chronic disease include central obesity, endothelial abnormalities and diminished fitness. Objectives Here we characterised anthropometry, body composition, bone mineral density (BMD), heart rate (HR), blood pressure (BP), endothelial function, muscular strength and endurance and aerobic fitness in adolescent and young adult (AYA) survivors...
September 20, 2017: International Journal of Adolescent Medicine and Health
https://www.readbyqxmd.com/read/28925065/barriers-to-and-enablers-of-healthy-lifestyle-behaviours-in-adolescents-with-obesity-a-scoping-review-and-stakeholder-consultation
#6
REVIEW
M Kebbe, S Damanhoury, N Browne, M P Dyson, T-L F McHugh, G D C Ball
Healthy lifestyle behaviours are key to successful weight management, but have proven to be challenging to attain for adolescents with obesity. The purpose of our scoping review was to (i) describe barriers and enablers that adolescents with obesity encounter for healthy nutrition, physical activity, sedentary behaviour and sleep habits and (ii) identify gaps in the literature. We adhered to established methodology for scoping reviews. Six databases were searched (1980-June 2016) for original articles published in English or French that focused on lifestyle behaviours of 13- to 17-year-olds in paediatric weight management...
September 18, 2017: Obesity Reviews: An Official Journal of the International Association for the Study of Obesity
https://www.readbyqxmd.com/read/28922262/sugar-in-infants-children-and-adolescents-a-position-paper-of-the-european-society-for-paediatric-gastroenterology-hepatology-and-nutrition-committee-on-nutrition
#7
Nataša Fidler Mis, Christian Braegger, Jiri Bronsky, Cristina Campoy, Magnus Domellöf, Nicholas D Embleton, Iva Hojsak, Jessie Hulst, Flavia Indrio, Alexandre Lapillonne, Walter Mihatsch, Christian Molgaard, Rakesh Vora, Mary Fewtrell
The consumption of sugars, particularly sugar-sweetened beverages (SSBs; beverages or drinks that contain added caloric sweeteners (i.e. sucrose, high-fructose corn syrup, fruit-juice concentrates), in European children and adolescents exceeds current recommendations. This is of concern because there is no nutritional requirement for free sugars, and infants have an innate preference for sweet taste, which may be modified and reinforced by pre- and postnatal exposures. Sugar containing beverages/free sugars increase the risk for overweight/obesity and dental caries, can result in poor nutrient supply and reduced dietary diversity and may be associated with increased risk of type 2 diabetes mellitus, cardiovascular risk, and other health effects...
September 16, 2017: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/28898503/using-appreciative-inquiry-methodology-to-develop-a-weight-management-program-for-obese-children-in-new-zealand
#8
Tasileta Teevale, Joseph K Kaholokula
OBJECTIVES: Paediatric obesity predicts adult obesity, and alarming new data in New Zealand reveals that obesity among the young continues to rise. In this study, we used a novel solution-focused paradigm, or appreciative inquiry perspective, to explore the factors that influence not just obese but non-obese states (that is, healthy weight as well as obesity), in Pacific adolescents (aged 13-17) living in socioeconomically deprived neighbourhoods. METHODS: Sixty-eight parents and adolescents from 30 families were recruited and interviewed, resulting in 15 obese and 15 healthy weight adolescents participating in the study...
September 12, 2017: Australian and New Zealand Journal of Public Health
https://www.readbyqxmd.com/read/28871630/changes-in-psychosocial-health-during-a-7-week-paediatric-weight-management-program
#9
J M Tucker, K Howard, K DeLaFuente, A Cadieux, K E Yee
Youth with obesity are at increased risk of psychosocial symptoms; however, little is known regarding the impact of paediatric weight management (PWM) on psychosocial health. The aim of the study was to investigate changes in psychosocial health among children who completed a 7-week PWM program. Participants aged 5 to 16 years with a BMI ≥85th percentile completed a 7-week, family-centred PWM program focused on health behaviour education, exercise and mentored goal setting. The Paediatric Symptom Checklist (PSC) was assessed via parent report to evaluate psychosocial symptoms before and after the program, and subscales were calculated for internalizing (PSC-IS), externalizing (PSC-ES) and attention symptoms (PSC-AS)...
September 4, 2017: Clinical Obesity
https://www.readbyqxmd.com/read/28871008/can-health-indicators-and-psychosocial-characteristics-predict-attrition-in-youths-with-overweight-and-obesity-seeking-ambulatory-treatment-data-from-a-retrospective-longitudinal-study-in-a-paediatric-clinic-in-luxembourg
#10
Ineke M Pit-Ten Cate, Hanen Samouda, Ulrike Schierloh, Julien Jacobs, Jean Francois Vervier, Saverio Stranges, Marie Lise Lair, Carine de Beaufort
OBJECTIVES: The current study aimed to identify factors that could predict attrition in youths starting ambulatory treatment to control or lose weight. DESIGN: Retrospective longitudinal study. SETTING: Paediatric clinic: ambulatory treatment programme. PATIENTS AND MEASURES: A youth sample (n=191; 89 boys; aged 7-17 years) completed measures of demographic characteristics, and health and psychosocial traits before starting an ambulatory weight management programme...
September 3, 2017: BMJ Open
https://www.readbyqxmd.com/read/28869313/what-paediatric-obesity-treatment-programmes-work-and-how-can-we-measure-their-success
#11
EDITORIAL
Gal Dubnov-Raz, Elliot M Berry
No abstract text is available yet for this article.
November 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28853029/effect-of-high-intensity-interval-training-on-fitness-fat-mass-and-cardiometabolic-biomarkers-in-children-with-obesity-a-randomised-controlled-trial
#12
Katrin A Dias, Charlotte B Ingul, Arnt E Tjønna, Shelley E Keating, Sjaan R Gomersall, Turid Follestad, Mansoureh S Hosseini, Siri M Hollekim-Strand, Torstein B Ro, Margrete Haram, Else Marie Huuse, Peter S W Davies, Peter A Cain, Gary M Leong, Jeff S Coombes
BACKGROUND: Paediatric obesity significantly increases the risk of developing cardiometabolic diseases across the lifespan. Increasing cardiorespiratory fitness (CRF) could mitigate this risk. High-intensity interval training (HIIT) improves CRF in clinical adult populations but the evidence in paediatric obesity is inconsistent. OBJECTIVES: The objectives of this study were to determine the efficacy of a 12-week, HIIT intervention for increasing CRF and reducing adiposity in children with obesity...
August 29, 2017: Sports Medicine
https://www.readbyqxmd.com/read/28844312/-obstructive-sleep-apnoea-syndrome
#13
Sergio García Castillo, María Del Perpetuo Socorro Hoyos Vázquez, Ramón Coloma Navarro, Javier Cruz Ruiz, Francisco Javier Callejas González, Raúl Godoy Mayoral, Pedro Juan Tárraga López, José Antonio Rodríguez Montes
INTRODUCTION: Obstructive sleep apnoea (OSA) is highly prevalent in children and a major public health problem. An attempt is made to determine the clinical and polysomnographic presentation of paediatric OSA in our area. PATIENTS AND METHODS: Retrospective descriptive study of sleep tests conducted on children up to 14 years-old from 1999 to 2012 in the Sleep Unit of the University Hospital of Albacete. Age, gender, anthropometric, clinical data, indication and variables of sleep study, treatment, and outcomes were collected...
August 22, 2017: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/28833541/serum-levels-of-omentin-1-are-increased-after-weight-loss-and%C3%A2-are%C3%A2-particularly-associated-with-increases-in-obese-children-with%C3%A2-metabolic%C3%A2-syndrome
#14
Meizhen Zhang, Xinrui Tan, Chunyan Yin, Li Wang, Yingchun Tie, Yanfeng Xiao
AIM: There have been very few paediatric studies on omentin-1, an anti-inflammatory adipokine that provides a link between adiposity, insulin resistance and metabolic syndrome. This Chinese study evaluated the association between omentin-1 and metabolic syndrome and analysed the effect of a six-month lifestyle intervention on the levels in obese children. METHODS: We recruited 119 obese outpatients (75% boys) aged 7-18 years from the Second Affiliated Hospital of Xi'an Jiaotong University, who underwent a six- month lifestyle intervention...
November 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28818842/what-s-new-in-paediatric-hypertension
#15
REVIEW
Rowena Lalji, Kjell Tullus
Paediatric hypertension predisposes to hypertension and cardiovascular disease in adult life. Despite clear guidelines, there remains a lack of screening. Diagnosis remains challenging given the high rate of false-positive high blood pressure (BP) readings at a single visit; thus, multiple visits are required to confirm the diagnosis. Depending on the normative data sets used, hypertension in overweight and obese children can be underestimated by up to 20%. Specific BP targets are required for subgroups such as adolescents, children with chronic kidney disease (CKD) and type 1 diabetes...
August 17, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/28815416/what-is-the-evidence-for-paediatric-adolescent-bariatric-surgery
#16
REVIEW
Natalie Durkin, Ashish P Desai
PURPOSE OF REVIEW: In spite of the increasing prevalence of severe and complex obesity in children, surgery as a potential management option is still not widely accepted. The purpose of this review is to examine the evidence for surgical options in the severely obese paediatric population. Increasing evidence supports early rather than later use of bariatric surgery in the treatment of extreme obesity. RECENT FINDINGS: Prior to 2007, the feasibility and safety of surgery have been reported by predominantly small, sporadic single-centre retrospective case series...
August 16, 2017: Current Obesity Reports
https://www.readbyqxmd.com/read/28803524/endocrinopathies-in-paediatric-onset-neuromyelitis-optica-spectrum-disorder-with-aquaporin-4-aqp4-antibody
#17
Yael Hacohen, Silvia Messina, Hoong-Wei Gan, Sukhvir Wright, Saleel Chandratre, Maria Isabel Leite, Penny Fallon, Angela Vincent, Olga Ciccarelli, Evangeline Wassmer, Ming Lim, Jacqueline Palace, Cheryl Hemingway
The involvement of the diencephalic regions in neuromyelitis optica spectrum disorder (NMOSD) may lead to endocrinopathies. In this study, we identified the following endocrinopathies in 60% (15/25) of young people with paediatric-onset aquaporin 4-Antibody (AQP4-Ab) NMOSD: morbid obesity ( n = 8), hyperinsulinaemia ( n = 5), hyperandrogenism ( n = 5), amenorrhoea ( n = 5), hyponatraemia ( n = 4), short stature ( n = 3) and central hypothyroidism ( n = 2) irrespective of hypothalamic lesions...
August 1, 2017: Multiple Sclerosis: Clinical and Laboratory Research
https://www.readbyqxmd.com/read/28803504/the-pharmacological-management-of-nafld-in-children-and-adolescents
#18
Savinda Liyanagedera, Robert Patrick Williams, Silvio Veraldi, Valerio Nobili, Jake P Mann
Non-alcoholic fatty liver disease (NAFLD) represents a spectrum, including 'simple' steatosis, non-alcoholic steatohepatitis (NASH), and fibrosis. Increasing prevalence of NAFLD has followed the international rise in obesity and lifestyle modification is the mainstay therapy for children. To date, pharmacological trials have had varying efficacy but a large number of new agents are in early phase trials for adults. Areas covered: This review explores the effect of current and potential future paediatric NAFLD treatments in terms of histological and biochemical endpoints...
August 21, 2017: Expert Review of Clinical Pharmacology
https://www.readbyqxmd.com/read/28797888/the-weighty-issue-of-obesity-in-paediatric-respiratory-medicine
#19
REVIEW
Dominic A Fitzgerald
Some have observed that developed world is fat and getting fatter. This is even extending into the developing world, and it is important to appreciate that the consequences of childhood obesity last into adulthood and are associated with premature death. From the paediatric respiratory perspective, the deposition of excess adipose tissue in the thoraco-abdominal region begins early in life and is believed to alter diaphragm mobility and chest wall expansion, reduce lung compliance, and result in a rapid shallow breathing pattern with an increased work of breathing and reduction in maximum ventilatory capacity...
September 2017: Paediatric Respiratory Reviews
https://www.readbyqxmd.com/read/28775964/obesity-and-obesity-related-diseases-sugar-consumption-and-bad-oral-health-a-fatal-epidemic-mixtures-the-pediatric-and-odontologist-point-of-view
#20
Anna Pia Delli Bovi, Laura Di Michele, Giuliana Laino, Pietro Vajro
Obesity and dental caries are increasingly widespread pathologies. The former is growing so rapidly that the WHO classified its trend as an "epidemic". Both are triggered by a number of well known common etiologic factors sharing also the high added sugar amount since childhood. Because of its fermentation and pH lowering, dietary sugar allows the cariogenic bacteria to damage the tooth enamel provoking the carious lesions. WHO guidelines recommend reducing sugar intake to 10% of the total daily energy need, and highlight that there is evidence which suggests cuttingthis value down to 5% at least...
January 2017: Translational Medicine @ UniSa
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