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La obesidad en niños y adolescentes constituye un padecimiento de alta incidencia en los últimos años, lo cual genera una serie de enfermedades asociadas que ponen en riesgo la salud de estos. En la siguiente infografía, el Lic. Edgar del Rey Pineda nos ilustra sobre “Manejo de la obesidad en niños y adolescentes”.

Material donde usted podrá profundizar a partir del análisis de las más recientes guías de actuación clínica, en las diversas comorbilidades, complicaciones asociadas y desenlaces adversos con un enfoque multidisciplinario.

 

 

Referencias

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  2. National Health and Medical Research Council. Clinical practice guidelines for the management of overweight and obesity in adults, adolescents and children in Australia. Melbourne: National Health and Medical Research Council [Internet]. 2013 Oct [cited 2023 Feb 24]; 57:1-232. Available from: https://www.nhmrc.gov.au/about-us/publications/clinical-practice-guidelines-management-overweight-and-obesity. 
  3. Brauer P, Connor Gorber S, Shaw E, Singh H, Bell N, et al. Recommendations for prevention of weight gain and use of behavioural and pharmacologic interventions to manage overweight and obesity in adults in primary care. CMAJ [Internet]. Feb 2015 [cited 2023 Feb 24];187(3):184-195. Available from: https://www.cmaj.ca/content/187/3/184. 
  4. Valerio, G., Maffeis, C., Saggese, G., Ambruzzi, M. A., Balsamo, A., Bellone, S, et al. Diagnosis, treatment, and prevention of pediatric obesity: consensus position statement of the Italian Society for Pediatric Endocrinology and Diabetology and the Italian Society of Pediatrics. Ital J Pediatr [Internet]. Jul 2018 [cited 2023 Feb 24];44(1):88. Available from: https://pubmed.ncbi.nlm.nih.gov/30064525/. 
  5. Reinehr, T., Wiegand, S., Siegfried, W., Keller, K. M., Widhalm, K., l’Allemand, D., et al. Comorbidities in overweight children and adolescents: do we treat them effectively?. Int J Obes (Lond) [Internet]. Apr 2013 [cited 2023 Feb 24];37(4):493-499. Available from: https://pubmed.ncbi.nlm.nih.gov/23147116/. 
  6. Flechtner-Mors, M., Thamm, M., Wiegand, S., Reinehr, T., Schwab, K. O., Kiess, W., et al. Comorbidities related to BMI category in children and adolescents: German/Austrian/Swiss Obesity Register APV compared to the German KiGGS Study. Horm Res Paediatr [Internet]. Jan 2012 [cited 2023 Feb 24];77(1):19-26. Available from: https://pubmed.ncbi.nlm.nih.gov/22104037/. 
  7. Welsh JA, Karpen S, Vos MB. Increasing prevalence of nonalcoholic fatty liver disease among United States adolescents, 1988-1994 to 2007-2010. J Pediatr [Internet]. Mar 2013 [cited 2023 Feb 24];162(3):496-500.e1. Available from: https://pubmed.ncbi.nlm.nih.gov/23084707/. 
  8. Huang, J. S., Barlow, S. E., Quiros-Tejeira, R. E., Scheimann, A., Skelton, J., Suskind, D., et al. Childhood obesity for pediatric gastroenterologists. J Pediatr Gastroenterol Nutr [Internet]. Jan 2013 [cited 2023 Feb 24];56(1):99-109. Available from: https://pubmed.ncbi.nlm.nih.gov/23282941/. 
  9. Alonso-Álvarez, M. L., Cordero-Guevara, J. A., Terán-Santos, J., Gonzalez-Martinez, M., Jurado-Luque, M. J., Corral-Peñafiel, J., et al. Obstructive sleep apnea in obese community-dwelling children: the NANOS study. Sleep [Internet]. May 2014 [cited 2023 Feb 24];37(5):943-949. Available from: https://pubmed.ncbi.nlm.nih.gov/24790273/. 
  10. McGill, H. C., Jr, McMahan, C. A., Herderick, E. E., Zieske, A. W., Malcom, G. T., Tracy, R. E., Strong, J. P. besity accelerates the progression of coronary atherosclerosis in young men. Circulation [Internet]. Jun 2002 [cited 2023 Feb 24];105(23):2712-2718. Available from: https://pubmed.ncbi.nlm.nih.gov/12057983/. 
  11. Christensen, S. B., Black, M. H., Smith, N., Martinez, M. M., Jacobsen, S. J., Porter, A. H., et al. Prevalence of polycystic ovary syndrome in adolescents. Fertil Steril [Internet]. Aug 2013 [cited 2023 Feb 24];100(2):470-477. Available from: https://pubmed.ncbi.nlm.nih.gov/23756098/. 
  12. Eriksson JG, Kajantie E, Lampl M, Osmond C. Trajectories of body mass index amongst children who develop type 2 diabetes as adults. J Intern Med [Internet]. Aug 2015 [cited 2023 Feb 24];278(2):219-226. Available from: https://pubmed.ncbi.nlm.nih.gov/25683182/. 
  13. Bibbins-Domingo K, Coxson P, Pletcher MJ, Lightwood J, Goldman L. Adolescent overweight and future adult coronary heart disease. N Engl J Med [Internet]. Dec 2007 [cited 2023 Feb 24];357(23):2371-2379. Available from: https://pubmed.ncbi.nlm.nih.gov/18057339/. 
  14. Tirosh, A., Shai, I., Afek, A., Dubnov-Raz, G., Ayalon, N., Gordon, B., et al. Adolescent BMI trajectory and risk of diabetes versus coronary disease. N Engl J Med [Internet]. Apr 2011[cited 2023 Feb 24];364(14):1315-1325. Available from: https://pubmed.ncbi.nlm.nih.gov/21470009/. 
  15. Juonala, M., Magnussen, C. G., Berenson, G. S., Venn, A., Burns, T. L., Sabin, M. A., et al. Childhood adiposity, adult adiposity, and cardiovascular risk factors. N Engl J Med [Internet]. Nov 2011[cited 2023 Feb 24];365(20):1876-1885. Available from: https://pubmed.ncbi.nlm.nih.gov/22087679/. 
  16. Franks PW, Hanson RL, Knowler WC, Sievers ML, Bennett PH, Looker HC. Childhood obesity, other cardiovascular risk factors, and premature death. N Engl J Med [Internet]. Feb 2010 [cited 2023 Feb 24];362(6):485-493. Available from: https://pubmed.ncbi.nlm.nih.gov/20147714/. 
  17. Li C, Ford ES, Zhao G, Mokdad AH. Prevalence of pre-diabetes and its association with clustering of cardiometabolic risk factors and hyperinsulinemia among U.S. adolescents: National Health and Nutrition Examination Survey 2005-2006. Diabetes Care [Internet]. Feb 2009 [cited 2023 Feb 24];32(2):342-347. Available from: https://pubmed.ncbi.nlm.nih.gov/18957533/. 
  18. Verhulst SL, Van Gaal L, De Backer W, Desager K. The prevalence, anatomical correlates and treatment of sleep-disordered breathing in obese children and adolescents. Sleep Med Rev [Internet]. Oct 2008 [cited 2023 Feb 24];12(5):339-346. Available from: https://pubmed.ncbi.nlm.nih.gov/18406637/. 
  19. Pardee PE, Lavine JE, Schwimmer JB. Diagnosis and treatment of pediatric nonalcoholic steatohepatitis and the implications for bariatric surgery. Semin Pediatr Surg [Internet]. Aug 2009 [cited 2023 Feb 24];18(3):144-151. Available from: https://pubmed.ncbi.nlm.nih.gov/19573756/. 
  20. Schwimmer JB, Deutsch R, Kahen T, Lavine JE, Stanley C, Behling C. Prevalence of fatty liver in children and adolescents. Pediatrics [Internet]. Oct 2006 [cited 2023 Feb 24];118(4):1388-1393. Available from: https://pubmed.ncbi.nlm.nih.gov/17015527/. 
  21. Freedman DS, Mei Z, Srinivasan SR, Berenson GS, Dietz WH. Cardiovascular risk factors and excess adiposity among overweight children and adolescents: the Bogalusa Heart Study. J Pediatr [Internet]. Jan 2007 [cited 2023 Feb 24];150(1):12-17. e2. Available from: https://pubmed.ncbi.nlm.nih.gov/17188605/. 
  22. Schwimmer JB, Burwinkle TM, Varni JW. Health-related quality of life of severely obese children and adolescents. JAMA [Internet]. Apr 2003 [cited 2023 Feb 24];289(14):1813-1819. Available from: https://pubmed.ncbi.nlm.nih.gov/12684360/. 
  23. Hampl SE, Hassink SG, Skinner AC, Armstrong SC, Barlow SE, Bolling CF, et al. Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity. Pediatrics [Internet]. Feb 2023 [cited 2023 Feb 24];151(2): e2022060640. Available from: https://publications.aap.org/pediatrics/article/151/2/e2022060640/190443/Clinical-Practice-Guideline-for-the-Evaluation-and?autologincheck=redirected. 
  24. Sahoo K, Sahoo B, Choudhury AK, Sofi NY, Kumar R, Bhadoria AS. Childhood obesity: causes and consequences. J Family Med Prim Care [Internet]. Apr-Jun 2015 [cited 2023 Feb 24];4(2):187-192. Available from: https://pubmed.ncbi.nlm.nih.gov/25949965/. 
  25. Sawyer MG, Harchak T, Wake M, Lynch J. Four-year prospective study of BMI and mental health problems in young children. Pediatrics [Internet]. Oct 2011[cited 2023 Feb 24];128(4):677-684. https://pubmed.ncbi.nlm.nih.gov/21930536/. 
  26. Strauss RS. Childhood obesity and self-esteem. Pediatrics [Internet]. Jan 2000 [cited 2023 Feb 24];105(1): e15. https://pubmed.ncbi.nlm.nih.gov/10617752/. 
  27. Freedman DS, Mei Z, Srinivasan SR, Berenson GS, Dietz WH. Cardiovascular risk factors and excess adiposity among overweight children and adolescents: the Bogalusa Heart Study. J Pediatr [Internet]. 2007 [cited 2023 Feb 24];150(1):12-17. e2. Available from: https://pubmed.ncbi.nlm.nih.gov/17188605/.

 

Para descargar la infografía en PDF haga click aquí.

Para más contenido sobre la obesidad en la adolescencia haga click aquí.

 

Material desarrollado con fines de educación médica continua.

Material exclusivo para profesionales de la salud.

La información aquí presentada es opinión del ponente.

Código interno de aprobación: MX22SX00078.

Obesidad, adolescencia, teens, estudio scale, estudio action, liraglutida , organo endocrino, historia clinica, comorbilidad, abordar, clasificar, evaluación conductual, evaluacion psicologica, herramientas de evaluacion, manejo integral, apego, beneficios, nuevo yo, nuevoyo, programa de pacientes, descuento

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