Ebook Obesity-A practical guide: Part 2
➤ Gửi thông báo lỗi ⚠️ Báo cáo tài liệu vi phạmNội dung chi tiết: Ebook Obesity-A practical guide: Part 2
Ebook Obesity-A practical guide: Part 2
Obesity and Gastrointestinal Disorders in ChildrenUma Padhye Phatak, Madhura Y. Phadke, and Dinesh s. Pashankar12IntroductionObesity in childhood is a Ebook Obesity-A practical guide: Part 2a major problem facing pediatricians all over the world. In the United States, the prevalence of obesity {defined as body mass index (BMI) at or above 95th percentile for age and gender} increased from 5 % before 1980 to 17 % in 2012 among 2-tol9-years-old children 111. Similar to the United Slates, Ebook Obesity-A practical guide: Part 2 the prevalence of obesity is rising throughout the world |2|. It is now a global health issue and affects children in both developed and developing cEbook Obesity-A practical guide: Part 2
ountries [3-5|. As in adults, obesity in children can lead to many health-related complications. Obesity in children is associated with several co-morObesity and Gastrointestinal Disorders in ChildrenUma Padhye Phatak, Madhura Y. Phadke, and Dinesh s. Pashankar12IntroductionObesity in childhood is a Ebook Obesity-A practical guide: Part 2ffects the psychosocial well-being and the quality of life of children |6-9Ị.Recent studies in adults and children have reported an association between obesity and a wide range of gastrointestinal disorders |IO]. Theu.p. Phatak. MD • M.Y. Phadkc, MD D.S. Pashankar. MD. MRCP (E) Division of Pediatric Ebook Obesity-A practical guide: Part 2 Gastroenterology. Department of Pediatrics.Yale University School of Medicine.333 Cedar Street, LMP4091, New Haven, CT 06520. USAe-mail: uma.phatakttEbook Obesity-A practical guide: Part 2
fyale.edu;madhura.phadke@yale.edu:dincsh.pashankar(?'yalc.educommon gastrointestinal disorders in children include gastroesophageal reflux (GER), funcObesity and Gastrointestinal Disorders in ChildrenUma Padhye Phatak, Madhura Y. Phadke, and Dinesh s. Pashankar12IntroductionObesity in childhood is a Ebook Obesity-A practical guide: Part 2ase and inflammatory bowel disease (IBD). In this chapter, we discuss association of obesity and these disorders in children. We describe prevalence, possible mechanisms, and treatment implications of this association for the practicing physician.Obesity and GERGastroesophageal reflux is a very prev Ebook Obesity-A practical guide: Part 2alent problem in adults and children. There is convincing evidence in adults that obesity is a risk factor for GER 1111, erosive esophagitis, Barrett’Ebook Obesity-A practical guide: Part 2
s esophagus and esophageal adenocarcinoma [12. I3| (See also Chap. II).In contrast to the abundant literature for adults, the data in pediatrics are lObesity and Gastrointestinal Disorders in ChildrenUma Padhye Phatak, Madhura Y. Phadke, and Dinesh s. Pashankar12IntroductionObesity in childhood is a Ebook Obesity-A practical guide: Part 2|. They found that being overweight was associated with a higher prevalence of GER symptoms in children of 7-16 years of age with and without asthma (OR 1.8. 95 % CI 1.2-2.6). Following this report. Malaty et al. assessed children presenting w ith diagnosis or symptoms of gastroesophageal reflux dis Ebook Obesity-A practical guide: Part 2ease (GERD) to a pediatric gastroenterology clinic at Texas [ I5Ị. The authors© Springer International Publishing Switzerland 2016S.I. Ahmad. S.K. ImaEbook Obesity-A practical guide: Part 2
m (eds.). Obesity : A Practical Guide. DOI 10.1007/978-3-319-19821-7J 2149150u.p. Phatak et al.Table 12.1 Pediatric studies on the relationship betweeObesity and Gastrointestinal Disorders in ChildrenUma Padhye Phatak, Madhura Y. Phadke, and Dinesh s. Pashankar12IntroductionObesity in childhood is a Ebook Obesity-A practical guide: Part 2s GERD symptom scoreHigher prevalence of GER symptoms in overweight than in normal-weight children (OR 1.8. 95 % CI 1.2-2.6)2Malaty Ct al. [15]N=627 No control groupRetrospective study. Chait review21.4 % of children with GERD are obese3Pashankaret al. 116]Study group=236 (obese children) Control gr Ebook Obesity-A practical guide: Part 2oup = 101 (non-obesc)Cross-sectional. Questionnaire to assess GERD symptom scoreHigher prevalence of GER symptoms in obese children (13.1 %) than contEbook Obesity-A practical guide: Part 2
rols (2 %)4Teitelbaum et al. 117ỊStudy group=757 children Controls=255+1436 childrenDiagnosis based on clinical history. Less commonly on endoscopic/lObesity and Gastrointestinal Disorders in ChildrenUma Padhye Phatak, Madhura Y. Phadke, and Dinesh s. Pashankar12IntroductionObesity in childhood is a Ebook Obesity-A practical guide: Part 2re more likely to be obese with a BMI higher than the BMI reported by the National Health and Nutrition examination survey data.We compared the prevalence of GER symptoms between 236 obese children attending obesity clinics and 101 children with normal BMI from the general pediatric clinics from Con Ebook Obesity-A practical guide: Part 2necticut. USA 116]. In this study, each subject was interviewed using a questionnaire for reflux symptoms and a reflux score was calculated. Obesity rEbook Obesity-A practical guide: Part 2
emained as the only significant predictor for a high reflux symptom score after controlling for variables such as age. sex. race and caffeine exposureObesity and Gastrointestinal Disorders in ChildrenUma Padhye Phatak, Madhura Y. Phadke, and Dinesh s. Pashankar12IntroductionObesity in childhood is a Ebook Obesity-A practical guide: Part 2 % of children had a positive reflux symptom score 116]. Similarly. Teitelbaum et al. also found a higher prevalence of obesity amongst children with GER referred to a gastroenterology practice as compared to healthy controls in local and New Jersey control populations 117].of the lower esophageal s Ebook Obesity-A practical guide: Part 2phincter 118]. Another potential theory is that excess fat in diet could result in a delay in gastric emptying with resultant gastroesophageal reflux.Ebook Obesity-A practical guide: Part 2
Clinical SignificanceIt is well known that obesity in childhood often persists up to adulthood. In addition, gastroesophageal reflux in childhood is aObesity and Gastrointestinal Disorders in ChildrenUma Padhye Phatak, Madhura Y. Phadke, and Dinesh s. Pashankar12IntroductionObesity in childhood is a Ebook Obesity-A practical guide: Part 2reflux related complications including esophagitis. Barrett's esophagus and even malignancy. Hence early diagnosis and prompt therapy in obese children with GER is cnicial to prevent long term morbidity and complications of this condition. In adults, decrease in BMI has been shown to improve symptom Ebook Obesity-A practical guide: Part 2s of acid reflux. While pediatric literature is limited on this topic, weight reduction should be an integral part of management of obese children witEbook Obesity-A practical guide: Part 2
h gastroesophageal reflux.Mechanism of Association with Obesity and GERA possible mechanism of obesity inducing GER includes extrinsic gastric compresObesity and Gastrointestinal Disorders in ChildrenUma Padhye Phatak, Madhura Y. Phadke, and Dinesh s. Pashankar12IntroductionObesity in childhood is a Ebook Obesity-A practical guide: Part 2isorders (FGIDS)Obesity and Functional ConstipationObesity and Gastrointestinal Disorders in ChildrenUma Padhye Phatak, Madhura Y. Phadke, and Dinesh s. Pashankar12IntroductionObesity in childhood is aGọi ngay
Chat zalo
Facebook