Eating Habits of Children Born after Maternal Bariatric Surgery

Maele, Karolien Van De; Geyter, Charlotte De; Vandenplas, Yvan; Gies, Inge; Devlieger, Roland

doi:10.3390/nu12092577

Cited by 8 publications

(2 citation statements)

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“…There was a prevalence of 16.2% of children with overweight (BMI SD score of 1.3–2.3) and of 2.8% of children with obesity (BMI SD score >2.3). Median (range) systolic blood pressure SD score and diastolic blood pressure SD score were, respectively, 0.3 (−1.7–2.8) and 0.1 (−1.7–1.6) ( 20 , 21 ).…”

Section: Resultsmentioning

confidence: 99%

Feasibility and Tolerance of Fingertip Peripheral Arterial Tonometry Measurements in School-Aged Children

et al. 2021

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Background: Assessment of the endothelial function of the microvasculature by peripheral arterial tonometry (PAT) has gained increasing popularity in pediatrics. Discomfort or experienced pain during fingertip PAT has only been studied in adolescents and adults.Methods: In 142 children (aged 4–11 years old), a fingertip PAT with a commercial device (EndoPAT 2000®) as well as a caliper and ultrasound examination of peripheral skinfolds were performed as part of a cross-sectional cohort study. In 110 children, Faces Pain Scale (FPS-R) data were collected after PAT and skinfold measurements by caliper and ultrasound.Results: In 111 out of the 142 PAT measurements (78.2%), a reactive hyperemia index (RHI) could be obtained. The most frequent error messages by the software was a “too noisy” and/or a “poor quality” signal. The success rate was higher in children aged older than 6 years (83.1 vs. 44.4%; p < 0.001). Median (range) FPS-R after PAT was 0 (range 0–6) but was significantly higher than the median pain experienced after caliper measurements of peripheral skinfolds (p < 0.001). No pain was experienced by 59 of the 110 children (54.1%).Conclusion: PAT testing is feasible in the great majority of school-aged children, and the procedure is well-tolerated.

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Section: Resultsmentioning

confidence: 99%

Feasibility and Tolerance of Fingertip Peripheral Arterial Tonometry Measurements in School-Aged Children

et al. 2021

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“…More research is needed to investigate the dietary habits of women after bariatric surgery, as well as the relationship between their offspring's dietary habits and the risk of developing DS [37].…”

Section: Diagnosismentioning

confidence: 99%

Dumping Syndrome in Children: A Narrative Review

Al-Jafari¹,

Alrosan²,

Alkhawaldeh³

et al. 2023

Cureus

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Dumping syndrome (DS) is a typical side effect of stomach surgery, which includes cancer, non-cancer esophageal and gastric surgery, and bariatric surgery. It is marked by the fast evacuation of undigested food from the stomach into the small intestine, which causes a variety of symptoms. Early dumping symptoms include gastrointestinal symptoms such as stomach discomfort, diarrhea, and nausea, as well as vasomotor symptoms such as drowsiness and face flushing, and occur within the first hour following a meal. Late dumping symptoms appear one to three hours after a meal and are related to reactive hypoglycemia, resulting in hypoglycemia, sweating, palpitations, and confusion.Early dumping pathophysiology involves abnormalities in stomach structure and function, which result in rapid transit of stomach contents to the duodenum, insufficient digestion, and fluid transfers from the vascular compartment to the intestine. Late dumping occurs as a result of hyperinsulinemia caused by the fast passage of undigested foods to the gut. Symptom-based questionnaires and diagnostic testing such as plasma glucose measurement and stomach emptying studies can be used to confirm a diagnosis of DS.The primary approach to managing DS is dietary modifications, including eating smaller, more frequent meals and avoiding high glycemic index carbohydrates. Dietary supplements and medications may be used to slow down gastric emptying or control blood glucose levels. Pharmacological options include alphaglycosidase inhibitors, somatostatin analogs, glucagon-like peptide-1 analogs, and sodium-glucose cotransporter inhibitors. In severe cases, refractory to conservative measures, surgical interventions may be considered.DS can arise in children following gastric surgery for obesity or corrective surgery for congenital abnormalities. It is frequently misdiagnosed and can have serious implications, such as hypoglycemiarelated cognition deficits. Screening and early identification using glucose tolerance testing and continuous glucose monitoring (CGM) are critical in at-risk youngsters. Children's treatment techniques are similar to those used in adults, with dietary changes and medication therapies serving as the cornerstone of care.Overall, DS is a complex condition that requires a multidisciplinary approach to diagnosis and management. Further research is needed to improve understanding of its pathophysiology and optimize treatment strategies, particularly in children.This review aims to provide a well-rounded informative summary of the most recent literature on the underrecognized clinical and scientific aspects of DS among the children age group. It incorporates the quality of life, pathophysiology, diagnosis, prevalence, and treatment.

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