Obesity and under‐nutrition in a tertiary paediatric hospital

O’Connor, Janice; Youde, LS; Allen, JR; Baur, Louise A.

doi:10.1111/j.1440-1754.2004.00368.x

Cited by 37 publications

(48 citation statements)

References 18 publications

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“…Obesity also appears to persist into adulthood and influence the development of associated morbidities, especially cardiovascular disease [8]. A recent study of the local population has revealed that overweight and obesity is more prevalent among the children and adolescents followed up in various outpatient services in the same institution than in the general population [9].…”

Section: Introductionmentioning

confidence: 99%

Obesity in children and adolescents with acquired brain injury

Patradoon-Ho¹,

Scheinberg²,

Baur

2005

Pediatric Rehabilitation

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Objectives: To measure the prevalence of obesity and to assess associated clinical factors in children and adolescents with acquired brain injury (ABI). Study design: This cross-sectional study included 88 subjects aged between 2.4-17.7 years attending the Brain Injury Clinic at a tertiary paediatric hospital. Body mass index (BMI) and BMI z-scores were calculated. Obesity and overweight were defined using the International Obesity Taskforce cut-points. Associations were examined between BMI z-scores and the following: ABI severity, mobility level, duration from injury and presence of radiological injury. Results: The prevalence of obesity in this population (obese =15%) was higher than those in Australian children and adolescents (1995 National Nutrition Survey) while the prevalence of overweight (19.3%) was comparable. There was a linear trend for the participants to have a higher BMI z-score with increasing level of mobility (F=6.91, df 1.70, p = 0.011). Conclusion: There is no data about obesity in children and adolescents with ABI. The study with limited statistical power suggests that obesity is prevalent in this population and increases with increasing level of mobility. Further studies are required to address the issue of obesity and related complications in this population. Keywords: Traumatic brain injury, overweight, body mass indexObjetivos: Medir la prevalencia de la obesidad y evaluar los factores clinicos asociados en ninos y adolescentes con lesion cerebral adquirida (ABI). Diseno del estudio: Este estudio transversal incluyo a 88 sujetos con edades entres los 2.4 y los 17.7 anos, que asisdan a la Clinica de Trauma Cerebral en un hospital pediatrico de tercer nivel. Se calcularon el indice de masa corporal (BMI) y las calificaciones-z del BMI. La obesidad y el sobrepeso se definieron usando los puntos de corte de la Fuerza de Tarea de Obesidad Intemacional. Se examinaron las asociaciones entre las calificaciones-z del BMI y los siguientes puntos: la severidad de la ABI, el nivel de movilidad, la duracion de la lesion y la presencia de la lesion radiologica. Resultados: La prevalencia de la obesidad en esta poblacion (Obeso =15%) fue mas alta que aquella encontrada en los nifios y adolescentes australianos (Encuesta de Nutricion Nacional 1995), mientras que la prevalencia del sobrepeso (19.3%) fue comparable. Hubo una tendencia lineal para los participantes en tener calificaciones-z del BMI mas altas conforme al aumento en el nivel de la movilidad (F=6.9l, DF 1,70, p = 0.01l). Conclusion: No hay datos acerca de la obesidad en ninos y adolescentes con ABI. Nuestro estudio con un poder estadistico limitado, sugiere que la obesidad prevalece en esta poblacion y que aumenta con el aumento en el nivel de la movilidad. Se requieren mas estudios que se dediquen al tema de la obesidad y a las complicaciones relacionadas en esta poblacion.

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Section: Introductionmentioning

confidence: 99%

Obesity in children and adolescents with acquired brain injury

Patradoon-Ho¹,

Scheinberg²,

Baur

2005

Pediatric Rehabilitation

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“…Admission body weight and height records were reported in only 15.1-20.3% of the patients in different studies [3,17,32,38]. In one study, 346 (86.0%) of 402 children had their weight taken both on admission and at discharge [31].…”

Section: Resultsmentioning

confidence: 99%

“…Malnutrition is reported to be directly or indirectly responsible for about 50-60% of childhood mortality worldwide [2]. The prevalence of malnutrition in hospitalized children has been reported as 5% in developed countries and up to 50% in developing countries [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of malnutrition in a tertiary hospital in Turkey: overlooked subject?

Şahin¹,

Goktepe²,

Ozen³

2017

Arch Clin Gastroenterol

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Aims: The study evaluated children's nutritional status at the moment of hospitalization. Patients and Methods:The nutritional status of 113 hospitalized patients was retrospectively evaluated at the time of hospitalization in the Clinic of Pediatric Gastroenterology between May 2013 and November 2014. During hospitalization, height for age, weight for age, and weight for height z scores were calculated. Results:Of the 113 patients in the study, 58 were female and 55 were male; the mean age was 59.59 ± 61.73 months and 67.87 ± 60.99 months, respectively. According to the World Health Organization standards, 33 (29.2%) underweight patients, 17 (15.0%) patients with acute malnourishment, and 21 (18.6%) patients with chronic malnourishment were detected. Based on weight for age data, 10 (8.8%) patients were severely malnourished, 22 (19.5%) patients were moderately malnourished, 27 (23.9%) patients were mildly malnourished, 40 (35.4) patients had normal weight, 8 (7.1%) patients were overweight, and 6 (5.3%) patients were obese. According to the Water low classifi cation, 14 (12.4%) children were stunted, 6 (5.3%) children were wasted-stunted, and 15 (13.3%) children were wasted. Conclusion:High rates of malnutrition were detected in hospitalized patients, therefore nutritional status should be carefully assessed at the moment of hospitalization to reduce the mortality rate, and patients should be given immediate nutritional support. The early diagnosis of mild or moderate malnutrition, and the timely start of treatment, will diminish the progression to severe malnutrition in developing countries like Turkey.

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“…Prompt administration of intravenous immunoglobulin (IVIG) has been reported to show a quick resolution of symptoms. 4 The rash in KD has been classically described as 'non-pruritic' bur rare cases of 'pruritic' rash have been well documented in the literature. Keeping in mind the fact that most cases receive antibiotics before they are actually diagnosed as KD might implicate the drugs in the causation of the pruritic rash.…”

Section: Dear Editor Kawasaki Disease: Unusual Manifestations and Comentioning

confidence: 99%

“…1 The period before school entry may be an important opportunity for early intervention, before comorbidities emerge. Despite this rising epidemic, it is clear that major child health providers including general practitioners 2 and large children's hospitals 3,4 are neither systematically nor effectively addressing the issue. The only other services universally available for pre-schoolers' health care in several Australian states are the community maternal and child nursing services.…”

Section: Dear Editor Kawasaki Disease: Unusual Manifestations and Comentioning

confidence: 99%