Pediatric Metabolic Syndrome

The work force will undoubtedly be affected because of increased sick days and decreased work productivity.

Author: Steven E. Lipshultz

Publisher: Springer Science & Business Media

ISBN: 9781447123651

Category: Medical

Page: 385

View: 926

DOWNLOAD →

In just under three decades, the world has witnessed an enormous rise in obesity with a parallel growth in cardiometabolic disease risk factors characterized by insulin resistance, dyslipidemia, and hypertension, together known as the metabolic syndrome - conditions previously unheard of in children and adolescents. During this time, we have little knowledge of the global and cumulative detrimental health effects of childhood obesity. As obese children age, not only will their health be negatively affected, but infertility and pregnancy complications associated with the metabolic syndrome will affect generations to come. The work force will undoubtedly be affected because of increased sick days and decreased work productivity. Identifying children and adolescents at the earliest stages of chronic disease onset should be the goal of clinical practice, yet there is no clear guidance for defining the risk of metabolic syndrome or appropriate risk-factor thresholds in these groups. If children are identified early in the disease process, lifestyle and clinical interventions can be instituted when they are potentially more effective. Pediatric Metabolic Syndrome: Comprehensive Clinical Review and Related Health Issues approaches the pediatric metabolic syndrome by elucidating its effects on specific organ systems and by considering the problem through understanding the social, psychological and economic consequences of it. The Editors have recruited an invited group of esteemed experts in the field to provide the most timely and informative approaches on how to deal with this health crisis. Through educating our practitioners, our future researchers, our health and community organizations, our legislators and our families and children, we have the best chance at improving the health trajectory of the next generation.

Metabolic Syndrome and Obesity in Childhood and Adolescence

New approaches are eagerly sought and absolutely necessary. This book presents a comprehensive and state-of-the-art summary of current and new knowledge in this critical field.

Author: W. Kiess

Publisher: Karger Medical and Scientific Publishers

ISBN: 9783318027990

Category: Medical

Page: 202

View: 466

DOWNLOAD →

Despite the fact that the prevalence of obesity in early childhood has been stable and is no longer increasing in many developed and industrialized countries, the incidence of both obesity and full-blown metabolic syndrome in children and adolescents is still very high. Obesity is a major disease burden in all societies and needs to be prevented early in life. New approaches are eagerly sought and absolutely necessary. This book presents a comprehensive and state-of-the-art summary of current and new knowledge in this critical field. Crucial issues such as nutrition and genetics are described in detail. In addition, new ideas such as e-health and the consequences of urban living conditions are explored. Last but not least, modern treatment concepts and prevention even at an early age are competently discussed. Offering a valuable update on new developments in obesity research and the treatment in children and adolescents, this book is essential reading for all pediatricians and health-care professionals who look after young patients on a regular basis.

Pediatric Metabolic Syndrome

Adriana Carrillo-Iregui and Carley Gomez-Meade Abstract Metabolic syndrome in children and adolescents correlates with increased cardiovascular risk in adulthood. This cardiometabolic risk may be modified by treatment of insulin ...

Author: Steven E. Lipshultz

Publisher: Springer Science & Business Media

ISBN: 9781447123668

Category: Medical

Page: 378

View: 717

DOWNLOAD →

In just under three decades, the world has witnessed an enormous rise in obesity with a parallel growth in cardiometabolic disease risk factors characterized by insulin resistance, dyslipidemia, and hypertension, together known as the metabolic syndrome - conditions previously unheard of in children and adolescents. During this time, we have little knowledge of the global and cumulative detrimental health effects of childhood obesity. As obese children age, not only will their health be negatively affected, but infertility and pregnancy complications associated with the metabolic syndrome will affect generations to come. The work force will undoubtedly be affected because of increased sick days and decreased work productivity. Identifying children and adolescents at the earliest stages of chronic disease onset should be the goal of clinical practice, yet there is no clear guidance for defining the risk of metabolic syndrome or appropriate risk-factor thresholds in these groups. If children are identified early in the disease process, lifestyle and clinical interventions can be instituted when they are potentially more effective. Pediatric Metabolic Syndrome: Comprehensive Clinical Review and Related Health Issues approaches the pediatric metabolic syndrome by elucidating its effects on specific organ systems and by considering the problem through understanding the social, psychological and economic consequences of it. The Editors have recruited an invited group of esteemed experts in the field to provide the most timely and informative approaches on how to deal with this health crisis. Through educating our practitioners, our future researchers, our health and community organizations, our legislators and our families and children, we have the best chance at improving the health trajectory of the next generation.

Glucose Metabolism Derangements in Pediatric Age

This book addresses the difficult field of pediatric glycometabolic disorders, which have often been considered the exclusive field of specialists in the sector.

Author: Adriana Franzese

Publisher: Cambridge Scholars Publishing

ISBN: 9781527587458

Category: Medical

Page: 254

View: 645

DOWNLOAD →

This book addresses the difficult field of pediatric glycometabolic disorders, which have often been considered the exclusive field of specialists in the sector. However, if all the intricate subjects of long-term treatment of type 1 diabetes are certainly a specialist field, the diagnosis of type 1 diabetes or its distinction from other forms of diabetes cannot be considered fields of strict specialization. Indeed, hypoglycemia, metabolic syndrome due to obesity, and drug-induced hyperglycemia are not specialized fields. Instead, we often see the clinician withdrawing from these pathologies. This book provides the trainee pediatric specialist with robust preliminary knowledge of the field.

Pediatric Obesity

Childhood Metabolic Syndrome and Adult T2DM and CVD In the Princeton Follow-Up Study, described above, we found that metabolic syndrome in childhood predicted adult metabolic syndrome and the development of T2DM (7) and CVD during the ...

Author: Michael Freemark

Publisher: Springer Science & Business Media

ISBN: 9781603278744

Category: Medical

Page: 487

View: 665

DOWNLOAD →

Childhood obesity and its co-morbidities -- including type 2 diabetes, hypertension, dyslipidemia, sleep apnea, and fatty liver disease -- have seen striking increases in recent years. Despite a wealth of investigation, there is considerable controversy regarding the etiology of childhood obesity and the optimal approaches for prevention and treatment. Pediatric Obesity: Etiology, Pathogenesis, and Treatment addresses the controversy with a range of features that make it a unique resource for those who care for obese children and their families. Written from a perspective that is international in scope, the distinguished authors re-assess the roles of genetic and environmental factors in the pathogenesis of childhood obesity and critically review new studies of the effects of lifestyle, pharmacologic, and surgical interventions. The evidence-based approach of Pediatric Obesity: Etiology, Pathogenesis, and Treatment provides a comprehensive and invaluable guide for all healthcare providers concerned with the evaluation and care of children with nutritional and metabolic disease and with the societal implications of the obesity epidemic.

Metabolic Syndrome

The Stability of Metabolic Syndrome in Children and Adolescents. J. Clin. Endocrinol. Metab. 2009, 94, 4828–4834. [CrossRef] [PubMed] 34. Li, C.; Ford, E.S.; Huang, T.T.-K.; Sun, S.S.; Goodman, E. Patterns of change in cardiometabolic ...

Author: Isabelle Lemieux

Publisher: MDPI

ISBN: 9783039439898

Category: Medical

Page: 346

View: 207

DOWNLOAD →

Metabolic syndrome has been the topic of countless publications. It still remains a subject of debate and some experts have even questioned its clinical relevance. Its diagnosis is nevertheless predictive of an increased risk of type 2 diabetes and cardiovascular disease even in the absence of traditional risk factors. Many years ago, our team made the point that the most prevalent form of metabolic syndrome was linked to abdominal obesity, which can be found even among individuals who are not considered obese by body weight standards. Imaging techniques such as computed tomography and magnetic resonance imaging have revealed the link between regional body fat partitioning and cardiometabolic risk. Visceral obesity is the most dangerous form of obesity, with subcutaneous obesity being associated with lower health risk. We have proposed that excess visceral fat may be a marker of subcutaneous adipose tissue dysfunction not being able to serve as a metabolic sink, causing lipid accumulation at undesired sites, a condition described as ectopic fat deposition. Among the effective approaches to prevent, delay, or manage metabolic syndrome, lifestyle changes are the key elements, with an emphasis on the importance of healthy global dietary patterns, regular physical activity, and adequate sleep quality.

Childhood Obesity

This book aims to provide readers with a general as well as an advanced overview of the key trends in childhood obesity.

Author: Sevil Ari Yuca

Publisher: BoD – Books on Demand

ISBN: 9789535103745

Category: Medical

Page: 252

View: 622

DOWNLOAD →

This book aims to provide readers with a general as well as an advanced overview of the key trends in childhood obesity. Obesity is an illness that occurs due to a combination of genetic, environmental, psychosocial, metabolic and hormonal factors. The prevalence of obesity has shown a great rise both in adults and children in the last 30 years. It is known that one third of children who are obese in childhood and 80% of adolescents who are obese in their adolescent years continue to be obese later in life. Obesity is an important risk factor in serious illnesses such as heart disease, hyperlipidemia, hyperinsulinemia, hypertension and early atherosclerosis.

Pediatric Obesity

Use of the metabolic syndrome in pediatrics: a blessing and a curse. Semin Pediatr Surg. 2009;18:136–43. Steinberger J, Daniels SR, Eckel RH, Hayman L, Lustig RH, McCrindle B, Mietus-Snyder ML. Progress and challenges in metabolic ...

Author: Michael S. Freemark

Publisher: Humana Press

ISBN: 9783319681924

Category: Medical

Page: 814

View: 226

DOWNLOAD →

This second edition of Freemark’s text embodies all of the strengths of the original work but is deeper and broader in scope, with new chapters on emerging themes including metabolomics, genomics, and the roles of gastrointestinal hormones, the microbiome, brown adipose tissue, and endocrine disruptors in the pathogenesis of childhood obesity. Reviews of the effects of weight excess on cognitive performance and immune function complement detailed analyses of the biochemical and molecular pathways controlling the development of childhood adiposity and metabolic disease. Critical assessments of nutritional interventions (including new chapters on infant feeding practices and vegetarian diets) and superb reviews of behavioral counseling, pharmacotherapy, and bariatric surgery provide practical guidance for the management of overweight children. Penetrating analyses of the obesity epidemic in its social, cultural, economic, and political contexts highlight challenges and opportunities for obesity prevention and community action. The perspective is international in scope and reflects the expertise and experience of many of the leading figures in the field. Comprehensive and up-to-date, this new edition of Pediatric Obesity: Etiology, Pathogenesis and Treatment will be an invaluable guide for all healthcare providers and policy makers concerned with the evaluation and care of children with nutritional and metabolic disease and with the societal implications of the obesity epidemic.

Adolescent Cardiac Issues An Issue of Pediatric Clinics

The EPOCH (Evaluating Processes of Care and the Outcomes of Children in Hospital) study of fat distribution, prevalence of obesity, and the metabolic syndrome among a diverse group of Colorado youth found similar results.37 Hispanic and ...

Author: Richard Humes

Publisher: Elsevier Health Sciences

ISBN: 9780323266772

Category: Medical

Page: 624

View: 880

DOWNLOAD →

Most physicians entering the field of pediatric cardiology are drawn to it by an interest in the wide variety of congenital heart defects which present at various ages. Most congenital heart disease will be evident in early life, presenting with cyanosis, heart murmur, congestive heart failure or shock. Textbooks in pediatric cardiology are filled overwhelmingly with chapters on the various congenital heart lesions which are encountered, both rare and common. However, practicing pediatric cardiologists will be quick to point out that a significant number of referrals to any practice do not involve congenital heart problems. Reviewing our own statistics at the Children’s Hospital of Michigan Cardiology Center for the past two years (2010-2012) reveals that outpatient visits for new patient consultations examined by age groups are: less than 1 year of age – 11%; 1-5 years – 23%; 6-10 years – 21%; 11-18 years – 45%. Retrospective data collected from billing codes, as in this brief survey, may imprecise. However, it does provide a snapshot of the usual referral problems encountered by pediatric cardiologists. In our practice, the most common overall reason for referral in all ages was "heart murmur", constituting 26% of total referrals. Second were rhythm and rhythm related problems (inclusive of palpitations, abnormal ECG and diagnosed premature beats) constituted 19% of the total. In the age group of interest for this book of 11-18 years, the most common presenting issues were rhythm related (23%) and chest pain (23%), followed by syncope or dizziness (19%) and heart murmur (12%). Congenital heart disease diagnoses encountered in the 11 to 18 year age group comprised only 6.5% of referrals within that age group. It is likely that many of these were not new diagnoses (with a few exceptions), but rather represented transfers to our practice. Our own outpatient clinical experience reveals that the majority of outpatients referred by pediatricians for pediatric cardiology evaluation are between the ages of 11 and 18. The majority of these new referrals are not for congenital heart disease. Our intent for this edition of Pediatric Clinics of North America is to describe the types of problems which seem to be of concern to the pediatric community within this age group and to describe strategies for evaluation.