Obesity is a time bomb in which many children and adolescents are sitting on it.
Obesity has become an epidemic. Obesity is
due to the changes in food intake, the
availability and cost, eating more of junk food,
as well as modification of lifestyle that effects
energy expenditure.
Complications of Obesity
- CVD STROKE
- IMPAIRED GLUCOSE TOLERANCE
- TYPE 2- DIABETES MELLITUS
- DYSLIPIDEMIA
- HYPERTENSION
- FOCAL GLOMERULOSCLLEROSIS (FGS)
- GROWTH AND SEXUAL MATURATION
- REPRODUCTIVE DYSFUNCTION
- CHOLECYSTITIS / PANCREATITIS
- PSEUDOTUMOR
- MALIGNANCY
Non- metabolic complication
Screening
- Screening mainly being done for glucose intolerance and for metabolic syndrome in children and adolescents
HIGH RISK POPULATION
- Obese BMI score >95 percentile
- Family history of type 2 diabetes or Gestational diabetes Mellitus
- Finding of acanthosis nigricans
- Prominent Abdominal fat deposition
- Ovarian hyper androgenism
Consultation with Paediatric Endocrine Consultant
Meeting the dietician
Discuss with Dietician DIET PLAN
Treatment outline on discretion of doctor
Use of Pharmcotherapy
Theurepetic targets in obesity
THERAPY OF OBESITY, IMPROVE VASCULAR ENDOTHELIAL
FUNCTION, DECREASE VISCERAL FAT
NORMALISE BP.
TREAT IF HAVING diabetes.
IF NEEDED HAVING SURGEON.
BARIATRIC SURGERY
- LAPROSCOPIC GASTRIC BANDING
- GASTRIC BY PASS PROCEDURE.
IF your child suffering from any of these or you feel if growing OVERWEIGHT CONSULT THE PAEDIATRIC ENDOCRINOLOGIST. SO ACTION CAN BE TAKEN AT PROPER TIME.