Abstract

 Obesity is a multifactorial chronic disease, generally preventable and affecting children and adults. The aim of this review is to briefly discuss some topics related to obese children and adolescents in acute care settings. Conclusion: Obesity causes several changes in the child's body that may affect the clinical course in a serious illness situation, however many associations are still unclear and further studies are necessary.

Keywords: Obesity; Obese; Children; Acute; Care

References

1. Sanyaolu A., et al. “Childhood and adolescent obesity in the United States: A public health concern”. Global Pediatric Health 6 (2019): 1-11.
2. Yanovski JA. “Pediatric obesity. An introduction”. Appetite93 (2015): 3-12
3. Hruby A and Hu FB. “The epidemiology of obesity:a big picture”. Pharmacoeconomics 7 (2015): 673-689.
4. Chindambaram V., et al. “Anesthetic and pharmacologic considerations in perioperative care of obese children”. Journal of Clinical Anesthesia 45 (2018): 39-50.
5. Umer A., et al. “Childhood obesity and adult cardiovascular disease risk factors: a systematic review with meta-analysis”. BMC Public Health 17(2017): 683.
6. Donoso A., et al. “The obese child in the Intensive Care Unit. Update”. Archives of Argent Pediatrics3 (2016): 258-267.
7. Bechard LJ., et al. “Influence of obesity on clinical outcomes in hospitalized children”. JAMA Pediatric5 (2013): 476-482.
8. Maley N., et al. “Influence of obesity diagnosis with organ dysfunction, mortality, and resource use among children hospitalized with infection in the United States”. Journal of Intensive Care Medicine 5 (2017): 339-345.
9. Peterson LS., et al. “Outcomes and resource use among overweight and obese children with sepsis in the Pediatric Intensive Care Unit”. Journal of Intensive Care Medicine(2018).
10. Davis ET., et al. “Impacto f obesity on outcomes in critically ill children”. Journal of Parenteral and Enteral Nutrition5 (2018): 864-871.
11. Sharma K., et al. “The impact of body mass index on resource utilization and outcomes of children admitted to a pediatric intensive care unit”. SAGE Open Medicine 7 (2019): 1-8.
12. Ross PA., et al. “Obesity and Mortality Risk in Critically Ill Children”. 137.3 (2016): e20152035.
13. Ward SL., et al. “Impact Of Weight Extremes on Clinical Outcomes In Pediatric Acute Respiratory Distress Syndrome”. Critical Care Medicine 11 (2016): 2052-2059.
14. Halvorson EE., et al. “Pediatric Obesity and Safety in Inpatient Settings: A Systematic Literature Review”.Clinical Pediatrics10 (2014): 975-987.
15. Kline-Tilford AM. “Impact of Obesity during Pediatric Acute and Critical Illness”. Journal of Pediatric Intensive Care 4 (2015): 97-102.
16. Halvorson EE., et al. “Vascular Access in Critically Ill Pediatric Patients With Obesity”. Pediatric Critical Care Medicine19 (2018): 1-8.
17. Goh VL., et al. “Obesity Is Not Associated With Increased Mortality and Morbidity in Critically Ill Children”.Journal of Parenteral and Enteral Nutrition37 (2013): 102-108.
18. Donoso F A., et al. “Childhood obesity: Pharmacokinetic considerations for drugs used in the intensive care unit”. Archives of Argent Pediatrics2 (2019): 121-130.
19. Xiong Y., et al. “Drug Dosing in Obese ChildrenChallenges and Evidence-Based Strategies”.Pediatric Clinics of North America 64 (2017) 1417-1438.
20. Natale S., et al. “Pediatric Obesity: Pharmacokinetic Alterations and Effects on Antimicrobial Dosing”. Pharmacotherapy3 (2017): 361-378.
21. Lian YD., et al. “Effect of equipotente doses of bupivacaine and ropivacaine in high-fat fed neonatal rodent model”. Brazilian Journal of Anesthesiology2 (2017): 131-138.
22. Halvorson EE., et al. “Weight Bias in Pediatric Inpatient Care”. Academic Pediatrics19 (2019): 780-786.
23. Bechard LJ., et al. “Nutritional status based on Body Mass Index is associated with morbidity and mortality in mechanically ventilated critically ill children in the PICU”Critical Care Medicine8 (2016): 1530-1537.
24. Bailey KA. “Special Considerations in the Critically Ill Morbidly Obese Child”. Critical Care 26 (2010): 699-702.
25. Tait AR., et al. “Incidence and Risk Factors for Perioperative Adverse Respiratory Events in Children Who Are Obese”. Anesthesiology 108 (2008): 375-380.
26. Halvorson EE., et al. “Association of Obesity and Pediatric Venous Thromboembolism”. Hospital Pediatrics1 (2016): 22-26.

Citation

Citation: Fernando Palvo. “Acute Care and Obese Children". Acta Scientific Paediatrics 3.8 (2020): 36-40.

Copyright

Copyright: © 2020 Fernando Palvo. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.