Abstract
Bacground :The adult obesity is associated with endocrine, metabolic and mecanical complications but in children obesity the endocrine disturbances are not well know.
Matherial and Method: Between 2004-2009 we study the child atmetted in the Ist Padiatric Clinical Children Hospital “Louis Turcanu” Timisoara from the south west of the country, by anamnesis, clinical examinations and antropomeric parameters (body weith, heigth, abdominal folder), BMI. The pubery stages were registered according to Tanner criterias. We follow-up of the, metabolic and endocrine complicatios (hyperinsuinemia, dislipidemia, hypercolesterolemia, HOMA index- insulinoresistance, hypercotisolism, early adrenarche, hyperprolactinemia, Sex hormon binding protein -SHBG level).
Results: During the study, we found 7135 obeses child (56,69%), mostly boys 3722. A 422 of them were infants. The majority of child got obesity by high calories intake only 16 had genetic obesity (Prader Willy, Laurence- Bardet- Bield). We found insulinoresistence in 46% of the teenagre obeses and 32% of the children. We found a good corelations between the insulinoresitence and low level of SHBG. In 27 girls we found early adrenarche; 15 PCOS, in 4 cases diabetis mellitus type 2; the mecanical complications were present in all children. All tenaager patients have depression, isolations and low performance in school. We found a hight percentage of uniparental family.
Conclusions:
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1. In the last yares the incidence of child obesity rise darmaticaly in our region
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2. The incidence of endocrine disturbances in obeses children in relative height.
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3. The magnitude of this are in direct relationship with the degree of obesity and age.
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Marginean, O., Simedrea, I., Lesovici, M. et al. 1108 The Endocrine Disturbances in Obeses Children of South West of Romania. Pediatr Res 68 (Suppl 1), 549–550 (2010). https://doi.org/10.1203/00006450-201011001-01108
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DOI: https://doi.org/10.1203/00006450-201011001-01108