The obese child in the Intensive Care Unit. Update.

Abstract:

:Given that childhood obesity is an epidemic, the frequency of critically-ill patients who are overweight or obese seen at intensive care units has increased rapidly. Adipose tissue is an endocrine organ that secretes a number of protein hormones, including leptin, which stands out because it regulates adipose tissue mass. The presence of arterial hypertension, metabolic syndrome, diabetes mellitus, respiratory disease and chronic kidney disease may become apparent and complicate the course of obese pediatric patients in the Intensive Care Unit. Obesity management is complex and should involve patients, their families and the medical community. It should be coordinated with comprehensive government health policies and implemented in conjunction with a change in cultural context. :Actualmente, la obesidad infantil constituye una epidemia. La frecuencia de pacientes críticos con sobrepeso u obesidad ha aumentado rápidamente en las unidades de cuidados intensivos. El tejido adiposo es un órgano endocrino que secreta varias hormonas proteicas, entre las que se destaca la leptina, la cual es reguladora de su masa. La presencia de hipertensión arterial, síndrome metabólico, diabetes mellitus, enfermedades respiratorias y enfermedad renal crónica se puede manifestar en el paciente pediátrico obeso durante su estadía en la Unidad de Cuidados Intensivos y complicar su evolución. El tratamiento de la obesidad es complejo y debe involucrar al paciente, a su familia y a la comunidad médica. Debe realizarse en coordinación con políticas sanitarias gubernamentales integrales y en conjunto con un cambio de marco cultural.

journal_name

Arch Argent Pediatr

authors

Donoso Fuentes A,Córdova L P,Hevia J P,Arriagada S D

doi

10.5546/aap.2016.eng.258

subject

Has Abstract

pub_date

2016-06-01 00:00:00

pages

258-166

issue

3

eissn

0325-0075

issn

1668-3501

journal_volume

114

pub_type

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