Background: Obesity has been defined as an excess of body weight due to chronic caloric imbalance with more calories consumed than expended each day. Objective of present study was to determine the prevalence of metabolic co morbidities in obese children in our local populationMethods: Hospital based cross-sectional study conducted in the endocrinology clinic of a tertiary care hospital for a period of 1 year. Obese children attending the clinic during the study period were included. Their clinical and metabolic parameters including hypertension, lipid profile, diabetes and thyroid status were evaluated.Results: A total of 65 children were included in the final analysis. Dyslipidemia was seen in 63% of the study subjects with high LDL cholesterol being the most frequent lipid abnormality.Conclusions: The prevalence of dyslipidemia among obese children in our population was similar to that in other parts of the country, though we got a higher prevalence of LDL cholesterol.

Background: Obesity and related co-morbidities are increasing at an alarming pace all over the world. Non-alcoholic fatty liver disease (NAFLD) is the asymptomatic involvement of the liver mainly seen in obese individuals. NAFLD can progress to chronic liver disease and has to be identified early. The aims of our study were to determine the prevalence of nonalcoholic fatty liver disease among obese children in our local population. To determine the prevalence of abnormal liver enzymes in obese children.Methods: Cross sectional descriptive study in a tertiary care center among children aged 5-18 years for a 1 year period. NAFLD was diagnosed based on ultrasonography. Alanine amino transferase more than 40IU/l was taken as abnormal.Results: A total of 65 patients were enrolled in the study. The prevalence of NAFLD in the study group was 60%. 20% had elevated alanine amino transferase levels.Conclusions: The prevalence of fatty liver in Kerala is comparable to that in the West. Since this is a public health issue more population based studies are needed on a larger group to find out the exact magnitude of the problem.