Behavioral intervention in the treatment of obesity in children and adolescents: implications for Mexico

Jelalian, Elissa; Evans, E. Whitney

doi:10.1093/nutrit/nuw035

Cited by 13 publications

(7 citation statements)

References 48 publications

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“…Regarding the comorbidities found in our study, a higher prevalence of obesity, T2DM and hypertension in those patients who required IMV was observed (p<0.05). These findings attract a lot of attention, since unfortunately Mexico is among the highest places in terms of prevalence of these comorbidities, 43,44 which could partially explain the high hospital mortality rate related to COVID-19 in this country; in fact, according to data compiled by John Hopkins University, until October 2021, more than 284,381 deaths had been registered in Mexico. In this context, several studies support our findings, in which it has been documented that COVID-19 patients suffering from these metabolic disorders increase the need for critical care and particularly for IMV requirement.…”

Section: Discussionmentioning

confidence: 99%

Comorbidities and laboratory parameters associated with SARS-CoV-2 infection severity in patients from the southeast of Mexico: a cross-sectional study

et al. 2022

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Background. Severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) is the etiological agent of the coronavirus disease 2019 (COVID-19) pandemic. Among the risk factors associated with the severity of this disease is the presence of several metabolic disorders. For this reason, the aim of this research was to identify the comorbidities and laboratory parameters among COVID-19 patients admitted to the intensive care unit (ICU), comparing the patients who required invasive mechanical ventilation (IMV) with those who did not require IMV, in order to determine the clinical characteristics associated with the COVID-19 severity. Methods. We carried out a cross-sectional study among 152 patients who were admitted to the ICU from April 1st to July 31st, 2021, in whom the comorbidities and laboratory parameters associated with the SARS-CoV-2 infection severity were identified. The data of these patients was grouped into two main groups: “patients who required IMV” and “patients who did not require IMV”. The nonparametric Mann–Whitney U test for continuous data and the χ2 test for categorical data were used to compare the variables between both groups. Results. Of the 152 COVID-19 patients who were admitted to the ICU, 66 required IMV and 86 did not require IMV. Regarding the comorbidities found in these patients, a higher prevalence of type 2 diabetes mellitus (T2DM), hypertension and obesity was observed among patients who required IMV vs. those who did not require IMV (p<0.05). Concerning laboratory parameters, only glucose, Interleukin 6 (IL-6), lactate dehydrogenase (LDH) and C-reactive protein (CRP) were significantly higher among patients who required IMV than in those who did not require IMV (p<0.05). Conclusion. This study performed in a Mexican population indicates that comorbidities such as: T2DM, hypertension and obesity, as well as elevated levels of glucose, IL-6, LDH and CRP are associated with the COVID-19 severity.

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Section: Discussionmentioning

confidence: 99%

Comorbidities and laboratory parameters associated with SARS-CoV-2 infection severity in patients from the southeast of Mexico: a cross-sectional study

et al. 2022

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“…Este hecho podría explicarse, en parte, por la mayor inclinación del sexo masculino hacia los alimentos y la menor regulación en su consumo. La identificación y el manejo oportuno de estas conductas podría considerarse como parte de las medidas de prevención del sobrepeso y la obesidad en México, a la par de las recomendaciones dietéticas y de estilo de vida 31 .…”

Section: Discussionunclassified

Rasgos del apetito en niños de 6 a 12 años: asociación con la obesidad y diferencias por sexo

Fuente-Reynoso¹,

Romero‐Velarde²,

Hunot‐Alexander³

et al. 2020

BMHIM

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Introducción: El sobrepeso y la obesidad en niños de edad escolar se consideran un problema de salud pública en México. El objetivo de este estudio fue demostrar la asociación entre los rasgos del apetito y la presencia de obesidad, e identificar diferencias por sexo en niños que acuden a un hospital universitario. Métodos: Se realizó un estudio de diseño transversal en 176 niños con obesidad y 175 niños con normopeso, pacientes del Nuevo Hospital Civil de Guadalajara y se calculó el índice de masa corporal (IMC) de los participantes. Se aplicó el Cuestionario de Conductas Alimentarias del Niño a los padres para evaluar ocho rasgos del apetito y se comparó el promedio de la puntuación de los rasgos del apetito entre niños con obesidad y normopeso, y entre sexos. Se utilizó la prueba t de Student para muestras independientes y análisis de regresión con los rasgos del apetito y el puntaje Z del IMC. Resultados: El promedio de la puntuación de los rasgos del apetito que muestran inclinaciones positivas hacia los alimentos (proingesta) fue mayor en niños con obesidad (p < 0.001), mientras que el promedio de los que muestran inclinaciones negativas hacia los alimentos (antiingesta) fue mayor en niños con normopeso (p < 0.001). Los participantes de sexo masculino con normopeso presentaron mayor puntaje en los rasgos del apetito Respuesta a los alimentos, Sobrealimentación emocional y Deseo de beber (p < 0.05). Conclusiones: Los niños con obesidad muestran rasgos del apetito que pueden llevar a un mayor consumo de alimentos. Los participantes de sexo masculino con normopeso mostraron rasgos del apetito que podrían representar un riesgo de desarrollo de obesidad.

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“…Obesity in children and adolescents is a health epidemic throughout the world, both advanced and developing countries (Elissa and Whitney, 2016). The prevalence of overweight and obesity in children in the world increased from 4.2% in 1990 to 6.7% in 2010, and is expected to reach 9.1% in 2020.…”

Section: Introductionmentioning

confidence: 99%

“…Obesity among adolescents has short-term and long-term consequences in terms of physical and psychosocial development (Elissa and Whitney, 2016). In adolescence obesity often causes serious complications such as hypertension, dyslipidemia, insulin resistance, dysglycemia, fatty liver, psychosocial complications, and can also be a major contributor to health care costs (Neslihan, 2014).…”

Section: Introductionmentioning

confidence: 99%

The Difference of Lipid Profile Pre and Post Endurance Exercise in Obese Male Adolescents

Mufidah¹,

Wulan²,

Poerwandari³

et al. 2022

IJRP

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Obesity among adolescents has short-term and long-term consequences in terms of physical and psychosocial development.In adolescence obesity often causes serious complications such as hypertension, dyslipidemia, insulin resistance, dysglycemia, fatty liver, psychosocial complications. Dyslipidemia in obesity is closely related to the occurrence of atherosclerosis which often leads to coronary heart disease (CHD) and vascular disorders. Dyslipidemia is indicated by an increase in total cholesterol, low density lipoprotein (LDL), or triglycerides (TG), or a decrease in high density lipoprotein (HDL). Boys have a higher visceral fat ratio than girls. Physical exercise without dietary restrictions has been shown to improve blood lipid profiles and reduce fat mass. Endurance exercise increases fat oxidation during submaximal exercise. Zumba has been shown to reduce fat mass and improve aerobic fitness. To analyze the effect of endurance exercise with Zumba fitness 3x/week for 8 weeks on the lipid profile of obese male adolescents at senior high school Surabaya. This study was conducted from July 2020 to August 2020. The research subjects were 12 teenage boys aged 14-18 years at senior high school Surabaya, with obesity nutritional status p>95 according to CDC 2000. Research subjects were given an endurance exercise intervention with Zumba fitness 3 times a week for 8 weeks, light-moderate intensity 30-60 minutes. The volume of exercise is gradually increased by starting with an increase in duration and then the intensity of the exercise includes whole body movement with a combination of aerobics and dance. This study was conducted without calorie restriction. Pre-and post-exercise assessment of lipid profile (total cholesterol, triglycerides, HDL and LDL). TG, HDL, and total cholesterol before and after exercise had no significant difference which is TG = 0.106, HDL = 0.259 and total cholesterol = 0.188. Pre-and post-exercise LDL data had a significant difference with a significance value of 0.014 for LDL. In this study, there was a 6.8% decrease in TG; decreased LDL 4.9%; increase in HDL 12.49%; and a 3.6% reduction in total cholesterol. Endurance exercise with zumba fitness 3 times in a week for 8 weeks in obese male adolescents without calorie restriction, can improve LDL lipid profile, but does not improve TG, HDL and total cholesterol.

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Behavioral intervention in the treatment of obesity in children and adolescents: implications for Mexico

Cited by 13 publications

References 48 publications

Comorbidities and laboratory parameters associated with SARS-CoV-2 infection severity in patients from the southeast of Mexico: a cross-sectional study

Comorbidities and laboratory parameters associated with SARS-CoV-2 infection severity in patients from the southeast of Mexico: a cross-sectional study

Rasgos del apetito en niños de 6 a 12 años: asociación con la obesidad y diferencias por sexo

The Difference of Lipid Profile Pre and Post Endurance Exercise in Obese Male Adolescents

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