Dépistage et prise en charge des anomalies respiratoires de l’enfant obèse : syndrome d’apnée obstructive du sommeil et syndrome d’obésité hypoventilation

Gachelin, Elsa; Reynaud, R; Dubus, Jean‐Christophe; Bel, N. Stremler‐Le

doi:10.1016/j.arcped.2015.06.012

Cited by 4 publications

(7 citation statements)

References 27 publications

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“…Specific symptoms and signs are: snoring/noisy breathing (> 3 nights/week), pauses in breathing, mouth breathing, awakening headache that may persist during the day, daytime sleepiness, inability to concentrate, poor academic performance, hyperactivity, cognitive deficits. Rarely, growth delay, systemic hypertension pulmonary and artery hypertension have been reported in severe obesity [ 91 , 92 ].…”

Section: Comorbiditiesmentioning

confidence: 99%

Diagnosis, treatment and prevention of pediatric obesity: consensus position statement of the Italian Society for Pediatric Endocrinology and Diabetology and the Italian Society of Pediatrics

et al. 2018

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The Italian Consensus Position Statement on Diagnosis, Treatment and Prevention of Obesity in Children and Adolescents integrates and updates the previous guidelines to deliver an evidence based approach to the disease. The following areas were reviewed: (1) obesity definition and causes of secondary obesity; (2) physical and psychosocial comorbidities; (3) treatment and care settings; (4) prevention.The main novelties deriving from the Italian experience lie in the definition, screening of the cardiometabolic and hepatic risk factors and the endorsement of a staged approach to treatment. The evidence based efficacy of behavioral intervention versus pharmacological or surgical treatments is reported. Lastly, the prevention by promoting healthful diet, physical activity, sleep pattern, and environment is strongly recommended since the intrauterine phase.Electronic supplementary materialThe online version of this article (10.1186/s13052-018-0525-6) contains supplementary material, which is available to authorized users.

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Section: Comorbiditiesmentioning

confidence: 99%

Diagnosis, treatment and prevention of pediatric obesity: consensus position statement of the Italian Society for Pediatric Endocrinology and Diabetology and the Italian Society of Pediatrics

et al. 2018

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“…In the research by Gachelin et al regarding 102 children with morbid obesity (BMI 4.52 ± 1.5 SD), eight patients with severe OSA required ventilation support. These patients were characterised by a rapid mass increase in early childhood [2].…”

Section: Discussionmentioning

confidence: 99%

“…Sleep-related breathing disorders (SRBDs) have become a more recognized serious complication of obesity in paediatric population [1][2][3][4]. They can significantly worsen the proper psychomotor development in children as well as their physical and psychological health and quality of life [5].…”

Section: Introductionmentioning

confidence: 99%

Comparison of Frequency and Severity of Sleep-Related Breathing Disorders in Children with Simple Obesity and Paediatric Patients with Prader–Willi Syndrome

Lecka-Ambroziak

Wysocka‐Mincewicz

Świercz

et al. 2021

JPM

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Sleep-related breathing disorders (SRBDs) can be present in children with simple obesity and with Prader–Willi syndrome (PWS) and influence an individual diagnostic and treatment approach. We compared frequency and severity of SRBDs in children with simple obesity and with PWS, both without and on recombinant human growth hormone (rhGH) treatment, and correlation of SRBDs with insulin resistance tests. A screening polysomnography-polygraphy (PSG), the oral glucose tolerance test (OGTT) and homeostasis model assessment of insulin resistance (HOMA-IR) were analysed in three groups of patients—with simple obesity (group 1, n = 30, mean age 14.2 years), patients with PWS without the rhGH therapy (group 2, n = 8, mean age 13.0 years) and during the rhGH treatment (group 3, n = 17, mean age 8.9 years). The oxygen desaturation index (ODI) was significantly higher in groups 2 and 3, compared to group 1 (p = 0.00), and hypopnea index (HI) was higher in group 1 (p = 0.03). Apnea–hypopnea index (AHI) and apnea index (AI) results positively correlated with the insulin resistance parameters in groups 1 and 3. The PSG values worsened along with the increasing insulin resistance in children with simple obesity and patients with PWS treated with rhGH that may lead to a change in the patients’ care.

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“…In patients with obesity, the most commonly reported symptoms include an increased respiratory rate, dyspnea after low to moderate exertion, wheezing, and chest pain. Respiratory disorders such as bronchial asthma, obstructive sleep apnea (OSA) syndrome, or hypoventilation syndrome are more common in this group of patients [93][94][95]. Several review articles have appeared in recent years on the increased prevalence of asthma in obese patients.…”

Section: Respiratory Disorders In Obesitymentioning

confidence: 99%

“…The therapeutic efficacy of inhaled corticosteroids and their combination with long-acting beta agonists (LABAs) is significantly reduced. In spirometry, lower values of Forced expiratory volume (FEV1), total lung capacity (TLC), and functional residual capacity (FRC) are observed compared to patients with normal weight and bronchial asthma [94,[96][97][98][99][100]. OSA is a condition manifested during sleep, characterized by repeated shallowing or complete absence of airflow through the upper airway with preserved chest and abdominal movements.…”

Section: Respiratory Disorders In Obesitymentioning

confidence: 99%

Childhood Obesity: Position Statement of Polish Society of Pediatrics, Polish Society for Pediatric Obesity, Polish Society of Pediatric Endocrinology and Diabetes, the College of Family Physicians in Poland and Polish Association for Study on Obesity

et al. 2022

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Childhood obesity is one of the most important problems of public health. Searching was conducted by using PubMed/MEDLINE, Cochrane Library, Science Direct, MEDLINE, and EBSCO databases, from January 2022 to June 2022, for English language meta-analyses, systematic reviews, randomized clinical trials, and observational studies from all over the world. Five main topics were defined in a consensus join statement of the Polish Society of Pediatrics, Polish Society for Pediatric Obesity, Polish Society of Pediatric Endocrinology and Diabetes and Polish Association for the Study on Obesity: (1) definition, causes, consequences of obesity; (2) treatment of obesity; (3) obesity prevention; (4) the role of primary care in the prevention of obesity; (5) Recommendations for general practitioners, parents, teachers, and regional authorities. The statement outlines the role of diet, physical activity in the prevention and treatment of overweight and obesity, and gives appropriate recommendations for interventions by schools, parents, and primary health care. A multisite approach to weight control in children is recommended, taking into account the age, the severity of obesity, and the presence of obesity-related diseases. Combined interventions consisting of dietary modification, physical activity, behavioral therapy, and education are effective in improving metabolic and anthropometric indices. More actions are needed to strengthen the role of primary care in the effective prevention and treatment of obesity because a comprehensive, multi-component intervention appears to yield the best results.

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Dépistage et prise en charge des anomalies respiratoires de l’enfant obèse : syndrome d’apnée obstructive du sommeil et syndrome d’obésité hypoventilation

Cited by 4 publications

References 27 publications

Diagnosis, treatment and prevention of pediatric obesity: consensus position statement of the Italian Society for Pediatric Endocrinology and Diabetology and the Italian Society of Pediatrics

Diagnosis, treatment and prevention of pediatric obesity: consensus position statement of the Italian Society for Pediatric Endocrinology and Diabetology and the Italian Society of Pediatrics

Comparison of Frequency and Severity of Sleep-Related Breathing Disorders in Children with Simple Obesity and Paediatric Patients with Prader–Willi Syndrome

Childhood Obesity: Position Statement of Polish Society of Pediatrics, Polish Society for Pediatric Obesity, Polish Society of Pediatric Endocrinology and Diabetes, the College of Family Physicians in Poland and Polish Association for Study on Obesity

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