Sobrepeso e obesidade pediátrica: a realidade portuguesa

Viveiro, Carolina; Brito, Sara; Moleiro, Pascoal

doi:10.1016/j.rpsp.2015.07.004

Cited by 15 publications

(19 citation statements)

References 13 publications

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“…In boys and in Group I, ENMDs were more frequent, particularly obesity, which was the most prevalent disease in this study for both sexes and age groups. The prevalence (23%) reflects the increasing weight that this disease has in society (in Portugal, it is estimated that about 7% of adolescents are obese and in the United States, this figure rises to 21%) ( 17 , 18 ) and the increasing trend will continue. ( 18 – 20 )…”

Section: Discussionmentioning

confidence: 99%

“…Regarding the sex and age distribution of obesity, results were equivalent to those described in Europe, according to which the prevalence is higher in male and younger adolescents. ( 17 , 20 , 21 ) The higher frequency in the younger age group, although a red flag for the increasingly earlier onset of obesity, may also encourage earlier screening/diagnosis, allowing for prompter and more effective interventions.…”

Section: Discussionmentioning

confidence: 99%

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What are the most frequent diagnoses in adolescence? The reality of an Adolescent Medicine Clinic

Abreu

Dias

Cascais

et al. 2018

Einstein (São Paulo)

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ObjectiveTo characterize the care flow and the primary diagnoses of an Adolescent Medicine Clinic.MethodsA retrospective descriptive study, with analysis of clinical processes of adolescents (10-18 years) seen at the Adolescent Medicine Clinic, from January 2006 to December 2013. The following variables were analyzed: sex, age, number of visits, referring service and primary diagnoses according to the International Statistical Classification of Diseases and Related Health Problems. As to the variable age, the adolescents were divided into two groups: Group I comprised those aged 10-14 years, and Group II, 15-18 years.ResultsA total of 7,692 visits were carried out, in that, 1,659 first visits (22%), with an annual growth rate of 6%. The mean age was 14.2 years, and 55% of patients were female. The group of endocrine, nutritional and metabolic diseases was the most representative in our sample (34%), with obesity being the most frequent diagnosis in both sexes and age groups (23%), with a higher prevalence in males (13% male versus 10% female, p<0.001) and younger adolescents (18% in Group I versus 5% in Group II p<0.001). The group of mental and behavioral disorders was the second most prevalent (32%), affecting mainly females (39% female versus 22% male, p<0.001) and the older age group (39% Group II versus 27% Group I, p<0.001). Social problems were the primary diagnosis in 8% of visits.ConclusionMost diseases diagnosed have a strong behavioral and social component, particularly mental disorders and obesity. This specific type of diagnoses reinforces the need for a global approach for adolescents and specialized adolescent medicine units/clinics.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

What are the most frequent diagnoses in adolescence? The reality of an Adolescent Medicine Clinic

Abreu

Dias

Cascais

et al. 2018

Einstein (São Paulo)

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“…The prevalences of overweight and obesity in Portuguese children and adolescents are reported in national and subnational studies that meet the three aforementioned criteria, (Bingham et al 2013, Cattaneo et al 2010, Lissau et al 2004, Minghelli et al 2014, Moreira 2007, Padez et al 2004, Tito et al 2012, Sardinha 2011, Viveiro et al 2016, Wijnhoven et al 2012, 2014. However, the most frequently used criteria for childhood were those recommended by the IOTF which provide international age-and sexspecific cut-off points from 2-18 years old to evaluate prevalences of overweight and obesity.…”

Section: Introductionmentioning

confidence: 99%

“…Regardless of WHO or IOTF criteria, Portugal and other southern European countries such as Italy, Malta, and Slovenia had higher overweight prevalence than other European countries (Branca et al 2007, Bingham et al 2013, Cattaneo et al 2010, Ng et al 2014. Despite of the afore-mentioned concerned rates of overweight or obesity, few studies with Portuguese children aged three to ten years old compared the prevalences of overweight and obesity attending different standards of reference of nutritional status (Rito et al 2012, Viveiro et al 2016, Wijnhoven et al 2014.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of overweight and obesity in 3-to-10-year-old children: assessment of different cut-off criteria WHO-IOTF

Gama

Rosado‐Marques

Machado‐Rodrigues

et al. 2020

An. Acad. Bras. Ciênc.

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This study compares the prevalence of overweight and obesity between WHO/ IOTF criteria. A total of 17,277 Portuguese children aged 3-10 years old were analysed. The prevalences of overweight-obesity were higher at WHO classifi cation (19.8%-20.7%) than at IOTF classifi cation (8.2%-16.1%), (p<0.001). Agreement between the criteria were substantial for overweight (Kappa= 0.67, p<0.001) and moderate for obesity (Kappa= 0.47, p<0.001). The prevalences ratio for inequality between criteria were greater for boys than for girls and lesser for children aged 6-7 than children aged 8-10 years old. The disparities between the two criteria and the higher overweight obesity prevalences highlight the needs to develop more studies.

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“…20 Estudos portugueses demonstraram uma prevalência de excesso de peso/obesidade de cerca de 32% até aos 36 meses de idade 21 e 35% -37% em crianças e adolescentes. 22,23 Como a obesidade é um fator de risco conhecido de TV e tem vindo a aumentar a nível mundial a um ritmo alarmante, este facto pode contribuir para um aumento da incidência de fenómenos trombóticos na população pediátrica.…”

Section: Discussionunclassified

Tromboembolismo Venoso em Idade Pediátrica: Estudo Retrospetivo de 15 Anos

Andrade¹,

Magalhães²,

Resende³

et al. 2018

Acta Med Port

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Introduction: Pulmonary thromboembolism and deep venous thrombosis occur in pediatric age, with unknown incidence, morbidity and mortality. Our aim is to review the epidemiology, clinical presentation, complementary diagnostic tests and prognosis of patients with pulmonary thromboembolism and deep venous thrombosis.Material and Methods: Retrospective, descriptive and analytical study of pediatric patients admitted to a Level II hospital for pulmonary thromboembolism and deep venous thrombosis, between 2000 and 2014. Demographic characteristics, clinical history, comorbidities and risk factors were studied.Results: Eleven patients (n = 7 pulmonary thromboembolism, n = 5 deep venous thrombosis, n = 1 both), 64% females and with 16 years old average, were admitted. All patients with pulmonary thromboembolism presented symptoms of chest pain and/or dyspnea, 25% syncope/palpitations and 25% fever. All patients with deep venous thrombosis reported localized pain at the site of obstruction, 83% edema/cyanosis of the affected limb and 17% fever. The study of positive thrombophilia was the most frequent risk factor in both entities. The mean value of D-dimers was 3252 ug/dL and 2660 ug/dL in pulmonary thromboembolism and deep venous thrombosis, respectively. All patients started anticoagulation, three required intensive care, two had sequelae and one died.Discussion: All patients had at least one risk factor, and hereditary hypercoagulability was most commonly established.Conclusions: The increased incidence in the pediatric population described in some studies can be attributed to an increased awareness of this pathology, medical advances and increasing survival of chronic diseases. There is a lack of evidence-based recommendations identifying patients at risk of thrombosis so that decisions can be made carefully, balancing the risk and benefit in each case.

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Sobrepeso e obesidade pediátrica: a realidade portuguesa

Cited by 15 publications

References 13 publications

What are the most frequent diagnoses in adolescence? The reality of an Adolescent Medicine Clinic

What are the most frequent diagnoses in adolescence? The reality of an Adolescent Medicine Clinic

Prevalence of overweight and obesity in 3-to-10-year-old children: assessment of different cut-off criteria WHO-IOTF

Tromboembolismo Venoso em Idade Pediátrica: Estudo Retrospetivo de 15 Anos

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