We Need To Look At the Comorbidities of Obesity during Childhood and Adolescence

Carlos Alberto Nogueira-de-Almeida*

Received: December 06, 2017;   Published: December 13, 2017

DOI: 10.26717/BJSTR.2017.01.000586

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Abstract

Nowadays, almost 50% of boys and girls with ages between 5 and 9 years old are overweight or obese. And these children frequently have one or more comorbidities. Unfortunately, there is a wrong belief that the great problem of obese children is the risk of this child to be an obese adult. In fact, there are a lot of comorbidities that already appears during infancy and, if treated, probably will not progress to adulthood. We have been studying some of these comorbidities from the last 5 years. We studied dyslipidemia and insulin resistance and we found that 69.4% of the children had high cholesterol, 45.2% high LDL, 54.8% low HDL and 53.2% high triglycerides [1]. It is consensual that we have a vicious circle including obesity and insulin resistance [2] and we evaluated 383 children with ages between 7 and 18 years using fasting insulinemia and Homa as indicators of insulin resistance. The prevalence was very high, independently of the method: 33.1% using fasting insulin > 15 and 37.8% using HOMA> 3.5 [1]. We also looked at blood pressure and we showed high blood pressure values among obese children, when compared to eutrophic children [3-5].

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