Childhood obesity leads to higher rate of problems during surgeryFebruary 25, 2008Obese children had more trouble with airway obstructions, ventilation ANN ARBOR, Mich. - Add this to the growing list of health challenges faced by obese children: A new study from the University of Michigan Health System finds that obese children are much more likely than normal-weight children to have problems with airway obstruction and other breathing-related functions during surgery. Obese children were found to have a higher rate of difficult mask ventilation, airway obstruction, major oxygen desaturation (a decrease in oxygen in the patient's blood), and other airway problems. The study appears in the March issue of the journal Anesthesiology. "To our knowledge, this is the first study of its kind," says lead author Alan R. Tait, Ph.D., professor in the Department of Anesthesiology at the U-M Health System. This large-scale prospective study examines the effect of overweight and obesity on the outcomes of operations in children undergoing elective non-cardiac surgery. "Based on current trends, it is likely that anesthesiologists will continue to care for an increasing number of children who are overweight or obese," Tait says, "so it is vital that we are aware of the higher risk they face in the operating room." Researchers studied the experiences of 2,025 children who were having elective surgery. Of those, 1,380 were normal weight, 351 were overweight and 294 were obese. Children ranged in age from 2 to 18 years old. In addition to the problems the obese patients experienced during surgery, they also had a higher rate of illnesses and conditions including asthma, hypertension, sleep apnea and Type II diabetes. These conditions all can contribute to problems during surgery, Tait notes. By the numbers: * An estimated 15 to 17 percent of children and adolescents in the United States are considered obese. * Major airway obstructions occurred in 19 percent of obese children, compared with 11 percent of normal-weight children. * Nearly 9 percent of obese children experienced difficult mask ventilation, compared with 2 percent of normal-weight children. * 17 percent of obese children in the study experienced major oxygen desaturation (decreased oxygen in the blood), compared with 9 percent of normal-weight children. * 28 percent of obese children had asthma, compared with 16 percent of normal-weight children. It should be noted however, that despite the increased risk of adverse events among children who are obese, none resulted in significant illness. University of Michigan Health System |
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| Related Childhood Obesity Current Events and Childhood Obesity News Articles Teens' mental health affects how long they stay in school, new study shows Queen's University researcher Steven Lehrer has won a prestigious international award in recognition of his contributions to health economics. Physical education key to improving health in low-income adolescents School-based physical education plays a key role in curbing obesity and improving fitness among adolescents from low-income communities, according to a new study led by researchers at the University of California, San Francisco and UC Berkeley. TV bombards children with commercials for high-fat and high-sugar foods Childhood obesity in the United States is reaching epidemic proportions. With more than one fourth of advertising on daytime and prime time television devoted to foods and beverages and continuing questions about the role television plays in obesity. Study: Lap band surgery effective for morbidly obese children A surgeon at Children's National Medical Center and his colleagues from New York University have found laparoscopic adjustable gastric banding (Lap band) to improve the health of morbidly obese adolescents. ISU study finds intervention program helps kids eat healthier, reduce screen time A new Iowa State University study found that a family, school and community intervention program helps children live healthier lives and could be a new tool in the fight against the nation's childhood obesity epidemic. UNC study: Color-coded chart improves parents' understanding of body mass index (BMI) In the study, published in the September/October 2009 issue of journal Academic Pediatrics, a sample of 163 parents of children seen at pediatric clinics at UNC and Vanderbilt University were tested to assess their understanding of BMI, their health literacy and their math abilities. Current national primary care policies for childhood obesity need to be improved Current primary care policies aimed at reducing obesity and increasing physical activity in children do not work and are very costly to run. Health experts offer action steps local governments can use to cut childhood obesity rates Zoning restrictions on fast-food restaurants near schools and playgrounds, community policing to improve safety around public recreational sites, requirements that publicly run after-school programs limit video game and TV time, and taxes on high-calorie, low-nutrient foods and drinks are some of the strategies local government officials can use to tackle the childhood obesity epidemic in their communities. Weight-loss surgery can break a family's cycle of obesity Adolescent and young children of obese mothers who underwent weight-loss surgery prior to pregnancy have been found to have a lower prevalence of obesity and significantly improved cardio-metabolic markers when compared to siblings born before the same obese mothers had weight-loss surgery. Childhood obesity: The increasing vascular drama Obesity is one of the most important health problems in industrialized countries irrespective of socio-economic status, age, sex or ethnicity. More Childhood Obesity Current Events and Childhood Obesity News Articles |
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