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Increasing Trends in Obesity-Related Cardiovascular Risk Factors in Romanian Children and Adolescents—Retrospective Study

Childhood obesity has become a global public health issue and its assessment is essential, as an obese child is a future overweight or obese adult. Obesity is no longer a matter of exercising more and eating less, with several factors coming into play and dictating the pattern of fat accumulation an...

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Autores principales: Luca, Alina-Costina, Curpan, Alexandrina-Stefania, Braha, Elena Emanuela, Ţarcă, Elena, Iordache, Alin-Constantin, Luca, Florin-Alexandru, Adumitrachioaiei, Heidrun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9777914/
https://www.ncbi.nlm.nih.gov/pubmed/36553976
http://dx.doi.org/10.3390/healthcare10122452
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author Luca, Alina-Costina
Curpan, Alexandrina-Stefania
Braha, Elena Emanuela
Ţarcă, Elena
Iordache, Alin-Constantin
Luca, Florin-Alexandru
Adumitrachioaiei, Heidrun
author_facet Luca, Alina-Costina
Curpan, Alexandrina-Stefania
Braha, Elena Emanuela
Ţarcă, Elena
Iordache, Alin-Constantin
Luca, Florin-Alexandru
Adumitrachioaiei, Heidrun
author_sort Luca, Alina-Costina
collection PubMed
description Childhood obesity has become a global public health issue and its assessment is essential, as an obese child is a future overweight or obese adult. Obesity is no longer a matter of exercising more and eating less, with several factors coming into play and dictating the pattern of fat accumulation and the ease/difficulty of reducing it. In the current paper, we aimed to analyze the cardiovascular impact of obesity in a large number of patients alongside the paraclinical changes that occur due to weight gain, and to perform an analysis on the increase in prevalence throughout our research. The main cardiovascular conditions identified were hypertension (15.36%), septal or concentric hypertrophic cardiomyopathy (11.15%), atherosclerosis risk (13.04%), and hypercholesterolemia (20.94%). We have used echocardiography to measure the thickness of epicardial adipose tissue (useful for assessing the patient’s cardiovascular risk), and we observed that it was greater in children with moderate and severe obesity alongside diastolic dysfunction of the left ventricle in the whole group, without any connection with hypertension or coronary impairment. Obese children will be affected by increased cardiovascular mortality and morbidity in adulthood and they may experience early cardiovascular dysfunction. We want to strongly underline the importance and necessity of programs for the early detection and prevention of obesity and its complications, especially since interesting phenomena such as the “obesity paradox” exist and prove that obesity is far less understood than it is at a first glance.
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spelling pubmed-97779142022-12-23 Increasing Trends in Obesity-Related Cardiovascular Risk Factors in Romanian Children and Adolescents—Retrospective Study Luca, Alina-Costina Curpan, Alexandrina-Stefania Braha, Elena Emanuela Ţarcă, Elena Iordache, Alin-Constantin Luca, Florin-Alexandru Adumitrachioaiei, Heidrun Healthcare (Basel) Article Childhood obesity has become a global public health issue and its assessment is essential, as an obese child is a future overweight or obese adult. Obesity is no longer a matter of exercising more and eating less, with several factors coming into play and dictating the pattern of fat accumulation and the ease/difficulty of reducing it. In the current paper, we aimed to analyze the cardiovascular impact of obesity in a large number of patients alongside the paraclinical changes that occur due to weight gain, and to perform an analysis on the increase in prevalence throughout our research. The main cardiovascular conditions identified were hypertension (15.36%), septal or concentric hypertrophic cardiomyopathy (11.15%), atherosclerosis risk (13.04%), and hypercholesterolemia (20.94%). We have used echocardiography to measure the thickness of epicardial adipose tissue (useful for assessing the patient’s cardiovascular risk), and we observed that it was greater in children with moderate and severe obesity alongside diastolic dysfunction of the left ventricle in the whole group, without any connection with hypertension or coronary impairment. Obese children will be affected by increased cardiovascular mortality and morbidity in adulthood and they may experience early cardiovascular dysfunction. We want to strongly underline the importance and necessity of programs for the early detection and prevention of obesity and its complications, especially since interesting phenomena such as the “obesity paradox” exist and prove that obesity is far less understood than it is at a first glance. MDPI 2022-12-05 /pmc/articles/PMC9777914/ /pubmed/36553976 http://dx.doi.org/10.3390/healthcare10122452 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Luca, Alina-Costina
Curpan, Alexandrina-Stefania
Braha, Elena Emanuela
Ţarcă, Elena
Iordache, Alin-Constantin
Luca, Florin-Alexandru
Adumitrachioaiei, Heidrun
Increasing Trends in Obesity-Related Cardiovascular Risk Factors in Romanian Children and Adolescents—Retrospective Study
title Increasing Trends in Obesity-Related Cardiovascular Risk Factors in Romanian Children and Adolescents—Retrospective Study
title_full Increasing Trends in Obesity-Related Cardiovascular Risk Factors in Romanian Children and Adolescents—Retrospective Study
title_fullStr Increasing Trends in Obesity-Related Cardiovascular Risk Factors in Romanian Children and Adolescents—Retrospective Study
title_full_unstemmed Increasing Trends in Obesity-Related Cardiovascular Risk Factors in Romanian Children and Adolescents—Retrospective Study
title_short Increasing Trends in Obesity-Related Cardiovascular Risk Factors in Romanian Children and Adolescents—Retrospective Study
title_sort increasing trends in obesity-related cardiovascular risk factors in romanian children and adolescents—retrospective study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9777914/
https://www.ncbi.nlm.nih.gov/pubmed/36553976
http://dx.doi.org/10.3390/healthcare10122452
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