Prevalência de sobrepeso/obesidade em crianças e adolescentes com constipação crônica funcional
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Data
2008-12-01
Autores
Faleiros, Francisca Teresa Veneziano [UNESP]
Omae, Cristiane Camargo [UNESP]
Nakazawa, Cristiane Yoshie [UNESP]
Carvalho, Mary de Assis [UNESP]
Machado, Nilton Carlos [UNESP]
Título da Revista
ISSN da Revista
Título de Volume
Editor
Sociedade de Pediatria de São Paulo
Resumo
OBJETIVO: Avaliar a prevalência do sobrepeso/obesidade em um grupo de crianças com constipação crônica funcional. MÉTODOS: Estudo retrospectivo com 257 crianças de dois a 15 anos com constipação crônica funcional diagnosticada segundo critérios de Roma II, atendidas consecutivamente em clínica terciária de gastroenterologia pediátrica. Informações demográficas, clínicas, diagnósticas e antropométricas foram obtidas de prontuários. O índice de massa corporal (IMC) foi calculado e utilizou-se a referência do Centers for Disease Control para determinar o percentil de IMC para idade e gênero. Crianças com percentil de IMC>85 foram consideradas com sobrepeso/obesidade; as com percentis > 5 e <85 foram classificadas como eutróficas. RESULTADOS: Para as variáveis sociodemográficas e clínicas, não houve diferença estatisticamente significante entre os subgrupos sobrepeso/obesidade e eutrofia. A prevalência de crianças constipadas com sobrepeso/obesidade foi de 24,4%. A média dos percentis do subgrupo sobrepeso/obesidade foi 94,4±4,3; a das eutróficas foi 45,3±24,2. A prevalência de sobrepeso/obesidade foi similar em ambos os sexos e grupos etários (<7 anos e >7 anos). CONCLUSÕES: Os subgrupos dos eutróficos e sobrepeso/obesidade foram homogêneos nas características sociodemográficas e clínicas, sugerindo que tais variáveis não influenciaram na prevalência do excesso de peso. A prevalência estimada de sobrepeso/obesidade entre as crianças com constipação crônica funcional está dentro dos valores esperados para a população pediátrica brasileira.
OBJECTIVE: To determine the prevalence of overweight/obesity in a group of children with chronic functional constipation. METHODS: Retrospective chart review of 257 children with chronic functional constipation as defined by Rome II criteria, 2-15 years old, assisted in a tertiary pediatric gastroenterology clinic. Demographic, clinical, diagnostic and anthropometric information was extracted from the charts. Body mass index (BMI) was calculated and The Centers for Disease Control's BMI growth reference was used to determine age and gender-specific BMI percentiles of the children. Overweight/obesity was classified as a BMI of >85th percentile, and euthrophy as BMI >5th and <85th percentile. RESULTS: There was no statistically significant difference for demographics and clinical variables between the subgroups overweight/obesity and eutrophy. In constipated children, prevalence of overweight/obesity was 24.4%. Prevalence of overweight/obesity did not differ between boys and girls or across age groups (<7 years and >7 years). CONCLUSIONS: Demographics and clinical characteristics were similar between the overweight/obese and eutrophic subgroups, which suggests that these characteristics do not influence on the prevalence of overweight/obesity in constipated children. The estimated prevalence of overweight/obesity in this group was similar to the prevalence of age-matched reference for Brazilian children.
OBJECTIVE: To determine the prevalence of overweight/obesity in a group of children with chronic functional constipation. METHODS: Retrospective chart review of 257 children with chronic functional constipation as defined by Rome II criteria, 2-15 years old, assisted in a tertiary pediatric gastroenterology clinic. Demographic, clinical, diagnostic and anthropometric information was extracted from the charts. Body mass index (BMI) was calculated and The Centers for Disease Control's BMI growth reference was used to determine age and gender-specific BMI percentiles of the children. Overweight/obesity was classified as a BMI of >85th percentile, and euthrophy as BMI >5th and <85th percentile. RESULTS: There was no statistically significant difference for demographics and clinical variables between the subgroups overweight/obesity and eutrophy. In constipated children, prevalence of overweight/obesity was 24.4%. Prevalence of overweight/obesity did not differ between boys and girls or across age groups (<7 years and >7 years). CONCLUSIONS: Demographics and clinical characteristics were similar between the overweight/obese and eutrophic subgroups, which suggests that these characteristics do not influence on the prevalence of overweight/obesity in constipated children. The estimated prevalence of overweight/obesity in this group was similar to the prevalence of age-matched reference for Brazilian children.
Descrição
Palavras-chave
obesidade, sobrepeso, constipação intestinal, epidemiologia, obesity, overweight, constipation, epidemiology
Como citar
Revista Paulista de Pediatria. Sociedade de Pediatria de São Paulo, v. 26, n. 4, p. 358-360, 2008.