Al final de este correo encontrará nuevos enlaces del articulo de ayer sobre obesidad en pediatría. Le pedimos una disculpa y le deseamos un excelente fin de semana.
At the end of this mail will find new links for yesterday article on obesity in children. We do apologize and wish you a great weekend.
No final deste e-mail encontrará ligações novo artigo de ontem sobre obesidade em crianças. Pedimos desculpas e desejar um ótimo fim de semana
Retos anestesiológicos y obstétricos en obesidad mórbida en partos por cesárea. Estudio en el sureste nigeriano
Anaesthetic and obstetric challenges of morbid obesity in caesarean deliveries--a study in South-eastern Nigeria.
Okafor UV, Efetie ER, Nwoke O, Okezie O, Umeh U.
Department of Anaesthesia, University of Nigeria, Enugu campus, Nigeria.uvkafor@yahoo.com
Afr Health Sci. 2012 Mar;12(1):54-7.
Abstract
BACKGROUND: Morbid obesity of parturient has become very important in perinatal medicine because of a worldwide obesity epidemic. Morbid obesity of parturient is reportedly associated with severely increased anaesthetic and obstetric risk. OBJECTIVE: To determine the prevalence rate, anaesthetic and obstetric complications in morbidly obese parturient that had caesarean delivery in a Nigerian tertiary care centre. METHODS: The obstetric theatre records and case files were reviewed for caesarean deliveries in the University of Nigeria Teaching Hospital, Enugu, Nigeria from May 2008 to December 2010. A sample size of 250 patients, calculated based on a prevalence rate of 19%, confidence interval of 95% , a power of 80% and a finite population of zero was used to determine the prevalence rate of morbid obesity (Body Mass Index of greater than or equal to 35 kg/m(2)). RESULTS: There were thirty-one patients with morbid obesity (12.4%). The average Body Mass Index (BMI) was 38.3 kg/m(2)(SD ± 2.99). Other findings included macrosomia (7 or 25.8%), gestational diabetes (13%) and pregnancy induced hypertension (7 or 22.5%).There were two neonatal deaths but no maternal deaths. CONCLUSION: The prevalence rate of morbid obesity is about 10% in Nigerian women of child bearing age. This mirrors a World Health Organisation report published in the World Health Organisation Global Information Base.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3462507/pdf/AFHS1201-0054.pdf
Consideraciones anestesiológicas en parturientas con obesidad y apnea obstructiva del sueño
Anesthetic considerations of parturients with obesity and obstructive sleep apnea.
Ankichetty SP, Angle P, Joselyn AS, Chinnappa V, Halpern S.
Department of Obstetric Anesthesia, Sunnybrook Health Sciences Centre, University of Toronto, Canada.
J Anaesthesiol Clin Pharmacol. 2012 Oct;28(4):436-43. doi: 10.4103/0970-9185.101895.
Abstract
Obstructive sleep apnea (OSA) is characterized by upper airway collapse and obstruction during sleep. It is estimated to affect nearly 5% of the general female population. Obesity is often associated with OSA. The physiological changes associated with pregnancy may increase the severity of OSA with a higher risk of maternal and fetal morbidity. However, very few parturients are diagnosed during pregnancy. These undiagnosed parturients pose great challenge to the attending anaesthesiologist during the perioperative period. Parturients at risk should be screened for OSA, and if diagnosed, treated. This review describes the anaesthetic concerns in obese parturients at risk for OSA presenting to the labor and delivery unit.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3511937/
http://www.joacp.org/temp/JAnaesthClinPharmacol284436-4193493_113854.pdf
Obesidad en niños: ¿Una epidemia en espera?
Childhood obesity: An epidemic in waiting?.
Singh R.
Int J Med Public Health [serial online] 2013 [cited 2013 Mar 21];3:2-7.
Abstract
Progress of a country comes at a price. With the booming economy, Indians have now more food stuff to eat. Most of the time what we eat and give our children to eat is not healthy. Consequently, a lot more Indian children are becoming overweight like their western counterparts. Approximately 22 million children, under five years of age, are overweight across the world. The worst part is that we do not know for sure what proportion of Indian children are overweight. Different studies in India have shown a wide range of prevalence of childhood obesity. Recent studies have proved beyond doubt that this impending epidemic is not only restricted to the elite children in our country, but has crossed the socioeconomic divide and childhood obesity is on the rise even among the less privileged ones. Recent findings have shown that the propensity to become obese is evident as early as someone is in the uterus. Obesity is the root cause of many chronic diseases. The best way to tackle the obesity epidemic is to lessen its burden in children. The earlier we intervene in a person's life; the better will be the results, not only for the individual, but for the country as well. Population-based prevention strategies are the best to tackle this epidemic. It seeks to change the social norm by encouraging an increase in healthy behaviour and a reduction in health risk. They involve shifting the responsibility of tackling health risks from the individual to governments and health ministries.
Keywords: Children, India, metabolic syndrome, obesity
http://www.ijmedph.org/temp/IntJMedPublicHealth312-458605_124420.pdf
http://www.ijmedph.org/downloadpdf.asp?issn=2230-8598;year=2013;volume=3;issue=1;spage=2;epage=7;aulast=Singh;type=2
http://www.ijmedph.org/article.asp?issn=2230-8598;year=2013;volume=3;issue=1;spage=2;epage=7;aulast=Singh
http://www.ijmedph.org/text.asp?2013/3/1/2/109298
Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org
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