COMPREHENSIVE APPROACH TO TREATMENT OF EXOGENOUS- CONSTITUTIONAL OBESITY IN CHILDREN
DOI:
https://doi.org/10.61841/qy81f078Keywords:
exogenous-constitutional obesity,, children, leptin resistance.Abstract
In this paper, we presented a new tactic for managing children with exogenous-constitutional obesity against the background of leptin resistance. Body weight in children with and without leptin resistance did not differ statistically, but the degree of reduction in the 1 to 3 course of therapy was more expressed in children in the comparison group, without leptin resistance. So in the comparison group after the 1st course, the weight decreased by 2.27±0.78 kg, and in the main group - by 1.63±0.56 kg (p<0.001); after the second course of therapy, these values (weight reduction) were 4.40±1.43 kg and 3.28±1.10 kg (p<0.001); and finally after the last 3 courses
- 6.60±2.14 and 4.91±1.64 (p<0.001).Signs of leptin resistance in children against the background of TMS became less noticeable and most children after 2 months noted a decrease or even absence of the majority, in contrast to children whose parents did not want to try to correct the child’s condition with TMS. Therefore, it is very important that a year after therapy in children who passed 3 courses of TMS, the trend remained: 95% of children continued to lose weight and only two people (4.8%) increased their weight. And in children receiving standard therapy, the vast majority (97.5%) returned to their original weight level or even increased slightly. This scheme of complex therapy will improve the quality of life of children in this category significantly.
Downloads
References
1. Alimova I.L. Prospects of application in pediatric practice of Federal clinical recommendations “Diagnosis and treatment of obesity in children and adolescents” // Russian Bulletin of Perinatology and Pediatrics. - 2015. - № 1. - P. 66-70.
2. Bolotova N.V., Raygorodskaya N.Yu., et al. Hypothalamic syndrome of puberty: treatment with an alternating magnetic field // Russian pediatric journal. – 2004. - № 5. - P. 51-53.
3. Dedov I.I. Federal clinical recommendations (protocols) for the management of children with endocrine diseases. – M.: Practice, 2014. – 442 p.
4. Dietz W.H. Introduction: the use of body mass index to assess obesity in children / W.H. Dietz, M.C. Bellizzi // Am. J. Clin. Nutr. - 1999. - Vol. 70. - P. 123S-125S.
5. Zhou Y, Rui L. Leptin signaling and leptin resistance. Front Med 2013 June;7(2):207–22.
6. Thompson D.L., Thompson W.R., Prestridge T.J. et al. Effects of hydration and dehydration on body composition analysis: a comparative study of bioelectric impedance analysis and hydrodensitometiy // 1991. - J. Sports Med. Phys. Fitness. - Vol. 31. - P. 565-570.
7. Ilchenko G.V., Ishchenko O.Yu., Prishchep L.V. Assessment of organizational loyalty in medical institutions // International Journal of Medicine and Psychology. 2018. Volume 1. Issue 4. P. 24 – 35.
8. Raygorodskaya N.Yu., Filina N.Yu. Vegetative disorders in hypothalamic syndrome in adolescents: clinical manifestations and possibilities of transcranial magnetic therapy. Department of Propaedeutics of Children’s Diseases of SSMU, Saratov.
9. Peterkova V.A., Vasyukova O.V. On the new classification of obesity in children and adolescents // Problems of endocrinology. - 2015. - № 2. - P. 39-44.
10. Evseev A.B. Dietary therapy of type 2 diabetes mellitus: traditions and novelties // International Journal of Medicine and Psychology. 2019. Volume 2. Issue 3. P. 26 – 29.
11. Martynova I.N., Vinyarskaya I.V., Terletskaya R.N., Postnikova E.V., Frolova G.S. Questions of true morbidity and prevalence of obesity among children and adolescents // Russian pediatric journal. - 2016.
- № 1. - P. 23-28.
12. Salalykina E.V., Yablonko N.V. Aspects of work organization of nursing personnel in department of medical center // International Journal of Medicine and Psychology. 2018. Volume 1. Issue 4. P. 19 – 23.
13. Zhou Y, Rui L. Leptin signaling and leptin resistance. Front Med 2013 June;7(2):207–22.
14. Savoye M., Berry D., Dziura J., Shaw M., Serrecchia J.B., Barbetta G., Rose P., Lavietes S., Caprio S. Anthropometric and psychosocial changes in obese adoles- cents enrolled in a Weight Management Program // J. Am. Diet. Assoc. 2005; 105(3): 364–70.
15. Prevention and Treatment of Pediatric Obesity: An Endocrine Society Clinical Practice Guideline Based on Expert Opinion // JCEM.- 2008.- 93(12)- С. 4576–99.
16. Velieva M.N., Atakishidze S.A., Veliev P.M., Atakishidze S.A., Abbasalieva T.R. Remedy for clarification of an organism // International Journal of Medicine and Psychology. 2019. Volume 2. Issue
2. P. 4 – 9.
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
