A very high proportion of children who are having surgery are overweight or obese, and because of the excess weight have a greater chance of experiencing problems associated with the surgery, according to a new study from the University of Michigan Health System.
Researchers looked at a database of all 6,017 pediatric surgeries at the U-M Hospital from 2000 to 2004, and they found that nearly a third of the patients – 31.5 percent – were overweight or obese. More than half of those children qualified as obese, according to the study, which appears in the new issue of the Journal of the National Medical Association.
The prevalence of overweight children having surgery presents challenges to surgeons, anesthesiologists and their teams. Overweight adult patients are more likely to have conditions such as type II diabetes, hypertension, asthma and other breathing problems, and are more likely to develop infections in their wounds after surgery. The researchers on this study say those conditions also are becoming common among overweight and obese children.
The results also suggest that children who are overweight or obese have an increased likelihood of requiring certain types of surgery. The surgeries these children were having performed most frequently included the removal of tonsils and adenoids, as well as other surgeries designed to assist with breathing problems and sleep apnea; orthopedic surgeries to fix broken bones and other ailments; and procedures designed to mend digestive and gastrointestinal issues.
“The high rates of overweight and obesity that we found among children are striking because overweight children have a higher risk of problems before, during and after surgery,” says lead author Bukky Nafiu, M.D., FRCA, a resident in the U-M Medical School Department of Anesthesiology.
“This is an important element of the childhood obesity epidemic, and one that has not received much attention,” says senior author Josephine Kasa-Vubu, M.D, MS, assistant professor in the U-M Medical School Department of Pediatrics and Communicable Diseases.
While all age ranges in the study involved high rates of overweight and obesity, the highest was in boys and girls ages 8 to 12, typically the age just before entering puberty. “This seems to indicate an age-related vulnerability to becoming overweight and needing surgery, and this is something we believe warrants further studies,” Nafiu says.
Researchers noted that many of these children are likely to remain obese as adults – indeed, some 60 to 70 percent of obese adolescents are likely to remain obese as adults. Because of that they risk problems with their overall health and well-being, as well as future problems if they need to undergo surgery.
The researchers also point out that the magnitude of the problem may reflect, in part, the fact that Michigan has one of the highest rates of obesity in the United States. There are no comparable data from other states, but the researchers say it still is likely that these rates may be similar around the country, noting that rates of overweight and obesity in children has nearly tripled in the last two decades throughout the United States.
In addition to Nafiu and Kasa-Vubu, other authors on the article about obesity and surgery were Khady S. Ndao-Brumblay, Pharm.D.; Olumuyiwa A Bamgbade, M.D., FRCA, and Michelle Morris, M.S., all of the U-M Medical School Department of Anesthesiology.
Reference: Journal of the National Medical Association, Jan. 2007, VOL. 99, NO. 1.
Katie Gazella | EurekAlert!
Study suggests possible new target for treating and preventing Alzheimer's
02.12.2016 | Oregon Health & Science University
The first analysis of Ewing's sarcoma methyloma opens doors to new treatments
01.12.2016 | IDIBELL-Bellvitge Biomedical Research Institute
Have you ever wondered how you see the world? Vision is about photons of light, which are packets of energy, interacting with the atoms or molecules in what...
A multi-institutional research collaboration has created a novel approach for fabricating three-dimensional micro-optics through the shape-defined formation of porous silicon (PSi), with broad impacts in integrated optoelectronics, imaging, and photovoltaics.
Working with colleagues at Stanford and The Dow Chemical Company, researchers at the University of Illinois at Urbana-Champaign fabricated 3-D birefringent...
In experiments with magnetic atoms conducted at extremely low temperatures, scientists have demonstrated a unique phase of matter: The atoms form a new type of quantum liquid or quantum droplet state. These so called quantum droplets may preserve their form in absence of external confinement because of quantum effects. The joint team of experimental physicists from Innsbruck and theoretical physicists from Hannover report on their findings in the journal Physical Review X.
“Our Quantum droplets are in the gas phase but they still drop like a rock,” explains experimental physicist Francesca Ferlaino when talking about the...
The Max Planck Institute for Physics (MPP) is opening up a new research field. A workshop from November 21 - 22, 2016 will mark the start of activities for an innovative axion experiment. Axions are still only purely hypothetical particles. Their detection could solve two fundamental problems in particle physics: What dark matter consists of and why it has not yet been possible to directly observe a CP violation for the strong interaction.
The “MADMAX” project is the MPP’s commitment to axion research. Axions are so far only a theoretical prediction and are difficult to detect: on the one hand,...
Broadband rotational spectroscopy unravels structural reshaping of isolated molecules in the gas phase to accommodate water
In two recent publications in the Journal of Chemical Physics and in the Journal of Physical Chemistry Letters, researchers around Melanie Schnell from the Max...
16.11.2016 | Event News
01.11.2016 | Event News
14.10.2016 | Event News
05.12.2016 | Power and Electrical Engineering
05.12.2016 | Materials Sciences
05.12.2016 | Power and Electrical Engineering