Cholelithiasis In Obese Adolescents Treated At An Outpatient Clinic.

dc.creatorNunes, Marília M de A
dc.creatorMedeiros, Carla C M
dc.creatorSilva, Luciana R
dc.date
dc.date2015-11-27T13:41:41Z
dc.date2015-11-27T13:41:41Z
dc.date.accessioned2018-03-29T01:19:26Z
dc.date.available2018-03-29T01:19:26Z
dc.identifierJornal De Pediatria. v. 90, n. 2, p. 203-8
dc.identifier1678-4782
dc.identifier10.1016/j.jped.2013.08.008
dc.identifierhttp://www.ncbi.nlm.nih.gov/pubmed/24361296
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/201057
dc.identifier24361296
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1301290
dc.descriptionto describe the frequency and the factors associated with cholelithiasis in obese adolescents. this was a cross-sectional descriptive study performed with the adolescents between 10 and 19 years of age treated at the Child and Adolescent Obesity Outpatient Clinic from May to December of 2011. Obesity was defined as body mass index (BMI)>P97, and overweight as BMI>P85, for age and gender, according to the 2007 World Health Organization reference. A questionnaire concerning the presence of signs and symptoms, such as abdominal pain, nausea, vomiting, and intolerance to fat, was administered. Patients were asked about how many kilograms they had lost and in how much time. Laboratory parameters were: triglycerides, total cholesterol, high density lipoprotein (HDL), low density lipoprotein (LDL), aspartate aminotransferase (AST), and alanine aminotransferase (ALT) levels. Cholelithiasis and hepatic steatosis were diagnosed by ultrasonography. cholelithiasis was diagnosed in 6.1% (4/66) of the obese adolescents, most of whom were female (3/4); hepatic steatosis was identified in 21.2% (14/66). Intolerance to dietary fat was reported by all patients with cholelithiasis (4/4) and by 17.7% (11/62) of the group without cholelithiasis (p=0.001). The average weight loss was 6.0 ± 2.9 kg in the patients with cholelithiasis and 3.2 ± 4.8 kg in the group without cholelithiasis (p=0.04). However, there was no difference between the two groups regarding the time of weight loss (p=0.11). cholelithiasis and hepatic steatosis are frequent among obese adolescents and should be investigated systematically in the presence or absence of symptoms.
dc.description90
dc.description203-8
dc.languageeng
dc.relationJornal De Pediatria
dc.relationJ Pediatr (Rio J)
dc.rightsaberto
dc.rightsCopyright © 2013 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.
dc.sourcePubMed
dc.subjectAdolescent
dc.subjectAmbulatory Care Facilities
dc.subjectBody Mass Index
dc.subjectBrazil
dc.subjectChild
dc.subjectCholelithiasis
dc.subjectCross-sectional Studies
dc.subjectFatty Liver
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectObesity
dc.subjectPediatric Obesity
dc.subjectSex Factors
dc.subjectWeight Loss
dc.subjectYoung Adult
dc.subjectAdolescent
dc.subjectAdolescente
dc.subjectChildren
dc.subjectCholelithiasis
dc.subjectCriança
dc.subjectEsteatose Hepática
dc.subjectHepatic Steatosis
dc.subjectLitíase Biliar
dc.subjectObesidade
dc.subjectObesity
dc.titleCholelithiasis In Obese Adolescents Treated At An Outpatient Clinic.
dc.typeArtículos de revistas


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