scholarly journals 520 Weight-based vs. BSA-based Fluid Resuscitation Predictions in Pediatric Burn Patients

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S107-S107
Author(s):  
Jan V Stevens ◽  
Nina Prieto ◽  
Elika Ridelman ◽  
Justin D Klein ◽  
Christina M Shanti
Keyword(s):  
Surface Area ◽  
Fluid Resuscitation ◽  
Normal Weight ◽  
Overweight Children ◽  
Obese Children ◽  
Post Injury ◽  
Pediatric Burns ◽  
The Difference ◽  
Parkland Formula ◽  
Total Fluid

Abstract Introduction Current practice for major pediatric burns includes fluid resuscitation using formulas that estimate fluid requirements based on weight and/or body surface area (BSA) along with percent total burn surface area (TBSA). Adult studies have shown that these formulas can cause fluid overload in obese patients and increase risk of complications. These findings have not been validated in pediatric patients. This study aims to evaluate whether a weight-based resuscitation formula increases the risk of complications in obese children following burn injuries and compares fluid estimates to those that incorporate BSA. Methods A retrospective review was conducted on 110 children (≤ 18 years old) admitted to an ABA-verified urban pediatric burn center from October 2008 to May 2020. Patients had ≥15% TBSA, were resuscitated with the weight-based Parkland formula, and had fluids titrated to urine output every two hours (1 ml/kg/hr if ≤ 30kg; 0.5 ml/kg/hr if > 30kg). Demographics, burn type, and TBSA were collected on admission. BSA-based Galveston and BSA-incorporated Cincinnati formula resuscitation predictions were also calculated. Output and input volumes were collected at 8h and 24h post-injury. Complications were collected throughout the hospital stay. Patients were classified into CDC-defined weight groups based on percentile ranges. Statistical analysis was conducted using SPSS Statistics version 10.0. Results This study included 11 underweight, 60 normal weight, 18 overweight, and 21 obese children. Our patients had a mean age-based weight CDC percentile of 62.2%, and mean TBSA of 25.4%. Predicted resuscitation volumes increased as CDC percentile increased for all three formulas (p=0.033, 0.092, 0.038), however there were no significant differences between overweight and obese children. Total fluid administered was higher as CDC percentile increased (p=0.023). However, overweight children received more total fluid than obese children. The difference between total fluids given and Galveston predicted resuscitation volumes were significant across all groups (p=0.042); however, the difference using the Parkland and Cincinnati formulas were not statistically significant. There were more children in the normal weight group who developed complications compared to other groups, but these findings were not significant. Conclusions The Parkland formula tended to underpredict fluid needs in the underweight, normal weight, and overweight children, and it overpredicted fluid needs for the obese. Further research is needed to determine the value of weight-based vs BSA-based or incorporated formulas in terms of their risk of complications.

Relationship between Motor Skill and Body Mass Index in 5- to 10-Year-Old Children

2009 ◽  
Vol 26 (1) ◽  
pp. 21-37 ◽  
Author(s):  
Eva D’Hondt ◽  
Benedicte Deforche ◽  
Ilse De Bourdeaudhuij ◽  
Matthieu Lenoir
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Motor Skill ◽  
Normal Weight ◽  
Fine Motor ◽  
Overweight Children ◽  
Fine Motor Skill ◽  
Obese Children ◽  
General Motor ◽  
Movement Assessment

The purpose of this study was to investigate gross and fine motor skill in overweight and obese children compared with normal-weight peers. According to international cut-off points for Body Mass Index (BMI) from Cole et al. (2000), all 117 participants (5–10 year) were classified as being normal-weight, overweight, or obese. Level of motor skill was assessed using the Movement Assessment Battery for Children (MABC). Scores for balance (p < .01) and ball skills (p < .05) were significantly better in normal-weight and overweight children as compared with their obese counterparts. A similar trend was found for manual dexterity (p < .10). This study demonstrates that general motor skill level is lower in obese children than in normal-weight and overweight peers.

scholarly journals Beyond-brand effect of television food advertisements on food choice in children: the effects of weight status

2008 ◽  
Vol 11 (9) ◽  
pp. 897-904 ◽  
Author(s):  
Jason CG Halford ◽  
Emma J Boyland ◽  
Georgina M Hughes ◽  
Leanne Stacey ◽  
Sarah McKean ◽  
...  
Keyword(s):  
Food Intake ◽  
Weight Status ◽  
Normal Weight ◽  
Overweight Children ◽  
Obese Children ◽  
Food Advertisements ◽  
Body Mass Index Score ◽  
And Gender ◽  
Brand Effect ◽  
Gender Specific

AbstractObjectiveTo investigate the effect of television food advertising on children’s food intake, specifically whether childhood obesity is related to a greater susceptibility to food promotion.DesignThe study was a within-subject, counterbalanced design. The children were tested on two occasions separated by two weeks. One condition involved the children viewing food advertisements followed by a cartoon, in the other condition the children viewed non-food adverts followed by the same cartoon. Following the cartoon, their food intake and choice was assessed in a standard paradigm.SettingThe study was conducted in Liverpool, UK.SubjectsFifty-nine children (32 male, 27 female) aged 9–11 years were recruited from a UK school to participate in the study. Thirty-three children were normal-weight (NW), 15 overweight (OW) and 11 obese (OB).ResultsExposure to food adverts produced substantial and significant increases in energy intake in all children (P < 0·001). The increase in intake was largest in the obese children (P = 0·04). All children increased their consumption of high-fat and/or sweet energy-dense snacks in response to the adverts (P < 0·001). In the food advert condition, total intake and the intake of these specific snack items correlated with the children’s modified age- and gender-specific body mass index score.ConclusionsThese data suggest that obese and overweight children are indeed more responsive to food promotion, which specifically stimulates the intake of energy-dense snacks.

scholarly journals Perceived Difficulty with Physical Tasks, Lifestyle, and Physical Performance in Obese Children

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Giuliana Valerio ◽  
Valeria Gallarato ◽  
Osvaldo D’Amico ◽  
Maura Sticco ◽  
Paola Tortorelli ◽  
...  
Keyword(s):  
Physical Performance ◽  
Sports Participation ◽  
Normal Weight ◽  
Difficulty Level ◽  
Overweight Children ◽  
Sedentary Behaviors ◽  
Obese Children ◽  
Perceived Difficulty ◽  
Almost All ◽  
The Relationship

We estimated perceived difficulty with physical tasks, lifestyle, and physical performance in 382 children and adolescents (163 obese, 54 overweight, and 165 normal-weight subjects) and the relationship between perceived physical difficulties and sports participation, sedentary behaviors, or physical performance. Perceived difficulty with physical tasks and lifestyle habits was assessed by interview using a structured questionnaire, while physical performance was assessed through the six-minute walking test (6MWT). Obese children had higher perceived difficulty with several activities of daily living, were less engaged in sports, and had lower physical performance than normal-weight or overweight children; on the contrary, they did not differ with regard to time spent in sedentary behaviors. Perceived difficulty in running and hopping negatively predicted sports participation (P<0.05and <0.01, resp.), while perceived difficulty in almost all physical activities negatively predicted the 6MWT, independently of BMI (P<0.01). Our results indicate that perception of task’s difficulty level may reflect an actual difficulty in obese children. These findings may have practical implications for approaching physical activity in obese children. Exploring both the perception of a task’s difficulty level and physical performance may be useful to design exercise programs that allow safe and successful participation.

scholarly journals Cardiopulmonary Capacity in Overweight and Obese Children and Adolescents: A Cross-Sectional Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Agata Grzyb ◽  
Małgorzata Domagalska-Szopa ◽  
Andrzej Siwiec ◽  
Ilona Kwiecień-Czerwieniec ◽  
Andrzej Szopa
Keyword(s):  
Body Weight ◽  
Children And Adolescents ◽  
Cardiopulmonary Exercise Testing ◽  
High Body Mass Index ◽  
Normal Weight ◽  
Control Group ◽  
Overweight Children ◽  
Obese Children ◽  
Normal Body ◽  
Normal Body Weight

Background: One of the objective methods of assessing the level of cardiopulmonary capacity in overweight and obese children and adolescents is cardiopulmonary exercise testing (CPET).Aims: The purpose of present study is an evaluation of aerobic capacity in high body mass index (BMI) children and adolescents by comparing them with a normal weight control group by CPET.Methods and Procedures: The subjects were recruited from participants of the Program of Treatment for Overweight and Obese Children organized by a local pediatric rehabilitation center in Poland. Based on BMI for age and gender, two validation groups were selected: (1) a group of overweight children (n = 49) and (2) a group of obese children (n = 48). The study included also 53 normal weight participants as a reference group (REF). The study consisted of two parts: anthropometric measurements and CPET. The Godfrey protocol for CPET was applied.Outcomes and Results: In this study, obese children and adolescents showed similar absolute VO2peak values in liters per minute (1.64 L/min) compared to overweight children (1.48 L/min), but significantly higher than children with normal body weight (1.39 L/min). The obese children and adolescents presented lower VO2peak in relation to body weight (25.44 ml/kg/min) compared to their peers with normal body weight (36.5 ml/kg/min), and overweight children (29.18 ml/kg/min).Conclusion and Implications: The main finding of our study was recognition of significant differences between cardiopulmonary capacity parameters in obese children in comparison not only to normal weight peers, but to overweight, too.

scholarly journals Ambulatory Blood Pressure and Arterial Stiffness in Obese Children and Adolescents

2015 ◽  
Vol 61 (4) ◽  
pp. 309-313 ◽  
Author(s):  
Duicu Carmen ◽  
Mărginean Cristina Oana ◽  
Pitea Ana Maria ◽  
Melit Lorena Elena
Keyword(s):  
Blood Pressure ◽  
Arterial Stiffness ◽  
Children And Adolescents ◽  
Ambulatory Blood Pressure ◽  
Normal Weight ◽  
Control Group ◽  
Obese Children ◽  
Night Time ◽  
Anthropometric Indices ◽  
The Difference

AbstractThe aim of the present study was to investigate differences regarding 24-hour blood pressure and arterial stiffness in a cohort of office normotensive obese and non-obese children and adolescents, and to evaluate correlations of these parameters with some anthropometric indices. We retrospectively evaluated ABPM records in 71 children (42 boys); 31 obese compared with 40 normal-weight children.Results: Mean 24-hour, day-time and night-time SBP was significantly higher in the obese group than in the control group (p <0.01 during the entire period). Significantly higher AASI values were found in obese children compared to controls (0.45 vs. 0.41, p <0.05), the difference being more obvious for day-time AASI (p <0.001).Conclusions: This research confirms that SBP and AASI are increased in obese children. AASI is a useful index of arterial stiffness that can be easily measured under ambulatory circumstances in children.

Abstract MP30: Longitudinal Tracking of Obesity From Childhood and Adolescence Into Adulthood: The International Childhood Cardiovascular Cohort (i3C) Consortium

Circulation ◽  
2018 ◽  
Vol 137 (suppl_1) ◽  
Author(s):  
Justin R Ryder ◽  
Alan R Sinaiko ◽  
David R Jacobs ◽  
Tian Hu ◽  
Trudy Burns ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Normal Weight ◽  
Childhood And Adolescence ◽  
Overweight Children ◽  
Obese Children ◽  
Obese Adults ◽  
Obese Adolescent ◽  
Race And Gender ◽  
And Gender ◽  
Almost All

Obesity in childhood and adolescence tracks into adulthood. However, limited longitudinal data exist on variation in tracking in relation to pediatric development periods, race, and gender. The study objective was to relate adult (age>30) weight status to that in childhood (3-11, mean 8.5 yrs; adult 36.6 yrs; N=4,511) and adolescence (12-17, mean 14 yrs; adult 39.9 yrs; N=7,215) from seven i3C cohorts. Overall tracking of BMI into adulthood was highly significant (p<0.0001) and similar from childhood and adolescence. Almost all obese children (74.3%) and adolescents (81.6%) became obese adults, and few obese children (6.5%) or adolescents (4.2%) became normal-weight adults. Overweight children and adolescents also were more likely to become obese adults (60.7% and 65.2%, respectively), and few became normal weight (11.7% and 6.6%). Normal weight children and adolescents tended to remain normal weight into adulthood (43% and 40.3%), but 22.7% of both normal-weight children and adolescents became obese. Patterns differed by race and gender (both p<0.001). Obese adolescent females had the highest persistence of obesity in adulthood (84.2%), followed by obese adolescent males (79.3%), obese male children (78.1%) and obese female children (70.6%). Normal weight male and female children and adolescents had a similar low prevalence of obesity as adults (22-23%), but females were more likely than males to remain normal weight from childhood (51.2% and 33.1%) and adolescence (48.7% and 30.6%). Tracking by race (see Table) showed that blacks had greater risk of adult obesity regardless of childhood or adolescent weight category. The results show that: 1) almost all obese and most overweight children and adolescents became obese adults; 2) one-fifth of white normal weight children and adolescents became obese adults; 3) even normal weight black children and adolescents are at significant risk of becoming obese adults. These data strongly suggest the need for early intervention to prevent adult obesity-related morbidity.

Platelet function in obese children and adolescents

2010 ◽  
Vol 30 (S 01) ◽  
pp. S126-S131 ◽  
Author(s):  
J. Schweigel ◽  
A. Naeke ◽  
MA. Lee-Kirsch ◽  
G. Siegert ◽  
S. Bergmann ◽  
...  
Keyword(s):  
Platelet Aggregation ◽  
Whole Blood ◽  
Platelet Rich Plasma ◽  
Atp Release ◽  
Normal Weight ◽  
Healthy Controls ◽  
Overweight Children ◽  
Obese Children ◽  
Prevalence Of Obesity ◽  
Platelet Hyperaggregability

SummaryPlatelet hyperaggregability contributes to thromboembolic events of obesity in adulthood. In obese children hyperaggregability was described in platelet rich plasma. We investigated platelet aggregation in children with obesity and lipometabolic disorders in whole blood. Patients, material, methods: Specimens from patients with overweight (n = 35), hypercholesterolaemia and normal weight (n = 5), overweight plus combined li-pometabolic disorder (n = 5) and healthy controls (n = 20) were investigated. Aggregation and ATP release were induced by ADP (20 μmol/l), collagen (1 μg/ml) and thrombin (0.5 U/ml) using a lumiaggregometer. Results: Overweight children and normal weight patients with hypercholesterolaemia exhibited no significant differences in platelet aggregation compared to controls. Contrastingly, in patients with obesity plus lipometabolic disorder the aggregation rate was significantly higher (p < 0.05) suggesting a hyperaggregable state. Conclusion: Obviously in obese children a hypercoagulable state exists and the slight hyperaggregability observed in whole blood in this cohort might contribute to that. Any effort should be undertaken to avoid obesity in children especially in those countries where the prevalence of obesity in childhood is continuously increasing.

scholarly journals Physical deviation and precocious puberty among school-aged children in Leshan City: an investigative study

2020 ◽  
Vol 48 (8) ◽  
pp. 030006052093967
Author(s):  
Qiong Wei ◽  
Ming Wu ◽  
Yu-Lin Li ◽  
Rui Rao ◽  
Song Li ◽  
...  
Keyword(s):  
Precocious Puberty ◽  
Primary Schools ◽  
Normal Weight ◽  
Overweight And Obesity ◽  
Overweight Children ◽  
Obese Children ◽  
School Aged Children ◽  
Prevalence Of Obesity ◽  
Physical Examinations ◽  
Cluster Random Sampling

Objective We investigated physical deviation and precocious puberty among school-aged children in Leshan City, to provide a theoretical basis for the management of precocious puberty in children. Methods We selected 12 primary schools of Leshan City using a cluster random sampling method and conducted physical examinations among healthy students aged 4 12 years. A total of 11,000 students were recruited (5502 boys and 5498 girls). We measured body mass index (BMI), and participants were tested for precocious puberty according to the Tanner stages and standard maps. Nutritional status was also evaluated. Results Obese and overweight children accounted for a high proportion of participants; the prevalence of underweight was the lowest. The prevalence of obesity among boys was higher than that in girls. Precocious puberty was mainly observed in girls, particularly those age 7 years old. The prevalence of precocious puberty among overweight and obese children was higher than that in children with normal weight. Conclusion We identified a significant sex difference in precocious puberty among children in Leshan City. Overweight and obesity may be associated with precocious puberty.

7 Implementation of a Nurse-Driven Fluid Resuscitation Protocol Reduces Total Fluid Given for Resuscitation of Large Pediatric Burns

2019 ◽  
Vol 40 (Supplement_1) ◽  
pp. S8-S9
Author(s):  
D Stewart ◽  
M Ladd ◽  
M Kovler ◽  
S Ziegfeld ◽  
R Redett ◽  
...  
Keyword(s):  
Fluid Resuscitation ◽  
Pediatric Burns ◽  
Total Fluid

scholarly journals Is obesity associated with depression in children? Systematic review and meta-analysis

2018 ◽  
Vol 104 (1) ◽  
pp. 64-74 ◽  
Author(s):  
Shailen Sutaria ◽  
Delan Devakumar ◽  
Sílvia Shikanai Yasuda ◽  
Shikta Das ◽  
Sonia Saxena
Keyword(s):  
Systematic Review ◽  
Mental Illness ◽  
Observational Studies ◽  
Meta Analysis ◽  
Normal Weight ◽  
Overweight Children ◽  
Obese Children ◽  
Cross Sectional ◽  
Obese Female ◽  
Female Children

ObjectivesTo compare the odds of depression in obese and overweight children with that in normal-weight children in the community.DesignSystematic review and random-effect meta-analysis of observational studies.Data sourcesEMBASE, PubMed and PsychINFO electronic databases, published between January 2000 and January 2017.Eligibility criteria for selecting studiesCross-sectional or longitudinal observational studies that recruited children (aged <18 years) drawn from the community who had their weight status classified by body mass index, using age-adjusted and sex-adjusted reference charts or the International Obesity Task Force age-sex specific cut-offs, and concurrent or prospective odds of depression were measured.ResultsTwenty-two studies representing 143 603 children were included in the meta-analysis. Prevalence of depression among obese children was 10.4%. Compared with normal-weight children, odds of depression were 1.32 higher (95% CI 1.17 to 1.50) in obese children. Among obese female children, odds of depression were 1.44 (95% CI 1.20 to 1.72) higher compared with that of normal-weight female children. No association was found between overweight children and depression (OR 1.04, 95% CI 0.95 to 1.14) or among obese or overweight male subgroups and depression (OR 1.14, 95% CI 0.93 to 1.41% and 1.08, 95% CI 0.85 to 1.37, respectively). Subgroup analysis of cross-sectional and longitudinal studies separately revealed childhood obesity was associated with both concurrent (OR 1.26, 95% CI 1.09 to 1.45) and prospective odds (OR 1.51, 95% CI 1.21 to 1.88) of depression.ConclusionWe found strong evidence that obese female children have a significantly higher odds of depression compared with normal-weight female children, and this risk persists into adulthood. Clinicians should consider screening obese female children for symptoms of depression.BackgroundChildhood mental illness is poorly recognised by healthcare providers and parents, despite half of all lifetime cases of diagnosable mental illness beginning by the age of 14 years. 1 Globally, depression is the leading cause of disease burden, as measured by disability-adjusted life years, in children aged 10–19 years. 2 Untreated, it is associated with poor school performance and social functioning, substance misuse, recurring depression in adulthood and increased suicide risk, which is the second leading cause of preventable death among young people. 3–6 The resulting cost to the National Health Service of treating depression is estimated at over £2 billion, and the wider social and economic impact of depression is likely to be considerable. 7

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