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Home Topic Surgery

Surgery for Obesity in Children and Adolescence: A Cochrane Review

Donya Hatami by Donya Hatami
February 24, 2024
in Surgery, Topic
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Surgery for Obesity in Children and Adolescence: A Cochrane Review
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Childhood and adolescent obesity is a significant global health issue, with the prevalence of overweight and obese children and adolescents escalating at an alarming rate. This health concern is not confined to developed countries; it’s a growing problem in developing nations as well. The causes of obesity are multifaceted, encompassing genetic, environmental, and behavioral factors. Poor dietary habits, sedentary lifestyles, and socio-economic status are among the key contributors. The consequences of obesity extend beyond physical health, impacting psychological well-being and academic performance. Childhood obesity is a pressing health concern with far-reaching consequences. As children carry excess weight, they become vulnerable to a host of medical issues. Here are some notable complications associated with childhood obesity:

  1. Type 2 Diabetes
  2. Hypertension (High Blood Pressure)
  3. Dyslipidemia
  4. Psychological Impact
  5. Increased Risk of Certain Cancers

This review from Cochrane published in September 2022 evaluates the effects of surgery for treating obesity in childhood and adolescence and the results were:

  • Weight Reduction: The gastric banding group experienced an average reduction in weight of 34.6 kg over two years, corresponding to a change in body mass index (BMI) units of 12.7.
  • Control Group: The control intervention resulted in an average weight reduction of 3.0 kg, equivalent to a BMI change of 1.3.
  • Side Effects: 48% of participants in the intervention group and 44% in the control group reported side effects.
  • Revisional Procedures: 28% of adolescents who underwent gastric banding required a ‘revisional procedure’ due to complications.
  • Missing Data: No information was provided on all-cause mortality, behavior change, participants’ views, or socioeconomic effects.
  • Quality of Life: At two years, gastric banding participants outperformed lifestyle participants in certain health-related quality of life aspects, including physical functioning and overall health score.

Resources:

1.https://www.mayoclinic.org/diseases-conditions/childhood-obesity/symptoms-causes/syc-20354827

2.Torbahn G, Brauchmann J, Axon E, Clare K, Metzendorf M-I, Wiegand S, Pratt JSA, Ells LJ. Surgery for the treatment of obesity in children and adolescents. Cochrane Database of Systematic Reviews 2022, Issue 9. Art. No.: CD011740. DOI: 10.1002/14651858.CD011740.pub2. Accessed 20 February 2024.

Tags: AdolescentChildrenCochraneGastric bandObesitySurgery
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