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September 20-22, 2017 | Toronto, Canada
10
TH
AMERICAN PEDIATRICS HEALTHCARE &
PEDIATRIC INFECTIOUS DISEASES CONGRESS
Pediatric Healthcare & Pediatric Infections 2017
T
he process of atherosclerosis begins already in childhood
and its relationship to the presence and intensity of the
known cardiovascular risk factors has been already proved.
Expert panel on integrated guidelines for cardiovascular
reduction in children and adolescents highlighted early
identification of risk factors and their elimination, as they
plays a key role in the prevention of CVS diseases. AHA
definition of “CVS health” encompasses these parameters:
tobacco use, BMI adjusted to the gender and age of a child,
physical activity, score of healthy food, total cholesterol,
blood pressure, and fasting glycaemia. Obesity causes
chronic volume overload (increased preload) and dilation of
the left ventricle (LV) of the heart. Hypertrophy LV itself as
an adaptation to expanded intravascular volume determines
the damage of the diastolic function LV especially by
influencing later diastolic passive infilling. For persistent
obesity they may of course result in systolic dysfunction
and manifest heart failure while damaging the function of
the myocardium correlates with body mass index and the
duration of obesity. The clinical picture of the consequences
of cardiomyopathy depends on the severity of the emerging
cardiac changes, age, duration and severity of the obesity,
as well as on associated diseases, which often accompany
obesity (arterial hypertension, disorder in the metabolism
of lipids and glucose, ischemic heart disease, sleep apnea
syndrome, etc.). Weight loss in obese youth is associatedwith
improved metabolic outcomes; weight management goals
for this age group are more ambiguous than in adults. In our
Children faculty hospital the management of obesity include
hospitalization to exclude secondary causes of obesity, spa
treatment and outpatients programs. Our highly specialized
Clinic for preventive cardiology and lipid metabolism
disorders focus on individual and group outpatient therapy
for obesity and cardiovascular risk stratification in children
and adolescent. Highly organized team of specialists working
on interdisciplinary outpatient program- “Obesity reduction
program, School of Obesity”. This program is focused on the
same sex groups of children and adolescent who are in
the
same
range of ages. The goal of this program is to win the
fight against obesity- prevention of cardiovascular disease
associated with obesity, and treatment of childhood obesity
by new way. We confirmed that group outpatient therapy
for children and their parents had significantly better results
in body weight loss (p<0.05) compare to individual therapy
during the childhood.
e:
tohaty@centrum.skChildhood obesity and its associated disease: Obesity reduction program
Tohatyova A., Schusterova I.
P. J. Safarik University in Kosice, Slovakia