Rola otyłości w zapaleniach trzustki u dzieci / The role of obesity in pediatric pancreatitis
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Abstract:
The aim of study was to assess the impact of obesity on the incidence of pancreatitis in children. Materials and methods: The study included 303 patients
with acute recurrent pancreatitis (ARP) and chronic pancreatitis (CP), aged 1.5-18 years, hospitalized in the years 2001-2021. The analysis of the nutritional
status of patients included: body mass percentiles and z-scores for sex and age, height percentiles and z-scores for sex and age, BMI (body mass index) –
value in kg/m2, percentiles and z-scores for gender and age. The data necessary to establish the etiological factor and the severity of the course of ARP and
CP were analyzed. Results: 74 (24.4%) children with ARP and 229 (75.6%) with CP were analyzed. Hypertriglyceridemia was more common in overweight
or obese children (p < 0.05). Overweight and obesity were associated with a lower incidence of CP (p < 0.05), and the first episode of pancreatitis was diagnosed at a later age compared to patients with normal weight or underweight (p < 0.05). The incidence of diabetes was higher in the obese group (p <
0.05). Children with obesity received pancreatic enzyme supplementation less frequently, as in this group pancreatic exocrine insufficiency was observed
less frequently, but the difference was not statistically significant (NS). Conclusions: Overweight and obesity are associated with a later age of onset of pancreatitis and a later diagnosis of CP compared to an underweight or normal weight population. Chronic pancreatitis and pancreatic exocrine insufficiency
are less common in overweight or obese children.
Standardy Medyczne/Pediatria 2021 T. 18 496-500
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