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Multidisciplinary Approach to Obesity Management: A Case Report
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Sleep and obesity in children: a clinical perspective
K Kelly-Pieper1, C Lamm, I Fennoy
1Department of Pediatrics, Columbia University, New York, NY, USA.
Insights
Childhood obesity is linked to various sleep disorders, including obstructive sleep apnea and narcolepsy. Recognizing these sleep issues is crucial for managing the health of obese children.
Area of Science:
- Pediatrics
- Sleep Medicine
- Public Health
Background:
- Childhood obesity is a global health crisis with significant long-term consequences.
- Obesity is associated with numerous comorbidities, necessitating research into its underlying causes and treatments.
- Emerging evidence highlights a bidirectional relationship between obesity and sleep, impacting weight regulation.
Purpose of the Study:
- To review sleep disorders commonly found in obese children.
- To inform general pediatricians and subspecialists about sleep problems in pediatric obesity.
- To present evidence linking specific sleep disorders to childhood obesity.
Main Methods:
- Literature review of studies investigating sleep disorders in obese pediatric populations.
- Analysis of the association between various sleep disorders (respiratory and non-respiratory) and obesity.
- Examination of conditions such as obstructive sleep apnea syndrome and narcolepsy.
Main Results:
- Obstructive sleep apnea syndrome and short sleep duration are strongly linked to childhood obesity.
- Other sleep-disordered breathing and narcolepsy are also associated with pediatric obesity.
- Obese children frequently interact with healthcare providers across specialties, increasing opportunities for early detection of sleep issues.
Conclusions:
- Sleep disorders are prevalent in obese children and require clinical attention.
- Pediatricians and subspecialists should be vigilant in identifying sleep problems in their obese patients.
- Understanding the link between sleep disorders and obesity is vital for comprehensive management and intervention strategies.
Abstract:
Childhood obesity is an international epidemic with many long-term health consequences. The many comorbid conditions associated with obesity underscore the need to explore the different etiologies of obesity which may lead to potential therapeutic interventions. There is growing evidence both that obesity affects sleep, and that sleep patterns and disorders may have an effect on weight. Both respiratory and non-respiratory sleep disorders are associated with obesity; those that have gotten the most attention are the relationships between obesity and obstructive sleep apnea syndrome and short sleep duration. Other forms of sleep-disordered breathing and narcolepsy have also been associated with childhood obesity. Due to the many comorbidities of obesity, this subset of the pediatric population has frequent health care visits across a variety of subspecialties. It is likely that a non-sleep physician will be the first to recognize a sleep-related problem. The aim of this review was to discuss sleep disorders that may be encountered by the general pediatrician and the pediatric subspecialists in their obese pediatric patients and to describe the evidence that links these disorders to obesity.
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