Impact of Obesity on Pediatric Acute Recurrent and Chronic Pancreatitis

Aliye Uc, M Bridget Zimmerman1, Michael Wilschanski2

  • 1Department of Biostatistics, University of Iowa, Iowa City, IA.

Pancreas
|July 31, 2018
PubMed

Insights

Obesity in children may delay the first episode of acute pancreatitis and diagnosis of chronic pancreatitis (CP). Further research is needed to understand obesity's full impact on pediatric CP progression and severity.

Area of Science:

  • Pediatric Gastroenterology
  • Metabolic Disorders
  • Pancreatic Diseases

Background:

  • Pediatric pancreatitis is a significant health concern.
  • The role of obesity in the development and progression of pediatric pancreatitis requires further investigation.

Purpose of the Study:

  • To evaluate the influence of obesity on pediatric acute recurrent pancreatitis and chronic pancreatitis (CP).

Main Methods:

  • Utilized the INSPPIRE cohort data, assessing body mass index (BMI) using CDC criteria.
  • Employed Cochran-Armitage and Jonckheere-Terpstra tests to analyze trends and associations.

Main Results:

  • Obesity was associated with a later age of first acute pancreatitis episode and CP diagnosis.
  • Obese children showed a lower likelihood of CP and a higher likelihood of acute inflammation on imaging.
  • Hypertriglyceridemia was more prevalent in overweight or obese children.

Conclusions:

  • Overweight and obesity appear to delay the onset of acute pancreatitis and CP diagnosis in children.
  • The long-term effects of obesity on pediatric chronic pancreatitis severity and progression warrant additional research.
Abstract

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