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Updated: Oct 26, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Metabolic complications of childhood obesity
Jeyaraj Munusamy1, Jaivinder Yadav1, Rakesh Kumar1
1Department of Pediatrics, PGIMER, Chandigarh, India.
Insights
Childhood obesity is a significant health issue, with many obese children experiencing metabolic complications like prediabetes and dyslipidemia. Early screening and intervention are crucial for managing these risks and protecting children's long-term health.
Area of Science:
- Pediatrics
- Public Health
- Metabolic Disorders
Background:
- Childhood obesity is a growing global health concern, affecting Indian children with significant prevalence.
- Obesity in children is linked to severe health issues including diabetes, heart disease, and increased mortality.
Purpose of the Study:
- To assess the prevalence of metabolic complications in obese children and their parents.
- To compare metabolic health between obese children and normal-weight controls.
Main Methods:
- A cross-sectional study conducted at a tertiary health center in northern India.
- Involved 60 obese children and 26 age/sex-matched controls using Indian Academy of Pediatrics (IAP) 2015 BMI charts.
- Evaluated anthropometric parameters, clinical markers, and laboratory metabolic profiles, comparing cases and controls.
Main Results:
- High prevalence of obesity-related complications observed in families of obese children.
- Significant percentages of obese children exhibited impaired fasting glucose (10%), prediabetes (30% HbA1c), dyslipidemia (40%), and transaminitis (45%).
- Vitamin D deficiency (46.7%) and fatty liver (41.7%) were also common findings in obese children.
Conclusions:
- Childhood obesity and family health are interconnected through genetics and environment.
- Metabolic complications such as prediabetes, dyslipidemia, fatty liver, and vitamin D deficiency are prevalent in childhood obesity.
- Regular screening and timely interventions for metabolic complications are vital for safeguarding children's future health.
Context:
Childhood obesity is a global health problem. A percentage of 2.3 of Indian boys and 2.5 of Indian girls are obese. Childhood obesity is associated with many morbidities like diabetes mellitus, coronary artery disease, musculoskeletal problems, and increased mortality.
Aims:
The aim of this study is to estimate burden of metabolic complications of obesity in child and parents of obese children and compare it with normal-weight children.
Settings And Design:
The study was done at a tertiary health center in northern India. It was a cross-sectional study.
Methods And Material:
We enrolled 60 obese children and age- and sex-matched 26 controls, based on Indian Academy of Pediatrics (IAP)2015 body mass index (BMI) charts. Anthropometric parameters and metabolic complications in family were compared between cases and controls. Clinical markers of metabolic derangements and laboratory metabolic profile were assessed for obese children.
Statistical Analysis Used:
Descriptive statistics was used to describe frequencies. Chi-square test and Mann-Whitney test and Spearman correlation were used for comparison.
Results:
The prevalence of obesity and obesity-related complications was high in families of obese children. Ten percent of obese children had impaired fasting glucose and 30% had Haemoglobin A1c (HbA1c) in prediabetes category. Forty percent of obese children had dyslipidemia, 45% had transaminitis, and 46.7 were vitamin D deficient. A percentage of 41.7 of obese children had fatty liver on ultrasound.
Conclusions:
The family health and child weight are linked through home environment and genetics. The metabolic complications of obesity prediabetes, dyslipidemia, fatty liver, and lower vitamin D level are common in childhood obesity. Regular screening and interventions of metabolic complications are essential for saving child's future health.
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