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Changes in Nutritional State and Cardiovascular Parameters in Alimentary Obese Children after a Month-Long Stay in
Ksenia Budinskaya1, Ondřej Pírek1, Natálie Rafčíková1
1Department of Physiology, Faculty of Medicine, Masaryk University, Kamenice 5, CZ-625 00 Brno, Czech Republic.
Insights
Childhood obesity negatively impacts cardiovascular health. A one-month hospital stay improved weight, body mass index (BMI), and blood pressure in obese children, indicating potential for better long-term outcomes.
Area of Science:
- Pediatrics
- Cardiology
- Public Health
Background:
- Childhood and adolescent obesity is a significant public health concern.
- Obesity increases the risk of cardio-metabolic, orthopedic, and psychological comorbidities.
- Understanding the impact of obesity on children's cardiovascular health is crucial.
Purpose of the Study:
- To evaluate changes in nutritional status and cardiovascular parameters in obese children.
- To assess the effectiveness of a one-month therapeutic stay on these parameters.
Main Methods:
- Sixty obese children (aged 9-17 years) participated.
- Measurements included anthropometric (body weight, BMI, body fat, WC, HC, WHR) and cardiovascular (BP, CAVI, ABI, PWV, PWVV) parameters.
- Two sets of measurements were taken: upon admission and after a one-month hospital stay.
Main Results:
- Significant improvements were observed in body weight, BMI, waist circumference, hip circumference, diastolic blood pressure, pulse wave velocity, and ankle-brachial index after the therapeutic stay.
- These findings suggest a positive impact of the intervention on key health indicators.
- Obesity demonstrates a predominantly negative effect on the cardiovascular health of children.
Conclusions:
- A one-month therapeutic intervention can significantly improve anthropometric and cardiovascular parameters in obese children.
- These improvements may mitigate the long-term cardiovascular risks associated with childhood obesity.
- Further research is needed to confirm long-term benefits into adulthood.
Abstract:
Childhood and adolescent obesity has become an important public health issue, as it leads to higher risk of cardio−metabolic, orthopedic, and psychological comorbidities. The aim of this study was to evaluate the changes in nutritional state and cardiovascular system parameters in obese children. Sixty respondents aged 9−17 years with alimentary obesity participated in this research. Anthropometric parameters (body weight (BWT), body mass index (BMI), percentage of body fat (%), waist and hip circumference (WC and HC), waist−hip ratio (WHR)) and cardiovascular parameters (systolic and diastolic blood pressure (SP and DP), cardio-ankle vascular index (CAVI), ankle-brachial index (ABI), pulse wave velocity and its variability (PWV and PWVV), and parameters of pulse wave analysis) were measured. Every respondent went through two sets of measurements, the first (I.) after their admission to the children’s hospital and the second (II.) at the end of their one-month-long therapeutic stay. Statistically significant differences between measurements I. and II. were observed in the following parameters: BWT (p < 0.01), BMI (p < 0.01), WC (p < 0.01), HC (p < 0.01), DP (p < 0.01), PWV (p < 0.05), and ABI (p < 0.01). The results of this study show that obesity has a mostly negative impact on the cardiovascular health of affected children, with likely negative results in their adulthood.
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