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Updated: Jun 9, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
A holistic perspective of the comorbidities in childhood obesity
1Servicio de Anestesia, Hospital Clínico Universitario de Valencia, Valencia, Spain; Instituto de Investigación INCLIVA, Valencia, Spain.
Insights
Childhood obesity presents numerous health issues affecting multiple body systems and requiring medical procedures. Early recognition of these comorbidities is crucial for long-term health outcomes.
Area of Science:
- Pediatrics
- Endocrinology
- Public Health
Background:
- Childhood obesity is a growing global health concern.
- It is linked to a wide range of health complications affecting nearly all body systems.
- These complications can persist into adulthood, impacting long-term health and quality of life.
Purpose of the Study:
- To review classic and emerging comorbidities associated with childhood obesity.
- To describe potential complications of medical and surgical procedures in obese children.
- To highlight the importance of early identification and management of these conditions.
Main Methods:
- Literature review of existing studies on childhood obesity comorbidities.
- Analysis of common and less recognized health issues linked to pediatric obesity.
- Examination of procedural complications in the context of obesity.
Main Results:
- Obesity is associated with endocrine, gastrointestinal, pulmonary, cardiovascular, and musculoskeletal disorders.
- Emerging comorbidities include kidney dysfunction, non-alcoholic fatty liver disease, and cardiometabolic risk.
- Psychosocial problems represent a significant burden, and obesity complicates airway management during procedures.
Conclusions:
- Childhood obesity leads to diverse comorbidities with significant short- and long-term health consequences.
- Recognizing both classic and emerging complications is vital for effective pediatric care.
- Addressing childhood obesity and its associated health issues is critical for preventing adult-onset diseases.
Abstract:
Childhood obesity is associated with comorbidities that affect almost all body systems, including, among others, the endocrine, gastrointestinal, pulmonary, cardiovascular and musculoskeletal systems, as well as medical and surgical procedures that may be required due to different clinical situations. The objective of this article is to describe the classic and emerging comorbidities associated with obesity and the complications of procedures that involve invasive manoeuvres. Although some of the problems associated with obesity during childhood are widely known, such as musculoskeletal and cutaneous disorders or apnoea-hypopnoea syndrome, others, such as changes in kidney function, non-alcoholic fatty liver and cardiometabolic risk, have received less attention due to their insidious development, as they may not manifest until adulthood. In contrast, there is another group of comorbidities that may have a greater impact due to their frequency and consequences, which are psychosocial problems. Finally, in the context of invasive medico-surgical interventions, obesity can complicate airway management. The recognition of these pathologies in association with childhood obesity is of vital importance not only in childhood but also due to their ramifications in adulthood.
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