Clinico-etiological Profile and Metabolic Complications in Pediatric Early Onset Obesity - Experience from a Tertiary

Simran Syal1, Vrushali Takalikar2, Sudha Rao3

  • 1Department of Pediatrics, All India Institute of Medical Sciences (AIIMS), Raipur, India.

Indian Pediatrics
|February 6, 2025
PubMed

Insights

Primary obesity is common in young children. Parental obesity, increased screen time, and acanthosis nigricans are key risk factors for early onset obesity, indicating a mix of genetic and lifestyle influences.

Area of Science:

  • Pediatrics
  • Endocrinology
  • Genetics

Background:

  • Early onset obesity, presenting before age five, poses significant health challenges.
  • Differentiating primary from secondary obesity is crucial for appropriate management in young children.

Purpose of the Study:

  • To characterize the clinical and metabolic profiles of children with early onset obesity.
  • To identify risk factors and features distinguishing primary from secondary obesity in children under five.

Main Methods:

  • Retrospective analysis of medical records for children diagnosed with early onset obesity (June 2015-December 2023).
  • Evaluation of etiological diagnoses, risk predictors, laboratory profiles, and genetic studies.
  • Statistical analysis to determine associations between factors and obesity etiology.

Main Results:

  • Primary obesity was diagnosed in 71.4% of 77 children under five with obesity.
  • Genetic causes were identified in 18.18% of these children.
  • Increased screen time (>2 hours/day), acanthosis nigricans, and parental obesity were significantly associated with primary early onset obesity.

Conclusions:

  • Primary obesity is more prevalent in early onset cases.
  • Parental obesity, excessive screen time, and acanthosis nigricans are significant risk factors.
  • A combination of genetic predisposition and unhealthy lifestyle contributes to primary early onset obesity.
Abstract

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