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Assessment of Child Anthropometry in a Large Epidemiologic Study
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治疗超重和肥胖儿童的药物剂量
Kelly L Matson1,2, Evan R Horton3,4, Amanda C Capino5,6
1University of Rhode Island College of Pharmacy (KLM), Kingston, RI.
概括
儿童肥胖症对药物的剂量提出了挑战. 准则建议在40公斤以下的儿童中根据体重给药,在超重或肥胖儿童中进行药物动力学分析,以确保安全有效的药物使用.
科学领域:
- 儿科药理学 儿科药理学
- 临床药房 临床药房 临床药房
- 肥胖药物 肥胖药物 肥胖药物
背景情况:
- 超过1470万美国儿童和青少年 (2-19岁) 患有肥胖症.
- 肥胖症使儿童患者的基于体重的药物剂量 (mg/kg) 和药物动力学预测复杂化.
- 肥胖儿童的分布体积和肝清除的变化会影响药物处置.
研究的目的:
- 为应对因肥胖而导致的儿科药物剂量的挑战.
- 为优化超重和肥胖儿童的药物管理提供建议.
- 强调需要进一步研究儿科药理动力学和肥胖症.
主要方法:
- 这是儿童药房协会的立场声明.
- 对儿童肥胖的药理动力学现有文献的综述.
- 根据患者体重和临床考虑,制定剂量建议.
主要成果:
- 建议根据体重给定剂量,适用于体重小于40公斤的18岁以下患者.
- 对于体重≥40公斤的患者,建议根据体重给药,除非超过标准成人剂量.
- 建议在超重和肥胖儿童中进行药物调整时进行药物动力学分析.
结论:
- 标准基于体重的剂量需要在儿童肥胖症中仔细考虑.
- 个性化剂量策略,包括药理动力学分析,对于这一群体至关重要.
- 持续的研究对于完善超重和肥胖儿童的药物剂量至关重要.
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