儿科人口内分泌疾病和COVID-19严重性:系统性审查
Afra Mohamed M Awad Abdu Alla1, Hanady Me M Osman2, Tayseer Ahmed Khalid Babikir3
1Pediatrics, Tuwaiq Medical Complex, Riyadh, SAU.
Cureus
|August 22, 2025
概括
随着COVID-19大流行,儿童内分泌系统的健康状况发生了变化,导致中部早发性青春期和肥胖症的增加,并导致混合型糖尿病. 适应性护理策略对于管理这些影响至关重要.
科学领域:
- 儿童内分泌学
- 传染性疾病
- 公共卫生
背景情况:
- COVID-19 疫情对全球卫生系统产生了重大影响.
- 患有内分泌系统疾病的儿童可能面临COVID-19的高风险.
- 了解这些影响对于儿科内分泌护理至关重要.
研究的目的:
- 综合儿童内分泌疾病与COVID-19严重程度之间的关系的证据.
- 专注于疾病结果,代谢控制和管理挑战.
- 识别与流行病相关的儿童内分泌健康问题.
主要方法:
- 根据PRISMA 2020指南进行系统审查.
- 搜索了PubMed,Scopus,科学网络和科克莱恩图书馆.
- 在选了638条记录后,包括10项研究;进行了叙述综合.
主要成果:
- 在肥胖儿童中发现显著的干扰:中心早期青春期的增加和z-score的升高.
- 糖尿病的结局是混合的:较好的1型糖尿病死亡率,但增加了糖尿病酸性脂肪酸.
- 观察到甲状腺功能障碍和稳定的先天性上腺增生.
结论:
- COVID-19 通过直接的病毒影响和间接的干扰加剧了儿童内分泌疾病.
- 包括远程医疗和心理健康支持在内的适应性护理策略至关重要.
- 未来的研究应该集中在对持续效应和干预措施的前性研究上.
相关概念视频
Adrenal Gland Disorders
1.8K
Adrenal gland disorders manifest when the production of adrenal hormones deviates from the norm, resulting in either excessive or insufficient concentrations.
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
1.8K
Major Hormones and Their Functions
683
Hormones, the biochemical messengers produced by endocrine glands, are pivotal in regulating bodily functions and maintaining homeostasis. Each hormone's balance is crucial; imbalances can lead to significant physiological disruptions. Major hormones include oxytocin, cortisol, epinephrine, estrogen, testosterone, thyroxine, growth hormone, insulin, and glucagon.
Oxytocin, produced in the hypothalamus and released by the pituitary gland, plays a role in social bonding, childbirth, and...
Oxytocin, produced in the hypothalamus and released by the pituitary gland, plays a role in social bonding, childbirth, and...
683
Overview of Carbohydrate Metabolism
1.8K
Carbohydrate metabolism is a fundamental biochemical process that ensures a constant supply of energy to living cells. The most important carbohydrate is glucose, which can be broken down via glycolysis to enter into the Krebs cycle and eventually lead to the production of ATP through oxidative phosphorylation.
Glucose transport into cells is facilitated by a family of transport proteins called GLUT (Glucose Transporters). GLUT4 is the primary glucose transporter for insulin-stimulated glucose...
Glucose transport into cells is facilitated by a family of transport proteins called GLUT (Glucose Transporters). GLUT4 is the primary glucose transporter for insulin-stimulated glucose...
1.8K
Diabetes Mellitus: Overview and Type I Subtype
3.2K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
3.2K
Attention-Deficit/Hyperactivity Disorder
289
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
289
The Endocrine System
537
The endocrine system is an extensive network of glands – organs or tissues in the body that create chemicals that control many bodily functions, that secrete hormones, which are chemical messengers that play essential roles in regulating various bodily functions. These hormones are secreted into the bloodstream and travel throughout the body. They require specific receptors to convey signals to cells possessing these corresponding receptors. This complex signaling mechanism ensures that...
537


