Obesity is a time bomb in which many children and adolescents are sitting on it.

Obesity has become an epidemic. Obesity is due to the changes in food intake, the availability and cost, eating more of junk food, as well as modification of lifestyle that effects energy expenditure.

Complications of Obesity

• CVD STROKE
• IMPAIRED GLUCOSE TOLERANCE
• TYPE 2- DIABETES MELLITUS
• DYSLIPIDEMIA
• HYPERTENSION
• FOCAL GLOMERULOSCLLEROSIS (FGS)
• GROWTH AND SEXUAL MATURATION
• REPRODUCTIVE DYSFUNCTION
• CHOLECYSTITIS / PANCREATITIS
• PSEUDOTUMOR
• MALIGNANCY

Non- metabolic complication

• SLEEP APNOEA
• ORTHOPEDICS DISORDER
• STRESS INCONTINENCE

Screening

• Screening mainly being done for glucose intolerance and for metabolic syndrome in children and adolescents

HIGH RISK POPULATION
• Obese BMI score >95 percentile
• Family history of type 2 diabetes or Gestational diabetes Mellitus
• Finding of acanthosis nigricans
• Prominent Abdominal fat deposition
• Ovarian hyper androgenism

Consultation with Paediatric Endocrine Consultant Meeting the dietician Discuss with Dietician DIET PLAN Treatment outline on discretion of doctor Use of Pharmcotherapy

Theurepetic targets in obesity

THERAPY OF OBESITY, IMPROVE VASCULAR ENDOTHELIAL FUNCTION, DECREASE VISCERAL FAT NORMALISE BP. TREAT IF HAVING diabetes. IF NEEDED HAVING SURGEON.

BARIATRIC SURGERY

• LAPROSCOPIC GASTRIC BANDING
• GASTRIC BY PASS PROCEDURE.

IF your child suffering from any of these or you feel if growing OVERWEIGHT CONSULT THE PAEDIATRIC ENDOCRINOLOGIST. SO ACTION CAN BE TAKEN AT PROPER TIME.