INTERVENÇÕES TERAPÊUTICAS NA OBESIDADE PEDIÁTRICA

Rodrigo Souza  Mauro; Luisa Souza  Mauro; Solange Seléto de Souza  Mauro; Maria Yvone Chaves  Mauro

doi:10.51161/rems/3295

INTERVENÇÕES TERAPÊUTICAS NA OBESIDADE PEDIÁTRICA

Autores

Rodrigo Souza Mauro
Luisa Souza Mauro
Solange Seléto de Souza Mauro
Maria Yvone Chaves Mauro

DOI:

https://doi.org/10.51161/rems/3295

Palavras-chave:

ESTILO DE VIDA, FÁRMACOS ANTIOBESIDADE, OBESIDADE PEDIÁTRICA

Resumo

Introdução: A epidemia de obesidade pediátrica é uma realidade mundial. O tratamento desta doença destina-se a infância (lactentes, pré-escolares e escolares) e adolescência. A obesidade é o excesso de gordura corporal que resulta em agravos à saúde. A justificativa desse estudo refere-se ao impacto desta condição na saúde individual e coletiva. A relevância desse trabalho diz respeito a repercussão desta moléstia na saúde física e psicossocial do indivíduo predispondo-o à hipertensão, dislipidemia, diabetes, crescimento avançado, maturidade precoce, esteatose hepática, colelitíase, deficiência pulmonar, asma, apneia do sono, anovulação crônica hiperandrogênica, alterações dermatológicas, fraturas ortopédicas, ansiedade e depressão; além de ser um fator de risco importante para obesidade na vida adulta e complicações cardiovasculares de alta mortalidade. Objetivo: Identificar quais ações são eficientes no tratamento da obesidade pediátrica. Material e métodos: Foi realizado levantamento bibliográfico nas Plataformas LILACS, PubMed e Google Acadêmico onde foram reconhecidos dezesseis artigos científicos referentes ao período de 2018 a 2021 que embasam o tema “Obesidade na Pediatria: um problema de saúde pública”. Resultados: Dietas nutricionais com baixa ingestão de carboidratos ou de gordura foram equivalentes na diminuição do Índice de Massa Corporal (IMC). Exercícios físicos diminuíram a glicemia de jejum e a pressão arterial. Ações educacionais junto a família e escola (como orientação nutricional, comportamento não sedentário, higiene do sono e limitação do tempo de tela) revelaram declínio do IMC, circunferência de cintura e pressão arterial. Intervenções medicamentosas (Metformina, Orlistat e Sibutramina) reduziram o IMC e a circunferência da cintura, porém aumentaram o colesterol e a pressão arterial. Intervenções cirúrgicas (banda gástrica, bypass gástrico em Y de Roux e Gastrectomia Vertical) mostraram a maior redução do IMC, porém apresentaram deficiências nutricionais de Ferro, Vitamina D e B12. Conclusão: A redução da obesidade infantil apresenta melhores resultados a longo prazo com a adoção de estratégias combinadas (mudança do estilo de vida e terapia comportamental familiar). Em adolescentes obesos estas medidas podem ser associados a Sibutramina ou Orlistat (fármacos que oferecem melhores resultados). Já em adolescentes obesos extremos ou portadores de comorbidades graves deve ser considerada a banda gástrica ou o Y de Roux (cirurgias mais eficientes).

Publicado

2022-03-16

Como Citar

Mauro, R. S. ., Mauro, L. S. ., Mauro, S. S. de S. ., & Mauro, M. Y. C. . (2022). INTERVENÇÕES TERAPÊUTICAS NA OBESIDADE PEDIÁTRICA. Revista Multidisciplinar Em Saúde, 2(4), 348. https://doi.org/10.51161/rems/3295

Baixar Citação

Edição

v. 2 n. 4 (2021)

Seção

I Congresso Brasileiro de Saúde Pública On-line: Uma abordagem Multiprofissional

Licença

Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.

O conteúdo desta revista foi migrado para https://editoraintegrar.com.br

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Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
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Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
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Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

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            PKPTemplateManager.display(frontend/pages/article.tpl) % line  292, file: ArticleHandler.inc.php
         ArticleHandler.view(Array[1], Object:Request) % line  391, file: PKPRouter.inc.php
      PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line  231, file: PKPPageRouter.inc.php
   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

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                                                         SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[1], , null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
                                                      SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[4], , null, null, 500, 1) % line  194, file: SubmissionSearch.inc.php
                                                   SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[4], null, null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
                                                SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[3], null, null, null, 500, 1) % line  132, file: SubmissionSearch.inc.php
                                             SubmissionSearch._getMergedArray(Object:Journal, Array[1], null, null) % line  263, file: SubmissionSearch.inc.php
                                          SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1]) % line   92, file: RecommendBySimilarityPlugin.inc.php
                                       RecommendBySimilarityPlugin.callbackTemplateArticlePageFooter(Templates::Article::Footer::PageFooter, Array[3]) % line  107, file: HookRegistry.inc.php
                                    HookRegistry.call(Templates::Article::Footer::PageFooter, Array[3]) % line 1267, file: PKPTemplateManager.inc.php
                                 PKPTemplateManager.smartyCallHook(Array[1], Object:Smarty_Internal_Template) % line   43, file: 42362804174f266c598cdb32c3208fc745b92101^1c372c95cd85572e0fbc9a53d0323a0b229cfc78_0.app.frontendpagesarticle.tpl.php
                              content_6781613650b432_13896783(Object:Smarty_Internal_Template) % line  123, file: smarty_template_resource_base.php
                           Smarty_Template_Resource_Base.getRenderedTemplateCode(Object:Smarty_Internal_Template) % line  114, file: smarty_template_compiled.php
                        Smarty_Template_Compiled.render(Object:Smarty_Internal_Template) % line  216, file: smarty_internal_template.php
                     Smarty_Internal_Template.render(false, 1) % line  232, file: smarty_internal_templatebase.php
                  Smarty_Internal_TemplateBase._execute(Object:Smarty_Internal_Template, null, 42362804174f266c598cdb32c3208fc745b92101, null, 1) % line  134, file: smarty_internal_templatebase.php
               Smarty_Internal_TemplateBase.display(frontend/pages/article.tpl, null, 42362804174f266c598cdb32c3208fc745b92101, null) % line  924, file: PKPTemplateManager.inc.php
            PKPTemplateManager.display(frontend/pages/article.tpl) % line  292, file: ArticleHandler.inc.php
         ArticleHandler.view(Array[1], Object:Request) % line  391, file: PKPRouter.inc.php
      PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line  231, file: PKPPageRouter.inc.php
   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

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