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Influence of Obesity on Clinical Outcomes in Hospitalized Children

Influence of Obesity on Clinical Outcomes in Hospitalized Children REVIEW ARTICLE Influence of Obesity on Clinical Outcomes in Hospitalized Children A Systematic Review Lori J. Bechard, MEd, RD, LDN; Pamela Rothpletz-Puglia, EdD, RD; Riva Touger-Decker, PhD, RD, FADA; Christopher Duggan, MD, MPH; Nilesh M. Mehta, MD Importance: Obesity is prevalent among hospitalized tality. The incidence of infections was assessed in 8 of children. Knowledge of the relationship between obe- the 28 studies; 2 reported significantly more infections sity and outcomes in hospitalized children will enhance in obese compared with nonobese patients. Of the 11 stud- nutrition assessment and provide opportunities for in- ies that examined length of stay, 5 reported significantly terventions. longer lengths of hospital stay for obese children. Fif- teen studies (53%) had a high quality score. Larger stud- Objective: To systematically review the existing litera- ies observed significant relationships between obesity and ture concerning the impact of obesity on clinical out- outcomes. Studies of critically ill, oncologic or stem cell comes in hospitalized children. transplant, and solid organ transplant patients showed a relationship between obesity and mortality. Evidence Acquisition: PubMed, Web of Science, and EMBASE databases were searched for studies of hospi- Conclusions and Relevance: The available litera- talized children aged 2 to 18 years http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Pediatrics American Medical Association

Influence of Obesity on Clinical Outcomes in Hospitalized Children

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Publisher
American Medical Association
Copyright
Copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6203
eISSN
2168-6211
DOI
10.1001/jamapediatrics.2013.13
pmid
23478891
Publisher site
See Article on Publisher Site

Abstract

REVIEW ARTICLE Influence of Obesity on Clinical Outcomes in Hospitalized Children A Systematic Review Lori J. Bechard, MEd, RD, LDN; Pamela Rothpletz-Puglia, EdD, RD; Riva Touger-Decker, PhD, RD, FADA; Christopher Duggan, MD, MPH; Nilesh M. Mehta, MD Importance: Obesity is prevalent among hospitalized tality. The incidence of infections was assessed in 8 of children. Knowledge of the relationship between obe- the 28 studies; 2 reported significantly more infections sity and outcomes in hospitalized children will enhance in obese compared with nonobese patients. Of the 11 stud- nutrition assessment and provide opportunities for in- ies that examined length of stay, 5 reported significantly terventions. longer lengths of hospital stay for obese children. Fif- teen studies (53%) had a high quality score. Larger stud- Objective: To systematically review the existing litera- ies observed significant relationships between obesity and ture concerning the impact of obesity on clinical out- outcomes. Studies of critically ill, oncologic or stem cell comes in hospitalized children. transplant, and solid organ transplant patients showed a relationship between obesity and mortality. Evidence Acquisition: PubMed, Web of Science, and EMBASE databases were searched for studies of hospi- Conclusions and Relevance: The available litera- talized children aged 2 to 18 years

Journal

JAMA PediatricsAmerican Medical Association

Published: May 1, 2013

References