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Indian Pediatr 2011;48: 417 |
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Gaurav Gupta
Email:
[email protected] |
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Skipping Breakfast and Obesity (Int
J Obes.29 March 2011;doi:10.1038/ijo.2011.58) |
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Authors assessed the association between breakfast skipping and body mass
index (BMI) among young Chinese children in Hong Kong. A cohort of 113457
primary 4th class school children participants of
the Department of Health Student Health Service in 1998-2000 was followed
up for 2 years, with 68,606 (60.5%) participants available for analysis in
primary 6 class. At baseline and follow-up, students reported breakfast
habit (consumed vs skipped) and other lifestyle characteristics
using a standardized questionnaire. A total of 1805 (5.3%) boys and 1793
(5.2%) girls skipped breakfast at baseline. In cross-sectional analyses,
breakfast skippers had a higher mean BMI than did eaters. Breakfast
skippers also experienced a greater increase in BMI in the subsequent 2
years.
Comments In urban India, the number of obese school
children is going up dramatically. Counseling about the importance of
Breakfast is a simple, modifiable and apparently effective way of trying
to control this burgeoning epidemic.
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What treatments really work in Autism
Spectrum Disorder? (Pediatrics April 4 2011,
epub ahead of print) |
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Evidence from this systematic review supports the benefit of risperidone
and aripiprazole for challenging and repetitive behaviors in children with
ASDs. Evidence also supports significant adverse effects of these
medications. Insufficient strength of evidence is present to evaluate the
benefits or adverse effects for any other medical treatments for ASDs,
including serotonin-reuptake inhibitors and stimulant medications. The
authors conclude that although many children with ASDs are currently
treated with medical interventions, strikingly little evidence exists to
support benefit for most treatments. Risperidone and aripiprazole have
shown benefit for challenging and repetitive behaviors, but associated
adverse effects limit their use to patients with severe impairment or risk
of injury. Pediatrics April 4 2011, epub ahead of print
Comments The diagnosis of Autism has risen in India. It
is important for pediatricians to realize that even with current
advancements in medical knowledge, just a couple of medicines have been
shown to be scientifically effective in treating this condition.
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Can neck circumference predict
anesthesia complications? (Pediatrics April 4 2011, epub ahead of
print) |
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Using a prospective, observational design, the authors studied children
aged 6 to 18 years undergoing elective noncardiac surgeries at the
institution. Trained research assistants collected clinical (including
perioperative adverse events) and anthropometric data from all subjects.
Patients were stratified into 2 classes: high of neck circumference (NC)
versus low NC on the basis of age- and gender-specific receiver operating
characteristic curve analysis. Subsequently, univariate factors associated
with high NC were explored, and odds ratios for the occurrence of
perioperative adverse events were then calculated from logistic regression
after controlling for clinically relevant cofactors. Among the 1102
patients, the prevalence of high NC was 24.3%. NC was positively
correlated with age and other anthropometric parameters. Children with
high NC were more likely to be loud snorers and have a history of
bronchial asthma, hypertension, and type 2 diabetes. Composite adverse
airway events were more frequent in children with a large NC. NC was
positively correlated with other indices of obesity in children, and large
NC (indicative of central obesity) was associated with some adverse
respiratory events in these children undergoing noncardiac surgery. NC
could be a useful clinical screening tool for the occurrence of
perioperative adverse respiratory events in children.
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