Table 24-46. MEDICAL CONSEQUENCES OF CHILDHOOD AND ADOLESCENT OBESITY
| TABLE 24-46. MEDICAL CONSEQUENCES OF CHILDHOOD AND ADOLESCENT OBESITY |
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Metabolic Insulin resistance (type 2 diabetes mellitus) Hyperlipidemia Cardiopulmonary Hypertension Obstructive sleep apnea Obesity hypoventilation syndrome (pickwickian syndrome): CO2 retention, hypoxia, polycythemia, right ventricular hypertrophy Increased incidence asthma Dermatologic Acanthosis nigricans Heat rash Intertrigo Monilial dermatitis Orthopedic Slipped capital femoral epiphysis Blount disease of the tibia Gastrointestinal Hepatic steatosis and fibrosis Cholelithiasis Gastroesophageal reflux Other Early puberty and menarche Advanced skeletal development: tall child, short adult Ovarian hyperandrogenism Idiopathic intracranial hypertension Lower extremity venous stasis disease Urinary stress incontinence |