Bariatric surgery: is it reasonable before the age of 16?

ABSTRACT Objective: to assess the severity of obesity in children and adolescents through the presence of comorbidities and the potential indication of bariatric surgery. Methods: we conducted a cross-sectional study with clinical and laboratory data of the first consultation of patients at the childhood obesity clinic at a tertiary hospital from 2005 to 2013. We divided the patients into groups with or without potential indication for surgery, and recorded age, gender, birth weight, age of obesity onset, BMI Z score, presence of acanthosis nigricans, blood pressure, total cholesterol and fractions, triglycerides, blood glucose and fasting insulin, HOMA1-IR, CRP and ESR. The group with potential indication for surgery included: BMI > 40 or between 35-40 with comorbidities (Triglycerides >130mg/dl, glucose levels >100mg/dl, HOMA1-IR >3.16, Total Cholesterol >200mg/dl, LDL >130mg/dl and HDL

【摘要】
目的：通过合并症存在情况及减肥手术（bariatric surgery）的潜在适应证，评估儿童及青少年肥胖的严重程度。
方法：本研究为横断面研究，纳入某三级医院儿童肥胖专科门诊2005年至2013年初诊患者的临床与实验室数据。将患者划分为具备手术潜在适应证组与无手术潜在适应证组，并记录患者年龄、性别、出生体重、肥胖起病年龄、BMI Z评分、黑棘皮症（acanthosis nigricans）发生情况、血压、总胆固醇及其组分、甘油三酯、血糖与空腹胰岛素水平、稳态模型胰岛素抵抗指数1（HOMA1-IR）、C反应蛋白（CRP）及红细胞沉降率（ESR）。具备手术潜在适应证的组别包括：BMI＞40或BMI处于35~40之间且合并以下合并症：甘油三酯＞130mg/dl、血糖＞100mg/dl、HOMA1-IR＞3.16、总胆固醇＞200mg/dl、低密度脂蛋白胆固醇（LDL）＞130mg/dl及高密度脂蛋白胆固醇（HDL）