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Revista Cubana de Pediatría

On-line version ISSN 1561-3119

Abstract

ALVAREZ, Sandalio Durán. Obesity and the kidney. Rev Cubana Pediatr [online]. 2019, vol.91, n.1 ISSN 1561-3119.

Introduction:

Obesity is a global health problem and its frequency is increasing as much as in adults than in children. One of its complications is glomerulopathy associated to obesity.

Objective:

To inform on this disease and the attitude of pediatricians towards this trying to avoid it.

Methods:

Reviewing of the most recent medical literature on this disease and the increase of obesity in the pediatric age in PubMed, SCIELO and LILACS databases. The keywords used for the search were: glomerulopathy related to obesity, obesity and overweight in children, and obesity treatment.

Results:

Obesity in children is in a high percentage due to nutritional causes and in this disease environmental and sociocultural factors play an important role. The predisposition to suffer from glomerulopathy by obesity starts in childhood. The treatment prepared by the pediatricians in these cases will be directed to the prevention of the disease because it can be developed in adulthood. When preventive measures fail, there is the possibility of performing a bariatric surgery, having in this regard few experiences in the pediatric ages and important ethical challenges; and instead of being an alternative treatment, it is not widely accepted.

Conclusions:

Generally, glomerulopathy of obesity doesn’t appear until adulthood, but it is necessary to prevent it since the pediatric age; and for its prevention pediatricians must be attentive to the risk factors that can appear from the earliest stages of life.

Keywords : glomerulopathy; overweight; obesity; morbid obesity; abdominal obesity; metabolic syndrome.

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