{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T18:14:25Z","timestamp":1648664065705},"reference-count":31,"publisher":"FapUNIFESP (SciELO)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:p>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 &gt; 40 or between 35-40 with comorbidities (Triglycerides &gt;130mg\/dl, glucose levels &gt;100mg\/dl, HOMA1-IR &gt;3.16, Total Cholesterol &gt;200mg\/dl, LDL &gt;130mg\/dl and HDL &lt;45mg\/dl), regardless of age, epiphysis consolidation and previous treatment.  Results: of the 296 patients included in the study, 282 (95.3%) were younger than 16 years. The most frequent change was the HDL (63.2%), followed by HOMA1-IR (37.5%). Of the group of 66 patients with potential indication for surgery (22.3%), only ten (15.1%) had more than 16 years. Acanthosis nigricans, the average HOMA1-IR, insulin, CRP, ESR, age, BMI Z score and systolic and diastolic blood pressure were significant in the group with potential surgical indication.  Conclusion: bariatric surgery might be indicated by BMI and comorbidities in children and adolescents under 16 years.<\/jats:p>","DOI":"10.1590\/0100-69912016005009","type":"journal-article","created":{"date-parts":[[2016,12,11]],"date-time":"2016-12-11T00:37:10Z","timestamp":1481416630000},"page":"360-367","source":"Crossref","is-referenced-by-count":0,"title":["Bariatric surgery: is it reasonable before the age of 16?"],"prefix":"10.1590","volume":"43","author":[{"given":"LILIAN HELENA POLAK","family":"MASSABKI","sequence":"first","affiliation":[{"name":"University of Campinas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"LET\u00cdCIA ESPOSITO","family":"SEWAYBRICKER","sequence":"additional","affiliation":[{"name":"University of Campinas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"KEILA HAYASHI","family":"NAKAMURA","sequence":"additional","affiliation":[{"name":"University of Campinas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ROBERTO TEIXEIRA","family":"MENDES","sequence":"additional","affiliation":[{"name":"University of Campinas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ANTONIO DE AZEVEDO","family":"BARROS FILHO","sequence":"additional","affiliation":[{"name":"University of Campinas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MARIA \u00c2NGELA REIS DE G\u00d3ES MONTEIRO","family":"ANTONIO","sequence":"additional","affiliation":[{"name":"University of Campinas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MARIANA PORTO","family":"ZAMBON","sequence":"additional","affiliation":[{"name":"University of Campinas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"issue":"1","key":"ref1","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1111\/jpc.12819","article-title":"Viewpoint article childhood obesity--looking back over 50 years to begin to look forward","volume":"51","author":"Sabin MA","year":"2015","journal-title":"J Pediatr Child Health"},{"issue":"5-6","key":"ref2","doi-asserted-by":"crossref","first-page":"342","DOI":"10.3109\/17477166.2011.605895","article-title":"Evidence that the prevalence of childhood overweight is plateauing data from nine countries","volume":"6","author":"Olds T","year":"2011","journal-title":"Int J Pediatr Obes"},{"issue":"8","key":"ref3","doi-asserted-by":"crossref","first-page":"806","DOI":"10.1001\/jama.2014.732","article-title":"Prevalence of childhood and adult obesity in the United States, 2011-2012","volume":"311","author":"Ogden C","year":"2014","journal-title":"JAMA"},{"issue":"6","key":"ref4","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1001\/jamapediatrics.2014.21","article-title":"Prevalence and trends in obesity and severe obesity among children in the United States","volume":"168","author":"Skinner AC","year":"2014","journal-title":"JAMA Pediatr"},{"issue":"9986","key":"ref5","doi-asserted-by":"crossref","first-page":"2510","DOI":"10.1016\/S0140-6736(14)61746-3","article-title":"Child and adolescent obesity part of a bigger picture","volume":"385","author":"Lobstein T","year":"2015","journal-title":"Lancet"},{"issue":"6","key":"ref6","doi-asserted-by":"crossref","first-page":"1617S","DOI":"10.3945\/ajcn.114.084764","article-title":"Nutrition transition and double burden of undernutrition and excess of weight in Brazil","volume":"100","author":"Conde WL","year":"2014","journal-title":"Am J Clin Nutr"},{"key":"ref7","series-title":"Instituto Brasileiro de Geografia e Estat\u00edstica. 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