title: Co-morbidity obese children in family practice in The Netherlands: the results of a pilot study.
abstract: OBJECTIVE
  The aim of this pilot study was to assess the prevalence of co-morbidity in obese children. Particular emphasis was on cardiovascular risk.
  
  
  METHODS
  In this retrospective, cross-sectional, observational study the data of 155 obese children, who visited a paediatric obesity outdoor clinic, have been studied.
  
  
  RESULTS
  In all, 92% of the population had at least one cardiovascular risk factor. In all, 48% showed a high systolic and 9% a high diastolic blood pressure, while 18% had an increased fasting glucose. In 60%, we diagnosed insulin resistance: the homeostasis model assessment was elevated.
  
  
  CONCLUSIONS
  The prevalence of high blood pressure, dyslipidaemia, abnormal fasting glucose and insulin resistance are high in this retrospective study. Outcomes of foreign studies on this object are difficult to compare because various populations and cut-off points are used. A new, prospective, study will be conducted to asses the prevalence of co-morbidity in obese children in general practice.
authors.affiliation: Department of General Practice, 117-HAG, Radboud University Nijmegen Medical Centre, Nijmegen. francoise.langens@orange.nl
authors.forename: Françoise
authors.initials: F
authors.lastname: Langens
authors.forename: Ton
authors.initials: T
authors.lastname: Dapper
authors.forename: Roos
authors.initials: R
authors.lastname: Nuboer
authors.forename: Chris
authors.initials: C
authors.lastname: van Weel
authors.forename: Jaap
authors.initials: J
authors.lastname: van Binsbergen
mesh_terms: D000293:Adolescent; D001786:Blood Glucose; D015992:Body Mass Index; D002318:Cardiovascular Diseases; D002648:Child; D002675:Child, Preschool; D015897:Comorbidity; D003430:Cross-Sectional Studies; D050171:Dyslipidemias / Q000453:epidemiology*; D005194:Family Practice; D005260:Female; D006801:Humans; D006973:Hypertension / Q000453:epidemiology*; D007333:Insulin Resistance; D008297:Male; D009426:Netherlands / Q000453:epidemiology; D009765:Obesity / Q000097:blood / Q000453:epidemiology*; D010865:Pilot Projects; D015995:Prevalence; D012307:Risk Factors
chemical_list: D001786:Blood Glucose