title: The obese child in the Intensive Care Unit. Update.
abstract: Given that childhood obesity is an epidemic, the frequency of critically-ill patients who are overweight or obese seen at intensive care units has increased rapidly. Adipose tissue is an endocrine organ that secretes a number of protein hormones, including leptin, which stands out because it regulates adipose tissue mass. The presence of arterial hypertension, metabolic syndrome, diabetes mellitus, respiratory disease and chronic kidney disease may become apparent and complicate the course of obese pediatric patients in the Intensive Care Unit. Obesity management is complex and should involve patients, their families and the medical community. It should be coordinated with comprehensive government health policies and implemented in conjunction with a change in cultural context.
authors.affiliation: Unidad de Paciente Crítico Pediátrico. Hospital Clínico Metropolitano La Florida. Santiago. Chile. adonosofuentes@gmail.com.
authors.forename: Alejandro
authors.initials: A
authors.lastname: Donoso Fuentes
authors.affiliation: Unidad de Paciente Crítico Pediátrico. Hospital Clínico Metropolitano La Florida. Santiago. Chile.
authors.forename: Pablo
authors.initials: P
authors.lastname: Córdova L
authors.affiliation: Unidad de Nefrología. Hospital San Juan de Dios. Santiago. Chile.
authors.forename: Pilar
authors.initials: P
authors.lastname: Hevia J
authors.affiliation: Unidad de Paciente Crítico Pediátrico. Hospital Clínico Metropolitano La Florida. Santiago. Chile.
authors.forename: Daniela
authors.initials: D
authors.lastname: Arriagada S
mesh_terms: D002648:Child; D006801:Humans; D007362:Intensive Care Units; D063766:Pediatric Obesity / Q000150:complications / Q000453:epidemiology / Q000503:physiopathology
keywords: Hypertension; Intensive care; Leptin; Metabolic syndrome; Obesity