Journal of Pediatric Perspectives

original article

Echocardiographic Comparison of Myocardial Performance between Obese and Normal Weight Children and Adolescents

Forod Salehi; Mostafa Arianejad; Fatemeh Taheri; Tayyebeh Chahkandi

Volume 11, Issue 11 , November 2023, Pages 18355-18361

https://doi.org/10.22038/ijp.2023.75142.5370

Abstract

Background: Obesity prevalence has increased alarmingly in recent decades as a result of lifestyle changes. Obesity can have adverse effects during childhood and adolescence, which ... Read More Background: Obesity prevalence has increased alarmingly in recent decades as a result of lifestyle changes. Obesity can have adverse effects during childhood and adolescence, which often persist into adulthood. Some studies have shown that echocardiographic findings are associated with obesity, accompanied by an increase in the left ventricle's size, diameter, and weight. This study compared Tissue Doppler and Pulse Doppler echocardiographic changes between obese and normal weight children and adolescents.Method: In 2021, this research was conducted on 66 children and adolescents aged 9 to 18 in Birjand. It included 33 individuals, comprising 25 boys and 8 girls, with a Body Mass Index (BMI) greater than 95, classified as the obese group, and 33 individuals, comprising 21 boys and 12 girls with a BMI between 10 and 85, ranked as the control group. The two groups' parameters were measured using Tissue Doppler Index (echocardiography), and the data was analyzed using SPSS version 16 at a significance level of less than 0.05.Result: The obese and normal weight groups had average ages of 12.84±1.92 and 12.87±2.87, respectively. In the obese group, the average BMI was 28.52±4.3, while in the control group, it was 16.55±2.21. The average EF (Ejection Fraction) in the obese group was 247.13±32.44, and in the control group, it was 249.6±24.68.In the obese group, the mean values of the parameters S´, A', and A were 12.91±2.63, 12.61±2.75 and 74.83±16.75, while in the control group, they were 11.47±2.66, 10.28±2.72, and 63.21±15.41. The obese group had substantially higher values compared to the control group (P<0.05). The mean values of IVRT, IVCT, MPI, E', and E were more significant in the obese group than in the control group, whereas ET and E/A were more significant in the control group. These differences, however, were not statistically significant.Conclusion: The significant increase in diastolic dysfunction parameters, including A' and E'/A', in the obese group may indicate a severe type of LV Compliance Decrease.

original article

Clinical and laboratory characteristics of Juvenile Idiopathic Arthritis in Northeast Iran

Abdolreza Malek; Maryam Mosannen Mozaffari; Mahdieh Vahedi

Volume 11, Issue 11 , November 2023, Pages 18362-18370

https://doi.org/10.22038/ijp.2023.75061.5372

Abstract

Background: Juvenile Idiopathic Arthritis (JIA) is a chronic rheumatic disorder commonly affecting children younger than 16. The incidence and prevalence of JIA can vary greatly depending ... Read More

original article

The Effectiveness of a Family-Centered Behavioral Modification Package in Improving the Eating Behavior, Bmi Percentile and Abdominal Circumference of Obese School-Age Girls: A Randomized Controlled Trial

Nadia Danaei; Hadiseh Asadabadi; Majid Ghayour-Mobarhan; Payam Sharifan; Mahdieh Razi; Tahereh Sadeghi

Volume 11, Issue 11 , November 2023, Pages 18371-18382

https://doi.org/10.22038/ijp.2023.75908.5383

Abstract

Background: Childhood obesity is widely recognized as a prominent challenge in the 21st century. The family holds considerable potential in effectively managing this concern, by incorporating ... Read More

original article

Evaluating Discrimination Indexes for Iron Deficiency Anemia among Children Aged Between 1-15 Years Old

Mohammad Reza Rezvany

Volume 11, Issue 11 , November 2023, Pages 18383-18390

https://doi.org/10.22038/ijp.2023.75826.5381

Abstract

Background: Iron Deficiency Anemia (IDA) is a massive health concern with a high frequency in Iran. Differentiating between IDA and other microcytic-hypochromic anemia like beta thalassemia ... Read More

original article

Bone Mineral Density in Children with Nephrotic Syndrome Treated under GC for More than 2 Years

Mohamd Ahangar Davodi; Hooman Nokhbe Zaeim; Parsa Yousefichaijan

Volume 11, Issue 11 , November 2023, Pages 18391-18397

https://doi.org/10.22038/ijp.2023.74679.5361

Abstract

Background: Nephrotic Syndrome (NS), common in the pediatric population is typically treated with high-dose glucocorticoid (GC). Long-term GC treatment in refractory cases results in ... Read More

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Volume & Issue: Volume 11, Issue 11, November 2023, Pages 18355-18397

Echocardiographic Comparison of Myocardial Performance between Obese and Normal Weight Children and Adolescents

Abstract

Clinical and laboratory characteristics of Juvenile Idiopathic Arthritis in Northeast Iran

Abstract

The Effectiveness of a Family-Centered Behavioral Modification Package in Improving the Eating Behavior, Bmi Percentile and Abdominal Circumference of Obese School-Age Girls: A Randomized Controlled Trial

Abstract

Evaluating Discrimination Indexes for Iron Deficiency Anemia among Children Aged Between 1-15 Years Old

Abstract

Bone Mineral Density in Children with Nephrotic Syndrome Treated under GC for More than 2 Years

Abstract