THE CONDITION OF THE DIAPHRAGM IN OBESE CHILDREN
Relevance. The global prevalence of childhood obesity has reached alarming levels, with numerous health consequences affecting multiple organ systems. One area of increasing interest is the impact of obesity on diaphragmatic function in children. The diaphragm, as the primary muscle of respiration, plays a crucial role in maintaining effective ventilation and gas exchange. Several studies have examined the effects of obesity on diaphragmatic function in children. Evidence suggests that obesity may lead to alterations in diaphragmatic morphology and biomechanics, potentially reducing its effectiveness in facilitating respiration. Furthermore, researchers have identified potential mechanisms linking obesity and impaired diaphragmatic function, including increased abdominal pressure, decreased lung volumes, and altered neuromuscular function. Understanding the impact of obesity on diaphragmatic function in children is crucial, as it can contribute to various obesity-related respiratory complications. Diaphragmatic dysfunction may play a role in the development of obesity hypoventilation syndrome (OHS) and may exacerbate obstructive sleep apnea. These conditions can negatively affect a child's health, academic performance, and overall quality of life
Aim. This literature review aims to summarize and critically assess the current body of knowledge on the condition of the diaphragm in obese children and Effects of Obesity on Diaphragm Function and Structure
Search strategy. In order to compile the literature review, a thorough source search was conducted in a number of databases, including UpToDate, BMJ, PubMed, Scopus, Wiley, Medline, The Cochrane Library, Springer Link, and Web of Science. The study covered a long time period - 18 years: from 2004 to 2022. Due to the lack of knowledge of this topic, 68 articles were selected as a result of this search, which were available in full and underwent a critical evaluation process. Criteria for inclusion in the review included children's age, that is, the study of the state of the diaphragm in the pediatric population. At the same time, studies regarding the condition of the diaphragm in adults were excluded from the analysis. This approach made it possible to focus on specific aspects of the state of the diaphragm in the context of childhood.
Results and conclusions. The condition of the diaphragm in obese children has emerged as a significant area of concern in recent years, with far-reaching implications for respiratory health, exercise tolerance, and overall quality of life. The complex interplay between obesity and diaphragmatic function is not yet fully understood, but existing research indicates that obesity can lead to alterations in diaphragmatic morphology, biomechanics, and neuromuscular function. These changes can contribute to a variety of obesity-related respiratory complications, such as obesity hypoventilation syndrome and obstructive sleep apnea, which can have detrimental effects on a child's well-being, cognitive performance, and social functioning.
Perizat K. Karabayeva1, https://orcid.org/0009-0004-7099-3877
Sagira T. Abdrakhmanova1, https://orcid.org/0000-0001-9863-6047
Raushan R. Aishauova1, https://orcid.org/0000-0002-0573-5386
Aynura A. Tayr2,
1 NJSC "Astana Medical University", Astana, Republic of Kazakhstan;
2 Multiprofile city children's hospital №2, Astana city, Republic of Kazakhstan.
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Karabayeva P.K., Abdrakhmanova S.T., Aishauova R.R., Tayr A.A. The condition of the diaphragm in obese children // Nauka i Zdravookhranenie [Science & Healthcare]. 2023, (Vol.25) 5, pp. 190-198. DOI 10.34689/SH.2023.25.5.025Похожие публикации:
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