Obesity-related metabolic and endocrine disorders diagnosed during postoperative follow-up of slipped capital femoral epiphysis.
Background and purpose — Patients with slipped capital femoral epiphysis (SCFE) are phenotypically overweight or obese and may therefore require clinical follow-up of obesity-related disorders. We evaluated obesity-related disorders such as dyslipidemia, type 2 diabetes mellitus (DM), and vitamin-D...
| Publicado en: | Acta Orthopaedica Vol. 89; no. 3; pp. 314 - 320 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Medical Journals Sweden AB
Jun2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=129471831&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 129471831 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17453674 1BVL jtl: Acta Orthopaedica issn: 17453674 maglogo: N pubinfo: dt: Jun2018 vid: 89 iid: 3 pid: 59195 pub: Medical Journals Sweden AB artinfo: ui: 129471831 129471831 129471831 10.1080/17453674.2018.1445167 129471831 ppf: 314 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Obesity-related metabolic and endocrine disorders diagnosed during postoperative follow-up of slipped capital femoral epiphysis. aug: au: Ucpunar, Hanifi Camurcu, Ismet Yalkin Duman, Serda Ucpunar, Esra Sofu, Hakan Bayhan, Avni Ilhan affil: Erzincan University Faculty of Medicine, Department of Orthopaedics and Traumatology sug: subj: Obesity Postoperative Period Epiphyses, Slipped Surgery Hyperlipidemia Diagnosis Diabetes Mellitus, Type 2 Diagnosis Vitamin D Deficiency Diagnosis Orthopedic Surgery Methods Human After Care Adolescence Retrospective Design Body Mass Index Lipids Blood Lipoproteins, LDL Cholesterol Blood Lipoproteins, HDL Cholesterol Blood Triglycerides Blood Fasting Blood Glucose Glycated Hemoglobin Blood Vitamin D Blood Diabetes Mellitus, Type 2 Risk Factors Epiphyses, Slipped Diagnosis Cholesterol Blood Adolescent: 13-18 years ab: Background and purpose — Patients with slipped capital femoral epiphysis (SCFE) are phenotypically overweight or obese and may therefore require clinical follow-up of obesity-related disorders. We evaluated obesity-related disorders such as dyslipidemia, type 2 diabetes mellitus (DM), and vitamin-D deficiency during the postoperative period in patients with SCFE. Patients and methods — 51 patients who were operated and followed-up for SCFE and 62 healthy adolescents without SCFE (control group) were included in this retrospective study. Patients’ BMI, serum lipid profile (total cholesterol, LDL-C, HDL-C, triglyceride), fasting blood glucose, HbA1c, and serum vitamin D levels were evaluated. Results — At the time of surgery, 45 patients in the SCFE group were overweight or obese (BMI >25). At the latest follow-up, 42 patients in the SCFE group and 53 patients in the control group were overweight/obese. Abnormal serum lipid profile and ratio of total dyslipidemia were similar between the groups. 8 patients had abnormal HbA1c levels in the SCFE group and mean HbA1c levels were significantly higher in the SCFE group (p = 0.03). All patients and controls had low levels of vitamin D. Interpretation — Although serum lipid profile and vitamin D levels were detected as similar in SCFE and control groups, the potential risk of type 2 DM identified via abnormal HbA1c levels was significantly higher in patients with SCFE. We recommend that patients diagnosed with SCFE should be considered as potential candidates for type 2 DM; thus follow-up after surgical treatment should include not only orthopedic outcomes but also evaluation of future risk for DM. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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