Publications by authors named "Mechelien H Rövekamp"

3 Publications

  • Page 1 of 1

Influence of obesity on nocturnal oxygen saturation in young children.

Eur J Pediatr 2012 Nov 9;171(11):1687-93. Epub 2012 Aug 9.

Department of Pediatrics, Gelre Hospitals, Postbus 9014, 7300 DS Apeldoorn, The Netherlands.

Unlabelled: Obesity is increasing worldwide and it is accompanied by major health effects. In adults and school-aged children, obesity is associated with decreased respiratory function, which may lead to disturbed sleeping and subsequently difficulties in concentration and behavioural disorders. The evidence for the association between obesity and decreased respiratory function in younger children is scarce. To explore the association between body weight and nocturnal respiratory function in young children, 1 to 3 years old, nocturnal pulse oximetry was performed at home. Children with tonsillar hypertrophy were excluded. Percentage of time with oxygen saturation (SpO(2)) <95 % was measured and its association with body mass index (BMI) for age z scores was analysed. Pulse oximetric data of 51 children, including 18 children with a BMI for age above +2 standard deviations, were obtained for this study. Linear regression analysis, correction for gender and parental smoking, showed a positive association between the natural logarithm of SpO(2) <95 % and BMI for age z score [regression coefficient (β) 0.19, 95 % confidence interval 0.00-0.39].

Conclusion: In young children, higher body weight is associated with a decrease in nocturnal oxygen saturation.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00431-012-1806-5DOI Listing
November 2012

Celiac disease is overrepresented in patients with constipation.

J Pediatr (Rio J) 2012 Mar-Apr;88(2):173-6. Epub 2012 Mar 20.

Catharina Hospital, Eindhoven, the Netherlands.

Objective: It is suggested that patients with constipation should be screened for celiac disease. Similarly, it is recommended to investigate these patients for hypothyroidism and hypercalcemia. However, no evidence for these recommendations is available so far. We therefore set out to determine the prevalence of celiac disease, hypothyroidism, and hypercalcemia in children with constipation.

Methods: Prospective cohort study of 370 consecutive patients who met the Rome III criteria for constipation. These patients were referred by a general practitioner to a pediatrician because of failure of laxative treatment.

Results: Seven of these patients had biopsy-proven celiac disease. This is significantly higher (p < 0.001) than the 1:198 prevalence of celiac disease in the Netherlands. Two patients had auto-immune thyroiditis. No patient had hypercalcemia.

Conclusions: We conclude that celiac disease is significantly overrepresented in patients with constipation who are referred by a general practitioner to a pediatrician because of failure of laxative treatment. All such patients should, therefore, be screened for celiac disease.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.2223/JPED.2155DOI Listing
November 2012

[Diagnostic image; a neonate with a blueish, swollen scrotum].

Ned Tijdschr Geneeskd 2009 ;153:B369

Gelre Ziekenhuizen, locatie Lukas, Apeldoorn, The Netherlands.

A blueish, swollen scrotum in a neonate appeared to be caused by a hydrocele, as shown by the typical transillumination.
View Article and Find Full Text PDF

Download full-text PDF

Source
December 2009