Monday, June 23, 2014

ROHHAD in Children: Hypothylamic Obesity

ROHHAD is a disease I ran across while doing other research for this blog. It certainly brings in some questions about obesity since this obesity is brain-based. So much of our weight is brain driven which establishes appetite, metabolism and far more.

Rapid-onset obesity with hypothalamic dysfunction, hypoventilation and autonomic dysregulation (ROHHAD)
What does this mean?
Rapid-onset obesity – Large weight gain in a short amount of time
(15 to 20 lbs in a 6- to 12-month period with onset between 1.5 and 10 years of age.)
Hypothalamic dysfunction – When the hypothalamus does not function properly.  Some symptoms include:
  1. Increased weight gain in short amount of time
  2. Hypothyroidism –Causing fatigue, weight gain, hair and skin changes, cold intolerance
  3. Growth hormone insufficiency
  4. Diabetes insipidus or innapropriate anti-diuretic hormone
  5. Excessive or diminished thirst due to water/salt imbalance
Hypoventilation – Breathing that is not adequate to meet the needs of the body, or reduced lung function Autonomic dysregulation – Impairment of the autonomic nervous system
Some symptoms include:

  1. Altered sweating
  2. Decreased body temperature
  3. Decreased sensitivity to pain
  4. Cold extremities – hands and feet
  5. Bradycardia – decrease in heart rate
  6. Chronic diarrhea or constipation

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