Non-communicable Diseases and Rare Diseases in Pediatrics: Management, Treatment and Prevention Strategies

A special issue of Children (ISSN 2227-9067).

Deadline for manuscript submissions: closed (31 March 2023) | Viewed by 6704

Special Issue Editors


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Guest Editor
1. Department of Biomedical and Clinical Science, University of Milan, 20157 Milan, Italy
2. Department of Pediatrics, Buzzi Children’s Hospital, 20157 Milano, Italy
Interests: pediatric infectious diseases; pediatric nutrition; children; malnutrition; obesity; global health; telemedicine; digital health; preventive medicine; translational research
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
1. Department of Internal Medicine and Therapeutics, University of Pavia, 27100 Pavia, Italy
2. Department of Pediatrics, Buzzi Children’s Hospital, 20157 Milano, Italy
Interests: pediatrics; pediatric endocrinology; obesity; metabolic syndrome; telemedicine; digital health; exercise; disability; preventive medicine; translational research
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Non-communicable diseases (NCDs) and rare diseases present a current and future public health challenge in pediatrics.

NCDs represent a set of disorders resulting from the interaction of genetic, physiological, environmental and behavioral factors (physical inactivity and unhealthy diets, obesity and consumption of tobacco or alcohol),  and are often associated with a long duration and slow progression. These conditions include cardiovascular diseases, autoimmune diseases, diabetes, preventable cancers, chronic respiratory diseases, mental health condition and injuries. NCDs tend to manifest in adulthood; however, they have their origins in conditions and behaviors adopted during childhood and adolescence. 

Rare diseases are defined as those affecting less than 200.000 individuals in the US or less than 1 in 2.000 people in Europe. There are over 6000 known rare diseases,  75% of which affect children; 80% of these cases are of genetic origin. They involve musculoskeletal, respiratory, immune, nervous, cardiovascular, hematologic, urinary, endocrine and metabolic systems.

Children affected by NCDs and rare diseases often face a lifelong challenge in managing and treating their conditions. For many NCDs, the best option for reducing disease burden is early prevention; for rare disease, an early diagnosis is crucial to optimize support measures. Treating NCDs and rare diseases requires close cooperation between experts of various medical disciplines in an interdisciplinary setting. The evolution of personalized and precision medicine revolves around improving our understanding of the pathogenic mechanisms of diseases and ameliorating the management and monitoring of these childhood diseases.

This Special Issue, “Non-communicable diseases and rare diseases in pediatrics: management, treatment and prevention strategies”, provides the reader with an up-to-date overview on important progress in the diagnosis, management, complications, treatment and prevention strategies in children with NCDs and rare diseases.  

Clinicians and researchers are invited to submit relevant original articles from both clinical and research fields, narrative and systemic reviews, editorials and case reports.

Prof. Dr. Gianvincenzo Zuccotti
Dr. Valeria Calcaterra
Guest Editors

Manuscript Submission Information

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Children is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • non-communicable diseases
  • rare diseases
  • management
  • treatment
  • prevention strategies
  • obesity
  • children
  • pediatrics

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Published Papers (3 papers)

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Editorial

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3 pages, 176 KiB  
Editorial
Non-Communicable Diseases and Rare Diseases: A Current and Future Public Health Challenge within Pediatrics
by Valeria Calcaterra and Gianvincenzo Zuccotti
Children 2022, 9(10), 1491; https://doi.org/10.3390/children9101491 - 28 Sep 2022
Cited by 6 | Viewed by 1919
Abstract
The global burden of non-communicable diseases (NCDs) and rare diseases constitutes a current and future public health challenge within pediatrics [...] Full article

Research

Jump to: Editorial

11 pages, 881 KiB  
Article
Bioelectrical Impedance Analysis-Derived Phase Angle and Body Composition Are Predictors of Health-Related Fitness in Children and Adolescents with Obesity
by Giada Ballarin, Maria Rosaria Licenziati, Paola Alicante, Olivia Di Vincenzo, Giuliana Valerio and Luca Scalfi
Children 2022, 9(12), 1943; https://doi.org/10.3390/children9121943 - 11 Dec 2022
Cited by 5 | Viewed by 1662
Abstract
There is little evidence in children and adolescents with obesity of the relationships between muscle strength/cardiorespiratory fitness (both components of health-related fitness = HRF) and body composition. Body composition and HRF were studied in 281 children and adolescents with obesity to explore their [...] Read more.
There is little evidence in children and adolescents with obesity of the relationships between muscle strength/cardiorespiratory fitness (both components of health-related fitness = HRF) and body composition. Body composition and HRF were studied in 281 children and adolescents with obesity to explore their mutual relationship and to identify the predictors of HRF. By performing a bioelectrical impedance analysis (BIA), the fat-free mass (FFM) and percentage of body fat (%BF) were calculated, and the phase angle (PhA) was recorded. Handgrip strength (HGS), the standard broad jump (SBJ), and five broad jumps (FIVEBJ) were considered for the assessment of muscle strength, and the six-minute walking distance (SIXMWD) for cardiorespiratory fitness. The BMI Z-score was slightly higher in boys, and the %BF was higher in girls, with no difference in the FFM. HGS, the SBJ, and FIVEBJ were greater in the male sex. After controlling for sex, HGS was associated with the FFM, and with height, weight, and absolute BMI. On the contrary, the SBJ and FIVEBJ were negatively associated with adiposity, with a weak relationship with the FFM. The SIXMWD was only poorly related to height, the BMI Z-score, and the waist-to-height ratio. These results were confirmed with a multiple regression analysis. HGS, the SBJ, and FIVEBJ were higher in the first compared to the third tertile of the PhA in both sexes. The PhA also remained a consistent predictor of HGS, the SBJ, and FIVEBJ in a multiple regression analysis. In conclusion, the following predictors have been identified for HRF: the FFM for the isometric strength of the upper limbs and adiposity indicators for the SBJ and FIVEBJ. The PhA emerged as a proxy index of muscle strength. Full article
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12 pages, 335 KiB  
Article
Shedding Light on the Lifestyle and Participation of Portuguese Adolescents with Chronic Conditions—Data from the HBSC 2018 Study
by Ana Cerqueira, Fábio Botelho Guedes, Tania Gaspar, Emmanuelle Godeau and Margarida Gaspar de Matos
Children 2022, 9(11), 1717; https://doi.org/10.3390/children9111717 - 9 Nov 2022
Cited by 1 | Viewed by 1909
Abstract
Variables associated with lifestyle can constitute either risk or protective factors for the development and progression of chronic conditions (CC). This study intends to explore the differences between adolescents with and without CC and between adolescents whose school participation is affected/not affected by [...] Read more.
Variables associated with lifestyle can constitute either risk or protective factors for the development and progression of chronic conditions (CC). This study intends to explore the differences between adolescents with and without CC and between adolescents whose school participation is affected/not affected by the existing CC with regard to variables related to lifestyle (i.e., sleep, physical activity, BMI, and leisure). In addition, it also intends to analyze the influence of these variables (i.e., CC and lifestyle) regarding the adolescents’ quality of life (QoL). This work is part of the Portuguese HBSC 2018 study. A total of 8215 adolescents participated (52.7% female), with an average age of 14.36 years (SD = 2.28). The results showed that the adolescents with CC and whose school attendance and participation are affected by their CC exhibit more sleep difficulties (i.e., they experience lower sleep quality and have a higher degree of sleepiness), higher BMI levels (i.e., higher values of overweight and obesity), less participation in leisure activities, and a lower perception of QoL. A higher perception of QoL is associated with school participation unaffected by the existing CC, sleeping well, a low level of sleepiness, a more frequent practice of physical activity, a lower BMI, and a greater involvement in leisure activities. Adolescent health and well-being are a prominent issue in terms of public policies, with behavior and lifestyle playing a significant role in this domain. This message needs to be reinforced in regard to families, educators, healthcare professionals, and public sector policies, particularly concerning students with CC. Full article
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