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Archivos de Pediatría del Uruguay

versão impressa ISSN 0004-0584versão On-line ISSN 1688-1249

Resumo

CABRAL, Santiago et al. Monitoring of metabolic variables in children and adolescents who use atypical antipsychotics assisted at the Pereira Rossell Pediatric Hospital Center. Arch. Pediatr. Urug. [online]. 2025, vol.96, n.2, e209.  Epub 01-Dez-2025. ISSN 0004-0584.  https://doi.org/10.31134/ap.96.21.

Introduction:

the consumption of psychotropic drugs, particularly antipsychotics, has been increasing globally in children and adolescents (NNA). In our country, there are few studies on the subject, but they show a high level of use of these drugs. Atypical antipsychotics are associated with metabolic alterations such as dyslipidemia, diabetes, and overweight/obesity, among others.

Objectives:

describe clinical and paraclinical metabolic variables in NNA using atypical antipsychotics, admitted to moderate care wards at the Pereira Rossell Hospital Center, during the period of July - September 2022.

Methodology:

an observational, cross-sectional, descriptive study was conducted, including patients aged 2-15 years. Pharmacological, anthropometric, and biochemical data were obtained. Physical activity and dietary quality were evaluated. The PSPP statistical software version 3 was used. The study was approved by the Research Ethics Committee of the Pereira Rossell Hospital Center (CHPR).

Results:

fifty-three NNA were included, with a median age of 13 years. Risperidone, quetiapine, and aripiprazol were the most commonly used. Thirty percent presented overweight/obesity, 50% were sedentary, and 30% had unhealthy eating habits. Twenty-one NNA had had the recommended blood biochemichal tests used to monitor these drug users.

Conclusions:

metabolic alterations were found in more than half of the included subjects. Risperidone remains the most prescribed antipsychotic in this population, with a growing use of aripiprazol. Polypharmacy persisted as a prescription problem in these patients.

Palavras-chave : Antipsychotic Agents; Child; Adolescent.

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