Childhood Obesity Causes, Consequences, and Management

被引:207
作者
Gurnani, Muskaan [1 ]
Birken, Catherine [2 ]
Hamilton, Jill [1 ]
机构
[1] Univ Toronto, Hosp Sick Children, Dept Paediat, Div Endocrinol, Toronto, ON M5G 1X8, Canada
[2] Univ Toronto, Hosp Sick Children, Dept Paediat, Div Paediat Med, Toronto, ON M5G 1X8, Canada
关键词
Childhood; Adolescent; Obesity; Cardiometabolic risk; Lifestyle interventions; Prevention; LAPAROSCOPIC SLEEVE GASTRECTOMY; BODY-MASS INDEX; CARDIOVASCULAR-DISEASE; OVERWEIGHT CHILDREN; PRACTICE GUIDELINE; METABOLIC SYNDROME; BARIATRIC SURGERY; PEDIATRIC OBESITY; BLOOD-PRESSURE; UNITED-STATES;
D O I
10.1016/j.pcl.2015.04.001
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
One-third of North American children are overweight or obese. Pathologic obesity accounts for only a small percentage of these cases. The vast majority are the result of a complex interaction of genetic and hormonal, nutritional, physical activity, and physical and social environmental factors. Obesity increases the risk for various cardiometabolic, pulmonary, and psychosocial complications for children, which often continues into adulthood. Multidisciplinary care, focusing on family-centered behavior change, is an evidence-based, essential part of the treatment, along with pharmacologic and surgical options for more complex cases. Prevention and early intervention strategies are key to reversing the obesity epidemic.
引用
收藏
页码:821 / +
页数:21
相关论文
共 90 条
  • [51] Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome
    Marcus, Carole L.
    Brooks, Lee J.
    Ward, Sally Davidson
    Draper, Kari A.
    Gozal, David
    Halbower, Ann C.
    Jones, Jacqueline
    Lehmann, Christopher
    Schechter, Michael S.
    Sheldon, Stephen
    Shiffman, Richard N.
    Spruyt, Karen
    [J]. PEDIATRICS, 2012, 130 (03) : E714 - E755
  • [52] Childhood obesity
    Miller, J
    Rosenbloom, A
    Silverstein, J
    [J]. JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2004, 89 (09) : 4211 - 4218
  • [53] Changing incidence of slipped capital femoral epiphysis - A relationship with obesity?
    Murray, A. W.
    Wilson, N. I. L.
    [J]. JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2008, 90B (01): : 92 - 94
  • [54] Childhood Obesity and Obstructive Sleep Apnea
    Narang, Indra
    Mathew, Joseph L.
    [J]. JOURNAL OF NUTRITION AND METABOLISM, 2012, 2012
  • [55] Sleep disturbance and cardiovascular risk in adolescents
    Narang, Indra
    Manlhiot, Cedric
    Davies-Shaw, Jolie
    Gibson, Don
    Chahal, Nita
    Stearne, Karen
    Fisher, Amanda
    Dobbin, Stafford
    McCrindle, Brian W.
    [J]. CANADIAN MEDICAL ASSOCIATION JOURNAL, 2012, 184 (17) : E913 - E920
  • [56] Natl High Blood Pressure Educ Prog, 2004, PEDIATRICS, V114, P555
  • [57] Overweight children and adolescents: A risk group for iron deficiency
    Nead, KG
    Halterman, JS
    Kaczorowski, JM
    Auinger, P
    Weitzman, M
    [J]. PEDIATRICS, 2004, 114 (01) : 104 - 108
  • [58] Cesarean Versus Vaginal Delivery: Long-term Infant Outcomes and the Hygiene Hypothesis
    Neu, Josef
    Rushing, Jona
    [J]. CLINICS IN PERINATOLOGY, 2011, 38 (02) : 321 - +
  • [59] Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013
    Ng, Marie
    Fleming, Tom
    Robinson, Margaret
    Thomson, Blake
    Graetz, Nicholas
    Margono, Christopher
    Mullany, Erin C.
    Biryukov, Stan
    Abbafati, Cristiana
    Abera, Semaw Ferede
    Abraham, Jerry P.
    Abu-Rmeileh, Niveen M. E.
    Achoki, Tom
    AlBuhairan, Fadia S.
    Alemu, Zewdie A.
    Alfonso, Rafael
    Ali, Mohammed K.
    Ali, Raghib
    Alvis Guzman, Nelson
    Ammar, Walid
    Anwari, Palwaslia
    Banerjee, Amitava
    Barquera, Simon
    Basu, Sanjay
    Bennett, Derrick A.
    Bhutta, Zulfiqar
    Blore, Jed
    Cabral, Norberto
    Campos Nonato, Ismael
    Chang, Jung-Chen
    Chowdhury, Rajiv
    Courville, Karen J.
    Criqui, Michael H.
    Cundiff, David K.
    Dabhadkar, Kaustubh C.
    Dandona, Lalit
    Davis, Adrian
    Dayama, Anand
    Dharmaratne, Samath D.
    Ding, Eric L.
    Durrani, Adnan M.
    Esteghamati, Alireza
    Farzadfar, Farshad
    Fay, Derek F. J.
    Feigin, Valery L.
    Flaxman, Abraham
    Forouzanfar, Mohammad H.
    Goto, Atsushi
    Green, Mark A.
    Gupta, Rajeev
    [J]. LANCET, 2014, 384 (9945) : 766 - 781
  • [60] Nicklas TA, 2002, INT J SPORTS MED, V23, pS39