Racial Disparities in Obesity Treatment Among Children and Adolescents

被引:30
|
作者
Johnson, Veronica R. [1 ]
Acholonu, Nonyerem O. [2 ,3 ]
Dolan, Ana C. [4 ]
Krishnan, Ashwin [5 ]
Wang, Emily Hsu-Chi [5 ]
Stanford, Fatima Cody [6 ,7 ]
机构
[1] Northwestern Med, Dept Internal Med, 259 E Erie St,Suite 2150, Chicago, IL 60611 USA
[2] Massachusetts Gen Hosp Children, Dept Pediat, Boston, MA USA
[3] Harvard Med Sch, Boston, MA 02115 USA
[4] Univ Massachusetts, Amherst, MA 01003 USA
[5] Emory Univ, Atlanta, GA 30322 USA
[6] Dept Med, Neuroendocrine Unit & Pediat, Pediat Endocrinol, Boston, MA USA
[7] Massachusetts Gen Hosp, Nutr Obes Res Ctr Harvard, MGH Weight Ctr, 50 Staniford St,4th Floor, Boston, MA 02114 USA
基金
美国国家卫生研究院;
关键词
Pediatric; adolescent obesity treatment; Race; Disparities; Lifestyle intervention; Pharmacotherapy; Metabolic and bariatric surgery; GESTATIONAL WEIGHT-GAIN; BODY-MASS INDEX; CHILDHOOD OBESITY; PHYSICAL-ACTIVITY; DIET QUALITY; US CHILDREN; HIP-HOP; PREVENTION INTERVENTIONS; PRESCHOOL-CHILDREN; ETHNIC-DIFFERENCES;
D O I
10.1007/s13679-021-00442-0
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose of Review With the growing obesity epidemic among children and adolescents, the evaluation of disease origin to slow disease progression is necessary. Racial disparities which are evident amid prevalence and treatment must be studied to counteract disease propagation. Recent Findings Disparities are pronounced among Black and Hispanic pediatric patients prior to conception and birth due to genetic composition and fetal environment. Postnatal environment and psychosocial influences can further increase a child/adolescent's propensity to increased weight. Current treatment options including nutrition, physical activity, behavior modification, pharmacotherapy, and surgery are underutilized in communities of color due to limited access to care and cost. Data is limited to demonstrate disparities among treatment of obesity in children and adolescents. The reviewed studies show the role of race on disease treatment. Increased research efforts, especially in pharmacotherapy and metabolic and bariatric surgery (MBS), will help combat obesity in pediatric communities of color.
引用
收藏
页码:342 / 350
页数:9
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