Risks and consequences of childhood and adolescent obesity
Risks and consequences of childhood and adolescent obesity
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DOI：
10.1038/sj.ijo.0800852
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发表时间：
1999-03-01
影响因子：
4.9
通讯作者：
Strauss, RS
中科院分区：
文献类型：
--
作者：
Must, A;Strauss, RS
本报告回顾了与儿童和青少年肥胖相关的风险和后果。虽然没有一致的定义存在的儿童肥胖症，在文献中遇到的各种措施是适度良好的相关性。本文分为三个部分。第一部分回顾了儿童期发生的儿童肥胖后遗症。这些短期风险，骨科，神经，肺，胃肠和内分泌疾病，虽然主要限于严重超重的儿童，正变得越来越普遍，因为严重超重的患病率上升。儿童肥胖的社会负担，特别是在儿童中期和青春期，可能对自尊，身体形象和经济流动性产生持久影响。第二部分研究了中间后果，如心血管危险因素的发展和肥胖持续到成年。早期肥胖的这些中等影响预示着成年后的疾病和过早死亡。在最后一节中，小机构的长期发病率和死亡率与儿童肥胖的研究进行了审查。这些研究表明，在儿童时期超重的人中，心血管疾病和全因死亡率的风险增加。儿童肥胖症的高流行率和显著的长期趋势表明，如果不采取积极的预防和治疗方法，随之而来的健康和社会后果将是巨大和持久的。
This report reviews the risks and consequences associated with childhood and adolescent obesity. Although no consensus definition of childhood obesity exists, the various measures encountered in the literature are moderately well correlated. The paper is organized in three parts. The first section reviews childhood obesity sequelae that occur during childhood. These short-term risks, for orthopedic, neurological, pulmonary, gasteroenterological, and endocrine conditions, although largely limited to severely overweight children, are becoming more common as the prevalence of severe overweight rises. The social burden of pediatric obesity, especially during middle childhood and adolescence, may have lasting effects on self-esteem, body image and economic mobility. The second section examines the intermediate consequences, such as the development of cardiovascular risk factors and persistence of obesity into adulthood. These mid-range effects of early obesity presage later adult disease and premature mortality. In the final section, the small body of research on the long-term morbidity and mortality associated with childhood obesity is reviewed. These studies suggest that risk of cardiovascular disease and all-cause mortality is elevated among those who were overweight during childhood. The high prevalence and dramatic secular trend toward increasing childhood obesity suggest that without aggressive approaches to prevention and treatment, the attendant health and social consequences will be both substantial and long-lasting.