Bariatric surgery in adolescents: an update.
Bariatric surgery in adolescents: an update.
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DOI：
10.1016/j.admecli.2006.06.001
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发表时间：
2006-10
期刊：
影响因子：
--
通讯作者：
S. Xanthakos;S. Daniels;T. Inge
中科院分区：
文献类型：
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作者：
S. Xanthakos;S. Daniels;T. Inge
在过去的30年里，美国成人和儿童肥胖的患病率和严重程度迅速而显著地增加。不仅美国成年人的肥胖患病率（定义为体重指数[BMI] R30 kg/m2）从14.5%增加到30.9%，而且极度肥胖的患病率（定义为BMI R40 kg/m2）也增加了四倍，影响了6.4%的女性和3.3%的男性[1，1a]。儿童和青少年也未能幸免于这一肥胖流行病。在同一时期，6-11岁儿童的超重患病率（定义为年龄和性别的BMI> 095%）翻了一番，12-19岁青少年的超重患病率翻了三倍[2，3]。据估计，超过100万13至21岁的青少年的BMI大于35 kg/m2 [4]。儿童和青少年肥胖的急剧增加预示着下一代成年人肥胖流行病的患病率和严重程度将进一步增加，因为肥胖青少年更有可能将肥胖带到成年，而不是长大后摆脱肥胖[5]。肥胖是许多疾病的风险因素，特别是2型糖尿病，其患病率与肥胖平行上升[6]。肥胖
The prevalence and severity of obesity have increased rapidly and dramatically in the last 3 decades in the United States in adults and children. Not only has the prevalence of obesity among American adults (defined as a body mass index [BMI] R30 kg/m2) doubled from 14.5% to 30.9%, but also the prevalence of extreme obesity (defined as BMI R40 kg/m2) has quadrupled to affect 6.4% of women and 3.3% of men [1, 1a]. Children and adolescents have not been immune from this obesity epidemic. During the same time period, the prevalence of overweight (defined as BMI O95% for age and gender) doubled for children age 6-11 years and tripled for adolescents age 12-19 [2, 3]. It has been estimated that more than 1 million adolescents between the ages of 13 and 21 years have a BMI greater than 35 kg/m2 [4]. The dramatic increase in obesity in children and adolescents portends a further increase in the prevalence and severity of the obesity epidemic in the next generation of adults because obese teenagers are far more likely to carry obesity into adulthood than to outgrow obesity [5]. Obesity is a risk factor for numerous diseases, in particular for type 2 diabetes mellitus, the prevalence of which has risen in parallel with obesity [6]. Obese