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儿童肥胖、糖尿病与心血管疾病风险

Childhood Obesity, Diabetes. and Cardiovascular Disease Risk.

机构信息

Division of Pediatric Endocrinology and Metabolism, Mayo Clinic, Rochester, MN 55905, USA.

Department of Pediatrics, Mayo Clinic, Rochester, MN 55905, USA.

出版信息

J Clin Endocrinol Metab. 2023 Nov 17;108(12):3051-3066. doi: 10.1210/clinem/dgad361.

Abstract

This mini-review aims to briefly summarize the pathophysiology of childhood obesity, type 2 diabetes mellitus (T2DM), and cardiovascular disease (CVD) risk in children and adolescents. Recent data on efficacy of lifestyle interventions, medications, and metabolic surgery for obesity, T2DM, and CVD risk factors are also reviewed. We conducted a PubMed search of English-language original and review articles relevant to childhood obesity, T2DM, and CVD risk factors, and biomarkers in children with an emphasis on recent publications. Childhood obesity arises from an intricate interaction between genetic, physiologic, environmental, and socioeconomic factors. The rise in the prevalence of childhood obesity is associated with the development of comorbidities including T2DM and CVD at an early age. A multipronged approach is central to the detection, monitoring, and management of childhood obesity and associated adverse metabolic consequences.

摘要

这篇迷你综述旨在简要总结儿童肥胖、2 型糖尿病(T2DM)和心血管疾病(CVD)风险的病理生理学。还回顾了关于生活方式干预、药物治疗和代谢手术对肥胖、T2DM 和 CVD 风险因素的疗效的最新数据。我们在 PubMed 上搜索了与儿童肥胖、T2DM 和 CVD 风险因素以及肥胖儿童的生物标志物相关的英语原创和综述文章,重点是最近的出版物。儿童肥胖是由遗传、生理、环境和社会经济因素之间复杂的相互作用引起的。儿童肥胖患病率的上升与包括 T2DM 和 CVD 在内的多种疾病的发生有关,这些疾病在早期就出现了。多管齐下是发现、监测和管理儿童肥胖及其相关不良代谢后果的核心。

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