Baur Louise A, O'Connor Janice
University of Sydney Discipline of Paediatrics & Child Health, The Children's Hospital at Westmead, Westmead, New South Wales, Australia.
Clin Dermatol. 2004 Jul-Aug;22(4):338-44. doi: 10.1016/j.clindermatol.2004.01.005.
Child and adolescent obesity is increasingly prevalent in westernized countries. It is associated with significant medical and psychosocial co-morbidities that are both immediate and long-term. While genetic factors influence the susceptibility of a given child to an obesity-conducive environment, the current epidemic is due to massive environmental change over the past few decades leading to a rise in sedentary pursuits, a decrease in physical activity and increased energy intake. Effective management requires a family-focused, developmentally sensitive, behavioural management approach that addresses, for example, eating habits, incidental activity and television viewing. Prevention of childhood obesity will ultimately require multi-faceted, large-scale interventions.
儿童和青少年肥胖症在西方国家越来越普遍。它与严重的医学和心理社会合并症相关，这些合并症既有即时的，也有长期的。虽然遗传因素会影响特定儿童对有利于肥胖环境的易感性，但当前的肥胖流行是由于过去几十年大规模的环境变化导致久坐不动的活动增加、体力活动减少以及能量摄入增加。有效的管理需要一种以家庭为中心、对发育敏感的行为管理方法，例如解决饮食习惯、偶然活动和看电视等问题。预防儿童肥胖最终需要多方面的大规模干预措施。
