肌肉与脂肪的较量，或者说肥胖儿童为何更高？
The muscle--fat duel or why obese children are taller?
作者信息
Ralt Dina
机构信息
Izun & Tmura, Integrative Health Inst, 6 Nezach Israel st, Tel Aviv, 64352, Israel.
出版信息
BMC Pediatr. 2006 Dec 13;6:33. doi: 10.1186/1471-2431-6-33.
BACKGROUND
Obesity the epidemic of our times appears to be a problem that is easy to resolve: just eat less and move more. However, this very common condition has turned out to be extremely troublesome, and in some cases even irreversible.
METHODS
The interplay between less muscle and more fat tissue is discussed from physiological perspectives with an emphasis on the early years of childhood.
RESULTS
It is suggested that the coordinated muscle-fat interactions lead to a fluctuating exchange economy rate. This bodily economic decision, slides between thrift (more fat) and prodigal (more muscle) strategies. The thrift strategy results not only in obesity and less physical activity but also in other maladies which the body is unable to manage. What leads to obesity (less muscle, more fat) might be very difficult to reverse at adulthood, prevention at childhood is thus recommended.
CONCLUSION
Early recognition of the ailment (low muscle mass) is crucial. Based on studies demonstrating a 'rivalry' between muscle build-up and height growth at childhood, it is postulated that among the both taller and more obese children the percentage of children with lower muscle mass will be higher. A special, body/muscle-building gymnastics program for children is suggested as a potential early intervention to prevent the ill progress of obesity.
背景
肥胖，这个我们这个时代的流行病，似乎是一个容易解决的问题：少吃多动就行。然而，这种非常常见的状况却变得极其棘手，在某些情况下甚至不可逆转。
方法
从生理学角度探讨了较少的肌肉组织与较多的脂肪组织之间的相互作用，重点关注儿童早期阶段。
结果
研究表明，肌肉与脂肪之间的协同相互作用导致了一种波动的交换汇率。这种身体的经济决策在节俭（更多脂肪）和挥霍（更多肌肉）策略之间摇摆。节俭策略不仅会导致肥胖和身体活动减少，还会引发身体无法应对的其他疾病。导致肥胖（肌肉少、脂肪多）的状况在成年后可能很难逆转，因此建议在儿童期进行预防。
结论
早期识别这种疾病（低肌肉量）至关重要。基于表明儿童期肌肉增长与身高增长之间存在“竞争”的研究，推测在更高且更肥胖的儿童中，肌肉量较低的儿童比例会更高。建议为儿童开展一项特殊的身体/肌肉锻炼体操计划，作为预防肥胖不良进展的潜在早期干预措施。
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