Petermann F, de Vries U
Zentrum für Klinische Psychologie und Rehabilitation, Universität Bremen, Grazer Strasse 6, Bremen.
Gesundheitswesen. 2009 Jan;71(1):28-34. doi: 10.1055/s-0028-1083802. Epub 2009 Jan 27.
Periods of heightened vulnerability to weight gain have been identified, and research supports the notion that obesity has its origins in early life. Maternal overweight, maternal smoking during pregnancy, high or low birth weight, rapid growth in early infancy, and early adiposity rebound all have been implicated in the development of obesity. This paper focuses on susceptibility to increased overweight and adiposity during the prenatal period, infancy and mid-childhood, and on how factors operating in each of these periods by their timing and duration, and also whether other co-factors are present. The persistence of obesity from early childhood emphasizes the importance of understanding growth trajectories, and a developmental view on early risk factors of adiposity. A systematic review of early risk factors may help developing prevention strategies to overcome strong influences of obesogenic environments at young age.
人们已经确定了体重增加易感性增强的时期，并且研究支持肥胖始于生命早期这一观点。母亲超重、孕期母亲吸烟、高出生体重或低出生体重、婴儿早期快速生长以及早期脂肪量反弹都与肥胖的发生有关。本文重点关注产前、婴儿期和童年中期超重和肥胖增加的易感性，以及这些时期中每个时期的因素如何通过其时间和持续时间起作用，还有是否存在其他共同因素。肥胖从幼儿期持续存在凸显了理解生长轨迹以及对肥胖早期风险因素的发育观点的重要性。对早期风险因素进行系统综述可能有助于制定预防策略，以克服在年轻时致肥胖环境的强大影响。
