Spruijt-Metz Donna
Keck School of Medicine, University of Southern California, 1000 S. Fremont, Unit 8, room 4101, Alhambra, CA 91803, 626 4576631, fax: 626 4576633,
J Res Adolesc. 2011 Mar;21(1):129-152. doi: 10.1111/j.1532-7795.2010.00719.x.
Childhood obesity has become an epidemic on a worldwide scale. This article gives an overview of the progress made in childhood and adolescent obesity research in the last decade, with a particular emphasis on the transdisciplinary and complex nature of the problem. The following topics are addressed: 1) current definitions of childhood and adolescent overweight and obesity; 2) demography of childhood and adolescent obesity both in the US and globally; 3) current topics in the physiology of fat and obesity; 4) psychosocial correlates of childhood and adolescent overweight and obesity; 5) the three major obesity-related behaviors, i.e. dietary intake, physical activity and sleep; 6) genes components of childhood and adolescent obesity; 7) environment and childhood and adolescent obesity; and 8) progress in interventions to prevent and treat childhood obesity. The article concludes with recommendations for future research, including the need for large-scale, high dose and long-term interventions that take into account the complex nature of the problem.
儿童肥胖已成为全球范围内的一种流行病。本文概述了过去十年中儿童及青少年肥胖研究取得的进展,特别强调了该问题的跨学科性和复杂性。讨论了以下主题:1)儿童及青少年超重和肥胖的当前定义;2)美国及全球儿童及青少年肥胖的人口统计学;3)脂肪与肥胖生理学的当前主题;4)儿童及青少年超重和肥胖的心理社会关联因素;5)与肥胖相关的三大行为,即饮食摄入、身体活动和睡眠;6)儿童及青少年肥胖的基因组成部分;7)环境与儿童及青少年肥胖;8)预防和治疗儿童肥胖的干预措施进展。文章最后提出了对未来研究的建议,包括需要开展考虑到该问题复杂性的大规模、高剂量和长期干预措施。