Division of Molecular Genetics and Naomi Berrie Diabetes Center, Columbia University Medical College, Russell Berrie Medical Science Pavilion, New York, New York 10032, USA.
Pediatr Blood Cancer. 2012 Jan;58(1):122-8. doi: 10.1002/pbc.23372. Epub 2011 Oct 12.
Obesity is increasing in prevalence in the United States with over 65% of adults considered overweight and 16% of children with BMI > 95 percentile. The heritability of obesity is estimated between 40% and 70%, but the genetics of obesity for most individuals are complex and involve the interaction of multiple genes and environment. There are however several syndromic and non-syndromic forms of obesity that are monogenic and oligogenic that provide insight into the underlying molecular control of food intake and the neural networks that control ingestive behavior and satiety to regulate body weight and which may interact with treatment exposures to produce or exacerbate obesity in childhood cancer survivors.
肥胖在美国的患病率正在上升,超过 65%的成年人被认为超重,16%的儿童 BMI 超过第 95 百分位。肥胖的遗传性估计在 40%到 70%之间,但大多数人的肥胖遗传是复杂的,涉及多个基因和环境的相互作用。然而,有几种综合征和非综合征形式的肥胖是单基因和寡基因的,这为深入了解控制食物摄入的分子基础以及控制摄食行为和饱腹感的神经网络提供了线索,这些网络可以调节体重,并可能与治疗暴露相互作用,导致或加剧儿童癌症幸存者的肥胖。