University of California, San Diego and Rady Children's Hospital, San Diego, CA, USA.
J Pediatr Gastroenterol Nutr. 2013 Jan;56(1):99-109. doi: 10.1097/MPG.0b013e31826d3c62.
Obesity in childhood is one of the major health issues in pediatric health care today. As expected, the prevalence of obesity-related comorbidities has risen in parallel with that of obesity. Consultation regarding these concomitant diseases and subsequent management by subspecialists, including pediatric gastroenterologists, is now common and has resulted in obesity being recognized as a chronic disease requiring coordination of care. Although medications and even surgery may provide effective, though often temporary, treatments for obesity and its comorbidities, behavioral interventions addressing healthy dietary and physical activity habits remain a mainstay in the obesity treatment paradigm. Therefore, the issue of weight management must be addressed by both general practitioner and subspecialist alike. In this report, we review select aspects of pediatric obesity and obesity-related management issues because it relates in particular to the field of pediatric gastroenterology and hepatology.
儿童肥胖是当今儿科保健中的主要健康问题之一。不出所料，肥胖相关合并症的患病率与肥胖率平行上升。现在，儿科肠胃病学家等专家针对这些并存疾病进行咨询，并进行后续管理已很常见，这使得肥胖被认为是一种需要协调护理的慢性病。尽管药物治疗甚至手术可能为肥胖及其合并症提供有效（尽管往往是暂时的）治疗，但针对健康饮食和体育活动习惯的行为干预仍然是肥胖治疗模式的主要方法。因此，一般从业者和专家都必须解决体重管理问题。在本报告中，我们回顾了儿科肥胖和肥胖相关管理问题的一些方面，因为它特别与儿科肠胃病学和肝病学领域有关。
