Dalla Pozza R
Abteilung für Kinderkardiologie und Päd. Intensivmedizin, Klinikum der Ludwig-Maximilians-Universität München, Campus Großhadern, Marchioninistr. 15, 81377, München, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2013 Apr;56(4):487-91. doi: 10.1007/s00103-012-1633-x.
Being overweight in childhood causes several cardiovascular risk factors which in turn contribute to accelerated atherosclerosis. Being overweight itself represents a risk factor, but also contributes to an increased prevalence of arterial hypertension, dyslipidemia and impaired glucose tolerance. Thus, cardiovascular prevention should be included in the management of obese children. Most of all, therapy of adiposity should be performed, as weight reduction and increased fitness represent protective factors. Moreover, a detailed cardiovascular workup and therapy of secondary vascular disease must also be performed. Subclinical changes at the level of the endothelium may be diagnosed using modern imaging techniques such as the measurement of the intima-media thickness of the carotid artery. In general, the overweight child should be considered as a future patient with vascular disease! The following article focuses on the prevalence, diagnostics and therapeutic options in the cardiovascular management of overweight children.
儿童期超重会引发多种心血管危险因素，进而导致动脉粥样硬化加速。超重本身就是一个危险因素，还会促使动脉高血压、血脂异常和糖耐量受损的患病率增加。因此，肥胖儿童的管理应包括心血管预防。最重要的是，应进行肥胖治疗，因为体重减轻和体能增强是保护因素。此外，还必须进行详细的心血管检查以及继发性血管疾病的治疗。可使用现代成像技术，如测量颈动脉内膜中层厚度，来诊断内皮水平的亚临床变化。一般而言，超重儿童应被视为未来的血管疾病患者！以下文章重点关注超重儿童心血管管理中的患病率、诊断方法和治疗选择。
