Négre Véronique
Rev Prat. 2015 Dec;65(10):1264-9.
The overweight child should be detected as soon as possible to avoid the occurrence of a more severe obesity, source of early complications. Thus, it is essential to carefully follow the BMI curve in all children with particular attention to the age of the early adiposity rebound (between 1 and 5 years). Early rebound indicates predisposition, and represents a risk factor for later obesity. The announcement is not harmless and should avoid unnecessary judging or blaming the family outside rare situations of abuse. Overweight results from an energy imbalance favored by many risk factors often entangled. These predisposing factors are specific to the child (especially genetic and epigenetic origin) and environmental. Among these environmental factors, those occurring during pregnancy and the nutritional education (too permissive or too restrictive) represent targets for primary prevention.
超重儿童应尽早被发现，以避免更严重肥胖的发生，因为严重肥胖是早期并发症的根源。因此，必须仔细跟踪所有儿童的体重指数（BMI）曲线，尤其要关注早期脂肪量反弹的年龄（1至5岁之间）。早期反弹表明易感性，是日后肥胖的一个风险因素。这一情况并非无害，在罕见的虐待情形之外，应避免对家庭进行不必要的评判或指责。超重是由多种常常相互交织的风险因素导致的能量失衡造成的。这些诱发因素既有儿童特有的（尤其是遗传和表观遗传因素），也有环境因素。在这些环境因素中，孕期发生的因素以及营养教育（过于宽松或过于严格）是一级预防的目标。
