ORISE Post-Doctoral Participant, U.S. Environmental Protection Agency, Office of Research and Development, National Exposure Research Laboratory, Research Triangle Park, NC, USA.
U.S. Environmental Protection Agency, Office of Research and Development, National Exposure Research Laboratory, Research Triangle Park, NC, USA.
J Expo Sci Environ Epidemiol. 2018 Jan;28(1):1-12. doi: 10.1038/jes.2017.18. Epub 2017 Sep 27.
Childhood obesity in the United States has doubled over the last three decades and currently affects 17% of children and adolescents. While much research has focused on individual behaviors impacting obesity, little research has emphasized the complex interactions of numerous chemical and non-chemical stressors found in a child's environment and how these interactions affect a child's health and well-being. The objectives of this systematic scoping review were to (1) identify potential chemical stressors in the context of non-chemical stressors that impact childhood obesity; and, (2) summarize our observations for chemical and non-chemical stressors in regards to child-specific environments within a community setting. A review was conducted to identify chemical and non-chemical stressors related to childhood obesity for the childhood life stages ranging from prenatal to adolescence. Stressors were identified and grouped into domains: individual behaviors, family/household behaviors, community stressors, and chemical exposures. Stressors were related to the child and the child's everyday environments and used to characterize child health and well-being. This review suggests that the interactions of chemical and non-chemical stressors are important for understanding a child's overall health and well-being. By considering these relationships, the exposure science research community can better design and implement strategies to reduce childhood obesity.
美国儿童肥胖率在过去三十年中翻了一番，目前影响着 17%的儿童和青少年。尽管许多研究都集中在影响肥胖的个体行为上，但很少有研究强调儿童环境中存在的众多化学和非化学应激因素的复杂相互作用，以及这些相互作用如何影响儿童的健康和幸福。本系统范围综述的目的是：(1) 确定影响儿童肥胖的非化学应激因素背景下的潜在化学应激因素；(2) 总结我们对社区环境中儿童特定环境中的化学和非化学应激因素的观察结果。对从产前到青春期的儿童生活阶段与儿童肥胖相关的化学和非化学应激因素进行了综述。将应激因素识别并分为以下几个领域：个体行为、家庭/家庭行为、社区应激因素和化学暴露。应激因素与儿童及其日常环境有关，用于描述儿童的健康和幸福状况。本综述表明，化学和非化学应激因素的相互作用对于理解儿童的整体健康和幸福状况非常重要。通过考虑这些关系，暴露科学研究界可以更好地设计和实施策略来减少儿童肥胖。
