Farrag Nesrine S, Cheskin Lawrence J, Farag Mohamed K
Department of Public Health and Community Medicine, Mansoura University Faculty of Medicine, Mansoura, Egypt.
Department of Health, Behavior & Society, and Global Obesity Prevention Center, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Adv Pediatr Res. 2017;4. doi: 10.12715/apr.2017.4.6. Epub 2017 May 15.
Childhood obesity has serious consequences both immediately and in adulthood. The rates of obesity in children and adolescents are rising rapidly in the Middle East and North Africa (MENA) region. We systematically searched the literature to explore adverse effects associated with childhood obesity in this region and the management efforts for dealing with it. Inclusion criteria were: English-language, non-basic-science focused articles that used any of the standard obesity definitions and were conducted in the MENA countries within the last five years. We searched PubMed using combinations of key terms ((childhood) OR adolescence) AND obesity) AND (MENA or each country) AND ("last five years" [PDat]). Studies that examined adverse effects of childhood obesity gave fairly consistent results, revealing associations with higher blood pressure, pre-diabetes, metabolic abnormalities, and cardiovascular risk. Little or no overall effect on rates of childhood obesity has yet been demonstrated by interventions used to manage the problem. Obesity has a considerable impact on the health of children and adolescents, and the countries of the MENA region should endorse strategies and programs to prevent and manage this problem in an effective way.
儿童肥胖在当下及成年后都会产生严重后果。中东和北非（MENA）地区儿童及青少年的肥胖率正在迅速上升。我们系统地检索了文献，以探究该地区儿童肥胖相关的不良影响以及应对措施。纳入标准为：英文、非基础科学类文章，使用任何标准肥胖定义，且在过去五年内在中东和北非国家开展。我们在PubMed上使用关键词组合进行检索：（（儿童期）或青少年期）与肥胖）与（中东和北非或各个国家）与（“过去五年”[出版日期]）。研究儿童肥胖不良影响的研究得出了相当一致的结果，揭示了与高血压、糖尿病前期、代谢异常和心血管风险的关联。用于解决该问题的干预措施尚未对儿童肥胖率产生显著的总体影响。肥胖对儿童和青少年的健康有相当大的影响，中东和北非地区各国应认可有效预防和管理这一问题的策略和项目。
