Pediatrics, El Bosque University (UEB), Bogotá D.C., Colombia.
Investigation Group of Pediatrics, El Bosque University (UEB), Bogotá D.C., Colombia.
Diabetes Metab Res Rev. 2019 Nov;35(8):e3203. doi: 10.1002/dmrr.3203. Epub 2019 Jul 25.
Obesity is currently considered a global epidemic, and its implications in mortality and morbidity in a paediatric patient and in adulthood are increasingly important. The objective of this article is to review in detail the definition of obesity according to age group, and, in turn, the epidemiology of this entity worldwide and in South America. Available evidence about pathophysiology and, additionally, associated comorbidities are reported in some of the most important and clinically relevant body systems. The recommendations on pharmacological and nonpharmacological management through changes in lifestyle and relevant aspects of bariatric surgery in the paediatric population are also described.
肥胖目前被认为是一种全球性的流行病,它对儿科患者和成年后的死亡率和发病率的影响越来越重要。本文的目的是详细回顾根据年龄组定义的肥胖,并反过来回顾全球和南美洲这一实体的流行病学。报告了一些最重要和最具临床相关性的身体系统中有关病理生理学以及相关合并症的现有证据。还描述了在儿科人群中通过改变生活方式和相关减重手术方面的药理学和非药理学管理建议。