Departmental Operative Unit, ASL North Naples 2, Italy.
Department of Pharmacy, University of Salerno, Salerno, Italy.
Curr Drug Metab. 2020;21(14):1072-1078. doi: 10.2174/1389200221666200817112311.
Childhood obesity has assumed epidemic proportions and is currently one of the most widespread public health problems. Many are the factors involved in the pathogenesis of excess weight with interactions between genetic, environmental and biological factors and therefore, also the therapeutic approach must be multidisciplinary and multidimensional. In this review of the literature, we report the contiguity of childhood obesity with eating disorders and the importance of involving the family context in order to induce stable lifestyle changes, both in relation to dietary and nutritional habits, but also in increasing physical activity. Finally, among the therapeutic options, although for selected cases, pharmacotherapy and bariatric surgery can be used as treatment strategies.
儿童肥胖已呈流行趋势,目前是最广泛的公共卫生问题之一。许多因素参与了超重的发病机制,遗传、环境和生物因素相互作用,因此,治疗方法也必须是多学科和多维度的。在这篇文献综述中,我们报告了儿童肥胖与饮食失调的连续性,以及家庭环境在诱导稳定的生活方式改变方面的重要性,包括饮食和营养习惯,以及增加身体活动。最后,在治疗选择中,尽管对于某些特定病例,药物治疗和减肥手术可以作为治疗策略。