Lee Jieun, Kim Jae Hyun
Department of Pediatrics, Inje University Ilsan Paik Hospital, Goyang, Korea.
Department of Pediatrics, Seoul National University Bundang Hospital, Seongnam, Korea.
Clin Exp Pediatr. 2021 Dec;64(12):619-627. doi: 10.3345/cep.2021.00213. Epub 2021 Aug 26.
Pediatric obesity has become a serious public health issue. The prevalence of obesity in children and adolescents has increased worldwide and in Korea over several decades. Obese children are more likely to be obese adults with an increased cardiovascular risk. Therefore, maintaining a healthy weight and preventing obesity during childhood are of critical importance. Moreover, obese children and adolescents often have endocrine comorbidities such as prediabetes, type 2 diabetes, dyslipidemia, metabolic syndrome, polycystic ovary syndrome, and central precocious puberty. Hence, the early implementation of obesity management using a multidisciplinary team approach and screening for these comorbidities in obese children and adolescents are required with the appropriate management of each comorbidity and/or specialist referral.
儿童肥胖已成为一个严重的公共卫生问题。在过去几十年里，全球以及韩国儿童和青少年的肥胖患病率均有所上升。肥胖儿童成年后更有可能成为肥胖者，心血管疾病风险也会增加。因此，在儿童期保持健康体重并预防肥胖至关重要。此外，肥胖儿童和青少年常伴有内分泌合并症，如糖尿病前期、2型糖尿病、血脂异常、代谢综合征、多囊卵巢综合征和中枢性性早熟。因此，需要采用多学科团队方法尽早对肥胖进行管理，并对肥胖儿童和青少年进行这些合并症的筛查，同时对每种合并症进行适当管理和/或转诊至专科医生处。
