Lawton Ralph I, Stanford Fatima Cody
Harvard Medical School, Boston, MA, USA.
MGH Weight Center, Department of Medicine-Division of Endocrinology-Neuroendocrine, Massachusetts General Hospital, Weight Center, 50 Staniford Street, 4th Floor, Boston, MA, 02114, USA.
Curr Obes Rep. 2024 Mar;13(1):98-106. doi: 10.1007/s13679-023-00538-9. Epub 2024 Jan 3.
Obesity rates continue to rise among children and have shown persistent racial disparities. Racism plays a potentially essential and actionable role in these disparities. This report reviews some mechanisms through which racism may shape childhood obesity.
From the youngest ages, disparities in childhood obesity prevalence are already present. Racism may shape intergenerational and prenatal factors that affect obesity and various stressors and environments where children grow up. The relationships between clinicians and patients may also be shaped by everyday racism and legacies of past racism, which may affect obesity prevalence and treatment efficacy. Comprehensive data on the extent to which racism shapes childhood obesity is limited. However, compelling evidence suggests many ways through which racism ultimately does affect childhood obesity. Interventions to address racism at multiple points where it shapes childhood obesity, including intergenerational and prenatal mechanisms, may help to close disparities.
儿童肥胖率持续上升,且存在持续的种族差异。种族主义在这些差异中可能起着潜在的关键且可采取行动的作用。本报告回顾了种族主义可能影响儿童肥胖的一些机制。
从最年幼的年龄段起,儿童肥胖患病率的差异就已存在。种族主义可能影响影响肥胖的代际和产前因素,以及儿童成长的各种压力源和环境。临床医生与患者之间的关系也可能受到日常种族主义和过去种族主义遗留问题的影响,这可能会影响肥胖患病率和治疗效果。关于种族主义影响儿童肥胖程度的综合数据有限。然而,有力证据表明种族主义最终确实通过多种方式影响儿童肥胖。在种族主义影响儿童肥胖的多个环节进行干预,包括代际和产前机制,可能有助于缩小差距。