Nicolaou Marina, Toumba Meropi, Kythreotis Alexandros, Daher Habib, Skordis Nicos
Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London E1 4NS, UK.
Paediatric Endocrinology Clinic, Department of Paediatrics, Aretaeio Hospital, 2024 Nicosia, Cyprus.
Children (Basel). 2024 May 16;11(5):602. doi: 10.3390/children11050602.
Childhood obesity has become a global epidemic, with significant increases in prevalence over recent decades. While excessive calorie consumption and physical inactivity are known factors, emerging research highlights the role of endocrine-disrupting chemicals (EDCs), particularly obesogens, in obesity's pathogenesis. This review explores the historical context of the environmental obesogens hypothesis, their sources, mechanism of action, impact on prenatal and postnatal development, and epigenetics. Additionally, it discusses the long-term consequences of childhood obesity and proposes prevention strategies that will mitigate negative health effects. Obesogens were found to disrupt hormonal balance and metabolic processes through various mechanisms such as altering gene expression, hormonal interference, and inflammation. Especially significant was exposure during critical windows of development, which correlates with an increased risk of obesity in childhood or adolescence. Long-term effects of childhood obesity include chronic health conditions and psychosocial issues. A comprehensive approach is necessary to address childhood obesity encompassing genetic, environmental, and lifestyle factors. Prevention strategies should focus on reducing obesogen exposure, promoting healthy lifestyles, and implementing regulatory policies. Future research should investigate obesogens-diet interactions, microbiome impacts, and combined obesogens effects. Long-term human studies are also crucial for validating findings from animal models and allowing for informed decision-making to combat the obesity pandemic.
儿童肥胖已成为一种全球流行病,近几十年来患病率显著上升。虽然高热量摄入和缺乏体育活动是已知因素,但新出现的研究突出了内分泌干扰化学物质(EDCs),特别是肥胖诱导物,在肥胖发病机制中的作用。本综述探讨了环境肥胖诱导物假说的历史背景、其来源、作用机制、对产前和产后发育的影响以及表观遗传学。此外,还讨论了儿童肥胖的长期后果,并提出了减轻负面健康影响的预防策略。研究发现,肥胖诱导物通过改变基因表达、激素干扰和炎症等各种机制扰乱激素平衡和代谢过程。在发育的关键窗口期接触肥胖诱导物尤其显著,这与儿童期或青春期肥胖风险增加相关。儿童肥胖的长期影响包括慢性健康状况和心理社会问题。应对儿童肥胖需要采取综合方法,包括遗传、环境和生活方式因素。预防策略应侧重于减少肥胖诱导物暴露、促进健康生活方式和实施监管政策。未来的研究应调查肥胖诱导物与饮食的相互作用、微生物群的影响以及肥胖诱导物的综合作用。长期人体研究对于验证动物模型的研究结果并为抗击肥胖大流行做出明智决策也至关重要。