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抗生素暴露与儿童超重/肥胖:来自流行病学和实验研究的证据。

Antibiotic Exposure and Childhood Overweight/Obesity: Evidence from Epidemiological and Experimental Studies.

作者信息

Wang Junya, Geng Shijie, Yao Xiaodie, Wen Juan, Lu Renjie

机构信息

Nanjing Maternity and Child Health Care Institute, Nanjing Women and Children's Healthcare Hospital, Women's Hospital of Nanjing Medical University, Nanjing, Jiangsu 210000, China.

Changzhou Medical Center, Changzhou Third People's Hospital, Nanjing Medical University, Changzhou, Jiangsu 213000, China.

出版信息

Curr Pharm Des. 2025;31(12):934-942. doi: 10.2174/0113816128333496240911061551.

DOI:10.2174/0113816128333496240911061551
PMID:39694963
Abstract

Childhood overweight and obesity are nutritional disorders in which children's energy intake exceeds energy consumption for a long period, resulting in the excessive accumulation of body fat and weight that exceeds a certain range. It is one of the most serious public health issues. In recent years, its prevalence has shown a significant upward trend, and 41-80% of childhood obesity can persist into adulthood. Scholars are now more interested in researching this further. Since antibiotics have been used extensively since their discovery, more focus has been paid to the possible risks these medications pose to children who are exposed to them. Recently, some studies have explored the possible link between antibiotic exposure and the prevalence of overweight and obesity in children. However, their findings are inconsistent. Therefore, this review aims to synthesize and summarize the studies related to the effects of antibiotics on childhood obesity, elucidate the possible associations between the two, and provide an in-depth discussion of the potential biological mechanisms by which antibiotics exposure may contribute to childhood obesity.

摘要

儿童超重和肥胖是营养失调症,即儿童长期能量摄入超过能量消耗,导致体脂过度积累,体重超过一定范围。这是最严重的公共卫生问题之一。近年来,其患病率呈显著上升趋势,41%至80%的儿童肥胖会持续到成年期。学者们现在对进一步研究这一问题更感兴趣。自从抗生素被发现以来被广泛使用,人们更多地关注这些药物对接触它们的儿童可能带来的风险。最近,一些研究探讨了抗生素暴露与儿童超重和肥胖患病率之间的可能联系。然而,他们的研究结果并不一致。因此,本综述旨在综合和总结与抗生素对儿童肥胖影响相关的研究,阐明两者之间可能的关联,并深入讨论抗生素暴露可能导致儿童肥胖的潜在生物学机制。

相似文献

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Antibiotic Exposure and Childhood Overweight/Obesity: Evidence from Epidemiological and Experimental Studies.抗生素暴露与儿童超重/肥胖:来自流行病学和实验研究的证据。
Curr Pharm Des. 2025;31(12):934-942. doi: 10.2174/0113816128333496240911061551.
2
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本文引用的文献

1
Environmental antibiotics exposure and childhood obesity: A cross-sectional case-control study.环境抗生素暴露与儿童肥胖:一项横断面病例对照研究。
Ecotoxicol Environ Saf. 2024 Jun 1;277:116339. doi: 10.1016/j.ecoenv.2024.116339. Epub 2024 Apr 25.
2
Urinary antibiotic levels and risk of overweight/obesity in preschool children: A biomonitoring-based study from eastern China.学龄前儿童尿液抗生素水平与超重/肥胖风险的关系:来自中国东部的基于生物监测的研究。
Ecotoxicol Environ Saf. 2024 Jan 1;269:115733. doi: 10.1016/j.ecoenv.2023.115733. Epub 2023 Nov 27.
3
Antimicrobial Resistance Genes (ARGs), the Gut Microbiome, and Infant Nutrition.
抗微生物药物耐药基因(ARGs)、肠道微生物组和婴儿营养
Nutrients. 2023 Jul 18;15(14):3177. doi: 10.3390/nu15143177.
4
Early-Life Antibiotics and Childhood Obesity: Yeast Probiotics as a Strategy to Modulate Gut Microbiota.早期生活中的抗生素与儿童肥胖:酵母益生菌作为调节肠道微生物群的一种策略
Cureus. 2023 Mar 28;15(3):e36795. doi: 10.7759/cureus.36795. eCollection 2023 Mar.
5
Current understanding of antibiotic-associated dysbiosis and approaches for its management.抗生素相关菌群失调的当前认识及其管理方法。
Ther Adv Infect Dis. 2023 Feb 24;10:20499361231154443. doi: 10.1177/20499361231154443. eCollection 2023 Jan-Dec.
6
Association between fluoroquinolone exposure and children's growth and development: A multisite biomonitoring-based study in northern China.氟喹诺酮类药物暴露与儿童生长发育的关系:中国北方多地点基于生物监测的研究。
Environ Res. 2022 Nov;214(Pt 2):113924. doi: 10.1016/j.envres.2022.113924. Epub 2022 Jul 20.
7
Association between maternal antibiotic exposure during pregnancy and childhood obesity in the Japan Environment and Children's Study.母亲在怀孕期间使用抗生素与日本环境与儿童研究中的儿童肥胖之间的关联。
Pediatr Obes. 2022 Nov;17(11):e12956. doi: 10.1111/ijpo.12956. Epub 2022 Jun 24.
8
Dietary Exposure to Antibiotic Residues Facilitates Metabolic Disorder by Altering the Gut Microbiota and Bile Acid Composition.膳食中抗生素残留通过改变肠道微生物群和胆汁酸组成促进代谢紊乱。
mSystems. 2022 Jun 28;7(3):e0017222. doi: 10.1128/msystems.00172-22. Epub 2022 Jun 7.
9
[Expert consensus on diagnosis, assessment, and management of obesity in Chinese children].《中国儿童肥胖诊断、评估及管理专家共识》
Zhonghua Er Ke Za Zhi. 2022 Jun 2;60(6):507-515. doi: 10.3760/cma.j.cn112140-20220112-00043.
10
Antibiotic exposure and risk of overweight/obesity in school children: A multicenter, case-control study from China.抗生素暴露与学龄儿童超重/肥胖风险:来自中国的一项多中心病例对照研究。
Ecotoxicol Environ Saf. 2022 Jul 15;240:113702. doi: 10.1016/j.ecoenv.2022.113702. Epub 2022 May 27.