Garell D C
Calif Med. 1967 May;106(5):368-71.
Obesity constitutes a major health problem in the United States. Hypertension, atherosclerosis, coronary artery disease, diabetes and gout are often associated with obesity and may be a direct result of persistent obesity in adult life. Obesity frequently has its beginnings in childhood and adolescence. Unfortunately, obesity which develops in early life is a progressive problem. Eighty per cent of overweight children and adolescents will continue to be overweight as adults.(12) Furthermore, adults with a history of obesity in childhood are the most resistant to treatment. Recent studies have shown there is more than one body constitutional type among obese adolescents. Obese adolescents tend to eat less than non-obese controls. While obesity may be found to have many different causative factors, efforts to control this disease may be most successful in the area of primary prevention.
肥胖是美国的一个主要健康问题。高血压、动脉粥样硬化、冠状动脉疾病、糖尿病和痛风常与肥胖相关,可能是成年后持续肥胖的直接后果。肥胖往往始于儿童期和青少年期。不幸的是,早年出现的肥胖是一个渐进性问题。80%的超重儿童和青少年成年后仍会超重。此外,有儿童期肥胖史的成年人对治疗最具抵抗力。最近的研究表明,肥胖青少年中存在不止一种身体体质类型。肥胖青少年的食量往往比非肥胖对照组少。虽然肥胖可能有许多不同的致病因素,但在一级预防领域控制这种疾病的努力可能最为成功。