Tounian P, Girardet J P
Service de Gastro-Entérologie et Nutrition Pédiatriques, Hôpital Armand-Trousseau, Paris.
Ann Pediatr (Paris). 1993 May;40(5):291-6.
Childhood obesity results from excessive dietary intake as compared with energy expenditure. This imbalance can result from either overeating or a constitutional decrease in one or several of the components of energy expenditure: resting metabolic rate, diet-induced thermogenesis, or exercise-related thermogenesis. Decreased energy expenditure is probably at least partly genetic in origin, contributing to the significant clustering of obesity in families. Management aims at reducing the imbalance by decreasing the caloric intake. Once the desired weight is achieved, intake must be adjusted to expenditure to avoid weight regain.
儿童肥胖是由于饮食摄入量相对于能量消耗过多所致。这种失衡可能源于暴饮暴食，或者能量消耗的一个或几个组成部分（静息代谢率、饮食诱导产热或运动相关产热）的体质性降低。能量消耗降低可能至少部分源于遗传，这导致肥胖在家族中显著聚集。管理目标是通过减少热量摄入来减少这种失衡。一旦达到理想体重，摄入量必须根据消耗量进行调整，以避免体重反弹。
