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مقالات فارسیISIکنفرانسهاژورنالها

Management of Obesity in Children: A Narrative Review

محل انتشار: مجله پزشکی کودکان، دوره: 10، شماره: 4
سال انتشار: 1401
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 65

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لینک ثابت به این مقاله:
https://civilica.com/doc/1837700

شناسه ملی سند علمی:

JR_JPRE-10-4_003

تاریخ نمایه سازی: 9 آذر 1402

چکیده مقاله:

Background: Over the past three decades, the prevalence of overweight and obesity in children and adolescents has increased up to ۳ times. Obesity is a multi-systemic medical problem affecting all socioeconomic statuses and increases the risk of other severe comorbidities even in childhood. In ۵۰% of cases, there is a persistence of obesity from childhood into adulthood. This narrative review aimed to define the etiology, risk factors, prevention, and management of obesity in children.  Methods: This narrative review was conducted through a literature search on articles in English with the keywords of pediatric obesity, child, overweight, and bariatric surgery in PubMed, Scopus, ISI Web of Sciences, Cochrane, and EMBASE databases from ۲۰۰۱ to ۲۰۲۱ for ۴ categories of etiology, risk factors, prevention, and management of obesity in children. Scientific articles, systematic reviews, meta-analyses, consensus, recommendations, and international and national guidelines published on pediatric obesity were considered. Results: In this narrative review, we first assessed relevant articles to define childhood obesity and mention its etiologies. We then discussed the probability of persistent obesity from childhood into adulthood and intergenerational and perinatal transmission risks. We also noticed syndromic obesity, evaluation of childhood obesity, and its complications along with medical/surgical interventions. Conclusion: Metabolic programming in particular periods of life, such as before and during pregnancy, infancy, and at the age of rebound adiposity (۵.۵ years old), is necessary to prevent childhood obesity. Lifestyle changes, diet modifications, promoting exclusive breastfeeding, and increased activity are the main principles of preventing and managing obesity. It is prudent to rule out syndromic and endocrinologic causes of obesity in suspicious patients along with their management.

کلیدواژه ها:

Pediatric obesity ، Child ، Overweight ، Bariatric surgery

نویسندگان

Seyyedeh Azade Hoseini Nouri

Pediatric Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran.

Manijeh Tabrizi

Pediatric Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran.

Marjaneh Zarkesh

Pediatric Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran.

Ali Talebi

Pediatric Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran.

Maryam Shahrokhi

Department of Cinical Pharmacy, Faculty of Pharmacy, Guilan University of Medical Sciences, Rasht, Iran.

Afagh Hassanzadeh Rad

Pediatric Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran.

Setila Dalili

Pediatric Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran.

Ehsan Kazemnezhad Leili

Pediatric Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran.

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