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Updated: Jun 11, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Overview of Pediatric Obesity as a Disease
Stephanie W Waldrop1, Awab Ali Ibrahim2, Jacqueline Maya3
1Section on Nutrition, Department of Pediatrics, Anschutz Medical Campus, Nutrition Obesity Research Center (NORC), University of Colorado, Aurora, CO, USA.
Insights
Obesity in children is a complex disease with multifactorial origins, impacting multiple organ systems. Understanding its pathophysiology is crucial for effective pediatric management and treatment of associated health issues.
Area of Science:
- Pediatric Endocrinology
- Metabolic Disorders
- Public Health
Background:
- Obesity is a significant global health concern in children, characterized by an energy imbalance.
- It is linked to numerous pediatric disorders affecting various organ systems.
- Growing evidence points to multifactorial origins, including genetic and hormonal factors.
Purpose of the Study:
- To elucidate the pathophysiologic mechanistic links between childhood obesity and associated pediatric disorders.
- To emphasize obesity as a disease process requiring specialized medical consideration.
- To inform pediatric health practitioners on managing obesity and its sequelae.
Main Methods:
- Review of established and hypothesized pathophysiologic mechanisms.
- Analysis of energy balance regulation in individuals with obesity.
- Exploration of metabolic, genetic, and hormonal influences.
Main Results:
- Obesity results from an imbalance between energy intake and expenditure.
- Variations in metabolic rate, genetics, and hormonal regulation contribute to obesity.
- Obesity is associated with diverse pediatric disorders across multiple organ systems.
Conclusions:
- Understanding the complex pathophysiology of obesity is essential for its recognition as a disease.
- Effective management strategies for pediatric obesity require a comprehensive understanding of its underlying mechanisms.
- This knowledge empowers pediatric practitioners to better address the health consequences of childhood obesity.
Abstract:
The authors highlight well-known and hypothesized pathophysiologic mechanistic links underlying obesity and the various pediatric disorders across multiple organ systems with which it is associated. Obesity is attributed to an imbalance in energy intake versus expenditure; there is growing knowledge regarding its multifactorial origins, dysfunctional physiologic processes, and adverse health consequences. Individuals with obesity exhibit variations in metabolic rate, genetic predisposition, and hormonal regulation, influencing diverse responses in regulating energy balance. Understanding the complex mechanistic relationships surrounding the pathophysiology of obesity assists in its consideration as a disease process, allowing pediatric health practitioners to manage its sequelae more effectively.
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