Integrating Genetic Insights, Technological Advancements, Screening, and Personalized Pharmacological Interventions

Robert Šket1,2, Barbara Slapnik1,2, Primož Kotnik1,2

  • 1University Children's Hospital, University Medical Centre Ljubljana, Ljubljana, Slovenia.

Advances in Therapy
|November 13, 2024
PubMed

Insights

Childhood obesity is a growing global health crisis. This review examines genetic and epigenetic factors, alongside new technologies, for better identification and personalized treatments in pediatric obesity.

Area of Science:

  • Pediatric Endocrinology
  • Genetics
  • Public Health

Background:

  • Childhood obesity prevalence has surged globally over 50 years, impacting immediate and long-term health.
  • Estimated 206 million children and adolescents aged 5-19 will have obesity by 2025.
  • Rising rates in both girls (0.7% to 5.6%) and boys (0.9% to 7.8%) underscore the epidemic's urgency.

Purpose of the Study:

  • To explore the intricate relationship between genomics, genetics, and epigenetics in pediatric obesity.
  • To review advancements in omics technologies and their application to understanding obesity.
  • To discuss the evolutionary basis of adiposity and hyperphagia in the context of genetic factors.

Main Methods:

  • Comprehensive literature review focusing on genetic and epigenetic influences in pediatric obesity.
  • Analysis of current and emerging omics technologies, including genotyping.
  • Examination of evolutionary perspectives on adiposity and hyperphagia.

Main Results:

  • Genomic and genetic factors, including monogenic and polygenic forms, play a significant role in pediatric obesity.
  • Epigenetic modifications are increasingly recognized as crucial in obesity development.
  • Advancements in genotyping technologies provide novel insights into genetic predispositions.

Conclusions:

  • Integrating genetic screening into clinical practice is vital for early identification of at-risk children.
  • Personalized treatment strategies informed by genetic profiles can improve outcomes for pediatric obesity.
  • Understanding the genetic architecture of obesity is key to developing effective interventions.

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