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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Obesidad infantil y obesidad infantil
Joan C Han1, Debbie A Lawlor, Sue Y S Kimm
1Unit on Growth and Obesity, Program on Developmental Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, DHHS, Bethesda, MD, USA.
Lancet (London, England)
|May 11, 2010
Resumen
La obesidad infantil es una epidemia creciente vinculada a la diabetes tipo 2. Las estrategias actuales de prevención y tratamiento requieren una reevaluación, centrándose en la ingesta de calorías y la actividad física para obtener mejores resultados.
Área de la Ciencia:
- La pediatría es la medicina de los niños.
- Salud Pública La salud pública.
- Endocrinología Endocrinología.
Sus antecedentes:
- La prevalencia de la obesidad infantil ha aumentado a nivel mundial en los últimos 30 años.
- Esta epidemia se asocia con una mayor incidencia de enfermedades como la diabetes tipo 2 en los niños.
- Si bien los síndromes raros de obesidad se entienden mejor, ofrecen ideas limitadas para el manejo general de la obesidad infantil.
Objetivo del estudio:
- Para resaltar la necesidad de reevaluar las recomendaciones actuales de ingesta de calorías y actividad física para los niños.
- Hacer hincapié en la necesidad de investigación a largo plazo y de alta calidad para estrategias efectivas de prevención y tratamiento.
- Subrayar la importancia de los esfuerzos continuos tanto en el aumento del gasto energético como en la disminución de la ingesta de energía.
Principales métodos:
- Revisión de la comprensión actual de la genética y la fisiología del control del apetito.
- Análisis de los estilos de vida sedentarios a nivel de la población y su impacto en el balance energético.
- Evaluación de la calidad de la investigación existente e identificación de las necesidades para futuros ensayos multicéntricos.
Principales resultados:
- Los raros síndromes de obesidad proporcionan lecciones limitadas para la prevención o reversión generalizada de la obesidad infantil.
- Las recomendaciones actuales de calorías pueden ser insuficientes debido a la "brecha energética".
- La evidencia sugiere una posible estabilización en el rápido aumento de las tasas de obesidad infantil.
Conclusiones:
- Las recomendaciones a nivel de población para la ingesta de calorías y la actividad física necesitan una reevaluación urgente.
- Los ensayos multicéntricos a largo plazo y de alta calidad son cruciales para avanzar en la prevención y el tratamiento.
- Los esfuerzos sostenidos para aumentar el gasto energético y reducir la ingesta son vitales, junto con el monitoreo continuo de las tendencias de la obesidad.
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