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解锁儿科肥胖症的异质性:一种基于表型亚型的模式,用于精确管理
Yi Zhang1,2, Rongi Zhou1,2, Jiaqi Zhang1,2
1Department of Pediatrics, First Affiliated Hospital, Henan University of Chinese Medicine, Zhengzhou, Henan, China.
Frontiers in endocrinology
|January 21, 2026
概括
儿童肥胖是一个复杂的问题. 本综述提出了四种子类型 - - 代谢失调,炎症性,神经行为和生物机械性 - - 以改善个性化治疗,而不仅仅是身体质量指数 (BMI).
科学领域:
- 儿科内分泌学 儿科内分泌学
- 公共卫生 公共卫生
- 代谢综合征是代谢综合征的一种.
背景情况:
- 儿童肥胖是一个全球性的健康危机.
- 目前的身体质量指数 (BMI) 方法在风险分层方面缺乏精度.
- 儿科肥胖症的临床异质性阻碍了有效的治疗.
研究的目的:
- 为儿科肥胖现象型亚型提出一个概念框架.
- 通过了解肥胖异质性来推进个性化医疗.
- 建立儿童肥胖管理的新理论基础.
主要方法:
- 根据病理生理学,审查和概念化儿科肥胖亚型.
- 分类子类型:不代谢性,炎症性,神经行为性,生物机械性.
- 详细阐述每个亚型的机制,识别,诊断和疾病风险.
主要成果:
- 确定了四种不同的小儿肥胖亚型:失代代谢性 (胰岛素抵抗),炎症性 (全身炎症),神经行为性 (食欲功能障碍) 和生物机械性 (机械负荷).
- 每个亚型的详细生物机制,临床途径和长期风险.
- 框架为各种临床结果和疾病轨迹提供了一个模型.
结论:
- 拟议的表型亚型框架增强了对儿童肥胖异质性的理解.
- 过渡到特定亚型的治疗方法超越了"适合所有人"的方法.
- 个性化风险评估和治疗对于改善长期儿科健康结果至关重要.
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