当前位置：
X-MOL 学术
›
JAMA Pediatr.
›
论文详情
Our official English website, www.x-mol.net, welcomes your
feedback! (Note: you will need to create a separate account there.)
Obesity Treatment Among Adolescents
JAMA Pediatrics ( IF 24.7 ) Pub Date : 2020-06-01 , DOI: 10.1001/jamapediatrics.2020.0085 Michelle I Cardel 1 , Mark A Atkinson 2 , Elsie M Taveras 3 , Jens-Christian Holm 4 , Aaron S Kelly 5
JAMA Pediatrics ( IF 24.7 ) Pub Date : 2020-06-01 , DOI: 10.1001/jamapediatrics.2020.0085 Michelle I Cardel 1 , Mark A Atkinson 2 , Elsie M Taveras 3 , Jens-Christian Holm 4 , Aaron S Kelly 5
Affiliation
|
Importance
Obesity in adolescence has reached epidemic proportions around the world, with the prevalence of severe obesity increasing at least 4-fold over the last 35 years. Most youths with obesity carry their excess adiposity into adulthood, which places them at increased risk for developing obesity-driven complications, such as type 2 diabetes and cardiovascular disease, and negatively affects social and emotional health. Given that adolescence is a unique transition period marked by significant physiologic and developmental changes, obesity-related complications can also negatively affect adolescent growth and developmental trajectories. Observations
Provision of evidence-based treatment options that are tailored and appropriate for the adolescent population is paramount, yet complex. The multifactorial etiology of obesity along with the significant changes that occur during the adolescent period increasingly complicate the treatment approach for adolescent obesity. Treatment practices discussed in this review include an overview of evidence supporting currently available behavioral, pharmacologic, surgical, and device interventions for obesity. However, it is important to note that these practices have not been effective at reducing adolescent obesity at the population level. Conclusions and Relevance
Because adolescent obesity requires lifelong treatment, effectively addressing this disease will require significant resources, scientific rigor, and the provision of access to quality care similar to other chronic health conditions. Effective and less invasive therapies, effective adjuncts, and comprehensive centers that offer specialized treatment are critical. This considerable need for increased attention to obesity care calls for dedicated resources in both education and research for treatment of obesity in youths.
中文翻译：
青少年肥胖治疗
重要性 青春期肥胖在世界范围内已达到流行趋势，过去 35 年中严重肥胖的患病率至少增加了 4 倍。大多数肥胖青少年将过度肥胖带到成年，这使他们患上肥胖引起的并发症（例如 2 型糖尿病和心血管疾病）的风险增加，并对社会和情感健康产生负面影响。鉴于青春期是一个独特的过渡时期，以显着的生理和发育变化为标志，肥胖相关的并发症也会对青少年的生长和发育轨迹产生负面影响。观察结果 提供适合青少年人群的循证治疗方案至关重要，但也很复杂。肥胖的多因素病因以及青少年时期发生的显着变化使青少年肥胖的治疗方法变得越来越复杂。本综述讨论的治疗实践包括支持当前可用的肥胖行为、药理学、手术和设备干预措施的证据概述。然而，值得注意的是，这些做法并没有有效减少人口层面的青少年肥胖。结论和相关性 由于青少年肥胖症需要终生治疗，因此有效解决这一疾病需要大量资源、科学严谨性以及提供与其他慢性健康状况类似的优质护理。有效且侵入性较小的治疗方法、有效的辅助手段以及提供专业治疗的综合中心至关重要。 日益关注肥胖护理的巨大需求要求在青少年肥胖治疗的教育和研究方面投入专门资源。
更新日期：2020-06-01
中文翻译：
青少年肥胖治疗
重要性 青春期肥胖在世界范围内已达到流行趋势，过去 35 年中严重肥胖的患病率至少增加了 4 倍。大多数肥胖青少年将过度肥胖带到成年，这使他们患上肥胖引起的并发症（例如 2 型糖尿病和心血管疾病）的风险增加，并对社会和情感健康产生负面影响。鉴于青春期是一个独特的过渡时期，以显着的生理和发育变化为标志，肥胖相关的并发症也会对青少年的生长和发育轨迹产生负面影响。观察结果 提供适合青少年人群的循证治疗方案至关重要，但也很复杂。肥胖的多因素病因以及青少年时期发生的显着变化使青少年肥胖的治疗方法变得越来越复杂。本综述讨论的治疗实践包括支持当前可用的肥胖行为、药理学、手术和设备干预措施的证据概述。然而，值得注意的是，这些做法并没有有效减少人口层面的青少年肥胖。结论和相关性 由于青少年肥胖症需要终生治疗，因此有效解决这一疾病需要大量资源、科学严谨性以及提供与其他慢性健康状况类似的优质护理。有效且侵入性较小的治疗方法、有效的辅助手段以及提供专业治疗的综合中心至关重要。 日益关注肥胖护理的巨大需求要求在青少年肥胖治疗的教育和研究方面投入专门资源。
京公网安备 11010802027423号