Overview of Pediatric Obesity as a Disease

Pediatr Clin North Am. 2024 Oct;71(5):761-779. doi: 10.1016/j.pcl.2024.06.003. Epub 2024 Jul 23.

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.

Keywords: Inflammation; Metabolic dysfunction; Pathophysiology; Pediatric obesity.

Publication types

  • Review
  • Research Support, N.I.H., Extramural

MeSH terms

  • Child
  • Energy Intake
  • Energy Metabolism
  • Humans
  • Pediatric Obesity* / complications