Reference of this article: Bras i Marquillas J. Childhood and adolescence obesity. Rev Pediatr Aten Primaria. 2005;7:209-230.
Published in Internet: 30-06-2005
Obesity as a social issue is only a disbalance outcome, between a great increase of the
daily caloric intake (overnutrition), and a great decrease of the caloric output, due to sedentarism.
The endocrinometabolic pathways, adapted to deprivation but never to excess, are
only spectators in this question. They are victims of disbalance, but never his causal agents.
This article reviews epidemiological data, regulation physiologic trends, with their critical
periods, and psicological and social factors.
In front of the fight due to a dark prognosis at long time and the great therapeutic difficulties,
the effectiveness of the preventive interventions are not evidenced and the problem
is in continuous advance. So that more realist preventive and therapeutic approaches are
proposed in adaptation to the environmental origin of the obesity.
Keywords● Advice ● Body Mass Index ● Obesity ● Paediatrics ● Primary Care