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Current Diabetes Reports

Erschienen in:

05.06.2023

Challenges and Opportunities in Diagnosis and Management of Cardiometabolic Risk in Adolescents

verfasst von: Dedeepya Konuthula, Marcia M. Tan, Deborah L. Burnet

Erschienen in: Current Diabetes Reports | Ausgabe 8/2023

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Abstract

Purpose of Review

This review aims to elucidate the limitations of diagnosing metabolic syndrome in adolescents as well as challenges and opportunities in the identification and reduction of cardiometabolic risk in this population.

Recent Findings

There are multiple criticisms of how we define and approach obesity in clinical practice and scientific research, and weight stigma further complicates the process of making and communicating weight-related diagnoses. While the goal of diagnosing and managing metabolic syndrome in adolescents would be to identify individuals at elevated future cardiometabolic risk and intervene to reduce the modifiable component of this risk, there is evidence that identifying cardiometabolic risk factor clustering may be more useful in adolescents than establishing a cutoff-based diagnosis of metabolic syndrome. It has also become clear that many heritable factors and social and structural determinants of health contribute more to weight and body mass index than do individual behavioral choices about nutrition and physical activity. Promoting cardiometabolic health equity requires that we intervene on the obesogenic environment and mitigate the compounding effects of weight stigma and systemic racism.

Summary

The existing options to diagnose and manage future cardiometabolic risk in children and adolescents are flawed and limited. While striving to improve population health through policy and societal interventions, there are opportunities to intervene at all levels of the socioecological model in order to decrease future morbidity and mortality from the chronic cardiometabolic diseases associated with central adiposity in both children and adults. More research is needed to identify the most effective interventions.

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StateofChildhoodObesity. Meeting the Moment - Learning From Leaders at the Forefront of Change.2022 11–15.

Titel: Challenges and Opportunities in Diagnosis and Management of Cardiometabolic Risk in Adolescents
verfasst von: Dedeepya Konuthula
Marcia M. Tan
Deborah L. Burnet
Publikationsdatum: 05.06.2023
Verlag: Springer US
Erschienen in: Current Diabetes Reports / Ausgabe 8/2023
Print ISSN: 1534-4827
Elektronische ISSN: 1539-0829
DOI: https://doi.org/10.1007/s11892-023-01513-3

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Challenges and Opportunities in Diagnosis and Management of Cardiometabolic Risk in Adolescents

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Erhebliches Risiko für Kehlkopfkrebs bei mäßiger Dysplasie

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Costims – das nächste heiße Ding in der Krebstherapie?

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