儿童青少年肌少性肥胖研究进展  

Advances in sarcopenic obesity in children and adolescents

作　　者：肖润廷 李卓光 苏慧萍 苏喆[1,2] Xiao Runting;Li Zhuoguang;Su Huiping;Su Zhe(Department of Endocrinology,Shenzhen Children's Hospital,Shenzhen 518038,China;Shantou University Medical College,Shantou 515041,China)

机构地区：[1]深圳市儿童医院内分泌科,518038 [2]汕头大学医学院,515041

出　　处：《国际儿科学杂志》2025年第2期112-116,共5页International Journal of Pediatrics

基　　金：广东省卫生健康委员会高水平临床重点专科(深圳市配套建设经费)项目(SZGSP012)。

摘　　要：儿童青少年肥胖率持续上升,已成为全球性的公共健康危机。大部分儿童期肥胖延续至成年期,同时增加相关慢性病发病风险。在肥胖流行的大背景下,儿童青少年身体素质呈全面下降趋势,肌肉质量和力量持续降低,出现了肌肉减少与肥胖共存的状态,两者相互影响,形成恶性循环,显著增加代谢并发症风险,目前将这种共存的状态定义为肌少性肥胖。在儿童人群中,肌少性肥胖评估缺乏既定共识,国外可见少量报道,国内资料也不充分。该文就儿童青少年肌少性肥胖的流行病学、定义、发病机制、诊断及治疗等方面进行阐述,为该疾病的早期识别和干预提供临床思路。The persistent rise in obesity rates among children and adolescents has become a global public health crisis.Most obesity in childhood continues into adulthood,increasing the risk of related chronic diseases.Under the background of the obesity epidemic,there is a comprehensive decline in physical fitness among children and adolescents,with a continuous reduction in muscle mass and strength.This has led to a state of muscle loss coexisting with obesity,which interact to form a vicious cycle that significantly increases the risk of metabolic complications.This coexisting state is currently defined as sarcopenic obesity.There is a lack of established consensus for the assessment of sarcopenic obesity in children,with only a few reports from abroad and insufficient data in domestic literature.This article describes the epidemiology,definition,pathogenesis,diagnosis,and treatment of sarcopenic obesity in children,providing clinical insights for early identification and intervention of this disease in pediatric practice.

关 键 词：肌少性肥胖 肥胖 肌少症 儿童 

分 类 号：R723.14[医药卫生—儿科]