by
MARY ANN MOON ,
Internal Medicine News |
2011-11-18
Overweight or obese children who lose weight by the time they reach young adulthood markedly decrease their cardiovascular risks, according to a report in the Nov. 17 issue of the New England Journal of Medicine.
Although childhood overweight and obesity frequently persist into adulthood, some children lose weight, often during adolescence, and become nonobese adults. According to this analysis of four large cohort studies that tracked cardiovascular risk factors over two decades, such weight loss dramatically reduces their risk of type 2 diabetes, hypertension, dyslipidemia, and carotid-artery atherosclerosis in young adulthood, wrote Dr. Markus Juonala of the Research Center of Applied and Preventive Cardiovascular Medicine, University of Turku (Finland), and his associates.
"Although the observational nature of our study precludes making clinical recommendations, we hypothesize that reducing BMI [body mass index] in children and adolescents who are overweight or obese could reduce their cardiovascular risk. If this hypothesis is correct, primary care physicians should not take the pessimistic view that once childhood obesity is established, CV risk is also determined, but should recognize that CV risk may be substantially reduced if childhood obesity is successfully treated," said Dr. Juonala and his colleagues in the International Childhood Cardiovascular Cohort Consortium.
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