Adolescent Obesity Predicts Cardiovascular Risk

Rapid increase in the prevalence of obesity among children and adolescents has become a major worldwide health issue. Several large epidemiological studies have demonstrated that childhood and adolescent obesity is a significant independent predictor of metabolic disorders, such as hypertension, dyslipidemia and insulin resistance, which have a major impact on the premature development of atherosclerosis and cardiovascular morbidity and mortality in adulthood (Bibbins-Domingo et al., 2007; Dietz & Robinson, 2005; Franks et al., 2010). The cluster of metabolic disorders including abdominal obesity, insulin resistance, dyslipidemia and elevated blood pressure has been defined as metabolic syndrome (Alberti et al., 2006; Aggoun, 2007, Han & Lean, 2006). It is now generally accepted that overweight or obese children and adolescents are at increased risk for some or all of the metabolic syndrome (MS) features (Carnethon et al., 2004; Franks et al., 2010; Magnussen et al., 2010; Zimmet et al., 2007). The data from the Third National Health and Nutrition Examination Survey (NHANESIII, 1988-1994) have demonstrated that about 4 % of the whole population and almost 30% of the overweight or obese 12 to 19-y-old adolescents met the criteria of MS (Cook et al., 2003). The early occurrence of the MS in childhood and at the pubertal age was also found to have a major impact on the development of atherosclerosis, a life-time risk of cardiovascular disease (Aggoun, 2007), and an increased rate of premature death (Franks et al., 2010; Nieto, 1992). Excessive body weight in childhood and adolescence is considered a strong predictor of adult obesity (Wang et al. 2008) and obesity-related health consequences including diabetes and heart disease (Carnethon et al., 2004; Must et al., 1992; Morrison et al. 2007) regardless of whether the parents were obese. Notably, parental obesity was found to double the risk of being obese in adulthood (Shengxu et al., 2003; Whitaker et al., 1997).