Obesity: Paradigm of Endothelial Dysfunction in Paediatric Age Groups

Authors

  • António Pires Serviço de Cardiologia Pediátrica. Hospital Pediátrico de Coimbra. Centro Hospitalar Universitário de Coimbra. Coimbra. Portugal.
  • Eduardo Castela Serviço de Cardiologia Pediátrica. Hospital Pediátrico de Coimbra. Centro Hospitalar Universitário de Coimbra. Coimbra. Portugal.
  • Cristina Sena Laboratório de Fisiologia. Instituto de Imagem Biomédica e Ciências da Vida (IBILI). Faculdade de Medicina da Universidade de Coimbra. Coimbra. Portugal.
  • Raquel Seiça Laboratório de Fisiologia. Instituto de Imagem Biomédica e Ciências da Vida (IBILI). Faculdade de Medicina da Universidade de Coimbra. Coimbra. Portugal.

DOI:

https://doi.org/10.20344/amp.5202

Keywords:

Adipose Tissue, Child, Endothelium, Vascular, Pediatric Obesity.

Abstract

Introduction: Obesity is considered a global epidemy with important public health issues as it is an independent risk factor in the development of cardiovascular disorders.
Material and Methods: Approximately 10% of the world’s paediatric population has excess weight or obesity and 40% of these will be obese adults. Obesity is characterized by a chronic, low grade, pro-inflammatory process that ultimately results in endothelial dysfunction, the trigger lesion leading to adult cardiovascular disease. This leads to an imbalance in the synthesis of mediators that normally regulate vascular homeostasis, particularly nitric oxide bioavailability, favoring a pro-atherosclerotic status, the hallmark of cardiovascular
disorders.
Results: These changes begin early in childhood and anatomopathological studies in children with excess weight or obesity have shown endothelial changes that represent the precursors of the atherosclerotic lesion.
Discussion: Endothelial dysfunction is the earliest manifestation of the atherosclerotic lesion. It is evident in obese children and, as such, it potentially contributes towards cardiovascular disease in the adult.
Conclusion: Although the clinical impact of these changes rarely manifest themselves in infancy, the presence of related biomarkers as well as vascular morphological changes can, at this early stage, be found and assessed.

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Published

2015-04-30

How to Cite

1.
Pires A, Castela E, Sena C, Seiça R. Obesity: Paradigm of Endothelial Dysfunction in Paediatric Age Groups. Acta Med Port [Internet]. 2015 Apr. 30 [cited 2023 Feb. 3];28(2):233-9. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5202

Issue

Section

Review Articles