"Severe obesity among children and adolescents is a significant global public health concern. The prevalence has markedly increased over the last decades, becoming common in many countries. Overwhelming rates of obesity among youth have prompted efforts to identify an evidence-based immediate- and long -term cardiometabolic risk factor profile in childhood-onset severe obesity, and to highlight gaps that require further investigation.
The definition of severe obesity was variable, with only one half the publications using the definition BMI> 120% of the 95th percentile. Point estimates of the prevalence of at least one cardiometabolic risk factor in children with severe obesity reportedly range from 67 to 86%.
Cross-sectional studies indicate that children and adolescents with severe obesity ar e at greater risk than those with mild obesity for type 2 diabetes, hypertension, fatty liver disease and dyslipidemia, already at childhood and adolescence.
Robust epidemiological data on the long-term risk and actual point estimates in adulthood are lacking for these diseases as well as for other diseases. Given the alarming increase in the prevalence of severe obesity, the persistence of adiposity from childhood to adulthood and the precarious course of young adults with chronic comorbidities, the economic and clinical services burden on the healthcare system is expected to rise." This was write by the researchers of the Cardiovascular morbidity, diabetes and cancer risk among children and adolescents with severe obesity, study published on the Cardiovascular diabetology magazine.
Obesity, especially during a young age, can deteriorate health in every respect, putting a person's life at risk both in the immediate future and in the longer term. The search yielded 831 results, of which 60 fulfilled stringent criteria and were summarized in this review.
Recent longitudinal studies indicate an increased risk for cardiomyopathy, heart failure, cardiovascular mortality and all-cause mortality in adulthood for adolescents with severe obesity compared to those with mild obesity.