運動治療兒童肥胖

Exercise as Management for Pediatric Obesity

肥胖是許多疾病的根源，全世界的肥胖盛行率逐年上升，伴隨的肥胖併發症成為全世界重要的健康議題。預防勝於治療，而預防成人肥胖問題，應該從兒童時期開始著手，處理兒童肥胖的首要任務是，排除病理性的肥胖，並給予相對應的治療。相較於成人有許多治療肥胖的藥物與手術方式，兒童的體重控制著重在飲食與運動，運動不單是藉由熱量的消耗來達到體重控制，目前已知，運動可以產生運動激素（exerkine），來調控身體的代謝、抑制下視丘的食慾、甚至調控味覺的喜好，運動也能藉由改變腸道菌的菌相，以及表觀基因來達到體重控制的目的。運動的習慣養成需要每一個家庭成員的參與，家長的耐心與陪伴，讓孩子喜歡上運動，將運動視為生活的一部分，肥胖自然能不藥而癒。

Obesity is the root cause of many diseases. The prevalence rate of obesity in the world is increasing year by year. The accompanying obesity complications have become an important health issue in the world. Prevention is better than treatment. The prevention of adult obesity should start from childhood and deal with the problem of childhood obesity. The first task is to exclude pathological obesity and give corresponding treatment. Compared with adults, there are many drugs and surgical methods to treat obesity, children’s weight control focuses on diet control and exercise. Exercise is not only to achieve weight control through calorie consumption. It is currently known that exercise can produce exercise hormones (exerkine). Exercise can regulate the body’s metabolism, suppress the appetite through regulate hypothalamus, and even regulate taste preferences. Exercise can also achieve the purpose of weight control by changing the gut microbiome and by epigenetic modification. Developing the habit of exercising requires the participation of every family member and the patience and companionship of parents. Let children like exercise and regard exercise as a part of life. Obesity can naturally be cured without medicine.