Childhood obesity is increasing at an alarming rate. This book reassesses the roles of genetic and environmental factors in the pathogenesis of childhood obesity and reviews new studies of the effects of lifestyle, pharmacological and surgical interventions.

A fully revised and expanded second edition on all aspects of pediatric obesity, including 12 brand new chapters
Divided into 11 sections, covering everything from adipocyte development and genetic determinants of childhood obesity to metabolic complications and lifestyle and pharmacological interventions
Written and edited by leading members in the field of pediatric endocrinology and related disciplines

Autorentext
Michael S. Freemark, MD, Robert C. and Veronica Atkins Professor of Pediatrics, Chief, Division of Pediatric Endocrinology and Diabetes, Duke University School of Medicine, Durham, NC, USA

Inhalt
I. The Obesity Epidemic: A Global Perspective.- Global Dynamics in Childhood Obesity: Reflections on a Life of Work in the Field.- Childhood Malnutrition and the Origins of Obesity in the Developing World.- II. Hormonal and Metabolic Control of Appetite, Fat Deposition and Energy Expenditure.- The Neuroendocrine Control of Energy Balance.- GI Hormones and the Control of Food Intake.- The Microbiome and Control of Weight Gain.- III. Adipocyte Development and Function in Obesity and IR.- Control of White Adipose Tissue Development and Function in Obesity: Preclinical Models.- White Adipose Distribution and Function in Healthy and Obese Children.- Brown and Beige Fat: Development, Regulation and Function.- IV. The Genetics of Childhood Obesity.- Monogenic Obesity.- Syndromic Obesity.- Polygenic Obesity.- Racial Differences in Childhood Obesity: Pathogenesis and Complications.- V. Pre- and Perinatal Determinants of Childhood Obes ity.- Maternal Determinants of Childhood Obesity: Weight Gain, Smoking, and Breastfeeding.- Intrauterine Growth Retardation.- Gestational Diabetes.- Endocrine Disruptors as Obesogens.- VI. The Role of Diet and Energy Expenditure in Obesity Pathogenesis.- Early Childhood Feeding Practices and Development of Childhood Obesity.- Macronutrients in the Development, Treatment and Prevention of Obesity: Two Views.- Carbohydrates and the Glycemic Index.- Caloric Intake, Caloric Density, and Fiber.- Energy Expenditure in Children: The Role of NEAT.- VII. Metabolic Complications of Childhood Obesity.- Childhood Obesity and the Regulation of Growth, Thyroid Function, Sexual Development and Calcium Homeostasis.- Metabolic Signatures in Childhood Obesity.- Pathogenesis of Insulin Resistance and Glucose Intolerance in Childhood Obesity.- Type 2 Diabetes in Children.- Pathogenesis and Management of Dyslipidemia in Obese Children.- Fatty Liver Disease.- Pathogenesis of Hypertension and Renal Disease in Obesity.- Sleep-Disordered Breathing and Sleep Duration in Childhood Obesity.- The Long-Term Metabolic Complications of Childhood Obesity.- Childhood Obesity, Atherogenesis and Adult Cardiovascular Disease.- Childhood Obesity and Cognitive Function.- VIII. Treatment of Childhood Obesity: Lifestyle Intervention.- Family-Based Behavioral Interventions.- Exercise and Childhood Obesity.- School- and Community-Based Interventions.- IX. Pharmacotherapy and Bariatric Surgery for Obesity and Co-morbidities.- Pharmacotherapy of Childhood Obesity and Pre-Diabetes.- Pathogenesis and Management of Adiposity and Insulin Resistance in PCOS.- Obesity and Metabolic Dysfunction in the Child with a Major Behavioral Disorder: Atypical Antipsychotics.- Hypothalamic Obesity.- Bariatric Surgery in Adolescents.- X. Challenges to Long-Term Success.- Neuroendocrine and Metabolic Adaptations in the Central Nervous System that Facilitate Weight Regain.- The Sociocultural Context for Obesity Prevention and Treatment in Children and Adolescents: Influences of Ethnicity and Gender.- XI. The Future of Childhood Obesity in the Global Marketplace.- The Marketing and Distribution of Fast Food.- Local and National Policy-Based Interventions: To Improve Children's Nutrition.