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  • Book
    Michael S. Freemark, editor.
    Summary: "This second edition of Freemark’s text embodies all of the strengths of the original work but is deeper and broader in scope, with new chapters on emerging themes including metabolomics, genomics, and the roles of gastrointestinal hormones, the microbiome, brown adipose tissue, and endocrine disruptors in the pathogenesis of childhood obesity. Reviews of the effects of weight excess on cognitive performance and immune function complement detailed analyses of the biochemical and molecular pathways controlling the development of childhood adiposity and metabolic disease. Critical assessments of nutritional interventions (including new chapters on infant feeding practices and vegetarian diets) and superb reviews of behavioral counseling, pharmacotherapy, and bariatric surgery provide practical guidance for the management of overweight children. Penetrating analyses of the obesity epidemic in its social, cultural, economic, and political contexts highlight challenges and opportunities for obesity prevention and community action. The perspective is international in scope and reflects the expertise and experience of many of the leading figures in the field"--Publisher's description.

    Contents:
    Part I: The obesity epidemic: a global perspective. Childhood obesity in the modern age: global trends, determinants, complications, and costs
    Part II: Hormonal and metabolic control of appetite, fat deposition, and energy expenditure. Central control of energy metabolism and hypothalamic obesity
    Gastrointestinal hormones and the control of food intake and energy metabolism
    The gut microbiome and control of weight gain
    Part III: Adipocyte development and function in obesity and insulin resistance. White adipose tissue development and function in children and adolescents: preclinical models
    White adipose tissue accumulation and dysfunction in children with obesity
    Brown adipose tissue and body weight regulation
    Part IV: The genetics of childhood obesity. Monogenic obesity
    Syndromic obesity
    Polygenic obesity
    Part V: Pre- and peri-natal determinants of childhood obesity. Maternal determinants of childhood obesity: maternal obesity, weight gain and smoking
    Fetal and infancy growth
    Intrauterine exposure to maternal diabetes and childhood obesity
    Endocrine disruptors as obesogens
    Part VI: The roles of diet and energy expenditure in obesity pathogenesis and complications. Early feeding practices and development of childhood obesity
    Dietary interventions in the treatment of paediatric obesity
    Vegetarian diets and pediatric obesity
    Energy expenditure in children: the role of neat (non-exercise activity thermogenesis)
    Part VII: Metabolic complications of childhood obesity. Obesity and the endocrine system, part I: pathogenesis of weight gain in endocrine and metabolic disorders
    Obesity and the endocrine system, part II: the effects of childhood obesity on growth and bone maturation, thyroid and adrenal function, sexual development, and bone mineralization
    Metabolomic signatures and metabolic complications in childhood obesity
    Immune function in obesity
    Pathogenesis of insulin resistance and glucose intolerance in childhood obesity
    Youth-onset type 2 diabetes
    Pathogenesis and management of dyslipidemia in obese children
    Fatty liver disease
    Pathogenesis of hypertension and renal disease in obese children
    Sleep-disordered breathing and sleep duration in childhood obesity
    Pediatric metabolic syndrome: long-term risks for type 2 diabetes and cardiovascular disease
    Childhood obesity, atherogenesis, and adult cardiovascular disease
    Childhood obesity and cognitive function
    Part VIII: Treatment of childhood obesity: lifestyle intervention. Family-based behavioral interventions for childhood obesity
    Exercise and childhood obesity
    School- and community-based interventions for childhood obesity
    Part IX: Pharmacotherapy and bariatric surgery for obesity and co-morbidities. Role of pharmacotherapy in the treatment of pediatric obesity and its comorbidities
    Pathogenesis and management of adiposity and insulin resistance in polycystic ovary syndrome (PCOS)
    Prevention and treatment of obesity and metabolic dysfunction in children with major behavioral disorders: second-generation antipsychotics
    Bariatric surgery in adolescents
    Part X: Challenges to long-term success. The role of the primary care provider in long-term counseling: establishing a therapeutic alliance with the child and family
    The sociocultural context for obesity prevention and treatment in children and adolescents: influences of ethnicity and gender
    Part XI: The future of childhood obesity in the global marketplace
    Fast-food value chains and childhood obesity: a global perspective
    Why we need local, state, and national policy-based approaches to improve children’s nutrition in the United States
    Digital Access Springer 2018