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Innovative Medicines & Omics                                                 Pharmacotherapy of obesity



            obviously very well received within a family or community   5. Epidemiology of obesity
            setting, while high economic pressures lead make most
            people to opt for cheaper high-calorie foods. In essence,   Obesity has become a major worldwide health problem
            obesity is caused by two major classes of factors: personal   since gaining official public health epidemic status by the
            biology and the larger social factors. 15          WHO in 1997. Obesity has more than tripled in prevalence
                                                               globally over the past 40 years.  Today, about one-third
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            4. Childhood obesity and the impact of             of the world population is affected; there are 609 million
            COVID-19: Sedentary lifestyle and other            adults, or 39% of the world’s population who are obese, and
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            effects                                            more than 1.9 billion people are overweight.
                                                                 While this upsurge is more pronounced in females
            Nowadays, obesity is recognized as a growing global public   and older individuals, such a trend can be seen in all age
            health crisis in children and adolescents, having affected   groups, both sexes and in all countries. Obesity is now as
            millions  of people.  According  to  the WHO, more  than   common and widespread as undernutrition. At least 2.5
            340 million children and adolescents aged 5 – 19  years   million adults die each year worldwide as a result of being
            are overweight or obese. It is an upward alarming trend   overweight or obese. Overweight and obesity are rapidly
            with long-term psychological problems and increased   gaining momentum, becoming one of the most serious
            health conditions. Obesity has effects of utmost relevance   public health challenges of the 21  century. Children today,
                                                                                         st
            to physical and metabolic health and to the risk of non-  either in the Western population or worldwide, may face a
            communicable diseases, such as cardiovascular disease,   shorter life span due to obesity. 21,22
            Type 2 diabetes, hypertension, and sleep apnea syndrome.
            In addition, it is associated with insulin resistance and   Obesity is rising in all countries (not only those with
            chronic  inflammation. Childhood obesity  also leads to   a high income). The prevalence of obesity is climbing in
            a few psychosocial consequences like low self-esteem,   low-  and  middle-income countries, especially in urban
            depression, and social stigmatization. When taken all   areas. For instance, in China, the rate of obesity has
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            together, these disorders result in reduced quality of life in   increased from 2.15% to 13.99% within just 22  years.
            the affected children and adolescents. 16          Childhood obesity has been a major concern too, with the
                                                               share of overweight children aged 5 – 19 years old rising
              The COVID-19 pandemic has further increased the
            risks of obesity. Obese children share similar risk factors   from 10% in 2000 to 18% by 2018. Furthermore, around 41
                                                               million children under five were overweight in the world
            with adults: underlying cardio-respiratory disorders,    24
            compromised immune function, and chronic clinical   in 2019.
            inflammation. These are the reasons why they are more at   Obesity is now referred to as a term sociologists call a
            risk of experiencing grave side effects of such infections   global synergistic epidemic alongside undernutrition and
            as  COVID-19.  Children who are  obese  tend  to have   climate change. In fact, studies suggest that if the current
            weaker immune systems, which render them vulnerable   trend continues, the figures for obesity will reach their
            to bacterial pneumonia infection which is among the   highest level between 2030 and 2052. If this trend persists,
            most common and severe complications associated with   the US and the UK will see an incidence of obesity of 44% in
            COVID-19. 17                                       males and 37% in females. On the opposite extreme, obesity
              The pandemic has also exacerbated sedentary      incidence is highest in Denmark and the Netherlands. This
            behaviors, with increased screen time, consumption of   emerging trend poses great risks to economies and health
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            unhealthy foods, and sleep disturbances contributing to   systems across the globe.
            increased weight gain and accumulation of central fat.   6. Health impacts of obesity: Associated
            Disruptions in daily routines, including stress from illness   diseases and risks
            and increased time indoors, have impeded children’s
            ability to maintain healthy sleep patterns. Moreover, a   Obese states put one in a health risk, as 5 million deaths
            number of genetic and environmental factors have also   annually arise due to non-communicable diseases such as
            been associated with obesity in childhood. These include   heart disease, diabetes, cancer, and respiratory diseases.
            habits of behavior, sociocultural and socioeconomic   Childhood and adolescent obesity enhances the risks for
            influences leading to poor eating habits, sedentary life,   chronic diseases in adulthood and also diminishes social
            and lack of sleep. Prevention programs should be designed   life, mental health, and quality of life due to stigmatization
            focusing on practical, effective solutions to ensure optimal,   and prejudices faced. Obese children are most likely to be
            long-term health for all children and help to reduce health   obese in their adulthood. It is also alarming in terms of
            inequities. 18                                     economic burden, as it is predicted that the cost of obesity


            Volume 2 Issue 2 (2025)                         3                                doi: 10.36922/imo.8316
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