Endocrine consequences of childhood obesity: a narrative review

Childhood obesity has emerged as a significant public health challenge, with profound consequences that negatively impact endocrine functions. Excess adiposity in children leads to dysregulation of various hormonal pathways, notably insulin resistance and hyperinsulinemia, the best-established endoc...

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Main Authors: Maroun Badr, Ghazwa El-Rabaa, Marianne Freiha, Andrzej Kędzia, Elżbieta Niechciał
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Endocrinology
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Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2025.1584861/full
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author Maroun Badr
Ghazwa El-Rabaa
Marianne Freiha
Andrzej Kędzia
Elżbieta Niechciał
author_facet Maroun Badr
Ghazwa El-Rabaa
Marianne Freiha
Andrzej Kędzia
Elżbieta Niechciał
author_sort Maroun Badr
collection DOAJ
description Childhood obesity has emerged as a significant public health challenge, with profound consequences that negatively impact endocrine functions. Excess adiposity in children leads to dysregulation of various hormonal pathways, notably insulin resistance and hyperinsulinemia, the best-established endocrine changes in obesity. If insulin resistance is not adequately managed, it might precipitate type 2 diabetes. Another common finding among children with obesity is thyroid dysfunction. Some studies suggest that obesity may be associated with alterations in thyroid hormone levels, potentially leading to hypothyroidism, although the relationship is complex and not fully understood. Additionally, obesity affects the hypothalamic-pituitary-gonadal axis, resulting in precocious puberty, particularly in girls. Elevated leptin levels, a hormone produced by adipose tissue, can contribute to a paradoxical state of leptin resistance, further complicating metabolic processes and appetite regulation. Moreover, childhood obesity can result in increased secretion of cortisol, which may enhance the risk of developing metabolic syndrome and cardiovascular complications. The interplay between obesity and endocrine function also extends to growth patterns, where excess weight can lead to growth acceleration followed by potential short stature in adulthood due to early epiphyseal closure. Addressing the endocrine consequences of childhood obesity requires a comprehensive approach that includes prevention, early intervention, and management strategies tailored to this vulnerable population. Understanding these complex interactions is crucial for developing effective public health policies to mitigate the impact of obesity on endocrine health in children. By reviewing research, this work provides a comprehensive overview of the most relevant endocrine consequences of childhood obesity.
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spelling doaj-art-0228b33fa87e407da4b3375a8b7d67522025-08-20T02:20:12ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922025-04-011610.3389/fendo.2025.15848611584861Endocrine consequences of childhood obesity: a narrative reviewMaroun BadrGhazwa El-RabaaMarianne FreihaAndrzej KędziaElżbieta NiechciałChildhood obesity has emerged as a significant public health challenge, with profound consequences that negatively impact endocrine functions. Excess adiposity in children leads to dysregulation of various hormonal pathways, notably insulin resistance and hyperinsulinemia, the best-established endocrine changes in obesity. If insulin resistance is not adequately managed, it might precipitate type 2 diabetes. Another common finding among children with obesity is thyroid dysfunction. Some studies suggest that obesity may be associated with alterations in thyroid hormone levels, potentially leading to hypothyroidism, although the relationship is complex and not fully understood. Additionally, obesity affects the hypothalamic-pituitary-gonadal axis, resulting in precocious puberty, particularly in girls. Elevated leptin levels, a hormone produced by adipose tissue, can contribute to a paradoxical state of leptin resistance, further complicating metabolic processes and appetite regulation. Moreover, childhood obesity can result in increased secretion of cortisol, which may enhance the risk of developing metabolic syndrome and cardiovascular complications. The interplay between obesity and endocrine function also extends to growth patterns, where excess weight can lead to growth acceleration followed by potential short stature in adulthood due to early epiphyseal closure. Addressing the endocrine consequences of childhood obesity requires a comprehensive approach that includes prevention, early intervention, and management strategies tailored to this vulnerable population. Understanding these complex interactions is crucial for developing effective public health policies to mitigate the impact of obesity on endocrine health in children. By reviewing research, this work provides a comprehensive overview of the most relevant endocrine consequences of childhood obesity.https://www.frontiersin.org/articles/10.3389/fendo.2025.1584861/fullchildrenobesitychildhood obesityobesity-related endocrinopathiesendocrine disordershormones
spellingShingle Maroun Badr
Ghazwa El-Rabaa
Marianne Freiha
Andrzej Kędzia
Elżbieta Niechciał
Endocrine consequences of childhood obesity: a narrative review
Frontiers in Endocrinology
children
obesity
childhood obesity
obesity-related endocrinopathies
endocrine disorders
hormones
title Endocrine consequences of childhood obesity: a narrative review
title_full Endocrine consequences of childhood obesity: a narrative review
title_fullStr Endocrine consequences of childhood obesity: a narrative review
title_full_unstemmed Endocrine consequences of childhood obesity: a narrative review
title_short Endocrine consequences of childhood obesity: a narrative review
title_sort endocrine consequences of childhood obesity a narrative review
topic children
obesity
childhood obesity
obesity-related endocrinopathies
endocrine disorders
hormones
url https://www.frontiersin.org/articles/10.3389/fendo.2025.1584861/full
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AT ghazwaelrabaa endocrineconsequencesofchildhoodobesityanarrativereview
AT mariannefreiha endocrineconsequencesofchildhoodobesityanarrativereview
AT andrzejkedzia endocrineconsequencesofchildhoodobesityanarrativereview
AT elzbietaniechciał endocrineconsequencesofchildhoodobesityanarrativereview