Obesogens in Adolescence: Challenging Aspects and Prevention Strategies

Author:

Nicolaou Marina1,Toumba Meropi23ORCID,Kythreotis Alexandros1,Daher Habib3,Skordis Nicos34

Affiliation:

1. Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London E1 4NS, UK

2. Paediatric Endocrinology Clinic, Department of Paediatrics, Aretaeio Hospital, 2024 Nicosia, Cyprus

3. School of Medicine, University of Nicosia, 2414 Nicosia, Cyprus

4. Division of Paediatric Endocrinology, Paedi Center for Specialized Paediatrics, 2025 Nicosia, Cyprus

Abstract

Childhood obesity has become a global epidemic, with significant increases in prevalence over recent decades. While excessive calorie consumption and physical inactivity are known factors, emerging research highlights the role of endocrine-disrupting chemicals (EDCs), particularly obesogens, in obesity’s pathogenesis. This review explores the historical context of the environmental obesogens hypothesis, their sources, mechanism of action, impact on prenatal and postnatal development, and epigenetics. Additionally, it discusses the long-term consequences of childhood obesity and proposes prevention strategies that will mitigate negative health effects. Obesogens were found to disrupt hormonal balance and metabolic processes through various mechanisms such as altering gene expression, hormonal interference, and inflammation. Especially significant was exposure during critical windows of development, which correlates with an increased risk of obesity in childhood or adolescence. Long-term effects of childhood obesity include chronic health conditions and psychosocial issues. A comprehensive approach is necessary to address childhood obesity encompassing genetic, environmental, and lifestyle factors. Prevention strategies should focus on reducing obesogen exposure, promoting healthy lifestyles, and implementing regulatory policies. Future research should investigate obesogens–diet interactions, microbiome impacts, and combined obesogens effects. Long-term human studies are also crucial for validating findings from animal models and allowing for informed decision-making to combat the obesity pandemic.

Publisher

MDPI AG

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