Orlistat for obesity management with high levels of TNFα in children

Arya Adi Bramasta, Sri Deasy Aryeni Hadianto, Thio Ceryle Eriady, Michelle Ruth Natalie, Nadya Putri Purwanto
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Abstract

Childhood obesity has increased significantly over the past four decades. Obesity is the leading cause of preventable death in the world. An excess of body fat or adiposity characterizes it. TNFα expression in adipose tissue increases during the development of obesity. With the magnitude of the risk caused by obesity, efforts must be carried out to overcome obesity. Orlistat is a drug approved for obesity treatment in adolescents and children by the FDA. The data collection method was collected from articles related to orlistat in obesity management with high levels of TNFα in children. The inclusion criteria were from original articles, case-control studies, and review papers on childhood obesity, TNFα, and orlistat.  Orlistat is effective in obesity management with high levels of TNFα in children. Obesity is associated with low-level inflammatory processes in WAT. The increase in adipose tissue mass simultaneously activates inflammatory processes in WAT, located in the liver and immune cells. WAT is the source of several pro-inflammatory cytokines, mainly TNFα. The use of orlistat has been recognized as an effective way to lose weight in childhood obesity. Along with weight loss, a decrease in adipocytes reduces TNF α levels in children.
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奥利司他治疗儿童高水平tnf - α肥胖
儿童肥胖在过去四十年中显著增加。肥胖是世界上可预防死亡的主要原因。肥胖的特征是身体脂肪过多或肥胖。在肥胖的发展过程中,脂肪组织中TNFα的表达增加。由于肥胖造成的风险如此之大,必须努力克服肥胖。奥利司他是一种被FDA批准用于青少年和儿童肥胖治疗的药物。数据收集方法从奥利司他在儿童高水平TNFα肥胖管理中的相关文章中收集。纳入标准来自关于儿童肥胖、TNFα和奥利司他的原始文章、病例对照研究和综述论文。奥利司他是有效的肥胖管理与高水平的tnf - α儿童。肥胖与WAT的低水平炎症过程有关。脂肪组织质量的增加同时激活了位于肝脏和免疫细胞中的WAT的炎症过程。WAT是几种促炎细胞因子的来源,主要是TNFα。奥利司他被认为是儿童肥胖患者减肥的有效方法。随着体重减轻,脂肪细胞的减少降低了儿童的TNF α水平。
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