The initiation of metabolic inflammation in childhood obesity
Open accessAbstract
An understanding of the events that initiate metabolic inflammation (metainflammation) can support the identification of targets for preventing metabolic disease and its negative effects on health. There is ample evidence demonstrating that the initiating events in obesity-induced inflammation start early in childhood. This has significant implications on our understanding of how early life events in childhood influence adult disease. In this Review we frame the initiating events of metainflammation in the context of child development and discuss what this reveals about the mechanisms by which this unique form of chronic inflammation is initiated and sustained into adulthood.
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Systemic chronic inflammation during pregnancy and childhood can elevate the risk of non-communicable diseases across the life span.
“SCI during pregnancy and childhood can have serious developmental consequences that include elevating the risk of non-communicable diseases over the life span7,8,26,27.”
From Chronic inflammation in the etiology of disease across the life span (2019) · cites this paper as [26]
These obesity-inflammation dynamics occur in adults and first emerge during childhood.
“These dynamics are known to occur in adults and can promote age-related disease risk, but they first emerge during childhood26.”
From Chronic inflammation in the etiology of disease across the life span (2019) · cites this paper as [26]
The immune system is programmed during the prenatal period and is affected by epigenetic changes induced by maternal environmental exposures-such as infectious agents, diet, psychological stress and xenobiotics-both in the womb and before conception, with paternal factors possibly also exerting epigenetic effects.
“the immune system is programmed during the prenatal period171 and is affected by epigenetic changes induced by maternal environmental exposures (for example, infectious agents, diet, psychological stress and xenobiotics) during intrauterine life and even before conception, when paternal factors may also have an epigenetic effect26,128,171”
From Chronic inflammation in the etiology of disease across the life span (2019) · cites this paper as [26]
Obese children often become obese adolescents and adults, so a pro-inflammatory phenotype often continues into adulthood for those who were obese as children.
“Because obese children often become obese adolescents and adults26, the risk of developing a pro-inflammatory phenotype also frequently persists into adulthood among individuals who were obese as children”
From Chronic inflammation in the etiology of disease across the life span (2019) · cites this paper as [26]
Childhood obesity is closely linked to substantial alterations in fat tissue and metabolic dysfunction that produce metabolism-related SCI, or metainflammation.
“Childhood obesity, for instance, is strongly associated with major changes in adipose tissue and metabolic dysfunction that cause metabolism-related-SCI, or so-called metainflammation26”
From Chronic inflammation in the etiology of disease across the life span (2019) · cites this paper as [26]
Childhood conditions have a major influence on later metabolic and immune responses, which then drive SCI in adulthood.
“childhood circumstances significantly impact metabolic and immune responses later in life, which in turn promote SCI in adulthood8,26,27,168,169”
From Chronic inflammation in the etiology of disease across the life span (2019) · cites this paper as [26]
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Chronic inflammation in the etiology of disease across the life span
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Inflammatory mechanisms linking obesity and metabolic disease
Saltiel, A. R., & Olefsky, J. M. (2017) · Journal of Clinical Investigation · doi:10.1172/jci92035 · Cited by 2,212 · see citing works
- Authors
- Singer, K., & Lumeng, C. N.
- Affiliations
- University of Michigan (US)
- Venue
- Journal of Clinical Investigation
- Published
- 2017-01-03
- Volume
- 127
- Issue
- 1
- Pages
- 65-73
- ISSN
- 0021-9738 (ISSN-L)
- 1558-8238
- PMC
- PMC5199687
- OpenAlex
- W2563391368
- Cited by
- 194
- References
- 145
- Citations by year
- 2026: 15 · 2025: 17 · 2024: 20 · 2023: 18 · 2022: 26 · 2021: 19 · 2020: 31 · 2019: 26 · 2018: 14 · 2017: 8
- FWCI
- 2.84
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Clinical Investigation (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Diabetes Association (7-12-CD-08)
- University of Michigan (48109)
- National Institutes of Health
- College of Pharmacy, University of Michigan
- Medical School, University of Michigan
- National Institute of Diabetes and Digestive and Kidney Diseases (K08DK101755, R01DK090262, DK090262, P30DK020572)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R21HD086696)
- Topics
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Health Sciences › Medicine › Physiology › Adipose Tissue and Metabolism
- Keywords
- metabolic inflammation, childhood obesity, meta-inflammation, chronic inflammation, early life events, child development, metabolic disease prevention, developmental origins of adult disease
- MeSH terms
- Adolescent, Adult, Child, Child, Preschool, Female, Humans, Infant, Inflammation, Male, Metabolic Diseases, Obesity, Age of Onset
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