| Autor: |
Berti C; Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Pediatric Unit, 20122 Milan, Italy., Elahi S; Director Corset Economy, London NW7 3TD, UK., Catalano P; Mother Infant Research Institute, Tufts University School of Medicine, Boston 02111, MA, USA., Bhutta ZA; Centre for Global Child Health, The Hospital for Sick Children, Toronto, ON M5G 0A4, Canada.; Center of Excellence in Women and Child Health, The Aga Khan University, Karachi 74800, Pakistan., Krawinkel MB; Institute of Nutritional Sciences-International Nutrition, Justus-Liebig-University, 35392 Giessen, Germany., Parisi F; Department of Woman, Mother and Neonate, 'V. Buzzi' Children Hospital, ASST Fatebenefratelli Sacco, 20154 Milan, Italy., Agostoni C; Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Pediatric Unit, 20122 Milan, Italy.; Department of Clinical Sciences and Community Health, University of Milan, 20122 Milan, Italy., Cetin I; Department of Woman, Mother and Neonate, 'V. Buzzi' Children Hospital, ASST Fatebenefratelli Sacco, 20154 Milan, Italy.; Department of Biomedical and Clinical Sciences, School of Medicine, University of Milan, 20154 Milan, Italy., Hanson M; Institute of Developmental Sciences and NIHR Biomedical Research Centre, University of Southampton and University Hospital Southampton, Southampton SO17 1BJ, UK. |
| Abstrakt: |
Adolescent health and well-being are of great concern worldwide, and adolescents encounter particular challenges, vulnerabilities and constraints. The dual challenges of adolescent parenthood and obesity are of public health relevance because of the life-altering health and socioeconomic effects on both the parents and the offspring. Prevention and treatment strategies at the individual and population levels have not been successful in the long term, suggesting that adolescent pregnancy and obesity cannot be managed by more of the same. Here, we view adolescent obese pregnancy through the lens of the social contract with youth. The disruption of this contract is faced by today's adolescents, with work, social and economic dilemmas which perpetuate socioeconomic and health inequities across generations. The lack of employment, education and social opportunities, together with obesogenic settings, increase vulnerability and exposure to lifelong health risks, affecting their offspring's life chances too. To break such vicious circles of disadvantage and achieve sustainable solutions in real-world settings, strong efforts on the part of policymakers, healthcare providers and the community must be oriented towards guaranteeing equity and healthy nutrition and environments for today's adolescents. The involvement of adolescents themselves in developing such programs is paramount, not only so that they feel a sense of agency but also to better meet their real life needs. |
