Childhood Obesity is a condition where excess amount of
body fat negatively affects the child's health and development. It is alarming
to note that around 10 percentage of world's school aged children are carrying
unnecessary excess fat in their body. Due to the rising prevalence of childhood
obesity and its adverse health impact, it has been acknowledged as burning
health issue.
Health impact of childhood Obesity
Childhood Obesity is a potential dangerous seed which can
sprout into various ailments such as diabetes, Hypertension, sleep disorders,
liver disease, early puberty, skin infections, respiratory problems, etc… Over
weight children are more likely to grow up in to over weight adults. Obesity in
adolescence is an indicator of reduced health status in adulthood. Recent
studies have revealed that obese adolescent girl have higher risk of PCOD (poly
cystic ovary disease) and infertility in adulthood. More over obese children
suffer from social seclusion, discrimination, teasing, and resultant low self esteem,
poor performance and depression.
Thus obesity has a significant health consequence for the
child and adolescent group both in short term and adult life.
Causes
Obesogenic environment is the medical term which includes
mosaic of all causative factors of obesity.
·
The greatest risk factor is the obesity of both the
parents. Obese parents have 45% more chances of begetting obese offspring when
compared to non obese parents.
·
Psychological factors also play pivotal role in obesity
causation.
·
Easy availability and access to energy loaded food
coupled with reduced energy requirement in daily life.
·
Childhood obesity is nourished and celebrated by the fast
food industry which spends a lavish amount of $ 4.2 billion on advertisement
for luring young children.
·
Physical inactivity and engagement in immobile activities
such as watching television, computer and video games are the major culprits. Sedentary
habits cause the unused energy in the body to be converted into fat.
·
Genetic factors and endocrine factors are also
contributory.
Investigation
·
In case of moderate obesity and associated
physical signs the test for blood glucose, serum lipid, liver function test,
ultrasound of liver, thyroid function test can be done.
·
A fasting lipid profile should be considered in
obese children and adolescents especially in those with the family history of
cardio vascular risk.
·
A fasting insulin and glucose test should be
considered in obese children with the family history of type 2 diabetes.
Management
Obesity management is an essential
lifestyle modification. Since it has to be pursued for a lifetime, continuous
motivation and family involvement is inevitable. Before problem is addressed it
has to be ascertained whether the parent and the child unanimously agree that
there is a problem to be tackled. Realistic change cannot be expected without
consent and motivation in a family setting. As far as childhood obesity is
concern family factors, whether psychological, physiological or cultural are
relevant.
The domain of weight management is encompassed
by mainly 3 components
·
Change in attitude
·
Change in diet
·
Change in activity level
Attitude
·
A positive attitude is the first step towards
fighting obesity.
·
Parents should have a realistic body image of
their children. Blind comparisons are futile. For ex: it is normal to see the
child’s rib unless and until the child is weak and less active.
·
Avoid giving food as a reward to children. For
ex: Burger, pizza as gifts.
·
Food choices and selections must be taken up by
adult in the family.
·
Breast feeding helps to counter childhood
obesity.
Diet
·
Appropriate food and eating habits have a key
role.
·
Breakfast, lunch and dinner time should be fixed
as far as possible.
·
Munching snacks in between meals should be
strictly discouraged.
·
The time
duration between meals should be a minimum of 4 hours.
·
Avoid the dreadful combination of food and
television.
·
Avoid over feeding.
·
Use less processed and tinned food.
·
Substitute noodles, chips, chocolates, sweets,
soft drinks and bakery items with homemade snacks, salads, fruit juices
·
Bakery and commercially marketed food items
contain maida, transfats, artificial sweetners, colorings agents and
preservatives, all of which are least nutritious and hazardous to health.
·
Encourage eating legumes, fruits, vegetables and
cereals.
·
Contrary to the belief that planned diets are
bland and boring, obesity diet can be prepared in a very tasty and interesting
manner. Addition of ginger, garlic, onion can do the trick.
·
Drink water, fruit juices, butter milk, etc…
Water cannot be substituted by tea, coffee, etc…
Activity
·
Reduce sedentary habits such as long hours of television
and computer watching more than continues 4 hours.
·
Avoid day sleep after meal
·
Encourage physical activity such as brisk
walking.
·
Regular exercise for minimum 20 min session 3-4
times a week
·
Children and adolescent group should engage
regular physical exercise both at school and home. Clumsiness should be
identified and curbed by parents and teachers as early as possible.
Yoga
The age old tested methodology of
yoga is well suited for children. Yoga is a simple, economic, therapeutic
modality that is beneficial adjuvant in obesity management. It works on all
aspects (physical, mental, and emotional domains) of obesity. It makes the body
agile and slim. It helps to control the mind in combating food habits. Yoga is
safe and stable. Some of the asanas that can be done are mentioned below.
Childhood obesity is dangerous
immediate attention seeking health problem. It has to be identified estimated
and tackled carefully. Judicious combination of right food, optimum activity
and positive attitude are the powerful weapons in this battle for health and
happiness. Let us remember that growth of our children should be graceful, not
gluttonous.
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