Childhood Obesity | More than just diet
Courtney Carter
/ Categories: WELLNESS, 2024

Childhood Obesity | More than just diet

There’s a disease plaguing the youth of America, and it’s hiding in plain sight.

Childhood obesity affects 1 in every 5 U.S. children. Not simply the result of being lazy or poor choices, childhood obesity isn’t something children grow out of as an adult. Somewhere between 50-80% of children who have obesity are likely to become obese adults.

Beyond the social stigma that comes with being overweight in America, childhood obesity carries real physical and mental health risks. Obese children are at an increased risk of developing various health problems in adulthood, including heart disease, diabetes, and certain types of cancer. They’re also 32% more likely to have depression than children at a healthier weight, and at an increased risk for low self-esteem, eating disorders, and anxiety.

More than diet

While diet and lifestyle habits certainly play into risks at any age, there’s more to the disease.

Research has found that children with a family history of obesity are more likely to develop the condition. Some may even carry genes that make their bodies gain weight more easily than others.  

Genes can also lead to rare genetic conditions, such as Prader-Willi syndrome, that can cause severe childhood obesity. 

Other medical conditions, not always inherited, and even certain medications can increase a child's appetite and increase the risk for obesity.

A family approach to battling childhood obesity

While changing a child’s genetic makeup isn’t on the table (yet), there are things parents and caregivers can do to help reverse obesity in children and teens. The first step is being invested and involved.

Studies have found that family-based efforts involving the child and at least one family member can be especially effective at helping children and teens lose weight. These programs often include nutritional and physical activity education, parent skills training, counseling, goal-setting, and behavioral changes. By modeling health choices and behaviors, parents and caregivers create a supportive environment for lifestyle changes.

For example, family meals provide the perfect setting to discuss healthy eating choices and provide children with the opportunity to be involved in meal planning.

Regular group physical activities, such as walking the dog, riding bikes, spontaneous dance parties, and walking to school or stores instead of driving, are great ways to spend time together while boosting weight loss and improving cardiovascular health. Start slowly and steadily increasing activity time to at least 30 minutes a day.

 

 

Limit screen time to increase health

Studies have shown that the rate of obesity is 8.3 times greater for children who watch television for 5 hours a day versus children who watch television for 2 hours or less a day.

 

 

Children with obesity often face stigma, which can impact their emotional and social well-being. Stigmatization can lead to low self-esteem, depression, and avoidance of physical activities, which may worsen the condition. Be open and honest with your child about any lifestyle changes you introduce. Instead of focusing on their weight, discuss how the changes will lead to better health for the whole family.  

A focus on empathy can help parents support their children while helping them develop a positive self-image and lead healthier lives.

For help or guidance on getting ahead of childhood obesity, talk to your child’s doctor.  

 

Kristin Andrew, MSN, APRN, is a member of the care team at SVMC Obstetrics and Gynecology.  

 

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Introducing Dr. Amy Freeth

Amy E. Freeth, MD, resumed endocrinology services at SVMC in March 2020. The practice, known as SVMC Endocrinology, is a part of Southwestern Vermont Medical Center (SVMC) and Southwestern Vermont Health Care (SVHC). It replaces the Bennington Osteoporosis Center, where Dr. David Gorson had provided similar services to the community until his retirement in 2019.

How do you describe endocrinology to people who don’t know what it is? The endocrine system is made up of glands that make hormones. These hormones are chemical messengers that travel via the bloodstream to communicate with the cells and organs of the body. Hormones are important for growth, development, mood, metabolism, and reproduction. These glands include the pituitary, thyroid, parathyroid, pancreas, adrenal, testes, and ovaries.

Endocrinology is a practice of medicine that specializes in disorders of these systems. Disorders most commonly are related to underactive or overactive function of these glands and require replacement of the hormone or specific treatments such as medications, ablation, or surgery.

Since hormones function in feedback loops and are part of a larger complex functional system that exists in flow with the human body, replacement hormones or treatment of endocrine disorders can be challenging and involve changes to our lifestyles that support the optimal functioning of the body.

What diagnoses are most common among the patients you treat?  Pituitary tumors, hypothyroidism, hyperthyroidism, thyroid nodules, thyroid cancer, hyperparathyroidism, osteoporosis, diabetes, adrenal insufficiency, Cushing’s disease, primary hyperaldosteronism, pheochromocytoma, obesity, and polycystic ovarian syndrome.

What sorts of treatments do you offer? I offer comprehensive consultation and management of endocrine disorders. I also interpret testing and make treatment plans for endocrine disorders. I also provide interpretation of bone density reports and perform fine needle aspiration biopsies in collaboration with Radiology Associates of Bennington. Technology is increasingly becoming more important in the management of diabetes. Technology includes glucose meters, insulin pumps, and continuous glucose monitoring (sensors). I work with certified diabetes educators to create a team approach to diabetes management. As we develop this new department, we are looking for innovative ways to help people regain and optimize their health. I have training in nutrition counseling and health coaching to help people find their path to good health.

Why is it important for patients who need an endocrinologist see them regularly? Your endocrinologist is part of your health team and has experience and a deep understanding of what is happening within your body to help assess, guide, and co-manage your disorder. There is testing that may need to be done to make sure you are living with optimal hormonal balance. Allowing hormones to run too low or too high can have lasting adverse effects on the body leading to other disease or imbalances.

How do you help protect patients who need to come into the office from infections, like COVID-19? At this time, I am seeing patients via telemedicine and phone visits. This week we are starting to see a portion of our patients in the clinic. Patients can register on the phone and wait in their car until the room is ready. Patients will be screened for fever and should wear a mask. Staff will wear proper protective equipment and follow guidelines for handwashing and cleaning of the rooms.

Since many patients who will likely want to come to the endocrinology clinic will be members of high-risk populations (diabetes, hypertension, obesity, and the elderly), patients will have a choice of the type of visit they have.

Dr. Freeth sees patients 8 a.m. – 5 p.m. Tuesday - Thursday in Suite 307 of the Medical Office Building located at 140 Hospital Drive in Bennington. For an appointment, call 802-447-4555. The schedule will expand to additional days as needed.

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