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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Home Office How To

Did you know that many sources of chronic pain start in a poorly arranged office? Carpal tunnel, pinched nerves, overuse injuries can often be traced to chairs being positioned improperly or important tools being positioned outside easy reach. While reaching or straining once or twice wouldn't hurt us at all, doing so repeatedly day after day can cause painful and lasting injuries.

As an occupational health physician at Southwestern Vermont Medical Center, one of my responsibilities is to help employees of SVMC and other companies who have workplace injuries and recommend the adjustments they should make.

During a spike in work-from-home arrangements, I have heard about friends’ and family members' work-from-home set-ups. Some are working from laptops on their couches. Others are set up at kitchen tables. We know that their cats walk across their keyboards and their kids interrupt. Especially since Governor Scott has just indicated that remote workers will likely be the last to return to the traditional workplace, it's time to get our home office arrangements figured out.

That's why I would like to share the important details you need to arrange a healthful workspace and encourage all to invest the time (and sometimes a little bit of money) needed to implement them. Learning these points is key to avoiding injuries, as continued work-from-home policies, where feasible, will help maintain appropriate distancing needed to decrease the spread of COVID-19.

An adjustable chair is the first and most important component of an office set-up. Office chairs include crucial lumbar support and encourage good posture. When your forearms are resting on your desk or table, adjust the chair height up or down until your arms form a right angle. This is an important step in avoiding wrist pain and carpal tunnel, two of the most common office injuries. If, when your arms are in the correct position, your feet are not touching the floor, employ a footstool.

Position your monitor an arm’s length away. (If you can't see the screen from this distance, better go get an eye exam!) And raise the screen so that the top of the screen is eye level. This, too, will encourage good posture.

If you use two monitors, positioning them properly depends on how you use them. If you use them equally, the dividing line between them should be right in front of you. If you use one primarily and the other secondarily, position the more dominant screen directly in front of you. If you use a laptop, consider investing in a riser and an additional keyboard needed to raise the screen to eye level.

Put all of your other tools, including your mouse and phone, within easy reach. If you use the phone a lot, consider investing in a headset.

The only other recommendation I make is to stretch every 15 – 20 minutes. A list of helpful office-oriented stretches is available here. And every hour, be sure to get up and take a short walk or standing stretch.

If you follow these recommendations at home, you will be much more comfortable and are likely to be more productive, too, all while maintaining the social distance we need to keep COVID-19 infections low throughout this next phase of the pandemic. Most importantly, you will save yourself the pain and discomfort of office injury no matter where you're working.

Mark Zimpfer, MD, is a physician at Southwestern Vermont Medical Center's Occupational Health practice. 

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