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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COVID and Kids

When I first heard the news about COVID-19, I was relieved as both a parent and pediatrician that it seemed unlikely to seriously affect children. However, more recently in both the literature and amongst colleagues, I began hearing about an uncommon but serious inflammatory disorder affecting some children with COVID-19. The American Academy of Pediatrics and the Centers for Disease Control are calling this “Multi-System Inflammatory Syndrome in Children” or MIS-C.

My goal in writing today is to dispel myths about this new manifestation of the illness, provide helpful steps families can take to protect their kids from COVID-19, and assure that medical providers are aware of this new subset of COVID-19 and taking appropriate steps to keep your children safe.

Symptoms of MIS-C include inflammation in the skin and eyes, irritability and sluggishness, along with fever, rash, swollen lymph nodes, and abdominal pain. The symptoms are similar to a rare childhood illness called Kawasaki disease, which causes inflammation of the blood vessels and primarily affects children under 5 years of age.

There is very little known about MIS-C due to the small number of cases around the country. However, the medical community is monitoring this new syndrome very closely to learn all they can about it. I would like to emphasize that this condition is very rare and occurs a few weeks after a child has already recovered from COVID-19 infection.

As we have throughout the pandemic, pediatricians are urging families to take precautions to prevent their exposure to COVID-19. This includes reducing close contact with others by staying home as much as possible and avoiding congregating in groups. Anyone over the age of two should wear a mask when outside of the home.

Wash your hands and your child’s with soap and water for at least 20 seconds and sanitize frequently touched surfaces at least twice per day. Avoid touching your face and teach children to cough and sneeze into a tissue or their elbow. Aim to wash and dry plush toys about once a week.

There are special precautions to take if someone in your household is ill. See https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/care-for-someone.html for details.

The American Academy of Pediatrics recommends creating a healthy routine for your children that includes balanced meals, learning at home, exercise, social connection (Facetime, videochat, and in person with household), and adequate rest. This will help your children remain both physically and mentally healthy during this stressful time. Continue to reassure your children that the medical community is working hard to keep them safe during this time. Be sure to monitor their media consumption, watch for signs of anxiety, and be a good role model in regards to COVID-19 safety measures.

Call your pediatrician if you have any concerns about your children’s health, including symptoms of COVID-19 or MIS-C listed above. There are still important reasons to bring your child physically into the office such as immunizations, developmental checks, and growth monitoring. We would like to reassure you that we are taking proper steps to allow your children to safely receive care at our offices.

More detailed information about keeping your child healthy is available at https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/children.html. For information about obtaining healthy food or other basic needs for your family, dial 2-1-1.

Dr. Meghan Gunn is the medical director of SVMC Pediatrics.

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