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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The Latest Testing Information

The world of COVID-19 testing is very complex and changing rapidly. But gratefully, unlike early on in the pandemic, tests are available for everyone who wants one, whether they have symptoms or not. Below is a list of common questions, along with answers from SVMC’s Laboratory Services Director Karen Bond and SVMC’s Director of Perioperative Services Tanya Cowder, MSN, RN, CNOR.

What are the reasons someone may get tested for COVID-19, even if they don't have symptoms? People without symptoms of COVID-19 are being tested when they are admitted to SVMC, before being discharged to other facilities, before scheduled surgeries, or because they may have been exposed to the virus. Primary care providers are also able to order a test for those who need to return to work or school or to end quarantine or isolation. And anyone can be tested through the Vermont Department of Health's Pop-Up Clinics.

What types of tests are available for detecting active cases of COVID-19? SVMC offers Polymerase Chain Reaction (PCR) testing that is processed at both outside labs and our own lab, depending on how quickly results are needed. PCR, which was pioneered by American biochemist Kary Mullis in 1983, actually amplifies and detects the presence or absence of small gene sections. In this case, it determines whether or not COVID-19 is present.

The specimen is most often taken from deep in the nose-throat passageway (nasalpharyngeal). Patients experience eye watering and a burning sensation for 30 seconds or less. The test can also be taken from inside the nose (anterior nares), depending on the patient population. The most common type of test, like those administered both at SVMC’s drive-up testing station and at the Vermont Department of Health’s Pop-Up Clinics, is greater than 90% sensitive (meaning that the test picks up the virus, if it is present) and greater than 90% specific (meaning the test detects the COVID-19 virus, as opposed to other viruses).

How do I get my results and what should I do? Results are usually provided by a primary care provider within 48 hours. Your primary care provider will share specific directions regarding what you should do next. The Centers for Disease Control and Prevention is sharing this table, which provides a synopsis of tests, what results mean, and guidance for what to do. If the test is positive, the Vermont Department of Health may call before the primary care provider to initiate contact tracing.

Are all of the tests sufficiently available? Yes. Anyone with an order from their primary care provider can be tested at the drive-up testing site at SVMC. Anyone can be tested at the Vermont Department of Health's Pop-Up Clinics. Visit https://humanresources.vermont.gov/popups for times, dates, and locations. Tests for inpatients at the hospital are also in adequate supply.

Important Note: Remember test results offer a snap shot of the current active viral load. A negative test result doesn’t reveal whether you have been exposed in the past or predict whether you will be infected in the future. Whether or not the result is positive, we should all continue to wash our hands frequently, wear masks when in public and in proximity to those outside of our household, and stay 6 feet from others.

What about antibody tests? Antibody tests (serology) are also available. It does not tell you if you have active disease. Antibody tests check for antibodies that appear in the blood between about 1 – 3 weeks after symptom onset and may remain as long as a lifetime. Antibody tests may be positive while a person is infected. It is not yet known whether these antibodies protect against reinfection with the COVID-19 virus. For many other similar viruses, antibodies are protective for years or longer, but we do not yet have adequate data to know for COVID-19. Patients who would like the test would get a referral from their primary care provider and come to the SVMC Lab to have blood drawn. Results are delivered by the primary care provider.

Those who receive a positive antibody test or who have recovered from COVID-19 may qualify to donate plasma with the American Red Cross. The plasma, which includes antibodies, may help those fighting the disease. Learn more at https://www.redcrossblood.org/donate-blood/dlp/plasma-donations-from-recovered-covid-19-patients.html.

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