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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Six Questions with the Medical Director of SVMC Orthopedics

Dr. Michaela Schneiderbauer, medical director of orthopedics and orthopedic surgeon, answers six questions about getting orthopedic care right now.

1. What types of patients are you able to treat right now?

We are happy to see patients with all sorts of conditions returning to the practice for care. Patients have heard that the Governor has lifted restrictions for elective procedures, and they are ready to investigate their options for joint pain relief. Plus, the weather is getting nice again, so people are active outside. We've seen an increase in injuries related to outdoor activity, too.


2. Are you seeing patients remotely via telemedicine?

Yes. We offer telemedicine, and we use it a lot. Of course, there are limitations for those that need an X-ray or a physical exam. But telemedicine is a great option for initial visits when we need to collect patients' health history and for follow-ups.


3. How has care in the office changed over the past several months?

Patients will notice that we have gone beyond all of the Centers for Disease Control and Vermont Department of Health recommendations for office visits. All of our staff are wearing masks and shields or goggles, and patients are expected to wear a cloth face covering when they come in. In addition, we are making efforts to limit the number of people in our waiting rooms and office at any one time. For example, part of the check-in process now happens on the phone, instead of in person.


4. How is preparing for a surgery and recovering from a surgery different since COVID-19 became a concern?

Like for office visits, our pre-surgery processes have all been ramped up well beyond the state and national recommendations designed to decrease risk of contracting COVID-19. A few days before the surgery, we test patients for COVID-19 and ask them to self-quarantine until their procedure. The patient arrives to the hospital in their own cloth face covering. Visitors are limited. After the procedure, we provide patients with an app that allows them to note their temperature and any type of respiratory symptoms for a few weeks. If any of the information falls outside the norm, a nurse gives the patient a call. These are all examples of ways we are going beyond our very high infection-prevention standards to ensure safety for patients, their families, and our staff.


5. What would you like to share with people who postponed a joint replacement or other orthopedic care because of COVID-19?

Here in Vermont cases of COVID-19 cases have been relatively low. The Governor has given his approval by lifting restrictions for elective procedures, even those requiring an overnight hospital stay. SVMC started with an exceptionally low rate of hospital-acquired infections and added many extra precautions on top of that. We have the attitude that it is definitely safe to resume care both surgeries and other types of orthopedic care.


6. What are the greatest risks and rewards related to having orthopedic care now?

From our position as one of the safest hospitals in one of the safest states, the risks of contracting COVID-19 and other illnesses during a procedure or other care are very low. Many patients know this. They are coming in for their procedures and joint replacements. Many of them will recover and be active again in time to really enjoy this summer. That’s our goal: to help every patient resolve their orthopedic issues so that they can get back to doing the things they love.

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