Doctor insights on:
Obesity In Adults In Children
Lifestyle changes: Are essential. Eat healthfully ; be physically active. Aim for 7.5 to 8 hrs sleep / night. Hydrate w at least 64 oz of water / day. Calories burned must > calories consumed. Do both cardio ; weight training. You can mix ; match different kinds of physical exercise. This site helps determine calories burned for > 100 activities: http://www. Prohealth. Com/weightloss/tools/exercise/calculator1_2.Cfm. ...Read more
In many ways: Children have the capacity to develop more fat cells until late childhood. After that, fat cells can get larger. So, an obese child will struggle more with weight loss as an adult than an adult who was a thin child. Additionally, the extra weight is particularly hard on the developing weight bearing joints, heart, lungs and self esteem. In my opinion, not addressing child obesity is abusive. ...Read more
Do obese children have advanced bone ages, which lead to lower adult heights? If so, can that be corrected with weight loss?
Yes/maybe: Particularly in girls, obesity can advance bone age because of increases in adrenal androgens and increased aromatization of androgens to Estrogens through increased fatty tissue. That said, earlier puberty often ensues which further advances bone age and can limit final height potential. Losing weight may help to slow things down, at least not to further accelerate the maturation process. ...Read more
Obesity avoidance: Sedentary lifestyle (not enough exercise), excessive portion size and high sugar/carbohydrate/fat/processed food diets are the most prevalent culprits in childhood obesity. All family members should be engaged in healthy lifestyles to prevent obesity in both short and long term. ...Read more
Exercises: Yes, but you don't need to focus on any specific exercise. Just get them to be active, play a sport, ride a bike, etc. The other huge component is nutrition. You need to minimize the amount of sugar, carbs, fat, that they eat. Cut out the candy, soda, ice cream, fruit punch, fast food, etc. Keep this stuff out of the house, and it will make everyone healthy. ...Read more
Healthy foods/ exerc: Children need to eat healthy diets and avoid many of the high calorie/ high fat foods that are marketed to them. Avoiding greasy, fatty, fast foods is sooo important. Limiting high calorie beverages such as soda and excessive fruit juice is essential. Baking or grilling versus frying is recommended. Healthy snack choices should be presented instead of chips and candy. Of course-exercise-stay activ. ...Read more
Yes: Many childrens hospital's have programs to assist obese children. Here in philadelphia, many of the health insurance programs offer assistance and information on childhood obesity programs that are covered by your particular insurance. Try your insurance plan first! Seek out nutritionists who are familiar with childhood obesity. Check your local children's hospital for prog. If there is one nearby. ...Read more
Diabetes etc: An obese child can develop insulin resistance and become diabetic at an early age. Obese children are also at increased risk for fatty livers- especially if they are insulin resistant. They also might get sleep apnea with daytime fatigue and hip and joint problems from the excess weight. High blood pressure is also a problem to be concerned about ...Read more
2 things: Nutrition and exercise together are the way to preventing obesity in children (and adults). Kids should eat fresh, healthy, non-processed foods most of the time. Kids also must be active (really active, not just walking) for an hour a day. They need to drink water and avoid all sweet liquids (juice, pop, gatorade, chocolate milk, etc.). ...Read more
Education.: We have to target the young, I feel. Teach young kids the value of proper nutrition and regular exercise. Limit time with video games, computers and texting. At home, emphasize healthy food choices at the family table where everyone eats together. Desserts are special, not daily. Teach the kids, and their parents and grandparents will follow. ...Read more
Hard to say: That is a question for law makers. As a physician i'd argue yes but many other people would disagree with me. There is no science as to right or wrong here, just a lot of opinion (and everyone is entitled to their own opinion). ...Read more
A Lot: Estimated, currently, 30-35% are obese or in the high risk category. ...Read more
Motivate them: Its very hard to change someone's behaviour unless they want to. However I think having a positive influence, showing them how healthy food can be yummy, exercise can be fun or just moving around can be may motivate them to make a change. Also emphasizing their improved quality of life. Berating someone or negative talk most likely will not lead to any real change. They have heard it before. ...Read more
Diet & exercise: Unless there is an underlying medical condition, of which there are several, that can cause obesity, diet and exercise are the way all obesity is treated. In some cases, anti-obesity surgery is being used. However, before this, the child should be evaluated to make sure he/she doesn't have any medical condition causing obesity, starting with his pediatrician, and involving specialists if needed. ...Read more
Many.: Their parents are heavier than for children one generation earlier. Eating habits in families of obese children are bad. The cathode ray tube, or led of computers and games burn no calories. It also displaces play time that previous generations have had. Less calories spent; more bad food= obesity. ...Read more
Wrap around services: These are our babies. They deserve all the love and attention. And the best food and play. Less tv. More play. More community. Limit sugary food and cook together. ...Read more
As per the CDC: Body mass index (bmi), expressed as weight in kilograms divided by height in meters squared (kg/m2), is commonly used to classify obesity among adults, and is also recommended for children. Bmi-for-age-growth charts for the United States are used to plot percentile. Children with bmi values at or above the 95th percentile are considered obese by this definition. Talk to your pediatrician for more. ...Read more
When an obese child loses weight, why does she is prone to gain weight in the future compared to an obese adult who lose weight?
Obese people....: ....Whether adults or children, have a higher tendency to gain weight than someone who has never been obese. A child who has lost weight is not more prone to becoming obese than an adult who has lost weight. It's the other way around. Metabolism slows with age, so weight gain tends to be greater in adults. ...Read more
3 out of 4: Abdominal obesity, elevated blood sugar, high triglycerides or low HDL (good) cholesterol, elevated blood pressure. 3 out of 4 of these criteria are required to make a diagnosis of metabolic syndrome in kids. Metabolic syndrome is also considered a risk for developing cardiovascular disease and diabetes in kids. ...Read more
Can be many: There are not only physical effects, but also emotional effects on children with obesity. Some of the long-term health complications include diabetes, high cholesterol, sleep problems, and high blood pressure. In some cases asthma may be worsened by obesity. The emotional effects of childhood obesity should not be overlooked. These concerns include depression, bullying and poor self image. ...Read more
Calories & Exercise: Most children have one or more issues- 1) too much junk food (high sugar, high fat foods), 2) too much food (eating more than they need), and 3) not exercising enough. The best approach is to work on all of them to encourage them to have more healthy choices. Making small steps and continuing to adjust will help them learn new habits. ...Read more
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