The Concerns of Obesity in Children and Young People

Topics: Obesity, Body mass index, Nutrition Pages: 14 (6554 words) Published: March 11, 2009
The Concerns of Obesity in Children and Young People

Introduction
Fat adults are fat because they eat too much fatty food and do not get enough exercise. Fat children are healthy and cute. Fat teenagers are not. Fat people are funny. Fat people can lose weight if they really wanted to. These are just a few common perceptions the public have of people who are over their ideal body weight. What most people do not know is that being overweight or obese carry with it a myriad of health risks, economic burden, social problems and psychological stress. In simplistic terms, obesity occurs when the body takes in more energy than it expends, and this propensity for storing excess energy (fat) is attributed to several factors interacting in complex ways. The common idea is that it is caused by the intake of excessive amounts or high-fat, high-energy foods and beverages, whether processed or not. Others perceive that being fat means prosperous (hence high socio-economic status). Some believe there is a definite genetic link for obesity, and perhaps hereditary factors may influence the susceptibility of the child for unhealthy eating behaviour as well as, to lesser extent affect how the body absorbs and processes energy. (Dehghan et al 2005) However, the condition is much more complicated, and the solution is not as simple as dieting or exercise. The need for research into this condition is spurred by the morbidities associated with obesity. Obesity poses significant costs in health and healthcare as high BMI increases the risk of some cancers, NIDDM, heart disease and hyperlipidaemia. In terms of financial costs, many developed countries disburse as much as 7% of their total healthcare expenditures for treatment of obesity, translating to US$99 billion in 1995 for the US, for example. Aside from these direct costs, the cost for loss in wages, premature pensions as well as intangible costs such as reduced sense of well-being and health makes prevention a much more viable alternative to treatment. (Macdiarmid 2002) Of particular concern is the alarming increase in the prevalence of obesity in children. Early onset type 2 diabetes was unheard off three decades ago, but currently 50% of Type 2 diabetes diagnoses are for children. In the period prior to development of diabetes, many severely obese children exhibited glucose intolerance and insulin resistance. (Ebbeling et al 2002) A survey of 79 countries indicate that approximately 22 million children under five years old are obese, and in some developed countries the prevalence of overweight children between the age of 5 and 14 are between 10% to 40% more than in the previous two decades. In the US, particularly, the increase of American children considered overweight in the past 30 years is 17%. (Macdiarmid 2002) These children will most likely remain obese or overweight up to adulthood and depending on the age of onset, will be in need of serious medical intervention by the time they reach middle age. This paper will focus on the global prevalence, causes and management of childhood obesity in an attempt to provide an overview of what is today considered a “global epidemic.” It will then be argued that based on existing research, the key to the effective management of childhood obesity is through prevention, making use of strategies that aim to effect lifestyle change for the gradual and sustainable loss of weight that will eventually approximate the ideal weight and body fat distribution of the child or adolescent. The paper will also briefly discuss the negative attitudes and biases of the general public, medical and health practitioners and children against overweight people. The mechanisms of obesity-associated morbidities

The focus on childhood obesity is predicated by the increased risk of disease in adulthood. Daniels (2006) contends that such risks are not limited to health problems in later life but have...

References: Anderson, P. M. & Butcher, K.F. 2005. Reading, writing, and raisinets: are school finances contributing to children’s obesity? Working Paper 11177 (Cambridge, Mass.: National Bureau of Economic Research).
Anderson, P. M., Butcher, K.F. & Levine, P.B. 2003. Maternal employment and overweight children. Journal of Health Economics. 22,477–504.
Anderson, P.M. & Butcher, K.F. (2006). Childhood obesity: trends and potential causes [online]. The Future Of Children. 16,1,19-45. Available from: http://www.futureofchildren.org/usr_doc/02_obesity_anderson-butcher.pdf
Anesbury, T
Arenz, S. 2004. Breast-feeding and childhood obesity—a systematic review. International Journal of Obesity. 28,1247–1256.
Bandini, L.G. 2000. Comparison of high-calorie, low-nutrient-dense food consumption among obese and non-obese adolescents. Obesity Research. 7,438–43.
Batch, J.A. & Baur, L.A. (2005) Management and prevention of obesity and its complications in children and adolescents [online]. MJA 182,3,130-135. Available from: http://www.mja.com.au/public/issues/182_03_070205/bat10421_fm.html
Berkey, C.S
Brownell, K. & Puhl, R. (2003) Stigma and discrimination in weight management and obesity [online]. The Permanente Journal. 7,3,21-23. Available from http://xnet.kp.org/permanentejournal/sum03/stigma.pdf
Caprio, S
Carlsson, U. (2006). Regulation, awareness, empowerment: young people and harmful media content in the digital age [online]. UNESCO. Available from: http://unesdoc.unesco.org/images/0014/001469/146955E.pdf
Centers for Disease Control and Prevention
Childhood obesity [online]. (2005) U.S. Department of Health & Human Services. Available from: http://aspe.hhs.gov/health/reports/child_obesity/
Christakis, N.A
Cole, T.J., Bellizzi M.C., Flegal, K.M., & Dietz, W.H. 2000. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 320,1240-1243.
Crandall, C. S. 1994. Prejudice against fat people: ideology and self-interest. Journal of Personality and Social Psychology. 66,882–894.
Cutler, D. M., Glaeser, E.L. & Shapiro, J.M. 2003. Why have Americans become more obese? Journal of Economic Perspectives 17,93–118.
Daniels, S.R. (2006) The consequences of childhood overweight and obesity [online]. The Future of Children,16,1. Available from: http://www.futureofchildren.org/usr_doc/03_5562_daniels.pdf
Dehghan, M., Akhtar-Danesh, N
Ebbeling, C.B., Pawlak, D.B. & Ludwig, D.S. (2002). Childhood obesity: public-health crisis, common sense cure [online]. The Lancet. 360,473-482. Available from: http://www.commercialalert.org/childhoodobesity.pdf
Gidding, S.S
Hoppe, R.& Ogden, J. 1997. Practice nurses’ beliefs about obesity and weight related interventions in primary care. Int J Obes Relat Metab Disord. 21,2,141–146.
Ludvigsen, A. & Sharma, N. (2004) Burger boy and sporty girl: children and young people’s attitudes towards food in school [online]. Barnardos. Available from: http://www.barnardos.org.uk/burger_boy_report_1.pdf
Macdiarmid, J
Maffeis, C., et al. 2006. Prevalence of overweight and obesity in 2- to 6-year-old Italian children. Obesity. 14,765–769.
Parker, L. (2005) Obesity, food insecurity and the federal child nutrition programs: understanding the linkages [online]. Food Research and Action Center. Available from: http://www.frac.org/pdf/obesity05_paper.pdf
Philipson, T.J
Popkin, B.M., Richards, M.K. & Montiero, C.A. 1996. Stunting is associated with overweight in children of four nations that are undergoing the nutrition transition. Journal of Nutrition.126,3006-3016.
Preventing childhood obesity [online]. (2005) British Medical Association. Available from: http://www.bma.org.uk/ap.nsf/AttachmentsByTitle/PDFchildhoodobesity/$FILE/PreventingObesityfinal.pdf
Reilly, J.J
Roberts, A.D. et al. (2007) Eating well for looked after children and young people [online]. The Caroline Walker Trust. Available from: http://www.cwt.org.uk/pdfs/EatingWellChildren2001.pdf
Sallis, J
Sharma, A., Sharma, K. & Mathur, K.P. (2006). Growth pattern and prevalence of obesity in affluent schoolchildren of Delhi [online]. Nutrition Foundation of India. Available from: http://www.aseanfood.info/Articles/11020366.pdf
Speiser, P.W
Steinberger, J. & Daniels, S.R. (2003). Obesity, insulin resistance, diabetes, and cardiovascular risk in children [online]. Circulation. 107,1448-1453. Available from http://circ.ahajournals.org/cgi/reprint/107/10/1448
Story, M., Kaphingst, K.M
Stunkard, A., Foch, T., & Hrubec, Z. 1986. A twin study of human obesity. JAMA. 256,51-54.
The role of media in childhood obesity [online]. 2004. Kaiser Family Foundation. Available from: http://www.kff.org/entmedia/upload/The-Role-Of-Media-in-Childhood-Obesity.pdf
Wang, G
Wang, Y. & Wang, J.Q. (2000) Standard definition of child overweight and obesity worldwide [online]. BMJ,321,1158. Available from: http://www.pubmedcentral.nih.gov/picrender.fcgi?artid=1118919&blobtype=pdf
Weschler, H
Whitaker, R.C. & Orzol, S.M. 2006. Obesity among US urban preschool children relationships to race, ethnicity, and socioeconomic status. Arch Pediatr Adolesc Med. 160, 578-584.
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