Childhood obesity
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:
Synonyms and keywords: Obesity in Kids, Obesity in Children, Childhood Obesity
Overview
Childhood obesity is a medical condition that affects children.Overweight and obesity are defined by the World Health Organization (WHO) as "abnormal or excessive fat accumulation that may impair health"[1] Childhood Obesity is a Body Mass Index (BMI) at or above the 95th percentile for children of the same gender and age.[2] Childhood and adolescent obesity is an epidemic in the United States.[3] About 13.7 million (18.5 %) of American children and adolescents are currently considered obese[4]
Historical Perspective
Classification
Pathophysiology
Causes
Childhood obesity maybe cause by poor eating habits, lack of physical activity, genetic causes, an underlying medical condition or medications.
Lifestyle and Dietary Intake
Children and adolescents are consuming low nutrient high-calorie foods and beverages at home, school and other places. They are consuming more fast food which is low in nutrients and high in calories, fat and sodium. CDC reports that children and adolescents in the U.S. consumed an average of 13.8% of their daily calories from fast food during 2015-2018. [5] In addition, they are consuming large amounts of sugar-sweetened beverages which has been directly associates with obesity in multiple reviews.[6] [7] Physical inactivity, excess use of screen time and inadequate sleep also contribute to the obesity epidemic.[8] [9]
Environmental Factors
Eating habits of the child are also affected by demographics, lunch policies at schools and work demands on parents.[10]
Psychological factors
These factors influence a child's eating habits and many children eat in response to stress and or negative emotions such as boredom, anger, sadness, anxiety or depression.
Hereditary
Often, a child whose parents are overweight or obese will also be overweight or obese. Although this is often caused by shared unhealthy eating habits in the household, it has been suggested that there may be a genetic (inherited) predisposition toward being obese, although this is as yet unproven and research is ongoing. Many children become slightly overweight because of their body's growth pattern (example: being taller than average at childhood). Some pediatricians may still classify this as childhood obesity.Template:Facts Recent studies have shown that while there is evidence of in vitro influences on food choice, perhaps the largest influence can occur during the toddler years.[11] Indeed, recent studies have shown that parents influence an estimated 72% of what and how much their children eat on a daily basis. [12]
Underlying Medical Causes of Obesity
Conditions such as hypothyroidism, Cushing's syndrome, depression and certain neurological problems can lead to obesity or a tendency to gain weight in a child. Also, drugs such as steroids and some antidepressants may lead to obesity or a tendency to gain weight in a child.
Complications
Without a change in diet or exercise patterns, childhood obesity can lead to medical conditions including Type 2 diabetes, high blood pressure, high cholesterol, heart disease, asthma, sleep apnea, fatty liver disease, gall stones, glucose intolerance, insulin resistance and other disorders.[13] [10] Studies have shown that obese children are more likely to grow up to be obese adults. [14] Obese children often suffer from teasing and bullying amongst their peers.[15] Some are even harassed or discriminated against by their own family. They may suffer from low self esteem, anxiety and depression.[16]
Differentiating Obesity from other Diseases
Epidemiology and Demographics
Age
Gender
Race
Risk Factors
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Criteria
History and Symptoms
Physical Examination
Laboratory Findings
Treatment
Medical therapy
Surgery
Prevention
See also
References
- ↑ https://www.who.int/westernpacific/health-topics/obesity
- ↑ https://www.cdc.gov/obesity/childhood/defining.html
- ↑ Sanyaolu A, Okorie C, Qi X, Locke J, Rehman S (2019). "Childhood and Adolescent Obesity in the United States: A Public Health Concern". Glob Pediatr Health. 6: 2333794X19891305. doi:10.1177/2333794X19891305. PMC 6887808 Check
|pmc=value (help). PMID 31832491. - ↑ https://www.cdc.gov/obesity/data/childhood.html#Prevalence
- ↑ https://www.cdc.gov/nchs/products/databriefs/db375.htm
- ↑ Keller A, Bucher Della Torre S (2015). "Sugar-Sweetened Beverages and Obesity among Children and Adolescents: A Review of Systematic Literature Reviews". Child Obes. 11 (4): 338–46. doi:10.1089/chi.2014.0117. PMC 4529053. PMID 26258560.
- ↑ Hu FB, Malik VS (2010). "Sugar-sweetened beverages and risk of obesity and type 2 diabetes: epidemiologic evidence". Physiol Behav. 100 (1): 47–54. doi:10.1016/j.physbeh.2010.01.036. PMC 2862460. PMID 20138901.
- ↑ Ren H, Zhou Z, Liu WK, Wang X, Yin Z (2017). "Excessive homework, inadequate sleep, physical inactivity and screen viewing time are major contributors to high paediatric obesity". Acta Paediatr. 106 (1): 120–127. doi:10.1111/apa.13640. PMC 6680318 Check
|pmc=value (help). PMID 27759894. - ↑ Morrissey B, Allender S, Strugnell C (2019). "Dietary and Activity Factors Influence Poor Sleep and the Sleep-Obesity Nexus among Children". Int J Environ Res Public Health. 16 (10). doi:10.3390/ijerph16101778. PMC 6571639 Check
|pmc=value (help). PMID 31137502. - ↑ 10.0 10.1 Sahoo K, Sahoo B, Choudhury AK, Sofi NY, Kumar R, Bhadoria AS (2015). "Childhood obesity: causes and consequences". J Family Med Prim Care. 4 (2): 187–92. doi:10.4103/2249-4863.154628. PMC 4408699. PMID 25949965.
- ↑ Mindless Eating: Why We Eat More Than We Think (2006), Brian Wansink New York: Bantam-Dell.
- ↑ "Nutritional Gatekeepers and the 72% Solution,” (2006) Journal of the American Dietetic Association, Brian Wansink 106:9 (September), 1324–1327.
- ↑ https://www.cdc.gov/obesity/childhood/causes.html
- ↑ https://www.cdc.gov/vitalsigns/childhoodobesity/index.html#:~:text=Children%20who%20are%20overweight%20or%20obese%20as%20preschoolers,and%20suffer%20lifelong%20physical%20and%20mental%20health%20problems.
- ↑ Kang NR, Kwack YS (2020). "An Update on Mental Health Problems and Cognitive Behavioral Therapy in Pediatric Obesity". Pediatr Gastroenterol Hepatol Nutr. 23 (1): 15–25. doi:10.5223/pghn.2020.23.1.15. PMC 6966224 Check
|pmc=value (help). PMID 31988872. - ↑ Di Cesare M, Sorić M, Bovet P, Miranda JJ, Bhutta Z, Stevens GA; et al. (2019). "The epidemiological burden of obesity in childhood: a worldwide epidemic requiring urgent action". BMC Med. 17 (1): 212. doi:10.1186/s12916-019-1449-8. PMC 6876113 Check
|pmc=value (help). PMID 31760948.
External links
- Common Sense Media Resources
- Commercial Alert's web page on childhood obesity
- Study of Breakfast Eating and Income Levels in Preschoolers
- Mindless eating Cornell University Food and Brand Lab [2]
- Mayo clinic article on preventing childhood obesity
- March, Peter. "Fattened statistics". Social Issues Research Center. Retrieved 2007-04-21.
- Summerfield, Liane M. "Childhood Obesity". Education Resources Information Center Clearinghouse on Teacher Education, Washington, DC. Retrieved 2007-08-04.