In this issue, I am going to focus more on some of the consequences of obesity, especially as it relates to children. Although this is focusing on children, think of how it relates to you. Also, if you have kids, what are you teaching your kids about health?
This growing problem is getting so prevalent; there are even articles which refer to the "obesogenic" environment of schools. What they are saying is that society has come to accept "fatness" in its populace and even in the kids. So much so in fact, that they have stopped building gymnasiums in some schools. Add to this the horrendous quality of some cafeteria foods and/or the vending machines dispensing nothing of quality.
There are movements abreast around the world that are aiming to rid the schools of the pestilence of junk food dispensing machines. Hooray for that! I recently read in the Ecologist that some people are waging a war against a major soft drink company with their own form of embargo. This company is not the only company that should be having an economic war waged against it. In general, we need to move away from the highly processed foods and move towards whole food consumption.
As has been mentioned in earlier articles, obesity contributes to a variety of conditions such as heart problems, high blood pressure, stroke, diabetes, and more. One of these problems, high blood pressure (HBP), is now becoming a growing problem in children. HBP has also been associated with an increased risk of dementia. Studies have demonstrated that a diet rich in fruits and vegetables as well as possibly dairy may be able to help with childhood HBP levels.
Overweight among young people has increased dramatically. Between 1980 and 1994, children and adolescents considered to be overweight increased by 100% in the United States. About 15% of 6 - 19 -year-olds are currently overweight and there are even greater rates of overweight among minorities or those who are economically disadvantaged. Overweight youth are more likely to be overweight as adults, and are more likely to have medical risks associated with cardiovascular disease than other children and adolescents.
Consequences of Overweight in Children and Adolescents
Health consequences related to overweight can begin in childhood or adolescence; overweight children and adolescents are at increased risk for various chronic diseases in later life.
The psychosocial consequences of overweight are also significant. This problem has been linked to social discrimination, a negative self-image in adolescence that often persists into adulthood, parental neglect, and behavioral and learning problems.
Common Medical Consequences of Overweight
? Hyperlipidemia: A group of disorders characterized by increased bad fats and decreased good fats in the blood.
? Glucose intolerance: A precursor of diabetes.
? Hepatic steatosis: The fatty degeneration of the liver. High concentrations of liver enzymes are associated with this and have been found in overweight youths. Weight reduction will help to normalize hepatic enzymes. Hyperinsulinemia also may play a role in hepatic steatosis.
? Cholelithiasis: The presence of stones in the gallbladder.
? Early maturation: Characterized by adolescents with a skeletal age more than 3 months in advance of chronological age, and is associated with increased fatness in adulthood
Less Common Medical Consequences of Overweight in Children
? Hypertension: Persistently elevated blood pressure occurs with low frequency in children. However, elevated blood pressure occurs approximately 9 times more frequently among children who are overweight compared to other children.
Acute Complications of Overweight
Acute complications of overweight are those that require immediate medical attention. Patients should be referred to a center that specializes in pediatric overweight where possible.
? Sleep apnea is the cessation of breathing lasting at least 10 seconds during sleep, characterized by loud snoring and labored breathing.
? Pseudotumor cerebri is characterized by increased pressure in the skull that causes headaches. It is a rare disorder.
? Obesity hypoventilation syndrome, also known as Pickwickian syndrome, may be a cause of sleep apnea, but this relationship remains unclear. Aggressive therapy is warranted for children with obesity hypoventilation syndrome.
? A variety of orthopaedic complications affecting the feet, legs, and hips can occur.
Management of Overweight in Children and Adolescents
Strategies used in a management plan for overweight are based on information obtained from the assessment. Weight loss is recommended only if complications such as hyperlipidemia or hypertension are identified or for children 7 years or older with a BMI-for-age at or above the 95th percentile. Otherwise, weight maintenance is recommended.
Individualized recommendations.
Each family has its own set of supports and stresses. Because success with weight management can be difficult to achieve, recommendations for change must consider the family's readiness for change, family support, financial concerns, and neighborhood characteristics (including access to play areas and grocery stores). Unless the situation is understood fully, recommendations for change may not be targeted appropriately.
Treatment should begin early, involve the family, and institute permanent changes in a stepwise manner. Parenting skills are the foundation for successful intervention, which includes a gradual targeted increase in physical activity and targeted reductions in high-fat and high-calorie foods.
So in the end, we need to focus not only on ourselves but the environments that are promoting this epidemic. As a colleague mentioned to me, to truly heal, the whole community must be involved. If we all sit back and wait for someone else to do something, nothing will ever be done.
Yours in Health,
Dr. Marshal Montgomery @ http://www.HealthyUnderstanding.com
References 1. The Bad News About Prevalence, the Good News About Treatments -- But Pay Attention to the Details, Linda Brookes, MSc ,Medscape Cardiology. 2005; 9 (1): ?2005 Medscape. 2. Overweight Children and Adolescents: Recommendations for Screening, Assessment and Management, Authors: Barbara Polhamus, PhD, MPH, RD; Diane Thompson, MPH, RD; Sandra L. Benton-Davis, BS; Christopher M. Reinold, MPH, RD, LD; Comm. Laurence M. Grummer-Strawn, PhD; William Dietz, MD, PhD 3. Prevention of Overweight and Obesity: Focus on Children and Adolescents, Patricia Markham Risica, DrPH, RD 4. Obesity, Jonathan Q. Purnell, M.D. 5.American College of Physicians Issues Guidelines for Obesity Management CME News Author: Laurie Barclay, MD CME Author: Charles Vega, MD, FAAFP All were sourced from medscape.com
Disclaimer: As always, check with your health care provider to see if this information applies to you. Due diligence is your responsibility. This information is meant to supplement your knowledge, not to replace your own decision making process or take the place of your health care provider.
This is a commercial newsletter provided free by HealthyUnderstanding.com. For weight loss and other health care products go to http://www.road2health.net. For a quick BMI calculation go to http://www.road2health.net.
This newsletter may be distributed in its entirety without alteration. If you wish to use it in your publication, a copy of your publication would be appreciated. Please send it to DrM@healthyunderstanding.com
Dr. M. Montgomery is the creator of http://www.road2health.net and is a practicing Chiropractor in Saskatoon, Saskatchewan - 371 Kenderdine Rd, Saskatoon, SK, S7N 3S5.
tidy up service Glenview ..How many of your New Year's resolution start out with... Read More
Do you know that while you work out the muscles... Read More
These treadmill weight loss tips are a great way to... Read More
Any true body transformation starts with self?discovery. It is an... Read More
An Interview with Success Story, Caitlin JohnsonIf you don't know... Read More
Learning the jargon is part of the weight loss journey.... Read More
1. CUT THE SIMPLE CARBS.It's unfortunate that the majority of... Read More
Did you know that how and when you eat is... Read More
Cut the Calories, Bring Out the BikiniSummer's almost here and... Read More
There are those that walk amongst us who have followed... Read More
Would you run out of fingers, and maybe even toes,... Read More
After the post-Halloween sugar surge, everyone coaches you to get... Read More
Success stories on the gastric bypass are everywhere, but how... Read More
I do not smoke, never have, and admit to being... Read More
The overweight and obesity epidemic is a worldwide problem. There... Read More
Everyone from politicians to parents is talking about fighting the... Read More
Do you know someone that is obsessed with the scale?... Read More
In a global television commercial just launched (10 June 2005),... Read More
As our country gains weight at an alarming rate, we... Read More
Now I know you're always asking yourself questions.You know the... Read More
In the last 12 months or so, low carbohydrate diets... Read More
I'm sure you have heard it before, but one of... Read More
ObesityToday, 64.5 percent of adult Americans (about 127 million) are... Read More
Have you seen the ditty below that's roaming the Internet... Read More
What is ephedra? Ephedra, which is also known as Ma... Read More
full-service cleaning Mundelein ..The importance of drinking water is mentioned in almost every... Read More
Choosing the right diet type is the most important decision... Read More
Food manufacturers can easily manipulate a whole population by the... Read More
It can happen with one bite. The moment those refined... Read More
"Polyols" or sugar alcohols are a number of different carbohydrates... Read More
Have you ever wondered where destiny would lead you? Have... Read More
Teenagers with body mass indices between 25 and 30 require... Read More
Did you know that being successful with losing weight starts... Read More
How much will power does it take in order to... Read More
To say that Americans are obsessed with dieting is an... Read More
There is never any absolute certainty about what the nutritional... Read More
We all have an image of "fit" - lean, even... Read More
I did it without starving myself or taking pills. How... Read More
Do you remember nodding your head with understanding during your... Read More
At the beginning of December, WeightWatchers.com announced the release of... Read More
Getting to the ROOT of the matter: If the plants... Read More
This is a continuation of the article entitled, "Making Diets... Read More
The South Beach Diet was not created by your typical... Read More
With the number of people suffering from obesity rising so... Read More
This is a very important topic that needs to be... Read More
I am Greg Ryan, a high profile fitness expert with... Read More
For the past several years one subject has been coming... Read More
I clearly remember how much I loathed having my picture... Read More
Do you want to lose weight fast? While there is... Read More
Which diet is the best? ALL of them and NONE... Read More
Weight Loss |