These misconceptions about obesity in children and adolescents

 Nov 22, 2023

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The overweight rate and obesity rate of children and adolescents aged 6-17 are 11.1% and 7.9%, respectively
Many parents feel that their children work hard at school and want to take advantage of the holiday to make up for their children. In addition, due to irregular rest during the holiday, the children's weight unconsciously increases rapidly. The "Report on the Nutrition and Chronic Disease Status of Chinese Residents (2020)" shows that the situation of overweight and obesity among Chinese residents is severe, with overweight and obesity rates of 11.1% and 7.9% for children and adolescents aged 6 to 17, respectively; The overweight and obesity rates of children under 6 years old are 6.8% and 3.6%, respectively.
Hospitals in multiple regions offer summer weight loss camps for children and adolescents
In response to the increasing number of children who are overweight, multiple hospitals across the country have opened summer camps for children and adolescents to reduce weight during the summer vacation. It is understood that before entering the camp, children need to complete multiple tests including bone age, electrocardiogram, B-ultrasound, body composition, and so on. The daily diet situation should also be recorded in advance to watch the reporter's visit.
The city of Changsha, Hunan, is 11 years old, standing at 1.49 meters tall and weighing 69.7 kilograms.
Cheng Cheng Mother Cai Xiaoling: Worried, especially worried, because the child is in the stage of development, afraid that their nutrition may not keep up. Therefore, every meal will pay attention to protein intake, try to increase his dietary fiber, increase exercise, and try to make him eat less rice and noodles that are prone to weight gain.
At the Children's Hospital of Shangrao Maternal and Child Health Hospital in Jiangxi Province, Ms. Yang, a citizen, is taking her child Xiaohang for an obesity check-up. More than a year ago, Xiaohang was 5 years old, only 1 meter tall, but weighing 30 kilograms.
After more than a year of treatment by doctors, while Xiaohang's weight was under control, his physical condition gradually improved.
Xiaohang's mother Yang Ying: After more than a year of treatment, we brought our child to the hospital for further consultation. The doctor said that they are doing well now, their immune system has improved, and their weight is the same as that of their peers. They are now very healthy in all aspects.
Childhood obesity is divided into simple obesity and pathological obesity
Being too fat can bring a series of health problems to children. From a clinical perspective, childhood obesity is mainly divided into two types, with 95% being simple obesity, which is caused by excessive diet and exercise, while about 5% are pathological obesity.
Yan Jie, Director of Clinical Nutrition Department, Beijing Children's Hospital, National Children's Medical Center: About 5% of them are pathological, and obesity is a disease. For example, some of our obesity related syndromes, such as Little Fat Pratt&Whitney Syndrome, and some are caused by drugs, such as long-term oral administration of hormones, which are all pathological obesity.
Children suffering from hypertension, fatty liver disease, etc. are all caused by obesity
What harm does obesity bring to children's bodies? Let's listen to the doctor's introduction again.
Yan Jie, director of the clinical nutrition department of Beijing Children's Hospital of the National Children's Medical Center: Many of our parents do not think that our children will get diabetes, which is possible. In addition, hypertension is very common, and there is fatty liver. Parents also think that how our children can get fatty liver is an adult's disease! The transaminase has increased, fatty hepatitis has occurred, and there is also an increase in uric acid. In the future, it will also be a gout population. In addition, there are also children's joints due to their heavy load, joint deformities, flat feet, and other problems.
Cai Zili, Deputy Chief Physician of the Children's Health Management Center of Hunan Children's Hospital: Obesity in children also poses a great threat, as it can affect their development. Our children are still in a developmental stage, and you, like girls and boys, can affect the early development of bone age. Some boys may also have issues with sexual development.
Yan Jie, Director of Clinical Nutrition Department, Beijing Children's Hospital, National Children's Medical Center: For boys, the feminization of men can actually lead to increased appearance of breasts, resulting in fat. In addition, poor development of the external genitalia can actually have some effects on the body. Speaking of girls, why we are experiencing an increase in precocious puberty is actually directly related to obesity.
Obesity is the main reason for the increase of children with type II diabetes in China
The doctor mentioned the problem of children's diabetes at the beginning. The survey shows that in the past ten years, there has been a worrying increase in the number of children with type II diabetes in China. How can diabetes, a recognized adult disease and even a geriatric disease, find children?
Experts say obesity is the main cause. The doctor also suggests that all children and adolescents who are overweight, have diabetes in their families, or have hypertension, dyslipidemia and other symptoms should pay attention to type II diabetes examination from adolescence, preferably every two years.
The probability of obesity in adolescence leading to obesity in adulthood exceeds 70%
There are still some misconceptions about the issue of obesity in children and adolescents. For example, many people believe that when they are young, they will become thinner as they grow up. Little did they know that the risk of obesity in adulthood due to adolescent obesity exceeds 70%. According to doctors, after conducting a follow-up survey of obese children from childhood to adulthood, it was found that today's obese adults are yesterday's "little chubby people", Many children have been overweight from childhood to adulthood.
Huang Jian, the director of the Children's Hospital of Shangrao Maternal and Child Health Hospital in Jiangxi Province, said that the prevention of childhood obesity should start from the fetal period, promote breastfeeding after birth, add complementary foods reasonably, undergo regular physical examinations, evaluate whether there is overweight or obesity, detect growth deviation as soon as possible, and intervene as soon as possible.

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