Clinical profile of the overweight child in the new millennium

Ryan Carvalho1, Elizabeth Johnson, Merel Kozlosky

  • 1Department of Pediatrics, Wright State University School of Medicine, Dayton, Ohio, USA.

Clinical Pediatrics
|April 17, 2008
PubMed

Insights

Childhood obesity is linked to environmental factors and eating habits, not just breastfeeding. Screen overweight children for related health issues, as TV meals and fast food correlate with higher medical morbidities.

Area of Science:

  • Pediatric Endocrinology
  • Public Health Nutrition
  • Childhood Obesity Research

Background:

  • Rising prevalence of childhood obesity over recent decades.
  • Changing clinical profile of obese children.
  • Hypothesized impact of environmental influences and eating practices on medical morbidities in obese children.

Purpose of the Study:

  • To investigate the relationship between environmental factors, eating practices, and medical morbidities in obese children.
  • To analyze the influence of specific behaviors on health outcomes in a pediatric weight management cohort.

Main Methods:

  • Retrospective chart review of 90 children in a pediatric weight management program.
  • Statistical analysis using Fisher's exact tests and Wilcoxon rank sum tests.
  • Comparison of outcomes between different subpopulations based on environmental and feeding factors.

Main Results:

  • Children eating meals in front of the television showed greater systolic blood pressure elevation (P = .03).
  • Higher fast-food consumption was associated with more than 3 medical morbidities (P = .02).
  • Breastfeeding did not demonstrate a protective effect against the degree of obesity (P = .02).

Conclusions:

  • Aggressive symptom assessment is crucial for evaluating overweight children.
  • Environmental influences and social feeding practices can negate potential benefits of breastfeeding.
  • Understanding these factors is key to managing childhood obesity and associated health risks.
Abstract

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