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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Childhood obesity
1Division of Pediatric Endocrinology, Department of Pediatrics, Kalawati Saran Children's Hospital, Bangla Sahib Road, New Delhi 110001, India. anjuseth.peds@gmail.com
Insights
Childhood obesity is a growing concern, particularly in India, linked to lifestyle changes. General physicians play a vital role in diagnosing, treating, and preventing childhood obesity through family-centered lifestyle modifications.
Area of Science:
- Pediatrics
- Public Health
- Endocrinology
Background:
- Childhood obesity is a significant medical and social issue, especially in developing countries like India.
- It is increasingly prevalent in higher socioeconomic groups due to Western lifestyle adoption.
- Risk factors include high-calorie diets, reduced physical activity, increased screen time, genetics, and socio-cultural factors.
Purpose of the Study:
- To outline the approach to diagnosis and work-up of childhood obesity.
- To discuss treatment strategies for childhood obesity.
- To highlight preventive measures for childhood obesity from a general physician's viewpoint.
Main Methods:
- Review of current literature and clinical guidelines on childhood obesity.
- Focus on the role of general physicians in managing childhood obesity.
- Emphasis on family-centered lifestyle interventions.
Main Results:
- Obese children and adolescents face increased risks of medical complications like insulin resistance, dyslipidemia, type 2 diabetes, hypertension, and metabolic syndrome.
- Central obesity is often associated with insulin resistance.
- Early identification and intervention are crucial.
Conclusions:
- General physicians are pivotal in the prevention and management of childhood obesity.
- A holistic, family-based approach involving lifestyle modification is essential.
- Addressing childhood obesity requires a multi-faceted strategy encompassing diagnosis, treatment, and prevention.
Abstract:
Childhood obesity is an issue of serious medical and social concern. In developing countries including India, it is a phenomenon seen in higher socioeconomic strata due to the adoption of a western lifestyle. Consumption of high calorie food, lack of physical activity and increased screen time are major risk factors for childhood obesity apart from other genetic, prenatal factors and socio-cultural practices. Obese children and adolescents are at increased risk of medical and psychological complications. Insulin resistance is commonly present especially in those with central obesity and manifests as dyslipidemia, type 2 diabetes mellitus, impaired glucose tolerance, hypertension, polycystic ovarian syndrome and metabolic syndrome. Obese children and adolescents often present to general physicians for management. The latter play a key role in prevention and treatment of obesity as it involves lifestyle modification of the entire family. This article aims at discussing the approach to diagnosis and work-up, treatment and preventive strategies for childhood obesity from a general physician's perspective.
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