[Prevention and treatment of obesity in children]

Kenji Togashi1, Kosei Iguchi, Hidenari Masuda

  • 1Department of Health and Physical Education, Faculty of Education, Mie University.

Insights

Childhood obesity in Japan requires primary prevention strategies like breastfeeding and daily school exercise. Combined dietary and exercise treatment significantly reduces fat and chronic disease risk factors in obese children.

Area of Science:

  • Pediatrics
  • Public Health
  • Metabolic Disorders

Context:

  • High prevalence of childhood obesity and associated comorbidities in Japan.
  • Increasing rates necessitate urgent primary prevention strategies.
  • Focus on early intervention to mitigate long-term health complications.

Purpose:

  • To outline primary prevention strategies for childhood obesity.
  • To detail effective treatment interventions for obese children.
  • To evaluate the impact of combined dietary and exercise treatment on body composition and risk factors.

Summary:

  • Recommends breastfeeding for at least 6 months and 60 minutes of daily moderate-to-vigorous exercise in schools for prevention.
  • Treatment includes behavioral therapy, reduced sedentary time, and education on diet and exercise.
  • Significant reduction in subcutaneous and visceral fat observed after combined dietary and exercise treatment.

Impact:

  • Suggests that combined dietary and exercise interventions normalize abdominal fat distribution in obese children.
  • Demonstrates a reduction in chronic disease risk factors.
  • Highlights the importance of lifestyle modifications for managing childhood obesity and its sequelae.

Related Concept Videos

Obesity01:24

Obesity

The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in adipocytes...
Preventive Healthcare Services01:30

Preventive Healthcare Services

Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
Cancer Prevention02:59

Cancer Prevention

Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Cancer Prevention02:59

Cancer Prevention

Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Pharmacokinetics in Obese Patients: Drug Absorption and Distribution01:25

Pharmacokinetics in Obese Patients: Drug Absorption and Distribution

Obesity significantly alters the pharmacokinetic processes of drug absorption and distribution, presenting unique challenges in medical treatment. The increased fat tissue and decreased lean muscle in obese individuals can significantly affect how drugs are absorbed into the body and distributed across different tissues. This alteration can lead to variances in the effectiveness and safety of medications, necessitating adjustments in dosing or drug selection for obese patients.One notable...
Drug Dosing: Obese Patients01:21

Drug Dosing: Obese Patients

In the United States, obesity is a prominent concern. It is linked to heightened mortality rates due to increased occurrences of conditions such as hypertension, atherosclerosis, coronary artery disease, and diabetes compared to nonobese individuals. A patient is classified as obese if their actual body weight surpasses the ideal or desirable body weight by 20%, based on Metropolitan Life Insurance Company data. Ideal body weights consider average weights and heights for males and females...