Jack Challem See book keywords and concepts | When we were kids in the 1950s and 1960s, overweight children were uncommon. Today, overweight children are quickly becoming the norm, with about one in every three American children either overweight or obese.
Being overweight or obese in childhood increases a person's risk of developing allergies, asthma, high blood pressure, heart disease, and fatty liver. In fact, fatty liver, in which fat deposits on the liver impair its function and blood-sugar regulation, has become the most common physical abnormality in children and adolescents. | Connie Bennett, C.H.H.C. with Stephen T. Sinatra, M.D. See book keywords and concepts | The Fast Food Trap: How Commercialism Creates overweight children." October 31, 2003. http://www.commercialalert.org/issues/education/junk-food/the-fast-food-trap-how-commercialismcreates-overweight-children. Ruskin, Gary, and Juliet Schor. "Every Nook and Cranny: The Dangerous Spread of Commercialized
Culture." http://www.multinationalmonitor.org/mm2005/012005/ruskin.html. Schlosser, Eric. Fast Food Nation. New York: Perennial, 2002.
Schoonover, Heather, and Mark Muller. "Food without Policy: How U.S. Farm Policy Contributes to Obesity. | Steven V. Joyal See book keywords and concepts | In a study published in 2004 in the New England Journal of Medicine, researchers studied 470 obese and overweight children and adolescents of various ethnicities and compared them with their non-obese peers. As the level of obesity increased, so did the prevalence of metabolic syndrome, which reached 50 percent among the most severely obese youngsters. Levels of C-reactive protein also were high in the youngsters, and all of the overweight and obese children already had signs of cardiovascular disease. | Ann M. Coulston and Carol J. Boushey See book keywords and concepts | Overweight children and adolescents: Description, epidemiology, and demographics. Pediatrics 101(Suppl. 1), 497-504.
3. http://www.cdc.gov/nchs/products/pubs/pubd/hestats/over weight/overwght_adult_03.htm. Access date: July 18, 2007.
4. http://www.cdc.gov/nchs/products/pubs/pubd/hestats/over weight/overwght_child_03.htm#Table%201. Access date: July 18, 2007.
5. Ogden, C. L., Carroll, M. D., Curtin, L. R., McDowell, M. A., Tabak, C. J., and Flegal, K. M. (2006). Prevalence of overweight and obesity in the United States, 1999-2004. JAMA 295, 1549-1555.
6. Whitaker, R. C, Wright, J. A. | | Further studies are needed to explore how parents can best help their overweight children develop a positive self-image and healthy eating and physical activity behaviors.
IV. SUMMARY AND PUBLIC HEALTH RECOMMENDATIONS
We have reviewed the literature on key physical activity and diet-related risk factors for obesity in children and adults. | | Parents of overweight children and adolescents are often in a difficult situation in that they want to be supportive of their children, yet also want to help them to modify behavioral patterns that may increase their risk of obesity [244]. Furthermore, they may feel as though they are being blamed for their child's obesity. Existing research suggests that parental involvement and support is important [235, 241], but efforts to control a child's intake may be counterproductive [242, 243]. | Jack Challem See book keywords and concepts | Today, overweight children are quickly becoming the norm, with about one in every three American children either overweight or obese.
Being overweight or obese in childhood increases a person's risk of developing allergies, asthma, high blood pressure, heart disease, and fatty liver. In fact, fatty liver, in which fat deposits on the liver impair its function and blood-sugar regulation, has become the most common physical abnormality in children and adolescents.
Researchers have projected that one of every three people born since the year 2000 will eventually develop diabetes. | Ann M. Coulston and Carol J. Boushey See book keywords and concepts | Clinical practice. overweight children and adolescents. N. Engl. J. Med. 352, 2100-2109.
101. Gray, J., Yeo, G. S., Cox, J. J., Morton, J., Adlam, A. L., Keogh, J. M., Yanovski, J. A., El Gharbawy, A., Han, J. C, Tung, Y. C, Hodges, J. R., Raymond, F. L., O'Rahilly, S., and Farooqi, I. S. (2006). Hyperphagia, severe obesity, impaired cognitive function, and hyperactivity associated with functional loss of one copy of the brain-derived neurotrophic factor (BDNF) gene. Diabetes 55, 3366-3371.
102. Herbert,A., Gerry, N. P., McQueen,M. B., Heid, I. M., Pfeufer, A., Illig, T., Wichmann, H. E. | Craig Pepin-Donat See book keywords and concepts | The following chart displays the results of this study from birth to 18 years with percent of overweight children who are obese at the age of 25.
Age of Child
BMI < 85th Percentile
BMI >85th Percentile
BMI >95 Percentile
1 to 2
15%
19%
26%
3 to 5
12%
36%
52%
6 to 9
11%
55'.?
69%
10 to 14
10%
75%
83%
15 to 17
9%
67%
77%
Source: Whitaker et al. | Michael Pollan See book keywords and concepts | At a health clinic in Oakland, California, doctors report seeing overweight children suffering from old-time deficiency diseases such as rickets, long thought to have been consigned to history's dustheap in the developed
*These are USDA statistics from FoodReview, Vol. 25, Issue 3, a publication of the Economic Research Service at the USDA. world. But when children subsist on fast food rather than fresh fruits and vegetables and drink more soda than milk, the old deficiency diseases return—now even in the obese. | Alan R. Gaby, M.D., Jonathan V. Wright, M.D., Forrest Batz, Pharm.D. Rick Chester, RPh., N.D., DipLAc. George Constantine, R.Ph., Ph.D. Linnea D. Thompson, Pharm.D., N.D. See book keywords and concepts | Overweight children often become adults with weight problems that contribute to a wide variety of health problems,6' 7 but even during childhood and adolescence, overweight can contribute to such disorders as type 2 diabetes (page 152), high cholesterol (page 223), high blood pressure (page 246), insulin resistance (page 273), and liver disease (page 290).8| 9'10 Being overweight also has social and psychological consequences for children in terms of social discrimination, poor self-esteem, and depression. | T. Colin Campbell, Ph.D. and Thomas M. Campbell II See book keywords and concepts | Overweight children find it more difficult to make friends and are often thought of as lazy and sloppy. They are more likely to have behavioral and learning difficulties, and the low self-esteem likely to be formed during adolescence can last forever.3
Young people who are overweight also are highly likely to face a host of medical problems. They often have elevated cholesterol levels, which can be a predictor for any number of deadly diseases. They are more likely to have problems with glucose intolerance, and, consequently, diabetes. | Jack Challem See book keywords and concepts | The number of overweight children also is disturbing. Estimates of overweight children range from 13 to 20 percent.
These increases in weight result largely from the increased consumption of junk foods consisting chiefly of refined sugars, carbohydrates, and fats. A major source of dietary sugar is soft drinks, which the consumer-oriented Center for Science in the Public Interest has described as "liquid candy." A 64-ounce bottle of any calorically sweetened (in contrast to artificially sweetened) soft drink contains approximately XA cup of sugar! | Mike Adams, the Health Ranger See article keywords and concepts | It's the classic American saga: a lean, healthy immigrant comes to America, settles down in the Bronx, starts buying soft drinks, and pretty soon gives birth to an entire generation of overweight children who chug coke and occasionally get outside to participate in the "Walk for the Diabetes Cure," also sponsored by coke.
What could be more American than that?
DISCLAIMER: The above article is pure satire and is not meant as a factual representation of the position of Coca-Cola or its executives. It is offered purely for entertainment purposes. | Byron J. Richards See book keywords and concepts | This means that overweight children will be more likely to suffer adverse neurologic damage from ADHD medications, because they do not have the protection that leptin offers.
Addiction
There is a fine line between healthy pleasure seeking, eating, and addiction. Pleasure in response to doing something is a reward, tied to dopamine function. All such brain circuitry is intimately associated with leptin and appetite. All addictions play off this fundamental drive to survive. | Alan R. Gaby, M.D., Jonathan V. Wright, M.D., Forrest Batz, Pharm.D. Rick Chester, RPh., N.D., DipLAc. George Constantine, R.Ph., Ph.D. Linnea D. Thompson, Pharm.D., N.D. See book keywords and concepts | However, while the results of treatment of overweight children are usually enhanced by strategies to increase physical activity or decrease inactivity, attempts to improve physical activity levels have not been very successful in preventing childhood obesity according to most controlled research.35 Nonetheless, watching television and playing computer or video games contributes to the sedentary lifestyle of many children, and controlled research has shown that weight control is more successful when these activities are controlled and healthier alternatives provided. | Byron J. Richards, CCN See book keywords and concepts | It has recently been proposed that obesity is an inflammatory condition. overweight children and adults have elevated levels of C reactive protein, IL-6, and TNFa, all markers of inflammation.324 Normally, these signals rise when the body mounts a stress response for a given purpose.
In overweight individuals, these markers are stuck at higher levels due to the generation of these immune signals on a chronic basis from the extra pounds of fat. Remember, 30 percent of cells in white adipose tissue are immune cells. | Phyllis A. Balch, CNC See book keywords and concepts | During the last thirty years, the number of overweight children in the United States has more than doubled. | Connie Bennett, C.H.H.C. with Stephen T. Sinatra, M.D. See book keywords and concepts | Back in the mid-1980s, a mere 5 percent of children in the nation were overweight or obese. Now, about 30 percent of children and adolescents are at risk for being overweight or obese, or already are, and according to pediatrician Carden Johnston, M.D., former president of the American Academy of Pediatrics, the figure is even higher, perhaps as high as 40 percent.
Still more tragic is that children are increasingly gaining weight at younger and younger ages:
More than 10 percent of American toddlers aged 2 to 5 are overweight, according to the American Heart Association. | Alan R. Gaby, M.D., Jonathan V. Wright, M.D., Forrest Batz, Pharm.D. Rick Chester, RPh., N.D., DipLAc. George Constantine, R.Ph., Ph.D. Linnea D. Thompson, Pharm.D., N.D. See book keywords and concepts | However, a similar study of overweight children found that glucomannan was not significantly more effective than a placebo.24 Other controlled studies have found that glucomannan improves the results of weight loss diets in overweight adults25 and children.26
Whether any foods contain significant amounts of glucomannan is unclear.
Glucomannan has been used in connection with the following conditions (refer to the individual health concern for complete information):
Rating
Health Concerns
þ?? | | In a controlled study of children between the ages of 7 and 12, a school-based education program designed to reduce carbonated-drink consumption resulted in a reduction in the number of overweight children after 12 months.22
Most authorities believe that the best diet for treating childhood obesity is a heart-healthy diet low in saturated fat and cholesterol, but high in vitamins, minerals, and other important nutrients.23 However, few studies have actually compared different diets for their effectiveness in treating childhood obesity. | Michael T. Murray See book keywords and concepts | They are often identified as type 1 diabetics by becoming so sick that they end up in the hospital emergency department. þFor overweight children who have developed diabetes without the typical acute symptoms, the G-ITT can be used to clarify whether it is truly type 1 or type 2 diabetes. The importance of this determination is that type 2 diabetes can develop in children for the same reasons it develops in adults; if the child is already producing excess insulin, adding more fuel to the fire does not address the underlying issue of insulin resistance. | Ann M. Coulston and Carol J. Boushey See book keywords and concepts | There is no consensus regarding the role of sugar intake on body weight regulation. A preference for sweet-fat foods has been observed in obese individuals, which may be a factor in promoting excess energy consumption [36]. However, the notion that a sensory "sweet tooth," that is, a heightened preference for sweet taste, is a direct cause of obesity is not well supported [187].
B. Environmental Influences
1. U.S. Food Supply Data on dietary levels of individuals provide key information on energy and nutrient intakes. | | The effectiveness of school-based programs for the treatment of obesity has been modest, but the results are encouraging and are worthy of more research [132].
VII. ACUTE WEIGHT LOSS VERSUS MAINTAINING LONG-TERM WEIGHT LOSS
Effective weight management comprises both a weight-loss phase and a weight-loss maintenance phase. Most people are relatively successful at achieving a short-term weight loss, but few people can sustain that weight loss over long periods of time. | Alan R. Gaby, M.D., Jonathan V. Wright, M.D., Forrest Batz, Pharm.D. Rick Chester, RPh., N.D., DipLAc. George Constantine, R.Ph., Ph.D. Linnea D. Thompson, Pharm.D., N.D. See book keywords and concepts | In addition, an appropriate exercise program can be a useful addition to a low-calorie diet for overweight children. A controlled trial found that strength training, when added to a low-calorie diet, resulted in a greater gain of lean body mass (while still promoting weight loss), compared with diet alone in obese children.40 Another study of obese adolescents found that a physical exercise program combined with normal calorie intake resulted in reductions in body weight and body fat while allowing for normal growth and preservation of lean body mass. | Kelly Brownell and Katherine Battle Horgen See book keywords and concepts | The prevalence of overweight children during the period 1988?994 was 10.5 percent for ages twelve through nineteen, 11.3 percent for ages six through eleven, and 7.2 percent for ages two through five. The numbers now are 15.5 percent, 15.3 percent, and 10.4 percent, respectively. The increase in child obesity has been nearly 3-fold in England; 3.5-fold in Brazil and Haiti; and nearly 4-fold in Ghana, Australia, and Egypt.84
Consequences
Early concern about childhood obesity centered on its role in predicting adult obesity and hence adult diseases. | Elson M. Haas, M.D. See book keywords and concepts | Overweight children may become overweight adults, with the attendant increased risks for diabetes, cancer, and heart disease.
Decreasing the Sugar in Our Diet
Our intake of sweets is increasing, especially with the use of hidden sweeteners.
A quick look at the yearly statistics gives the impression that we are eating fewer sweets, because our sugar consumption has dropped from about 100 pounds a person to 64. Sounds good. However, our yearly intake of corn sweeteners has gone from about 20 pounds a person to more than 80. | Earl L. Mindell, RPh, PhD with Virginia Hopkins, MA See book keywords and concepts | | According to pediatric endocrinologist Naomi Neufeld, M.D., overweight children are 20 to 30 percent heavier today than they were 10 years ago.
Overweight and obesity are independent risk factors for many of the chronic diseases that affect Americans today. This means that even if you have no other risk factors for these diseases, simply being fat will still significantly increase your risk of developing them. Obesity also aggravates a number of other conditions. | Carol Krucoff and Mitchell Krucoff, M.D. See book keywords and concepts | The number of overweight children has increased by almost 50 percent over the last two decades, and the number of extremely overweight children has nearly doubled.
If current trends continue, scientists estimate that 100 percent of adults in the United States will be obese in two centuries!
"The cause is not gluttony," says epidemiologist Claude Bouchard, a professor at Laval University in Quebec. "We're actually eating a bit less." The cause isn't fat intake either, since our diets are 33 to 34 percent fat now and used to be 40 percent fat. |
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