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The Childhood Obesity Epidemic and Its Consequences

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Obesity in children is determined by using BMI-for-age percentiles. ... 10.9% of kids are above 97th percentile in BMI-for-Age. ... – PowerPoint PPT presentation

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Title: The Childhood Obesity Epidemic and Its Consequences


1
The Childhood Obesity Epidemic and Its
Consequences
  • Joseph Nadglowski, Jr.
  • Obesity Action Coalition

2
Definitions
Overweight or Obese with Children?
  • Overweight and obese are used
    interchangeably. The Centers for Disease Control
    prefers the term overweight, while mass media
    often utilizes the term obese when referring to
    children.
  • A child is defined as overweight if their body
    mass index-for-age (or BMI-for-age) percentile is
    greater than 95 percent. A child is defined as
    at risk of overweight if their BMI-for-age
    percentile is greater than 85 percent and less
    than 95 percent.

Childhood Obesity Epidemic and Its Consequences
3
BMI-for-Age Percentile
What is BMI-for-Age Percentile?
  • Obesity in children is determined by using
    BMI-for-age percentiles.
  • BMI-for-age percentiles have emerged as the
    favored method to measure weight status in
    children.
  • This method calculates a childs weight category
    based on age and BMI, which is a calculation of
    weight and height.

Childhood Obesity Epidemic and Its Consequences
4
Childhood Obesity Epidemic and Its Consequences
Various Levels of BMI-for-Age Percentiles
Translated
5
BMI-for-age Percentile Chart for Boys
6
BMI-for-age Percentile Chart for Girls
7
Childhood Obesity Is it a Problem?
  • Childhood obesity affects more than 30 percent of
    children, making it the most common chronic
    disease of childhood.
  • 10.9 of kids are above 97th percentile in
    BMI-for-Age.
  • 15.5 of kids are above 95th percentile in
    BMI-for-age.
  • 30.1 of kids are above 85th percentile in
    BMI-for-age.

Childhood Obesity Epidemic and Its Consequences
8
Childhood Obesity Is it a Problem? (Cont.)
  • Only 50 percent of children, 12 to 21 years of
    age, regularly participate in rigorous physical
    activity, while 25 percent of children report no
    physical activity.
  • In fact, one just-published study shows by the
    age of 15 only 31 of children were meeting
    recommended physical activity standards during
    the week and only 17 on weekends.

Childhood Obesity Epidemic and Its Consequences
9
Causes of Childhood Obesity
Although the causes of childhood obesity are
widespread, certain factors are targeted as major
contributors. Causes include
Environment Lack of physical activity
Heredity and family Dietary patterns
Socioeconomic status
Childhood Obesity Epidemic and Its Consequences

10
Etiology of Obesity Complex Interrelated Factors
The ideal approach to obesity control will
address all factors.
Childhood Obesity Epidemic and Its Consequences
1Thomas PR, ed. Weighing the Options. Wash DC
Natl Acad Press 19952. 2Williamson DF. N Engl
J Med. 19993411140. 3Koplan JP, Dietz WH.
JAMA. 19992821579.
11
Impact of Childhood Obesity
  • Development of co-morbid conditions at a young
    age, such as Type 2 Diabetes
  • Future work force will face tougher obstacles
    related to health and productivity
  • Decreased quality of childhood and adolescence
  • Rising costs to U.S. healthcare system

Childhood Obesity Epidemic and Its Consequences
12
Childhood Obesity-Related Illnesses
  • Type 2 DiabetesUtilization of Drugs in Children
    to treat has increased 151 over last 7 years.
  • HypertensionUtilization of Drugs in Children to
    treat has increased 18 over last 7 years.
  • Acid RefluxUtilization of Drugs in Children to
    treat has increased 137 over last 7 years.
  • High CholesterolUtilization of Drugs in Children
    to treat has increased 12 over last 7 years.

Childhood Obesity Epidemic and Its Consequences
13
Childhood Obesity Stigma
Stigma refers to weight-related attitudes and
beliefs that are expressed as stereotypes,
rejection and prejudice toward children and
adolescents because of their weight. This may
include
  • Verbal Teasing (name calling, derogatory remarks)
  • Physical Bullying (hitting, kicking, pushing,
    shoving)
  • Social Exclusion (being ignored or avoided,
    excluded from peer activities or the target of
    rumors)

Childhood Obesity Epidemic and Its Consequences
14
Consequences of Stigma
  • Obese children are less likely to be accepted to
    college, despite equivalent application rates and
    academic achievement.
  • Victims of Weight Stigma are more likely to
    engage in unhealthy weight control practices.

Childhood Obesity Epidemic and Its Consequences
15
Two Points for your Consideration
  • No child should be blamed or stigmatized for
    their weight. Personal responsibility and/or the
    perception of a personal failing must be
    eliminated.
  • 2. The average American is unable to take their
    child to their pediatrician to discuss their
    weight and such a visit be covered under
    insurance. We need to find a way to incentivize
    insurers and employers to make this type of
    wellness benefit available.

Childhood Obesity Epidemic and Its Consequences
16
Sample Insurance Policy
Are We Taking this Problem Seriously?

Weight control services including surgical
procedures, medical treatments, weight/loss
programs dietary regimens and supplements,
appetite suppressants and other medications food
or food supplements, exercise programs, exercise
or other equipment and other services and
supplies that are primarily intended to control
weight or treat obesity, including morbid
obesity, or for the purpose of weight reduction,
regardless of the existence of co-morbid
conditions are excluded.
Childhood Obesity Epidemic and Its Consequences
17
Contact Information
Obesity Action Coalition4511 North Himes Ave.,
Ste. 250Tampa, Fl 33614(800) 717-3117info_at_obesi
tyaction.orgwww.obesityaction.org
Childhood Obesity Epidemic and Its Consequences
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