Introduction to Childhood Obesity

Childhood obesity is, "a serious medical condition that affects children and adolescents. It occurs when a child is well above the normal weight for his or her age and height"(Mayo Clinic, 2008). It is an epidemic that is growing. This issue has not always been a noted problem in the United States until the late 1900's. According to theNational Institutes of Health, "The number of children who are overweight has doubled in the last two to three decades; currently one child in five is overweight." The increase in percentages over time will become a problem for the future of our children. For the first time in history, American children could have a shorter life span than their parents.

One in three children in the U.S. is considered overweight or obese. Childhood obesity affects all population groups; both male and female. It leads to many health and social consequences that can continue on into later life. Prevention is the key, but unfortunately there isn't a magic formula for each individaul. Unfortuanately, there are many challenges that prevent a solution to childhood obesity. Three areas of intervention include the following:

- Physical Activity
- Healthy Diet
- Behavior Modification

Wednesday, October 15, 2008

Local School Participate in Walk to School Day

At the invitation of the Utah County Health Department, Edgemont and Cherry Creek Elementary Schools participated in Walk to School Day on October 8th. The Utah County Health Department (UCHD) promotes Walk to School Day to all Gold Medal Schools programs.

“That day we passed out incentives and healthy treats to students that walked or biked to school that morning,” said Carissa Hoggan from the UCHD. “This is part of the kick off week for Gold medal Schools in Utah. We are having an assembly right before it to encourage children to walk to school and live healthy lives,” said Chelsea Foutz from Mount loafer Elementary in Salem.

Walk to School Day was established in the United States in 1997 by the Partnership for a Walkable America. Today more than 40 countries around the world participate in this event. This year, the event was held on October 8, 2008. Communities can choose to celebrate for a day, a week, or for the whole month as part of the International Walk to School Month. It was expected that 5,000 schools from all 50 states would be participating this year. About 76 of these schools came from Utah.

Walk to School events work to create safer routes for walking and bicycling and emphasize the importance of issues such as increasing physical activity among children, pedestrian safety, traffic congestion, concern for the environment and building connections between families, schools and the broader community. Many of the events are part of ongoing activities to promote increased physical activity throughout the year.

In the 1960’s, about 90% of children, who lived within a mile of school, walked or biked to school on a regular basis. Today only about 10-15% of children nationwide walk to school regularly. As we have all heard, the U.S. is experiencing an obesity epidemic among children; 1 out of 3 children is considered overweight or obese. In 2006, 22.5% of all elementary students in Utah were at an unhealthy weight. Programs such as these can help to reverse the decline in children walking to school and increase their physical activity.

The UCHD along with GMS encouragges children to increase thier physical activity and decrease their time in front of the television or computer. There are many benefits from walking or biking. Children who are more physically active have increased alertness, which can help children to do better in school. An active lifestyle in children will increase the number of children who will grow into adults with an active lifestyle. This will improve their chances for better overall health and decrease their chances for chronic diseases.

This is a great event that can help us to incorporate physical activity into each day, realize the great opportunity to have a safe place to walk or bike to school, enjoy the fresh air – and become healthier!

For more information, please visit the following websites:
International Walk to School in the USA http://www.walktoschool.org/
National Center for Safe Routes to School http://www.saferoutesinfo.org/
International Walk to School http://www.iwalktoschool.org/
Utah County Health Department http://www.utahcountyonline.org/Dept/Health/index.asp
Gold Medal Schools http://www.hearthighway.org/

Thursday, October 9, 2008

Frequently Asked Questions

Is obesity among children really a problem?

The American Academy of Pediatrics declares that obesity is now the most chronic health problem among children in the United States. Larger meal portions, physical inactivity, and lack of healthy foods in schools all contribute to the epidemic. The New England Journal of Medicine researched this issue. They concluded that if the current epidemic of childhood obesity continues, life expectancy could be shortened by two to five years in the coming decade.

Are children in Utah apart of the nation's obesity epidemic?

Yes, experts have noted that percentage of overweight children in Utah have increased in most recent years. A recent study by the Utah Department of Health of elementary students in 2006 found the following:

-More boys were overweight at every grade
-The percentage of overweight students increased with grade
-In 2006, 22.5% of all elementary students were at an unhealthy weight
-In 1994, 16.9% of third graders were at an unhealthy weight and in 2006 it increased to 21.8%(This represents a 29% increase in 12 years)
-Third grade rates of unhealthy weight are similar to the rate for all elementary grades (grades 1-6)
-If the number of elementary students at an unhealthy weight continues to increase at the current rate, in ten years a total of 30.3% of elementary school students will be at an unhealthy weight.

What are the dangers of childhood obesity?

Children who are overweight are more likely to be overweight adults and suffer from health problems later in life. Obesity increases the chance of developing the following disorders:

-Type II diabetes
-Hypertension
-Cancer
-Cholesterol Abnormalities
-Orthopedic problems
-Asthma
-Skin conditions such as heat rash, fungal infections, and acne

Obesity can also hurt children socially and psychologically:
-Low self-esteem due to low body image
-Social isolation
-Increased rates of anxiety disorders and depression, especially in girls
-Increased rates of suicidal thoughts and attempts
-More likely to perform poorly in school

What is the cause of childhood obesity?

Genetics can increase the risk of being overweight. However, sedentary lifestyles is the main cause of childhood obesity. A child's environment at home and school greatly influences their lifestyle. There are many factors that contribute to the problem--Today, there has been a decrease in amount of meals prepared in the home. This leads to eating out more often. Restaurants notoriously serve large portions that have a high caloric density. Also, studies show that children spend a great amount of time in front of the television and/or computer. This contributes to the lack of physical activity that children need. There has been an increased amount of snacking between meals and consumption of soft drinks is more common. Children spend the majority of their day in school. Here, their choices of food and amount of physical activity is determined by their environment at school. In order to save money, meals at school are often cheaply made and high in calories. Also, vending machines make less nutritious foods available to students, like candy and soda. More and more parents are driving their children to school instead of having them walk. Plus, cuts in recess time, physical education, and nutrition education hinder children's physical well-being.

How do I know if my child is considered overweight?

The American Academy of Pediatrics suggest that health professionals calculate a child's BMI (Body Mass Index) at their yearly wellness check-up. Calculating a child's BMI can be time consuming, but new highly structured charts have made the task much easier. Make sure your child has at least yearly check-up with a health physician in order to assess their well being. Also consider your child's age and growth patterns. Even if your child isn't considered overweight, it is still important to educate them in nutrition and keep them physically active to ensure a healthier future.

Are there programs in Utah to help prevent childhood obesity?

Many programs have been implemented in Utah to help fight the nations obesity epidemic. One in particular focuses on Utah's children. In 2001, 34 elementary schools participated in Gold Medal School Awards program. This program is nationally recognized. It awards bronze, silver, gold or platinum "medals" to schools who make lengthy strides and achieve better health related policies that promote physical activity, healthy eating, and tobacco free schools. This program has grown exponentially in Utah over the years. In 2006, a total of 284 elementary schools participated in this program that betters their learning environment. Intermountain Health Care has become involved with the program and hope to extend the programs influence over all Utah elementary schools and into middle schools as well.

How can I prevent my child from becoming overweight?

Proper nutrition should start as early as birth. The Center for Disease Control and Prevention (CDC) and the American Academy of Pediatrics (AAP) both recognize that 15-20% of obesity could be prevented through breastfeeding. Breastfeeding is extremely nutritious for infants. Through breastfeeding, infants learn to self-regulate how much they eat rather than drinking until the bottle is empty. Formula has a different effect on the metabolism than breast milk. Formula fed babies tend to be fatter at the age of 12 months than breastfed babies. Promoting healthy food choices and exercise for children is key. Encourage physical activity by limiting time in front of the television and/or computer. Involve them in after school programs that focuses on activity.

If my child is overweight, should I put them on a "diet?"

1/3 of America is dieting. However, the irony is that Americans are getting fatter. Dieting has a 95% failure rate. 70% of girls start dieting by the age of 10, which is an indication of body dissatisfaction at a very young age. Since dieting has a high failure rate and can lead to depression and body dissatisfaction, it is best to promote healthy behaviors instead of restricting children from food. Provide healthy meals and snacks in the home. Promote, or preferably engage in physical activities with children. Also, don't set children apart because of their weight. Include the whole family in changing activity and eating habits.

How can I combat obesity in my area?

There are many ways to prevent and fight obesity. Try to positively restructure their environment by including nutrition education and exercise. Make healthy snacks available to them at home that are easy to prepare. Studies show that children with a television in their room are more likely to be overweight or at risk for being obese. Keep televisions in public areas of the home. Involve them in after school activities that promote physical activity, such as community walks/runs or organized sports. Voice your opinions to school officials to help the effort to bring healthier food choices to local schools and more physical and nutrition education requirements.

Where can I find more information on childhood obesity?

Many other websites contain information to help promote our cause. A Healthier future is the goal for everyone. Our children are precious. They are the leaders of our future, therefore they deserve the best-- to live a long, fruitful life. The following are some other credible sources concerning childhood obesity:

http://www.health.state.ut.us/obesity/news.html
http://www.cdc.gov/HealthyYouth/obesity/
http://www.nlm.nih.gov/medlineplus/obesityinchildren.html
http://www.mayoclinic.com/health/bmi-calculator/NU00597