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As in the world, children in our country are at the risk of obesity. Childhood obesity causes many health problems in the coming years, especially cardiovascular diseases, diabetes and hypertension. For this reason, it is important to acquire the habit of healthy eating starting from infancy and to place the consciousness of living a mobile life in children.
Acibadem Kadikoy Hospital Growth and Appetite Disorders Center Child Diseases Specialist Professor. Dr. Benal Büyükgebiz states that the treatment of obesity in children requires attention to the following issues:
* The child's self-confidence should not be impaired; a sense of self-confidence should be supported.
* Healthy eating habits of the child should be gained.
* The treatment of the child should be explained from the beginning that there will be a long-term behavior change process.
* It is the central family in the treatment of obesity in childhood. The family should also support the child during treatment. Parents and siblings should also make healthy choices in their food preferences and eating habits.
* After the second age of the child all family members should also consume lean or low-fat milk and milk products.
* Fruit and vegetable consumption should be increased.
* The change in nutrients and nutritional conditions should be accompanied by a more active lifestyle that the whole family will participate in and this should become a lifelong habit. Active living conditions are not limited to sports activities carried out only at certain hours; treatment is successful and lasting results are achieved when it can be a part of daily life.
* Activities that cause still life conditions should be restricted.
* Food portions should be reduced.
* The child should eat with his family. Water must be drunk during the meal.
* No meals should be skipped, especially breakfast.
* School nutrition should be taken from home.
Why Are They Obese?
Many factors play a role in obese children. The most important task in nutrition belongs to parents. Families need to be careful about many issues not only in their children's nutrition but also in their daily life.
The four main factors leading to obesity:
* Parents are obese: The risk increases even more if both parents are obese. This is due to the genetic predisposition to gain weight, as well as maintaining the same living conditions and eating habits as parents.
* Watching TV: There is a significant relationship between children watching TV and the risk of developing obesity. Similarly, the time spent at the computer is negative. As the hours spent in front of the TV and computer increase, the risk of obesity increases. The risk of obesity is high, especially in the child who has been inactive for 8 hours or more. Sedentary life, as well as less activity, tendency to consume food during these activities causes them to get more calories and nutrients. In addition, advertisements and programs that evoke and encourage food consumption during watching TV also contribute to the risk of developing obesity.
* Still Life: According to a study, children who sleep less than 12 hours per day are said to have a higher risk of developing obesity. The reason for this is not that children sleep less, but they do not have an active lifestyle. Because less active children are less tired during the day they sleep less. The important thing is that the child is active and active. Therefore, the risk of developing obesity is not naturally high in a poorly sleeping but active and active child.
* Fast weight at first age: Children who gain weight fast in the first year are also at higher risk of developing obesity.
Do not damage the child's trust
The primary issue in the fight against obesity in childhood is to prevent the development of obesity. Growth in children is a fundamental process and a biological function that requires nutrients, energy and protein. Professor Dr. For this reason, Dr. Benal Büyükgebiz emphasized that the dietary practices that are not defined, especially in children, are not correct:
* Our approaches vary according to the age groups of children. For example, in obesity that develops during breastfeeding, it is not necessary to stop breastfeeding.
* The first two years should be aimed at reducing the rate of increase in weight. The child's growth parameters (height-weight) should be closely monitored while dieting.
* The child should continue to grow in all circumstances. It is also possible to lose weight after the age of six. However, even under this condition, the child should continue to grow in length while losing weight.
* The weight loss of the child should be provided from fat tissue, muscle mass should not be adversely affected.
* There are two main approaches in the treatment of obesity in each age group:
1. Reduction of energy intake by restricting food consumption.
2. Increasing the energy spent by increasing the movement.
* Depending on the age of the child and the degree of obesity in the treatment approach, it may be aimed to reduce the weight gain rate, to stay at the same weight or to lose weight.
* Because of all these subtleties and details, treatment of obesity in childhood should be carried out by pediatricians specialized in this subject.