• Author: Dr Tejasvi Sheshadri

    6 March, 2023

    Written by Dr Tejasvi Sheshadri, Consultant Paediatric Endocrinologist in  Sparsh hospital, Bangalore  

    The high level of overweight and obesity in children and young people is an  area of particular concern. If we fail to act on overweight and obesity in  children soon, this issue threatens to have a highly negative impact on health  and quality of life and may overwhelm our healthcare systems in the near  future. Today ( March 4th ) is celebrated as world obesity day to create  awareness on this global epidemic with vast metabolic consequences.  

    Obesity is A TIME TICKING BOMB 

    ➢ Worldwide obesity has nearly tripled since 1975, with 62% in developing  country 

    ➢ In three decades, adolescents with obesity 10 fold increase from 11  million to 124 million overweight 

    ➢ In 2020, 158 million children aged 5-19 years living with obesity ➢ With 14.4 million obese children, India has the second-highest number  of obese children in the world, next to China.  

    ➢ The prevalence of overweight and obesity in children varies 15%to 25% 

    Causes of overweight/Obesity 

    Changes in the lifestyle are thought to be responsible for the increase in overweight and obesity seen across age groups. One influential factor is the  eating patterns: what, how much and where we eat. Young people in India now  consume more fast-food and substantial amounts of sugar-sweetened beverages,  eat outside the home more frequently and spend less time eating family meals.  Prepared and processed foods are more accessible than ever before and in larger  portion sizes 

    Watching television and spending time on computers or gaming systems are  now popular past times for children. “Screen time” or “being sedentary” are  now recognised as independent risk factors for obesity. 

    Lack of physical activity- Pressure for academic performance have led to less  time for physical education in schools, Perception of poor neighbourhood safety and increased screen time are other contributing factors 

    Covid 19 pandemic has resulted in a drastic increase in childhood obesity due to  online classes, sedentary lifestyle, increased food intake 

    Is your child overweight or obese?  

    Obesity is defined as a condition of abnormal or excessive fat accumulation in  adipose tissue, to the extent that health may be impaired. 

    Body mass index (BMI) uses height and weight measurements to estimate a  person’s body fat. It can be plotted on a standard BMI chart. 

    Weight for  length as  per WHO  sex  specific  charts (<2years) OVERWEIGHT OBESE >/= 97th percentileEXTREMELY  OBESE
    BMI  percentiles  as per  revised  CDC  charts (2- 20years)>/=85th to <95th >/=95th >/=120% of 95th or >/= 35kg/m2
    BMI as per  IAP BMI  charts (5- 18years)>/=23 adult equivalent  percentile: Boys-71st Girls-75th>/=27 adult  equivalent  percentile: Boys-90th Girls-95th

    What are the effects of Obesity? 

    Overweight and obese kids are at risk for developing medical problems that  affect their present and future health and quality of life, including: 

    • high blood pressure, high cholesterol and abnormal blood lipid levels,  insulin resistance, and type 2 diabetes

    • bone and joint problems 

    • shortness of breath that makes exercise, sports, or any physical activity  more difficult and may aggravate the symptoms or increase the chances  of developing asthma 

    • restless or disordered sleep patterns, such as obstructive sleep apnea • tendency to mature earlier (overweight girls may have irregular menstrual  cycles and fertility problems in adulthood) 

    • liver and gall bladder disease 

    • depression 

    Cardiovascular risk factors present in childhood (including high blood pressure,  high cholesterol, and diabetes) can lead to serious medical problems like heart  disease, heart failure, and stroke as adults. Preventing or treating overweight  and obesity in kids may reduce the risk of developing cardiovascular disease as  they get older. 

    OBESITY IS A VICIOUS CYLE! 

    How to prevent children from becoming overweight or obese?

     ➢ Nutrition education 

    ➢ Family meals 

    ➢ Avoiding food as Rewards 

    ➢ Limiting junk food and processed food 

    ➢ Reading Food Labels 

    ➢ Individualised meal program 

    ➢ Behavioural therapy 

    ➢ Self-monitoring 

    ➢ Stimulus control 

    ➢ Slower eating 

    ➢ Clear goal setting 

    ➢ Stress reduction 

    ➢ Reduced screen time 

    ➢ Increased physical activity 

    ➢ Good sleep 

    How do you manage obesity? 

    Prevention is the BEST, but the following treatment modalities can be used- 

    ➢ Lifestyle modification 

    ➢ Family based programmes- structured multidisciplinary counselling ➢ Diet counselling, Diet chart 

    ➢ Physical activity 

    ➢ Screen time 

    ➢ E technologies 

    ➢ Pharmacological intervention 

    ➢ Bariatric Surgery

    Obesity clinic in SPARSH Hospital 

    Why do we need an obesity clinic-? 

    Need of the hour 

    Emerging global epidemic 

    Prevention is key 

    Prevention of complications of obesity 

    Pharmacological management of obesity and its complication Lifestyle management- family based counselling 

    Our Obesity clinic is a multi-disciplinary team consisting of-

    • Paediatric Endocrinologist- Dr Tejasvi Sheshadri 

    • Dietician-Diet counselling by the team 

    • 24/7 Lab services- Packages for Obesity comorbidity screening

    • Trained nursing staff

    Category: Women & Children