Obesity and Children

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Obesity and Children

• Love and Respect
• Acceptance and Fun
• By Candance Gabel, M.S. R.D.L.D.

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Overweight BMI 95th percentile At risk
for Overweight BMI 85th percentile but 95th percentile
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What Causes Obesity?

• Genetics
• Familial Factors
• Socio-demographic Factors
• Dietary Factors
• Physical Activity and Sedentary Activity
• Psychological Factors

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Medical Reasons

• Hypothyroidism
• Cushings Syndrome
• Prader-Willi
• Turners Syndrome
• Laurence-Moon-Biedl

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Hereditary?

• Somewhere between 30 75 of the variance in
  adiposity within a population can be explained by
  genetics.

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What do Parents have to do with it?

• Parental education and race
• Age of mother and race
• Number of siblings and race

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Prevalence of Overweight in 9-10 Year Old Girls
by Parental Education and Race

• Black Girls White Girls
• n1213 n1166
• Parental Education
• Some College 31 25
• 4 Years College 32 16
• Patterson, Crawford, et al 1997

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Prevalence of overweight in 9-10 year old girls
by age of mother and race

• Black Girls White Girls
• Age of Mother/Female Guardian
• 31-35 29 23
• 36-40 33 19
• 41-45 37 21
• 45 36 27
• Patterson, Crawford, et al 1997

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Prevalence of overweight in 9-10 year old girls
by number of siblings and race

• Black Girls White Girls
• Number of Siblings
• 0 35 29
• 1 34 21
• 2 28 20
• 3 26 14

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Eating Practice yes no

• Eating while watching TV 1900 1790
• Eat while doing homework 1920 1820
• Eat when not hungry 1900 1830
• Sneak food 1880 1830
• Buy snacks 1870 1820
• Eat big helpings 1880 1820

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Vulnerable Times

• Prenatal
• Adiposity rebound (Age 5 to 7)
• Adolescence
• Early Adulthood
• Pregnancy
• Menopause

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Health Risks

• Increased blood pressure
• Increased total cholesterol
• Abnormal lipoproteins
• Hyperinsulineamia

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Psycho Social

• Depression
• Low self-esteem
• Work difficulties
• Social difficulties

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Seeing Things Differently

• Factors to consider when assessing weight in
  Adolescents

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Redefining success with overweight intervention

• Improved body image
• Division of responsibility
• Physically active life-style
• Healthful eating pattern
• Ability to deal with peers
• Normal medical indicators
• Weight stabilization
• Improved self-esteem

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