Rising Concern: Study Sheds Light on The Growing Epidemic of Childhood Overweight and Obesity
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Since 1990, the rise in childhood overweight and obesity has surged across every continent, almost doubling in prevalence. Globally, Asia has nearly half of all overweight children under the age of 5. The deleterious consequences of this epidemic are already evident: childhood hypertension, and type 2 diabetes, among others. Researchers from Florida Atlantic University’s Schmidt College of Medicine and colleagues sound the alarm and discuss both challenges and potential solutions in a commentary published in The Maternal and Child Health Journal.
“Pediatric overweight and obesity have reached epidemic levels in the U.S. and are becoming a pandemic globally. These conditions lead to high blood pressure, type 2 diabetes, and lipid disorders, which contribute to metabolic syndrome. In adults, these issues significantly increase the risks of heart attacks, stroke, liver disease, obstructive sleep apnea, arthritis and certain cancers – many of which are now occurring at younger ages,” said Charles H. Hennekens, M.D., first author and the first Sir Richard Doll Professor of Medicine and Preventive Medicine, FAU Schmidt College of Medicine. “Through coordinated clinical and public health efforts, we can address these troubling trends and work toward a healthier future for children and families globally.”
The authors report on the leading causes of this epidemic including high body mass index (BMI), which increases the risks of many serious health issues. In the U.S., a preschooler is considered overweight if their BMI exceeds the 85th percentile. Research shows that these children are at a significantly higher risk of being overweight during adolescence compared to those with a BMI at the 50th percentile. This underscores the misconception that children simply “outgrow” overweight issues.
In addition, the authors note that healthcare providers and public health practitioners face major challenges in boosting daily physical activity among children, which is crucial for increasing metabolic rates, lowering BMI, and reducing future risks of coronary heart disease.
“With declining physical education in schools and excessive time spent on electronic devices, many children fail to meet recommended activity guidelines. This sedentary behavior contributes to overweight and obesity through poor diet, reduced sleep, and decreased physical activity,” said Panagiota “Yiota” Kitsantas, Ph.D., co-author and professor and chair, FAU Department of Population Health and Social Medicine, Schmidt College of Medicine. The authors also caution that while increasing levels of daily physical activity is necessary, it isn’t sufficient to make a major impact on the rates of childhood overweight and obesity. The rise of high sugar-containing foods, along with consumption of ultra-processed foods also are major contributors.
Authors say that while there are approved drug therapies available, before prescribing pharmacologic options, maternal and child health care providers should employ therapeutic lifestyle changes.
In conclusion, the authors urge leveraging all available resources to at least stabilize the rising rates of childhood obesity and its associated health issues.
Reference: Hennekens, C.H., Sherling, D.H., Caceres, A. et al. Navigating the Global Pandemic in Pediatric Overweight and Obesity: Emerging Challenges and Proposed Solutions. Matern Child Health J (2024). https://doi.org/10.1007/s10995-024-04001-6
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