World Anti-Obesity Day: Is your child's obesity giving you nightmare?

November 26, 2016

New Delhi, Nov 26: After the United States of America, the epidemic of childhood obesity is gripping India. According to an international journal, by 2025, India will have over 17 million obese children and stand as second highest country in the world with obese children as per Pediatric Obesity.

obsThe rising prevalence of obesity in children is also bringing with it countless other adverse health effects, which make this condition a serious public health concern.

According to Satish Kannan, Co-founder and CEO of DocsApp, Obese children are at a greater risk of acquiring diabetes, high blood pressure, high cholesterol, cardiovascular diseases, bone and joint problems, sleep apnea, and social and psychological problems such as stigmatization and poor self-image.

Parents can be attributed to some degree for this problem as they often neglect the unhealthy dietary habits and patterns followed by these children. Popular culture that introduces them to junk food, snacks, colas etc and markets these items in the most attractive of ways adds to the issue.

Childhood obesity is a complex health issue which is not just influenced by unhealthy dietary habits, but also by the lifestyle and behavioral choices made by parents and children alike.

Children nowadays prefer to stay indoors than playing outside and are more exposed to screens like TV, tablets and mobile screens like never before. Meanwhile, there are parents who pressurise their kids to focus more on academics with little or no motivation to indulge in any outdoor games or sports. This lack of physical activity, which is a key determinant of energy expenditure and a fundamental part of energy balance and weight control, triggers obesity and chronic health conditions in them, said Kannan.

Genetic conditions are yet another factor that only increases the chances of obesity in children, which means children with overweight parents can also inherit the problem.

However, genetics alone cannot cause obesity. They merely increase one's propensity to put on weight easily. Ultimately, it's only the children who eat more calories than they need for their growth and energy who become obese.

No matter how much parents are to be blamed, the good news is that only they have the potential to influence their child's lifestyle and weight. For them, it can be difficult sometimes to figure out whether their child is overweight because a child may not look particularly heavy to be overweight.

Moreover, with a growing number of children becoming heavier at a younger age, they become used to seeing bigger children.

In such situations, determine the body fat directly is difficult and the diagnosis can be done through BMI rate. Children with a BMI equal to or exceeding the age-gender can be called obese.

Parents can do a lot to help their child maintain a healthy weight. To begin with, they can simply take charge as their role models by inculcating good habits in their children and encouraging them to be active and eat well by doing so themselves.

Parents must start a ritual of going for walks or cycling every day with their kids instead of watching TV or surfing the internet. This will not only make them realize that being active can be fun, it will be a great way for the entire family to spend time together.

Children crave for attention and care and those who are deprived of it, have a higher risk of obesity. So instead of using food as a comfort measure, parents must help them develop healthy eating habits by initiating ways to make their favorite dishes healthier, and reduce calorie-rich temptations by letting them enjoy those goodies as well once in a while as a treat.

Parents should also avoid serving their children oversized portions and start with small servings. They must also be encouraged to eat slowly in their set mealtimes. The mealtimes can be further utilised as an opportunity to catch up on their day to day activities.

Both the parents and children must make it a custom to eat healthy and aim for five or more portions of fruit and vegetables every day in the form of juices, smoothies, beans, and pulses, to ramp up their fiber, vitamins and minerals intake.

The idea is to get a maximum number of calories from healthier and nutrient-rich foods like fruit and vegetables, bread, potatoes, fish, chicken, rice and whole grains instead of sugary or high-fat foods like sweets, cakes, biscuits, sugary cereals, and sugar-sweetened fizzy drinks.

Children are the future pillars of a nation and their health and fitness are crucial for the overall growth and development of the country.

So, it becomes not just the responsibility of the parents, but the entire community around them including schools, child care settings and medical care providers, government agencies to be equally concerned about childhood obesity and take meaningful steps to nip the problem in the bud.

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Agencies
May 5,2020

The lockdown forced by the coronavirus in India has had some unexpected but positive fallouts: It has brought families together and reduced corporate politics, says an expert working in the field for the past decade.

"Today the whole world is on lockdown because of COVID-19, and all that we read, talk and hear is about life and death. We can't deny that the times are tough and the future is uncertain. But I would like to turn the coin and see the other side: the positive side," Shikha Mittal, Founder Director of Be.artsy told IANS in an interview.

Be.artsy is one of India's leading social awareness enterprises which deals with emotions at work and promotes arts as a communication tool for workplaces.

"In the 21st century, personally and professionally, people are practising politics over humanity, competition over collaboration, and have lost touch with themselves due to materialistic desires. During the lockdown, we are forced to confront our existing daily lives, and two interesting things that we can ponder upon, have emerged.

"First, have we ever looked at our family with the same lens as we are using today? What is it that we are doing differently with family today, and what can we do to carry our actions of today into our tomorrow? This is the premise of the #aajjaisakalcontest" that Be.artsy has launched across India.

The aim is "to encourage people to share one habit or life skill that they never practiced earlier, but post Covid-19 would like to continue and enjoy".

How did Be.artsy come about?

"I used to be in the corporate world, earning promotions and greater responsibility. However, the work conditions in those days were unfriendly to women and I had faced many instances of sexual harassment and workplace harassment in the six years of my corporate career. And that's when I had an epiphany."

Be.artsy's most popular programmes are on Prevention of Sexual Harassment (POSH) and on Financial Literacy which makes young people financially independent and better prepared to face the corporate world. "We know that a stitch in time (of planning for the future) saves nine (debt trap, dependence, health emergencies, expenses exceeding income, no savings, families without support, retirement in poverty, lost dreams, extravagance). This can only be achieved by sensitisation," Mittal explained.

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Agencies
April 21,2020

The Lockdown is not a cure but a critical strategy to prevent the geographical spread of COVID-19.

While pandemics at this level involves actual life threatening situations for individual's or significant others in one's immediate circle, it envisages a marked disruption in routine life. Even after the pandemic has been contained and will come to pass; it's aftermath will leave a trailblazer which demands planning and implementation of a post pandemic reconstruction of society with potentially traumatic experiences varying in intensity, multiplicity and duration.

Degree of Trauma

It would do well for each one of us to realise that the pandemic is "potentially traumatic", since not everyone will experience COVID -19 as a traumatic event in their lives. Yet, there will be those who may develop post pandemic stress reactions, depression and related dysfunction and pathological reactions while still other exhibit healthy reactions to the same set of circumstances.

"Psychological reactions to the pandemic can be distilled into four distinct prototypical patterns, namely, Resilience, Recovery, Chronic and Delayed patterns which may vary in intensity, multiplicity, and duration. Resilient individual have an ability to bounce back from adversity and experience modest or little disruption in normal functioning and are able to maintain a relatively stable, healthy levels of psychological functioning even after enduring the pandemic. Recovery pattern is characterised by relatively rapid reduction in symptoms and return to normal functioning whereas chronic pattern is characterised by symptoms and dysfunction of a long duration," says Pune-based military psychologist Lt Col Dr Samir Rawat.

Challenges at the Individual and Community Levels

From a psychological perspective, post pandemic reconstruction would entail catering to the problems, concerns and needs of those adversely impacted by the COVID -19 with stress symptoms typically characterised by individual's experiencing an overwhelming trauma of the pandemic (for example, recurring nightmares/ breaking into a cold sweat, flashback of stressful events, increasing irritability, low frustration tolerance or emotional numbing).

It could also manifest in depressive symptoms which may result in lack of interest or diminished pleasure in activities and things which you earlier liked to do, feelings of worthlessness or even survivor guilt in case of a loss of a loved one due to COVID-19, fleeting thoughts of death and suicidal ideation. Physical symptoms, on the other hand could be a decrease in appetite, weight and sleep problems, inability to focus and lack of concentration.

Undoubtedly, the pandemic will cause a financial loss of varying magnitude to many, especially the marginalised and economically disadvantaged strata of daily wage earners; it will also lead to loss of jobs (already beginning to show), homelessness, occupational difficulties and new challenges in interpersonal relations at work and on the home front, besides physical health problems and psychological barriers with new norms of accepted social behaviour (social distancing, handshakes, an obsession for cleanliness to name a few).

Emotional battles

Many factors may influence whether individuals come out stronger and more resilient or surrender to the pandemic. Emotion Regulation is one such long term critical factor that can play an important role in contributing to varying degrees of adaptation with negative or positive outcomes. While we know that primary emotions are fear, anger, disgust, joy, anticipation, acceptance, sadness and surprise, other basic emotions include wonder, love, desire, joy, hatred, sadness, attachment, disgust, rage and even expectancy .

To be able to regulate these emotions and avoid negativity , especially on social media platforms is likely to increase efforts in emotion regulation which involves initiating, increasing or maintaining an emotional response.

This means by regulating or on the other hand by stopping, decreasing or avoiding an emotional response, that is, by down-regulating, depending on the individual's objectives and goals or his /her ability to regulate emotions in the valued and given direction.

"One of the best ways to regulate emotions is through cognitive restructuring wherein we change the way we think; after all it is not the event but the interpretation of the event which is perceived as stressful and finding meaning promotes resilience and reduces risk and vulnerability to stress," advises Dr Rawat.

Adding, "Clearly, we need to have a psychological plan to prevent, mitigate and minimise negative outcomes by post pandemic reconstruction of society at an individual and community level all over the country; this has to be integrated by all leaders across verticals in diverse domains."

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News Network
June 20,2020

Washington, Jun 20: Pregnant and postpartum women are usually at a high risk of depression and anxiety - one in seven women struggle with symptoms in the perinatal period and the coronavirus pandemic is exacerbating those struggles according to a recent study.

The study was published in Frontiers in Global Women's Health, which found that the likelihood of maternal depression and anxiety has substantially increased during the health crisis.

"The social and physical isolation measures that are critically needed to reduce the spread of the virus are taking a toll on the physical and mental health of many of us," said Dr. Margie Davenport of the University of Alberta, Canada, who co-authored the study.

For new moms, those stresses come with side effects.

"We know that experiencing depression and anxiety during pregnancy and the postpartum period can have detrimental effects on the mental and physical health of both mother and baby that can persist for years," said Davenport.

Such effects can include premature delivery, reduced mother-infant bonding, and developmental delays in infants.

The study surveyed 900 women - 520 of whom were pregnant and 380 of whom had given birth in the past year - and asked about their depression and anxiety symptoms before and during the pandemic.

Before the pandemic began, 29 percent of those women experienced moderate to high anxiety symptoms, and 15 percent experienced depressive symptoms. During the pandemic, those numbers increased - 72 percent experienced anxiety and 41percent experienced depression.

Because lockdown measures have affected daily routines and access to gyms, researchers also asked women whether their exercise habits had changed. Of the women surveyed, 64 percent reduced their physical activity since the pandemic began, while 15 percent increased and 21 percent experienced no change.

Exercise is a known way to ease depression symptoms, so limited physical activity may result in an uptick in depressive symptoms. Indeed, the study found that women who engaged in at least 150 minutes of moderate physical activity a week had significantly lower symptoms of depression and anxiety.

The findings are somewhat limited given the fact that researchers could not survey women before the pandemic began (since they could not know a pandemic would occur). The women surveyed could only offer their pre-pandemic symptoms in hindsight.

Also, while the researchers asked women about their symptoms using validated measures, only mental health care professionals can validly diagnose an individual with depression or anxiety.

The study was specifically interested in the impact of COVID-19 on new moms, but Davenport says maternal mental health is a critical issue no matter the time.

"Even when we are not in a global pandemic, many pregnant and postpartum women frequently feel isolated whether due to being hospitalized, not having family or friends around or other reasons," she said.

"It is critical to increase awareness of the impact of social (and physical) isolation on the mental health of pregnant and postpartum women," Davenport added.

Increased awareness makes diagnosis and treatment - the ultimate goal - more likely.

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