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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February 26,2020

Feb 26: While too much stress can be toxic to your health, a new study suggests that despite its negative side effects, it may also lead to a surprising social benefit.

The research, published in the journal Stress & Health, found that experiencing stress made people both more likely to give and receive emotional support from another person.

This was true on the day they experienced the stressor as well as the following day.

"Our findings suggest that just because we have a bad day, that doesn't mean it has to be completely unhealthy," said study researcher David Almeida from Penn State University in the US.

"If stress can actually connect us with other people, which I think is absolutely vital to the human experience, I think that's a benefit. Stress could potentially help people deal with negative situations by driving them to be with other people," Almeida added.

For the study, the researchers interviewed 1,622 participants every night for eight nights. They asked the participants about their stressors and whether they gave or received emotional support on that day.

Stressors included arguments, stressful events at work or school, and stressful events at home.

The researchers found that on average, participants were more than twice as likely to either give or receive emotional support on days they experienced a stressor.

Additionally, they were 26 per cent more likely to give or receive support the following day.

The researchers said that while this effect, on average, was found across the participants, it differed slightly between men and women.

"Women tended to engage in more giving and receiving emotional support than men," said study researcher Hye Won Chai.

"In our study, men were also more likely to engage in emotional support on days they were stressed, but to a lesser extent than women," Chai added.

The researchers said they were surprised that stress was linked to people not just receiving emotional support, but giving it, as well.

"We saw that someone experiencing a stressor today actually predicted them giving emotional support the next day," Almeida said.

"This made me think that it's actually possible that stress helps to drive you to other people and allows it to be ok to talk about problems -- your problems, my problems," Almeida added.

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April 15,2020

Dear parents, if you want your children to have proper sleep, read this carefully. Joining a growing list of studies that tell parents to shun devices at bed-time, researchers say that children who use devices and decide what time they go to sleep, achieve less sleep and feel more sleepier the following day than their peers.

The study of children in this age-group (aged 11 to 13 years), published in the New Zealand Medical Journal, found most (72 per cent) of the 163 students interviewed by University of Otago researchers achieved recommended guidelines of an average 9 to 11 hours sleep nightly over one week.

"But that also means that almost one in four students did not achieve sleep within these guidelines, which highlights an area for improvement," said study researcher Kate Ford.

However, consistent with previous research in 15 to 17-year-old New Zealanders, the study results show less sleep on the nights where devices are used in the hour before bed.

According to the researchers, students who used devices before going to sleep were also more likely to report that they felt sleepy the following morning. Watching television before bed had no significant effect on sleep length.

There were also some interesting observations over the weekends where students went to bed later but woke later achieving similar sleep length to the school days, the researchers said.

A small group of students (six per cent) who reported less than seven hours of sleep, including a small number reporting not sleeping at all, according to the study,

Therefore, while the average across the week of 72 per cent of students reporting adequate sleep is reassuring, it is far from the goal of every child achieving sleep within the recommended guidelines," Ford said.

Dr Paul Kelly, head of the Sleep Health Service at Canterbury District Health Board, supervised the study and explained that the foundations for good health are based on proper nutrition, regular exercise and good sleep quality.

Sleep quality is often overlooked as a contributory factor to poor health.

"The study findings suggest the need for parental guidance around bedtimings and moderation of the use and availability of electronic devices before bed," Kelly said.

"Respect and protect your sleep, as good daytime functioning is reliant on adequate sleep," Kelly added.

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March 15,2020

Should you let your babies "cry it out" or rush to their side? Researchers have found that leaving an infant to 'cry it out' from birth up to 18 months does not adversely affect their behaviour development or attachment.

The study, published in the Journal of Child Psychology and Psychiatry, found that an infant's development and attachment to their parents is not affected by being left to "cry it out" and can actually decrease the amount of crying and duration.

"Only two previous studies nearly 50 or 20 years ago had investigated whether letting babies 'cry it out' affects babies' development. Our study documents contemporary parenting in the UK and the different approaches to crying used," said the study's researcher Ayten Bilgin from the University of Warwick in the UK.

For the study, the researchers followed 178 infants and their mums over 18 months and repeatedly assessed whether parents intervened immediately when a baby cried or let the baby let it cry out a few times or often.

They found that it made little difference to the baby’s development by 18 months.

The use of parent’s leaving their baby to ‘cry it out’ was assessed via maternal report at term, 3, 6 and 18 months and cry duration at term, 3 and 18 months.

Duration and frequency of fussing and crying was assessed at the same ages with the Crying Pattern Questionnaire.

According to the researchers, how sensitive the mother is in interaction with their baby was video-recorded and rated at 3 and 18 months of age.

Attachment was assessed at 18 months using a gold standard experimental procedure, the strange situation test, which assesses how securely an infant is attached to the major caregiver during separation and reunion episodes.

Behavioural development was assessed by direct observation in play with the mother and during assessment by a psychologist and a parent-report questionnaire at 18 months.

Researchers found that whether contemporary parents respond immediately or leave their infant to cry it out a few times to often makes no difference on the short - or longer term relationship with the mother or the infants behaviour.

This study shows that 2/3 of mum's parent intuitively and learn from their infant, meaning they intervene when they were just born immediately, but as they get older the mother waits a bit to see whether the baby can calm themselves, so babies learn self-regulation.

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