Monday 12 December 2011

Doctors need to be honest with their patients and say ‘Your kid’s overweight’

According to a study published online in Archives of Pediatrics & Adolescent Medicine, doctor should tell parents when their children are overweight as this would improve their motivation to follow healthy eating and activity.

Perrin and co-authors Asheley Cockrell Skinner, and Michael J. Steiner, performed a secondary statistical analysis of data collected from 4,985 children ages 2 to 15 years old who had a body mass index (BMI) at or above the 85th percentile based on measured height and weight. The data were collected as part of the National Health and Nutrition Examination Survey (NHANES) from 1999 to 2008.



During that time, only 22 percent of parents reported that a doctor or other health professional told them their child was overweight. This percentage increased from 19.4 percent in 1999 to 23.4 percent in 2004, and then to 29.1 percent in 2007-2008. Even among parents of very obese children, only 58 percent recall a doctor telling them.

However, as shown in the journal Pediatrics parents are reluctant to be told that their children have an unhealthy weight.

Focus on an "obesogenic" environment rather than kids behavior to battle obesity

According to researchers reviewing numerous anti-childhood obesity programs, the focus to prevent it should be on strategies that seek to change children’s environments rather than their behavior.
The researchers said that environmental approaches improving physical activity and dietary habits are the key to prevention measures.


To find which forms of intervention could have a maximum effect to help prevent obesity in children, an international team of researchers updated a previous Cochrane Review by searching for new evidence from existing studies to see which forms of intervention work best.

Researchers targeted children ages 6-12 with school-based programs that encourage healthy eating, physical activity, and positive attitudes to body image.

The researchers highlighted the key strategies that could be considered for prevention measures including healthy eating, physical activity and body image in school curricula.

The key findings are:

  • Increasing physical activity and the development of fundamental movement skills during the school week.
  • Improving the nutritional quality of food supplied in schools.
  • Creating environments and cultural practices within schools that support children eating healthier foods and being active throughout each day.
  • Professional development and capacity building activities which help to support teachers and other staff as they implement health promotion strategies and activities.
  • Giving more attention to parent support and home activities that encourage children to be more active, eat more nutritious foods and spend less time in screen-based activities.
Source: http://www.medicaldaily.com/news/20111207/8141/how-to-prevent-childhood-obesity-prevention-measures-for-child-obesitywatch-your-child%C3%A2%E2%82%AC%E2%84%A2s-dietch.htm