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Published in: Indian Journal of Pediatrics 4/2013

01-04-2013 | General Practitioner's Column

Childhood Obesity

Authors: Anju Seth, Rajni Sharma

Published in: Indian Journal of Pediatrics | Issue 4/2013

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Abstract

Childhood obesity is an issue of serious medical and social concern. In developing countries including India, it is a phenomenon seen in higher socioeconomic strata due to the adoption of a western lifestyle. Consumption of high calorie food, lack of physical activity and increased screen time are major risk factors for childhood obesity apart from other genetic, prenatal factors and socio-cultural practices. Obese children and adolescents are at increased risk of medical and psychological complications. Insulin resistance is commonly present especially in those with central obesity and manifests as dyslipidemia, type 2 diabetes mellitus, impaired glucose tolerance, hypertension, polycystic ovarian syndrome and metabolic syndrome. Obese children and adolescents often present to general physicians for management. The latter play a key role in prevention and treatment of obesity as it involves lifestyle modification of the entire family. This article aims at discussing the approach to diagnosis and work-up, treatment and preventive strategies for childhood obesity from a general physician’s perspective.
Literature
1.
go back to reference Ebbeling CB, Pawlak DB, Ludwig DS. Childhood obesity: public-health crisis, common sense cure. Lancet. 2002;360:473–82.PubMedCrossRef Ebbeling CB, Pawlak DB, Ludwig DS. Childhood obesity: public-health crisis, common sense cure. Lancet. 2002;360:473–82.PubMedCrossRef
2.
go back to reference Gupta N, Goel K, Shah P, Misra A. Childhood obesity in developing countries: epidemiology, determinants, and prevention. Endocr Rev. 2012 Jan 12. [Epub ahead of print] Gupta N, Goel K, Shah P, Misra A. Childhood obesity in developing countries: epidemiology, determinants, and prevention. Endocr Rev. 2012 Jan 12. [Epub ahead of print]
3.
go back to reference Misra A, Shah P, Goel K, et al. The high burden of obesity and abdominal obesity in urban Indian schoolchildren: a multicentric study of 38,296 children. Ann Nutr Metab. 2011;58:203–11.PubMedCrossRef Misra A, Shah P, Goel K, et al. The high burden of obesity and abdominal obesity in urban Indian schoolchildren: a multicentric study of 38,296 children. Ann Nutr Metab. 2011;58:203–11.PubMedCrossRef
5.
go back to reference Misra A, Chowbey P, Makkar BM, et al. Concensus Group. Consensus statement for diagnosis of obesity, abdominal obesity and the metabolicsyndrome for Asian Indians and recommendations for physical activity, medical and surgical management. J Assoc Physicians India. 2009;57:163–70.PubMed Misra A, Chowbey P, Makkar BM, et al. Concensus Group. Consensus statement for diagnosis of obesity, abdominal obesity and the metabolicsyndrome for Asian Indians and recommendations for physical activity, medical and surgical management. J Assoc Physicians India. 2009;57:163–70.PubMed
6.
go back to reference de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007;85:660–7.PubMedCrossRef de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007;85:660–7.PubMedCrossRef
8.
go back to reference Ogden CL, Kuczmarski RJ, Flegal KM, et al. Centers for Disease Control and Prevention 2000 growth charts for the United States: improvements to the 1977 National Center for Health Statistics version. Pediatrics. 2002;109:45–60.PubMedCrossRef Ogden CL, Kuczmarski RJ, Flegal KM, et al. Centers for Disease Control and Prevention 2000 growth charts for the United States: improvements to the 1977 National Center for Health Statistics version. Pediatrics. 2002;109:45–60.PubMedCrossRef
9.
go back to reference Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000;320:1240–3.PubMedCrossRef Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000;320:1240–3.PubMedCrossRef
10.
go back to reference Agarwal DK, Agarwal KN, Upadhyay SK, Mittal R, Prakash R, Rai S. Physical and sexual growth pattern of affluent Indian children from 5 to 18 years of age. Indian Pediatr. 1992;29:1203–82.PubMed Agarwal DK, Agarwal KN, Upadhyay SK, Mittal R, Prakash R, Rai S. Physical and sexual growth pattern of affluent Indian children from 5 to 18 years of age. Indian Pediatr. 1992;29:1203–82.PubMed
11.
go back to reference Khadilkar VV, Khadilkar AV, Borade AB, Chiplonkar SA. Body mass index cut-offs for screening for childhood overweight and obesity in Indian children. Indian Pediatr. 2012;49:29–34.PubMedCrossRef Khadilkar VV, Khadilkar AV, Borade AB, Chiplonkar SA. Body mass index cut-offs for screening for childhood overweight and obesity in Indian children. Indian Pediatr. 2012;49:29–34.PubMedCrossRef
12.
go back to reference Wright CM. Which threshold should India use to define childhood obesity and how much does it matter? Indian Pediatr. 2011;48:103–4.PubMedCrossRef Wright CM. Which threshold should India use to define childhood obesity and how much does it matter? Indian Pediatr. 2011;48:103–4.PubMedCrossRef
13.
go back to reference Misra A, Khurana L. Obesity and the metabolic syndrome in developing countries. J Clin Endocrinol Metab. 2008;93:S9–30.PubMedCrossRef Misra A, Khurana L. Obesity and the metabolic syndrome in developing countries. J Clin Endocrinol Metab. 2008;93:S9–30.PubMedCrossRef
14.
go back to reference Kuriyan R, Thomas T, Lokesh DP, et al. Waist circumference and waist for height percentiles in urban South Indian children aged 3–16 years. Indian Pediatr. 2011;48:765–71.PubMedCrossRef Kuriyan R, Thomas T, Lokesh DP, et al. Waist circumference and waist for height percentiles in urban South Indian children aged 3–16 years. Indian Pediatr. 2011;48:765–71.PubMedCrossRef
15.
go back to reference Alemzadeh R, Rising R, Lifshitz F. Obesity in children. In: Lifshitz F, ed. Pediatric endocrinology vol I. 5th ed. USA: Informa Healthcare Inc; 2007. pp. 1–36. Alemzadeh R, Rising R, Lifshitz F. Obesity in children. In: Lifshitz F, ed. Pediatric endocrinology vol I. 5th ed. USA: Informa Healthcare Inc; 2007. pp. 1–36.
16.
17.
go back to reference Laxmaiah A, Nagalla B, Vijayaraghavan K, Nair M. Factors affecting prevalence of overweight among 12- to 17-year-old urban adolescents in Hyderabad. India. Obesity (Silver Spring). 2007;15:1384–90.CrossRef Laxmaiah A, Nagalla B, Vijayaraghavan K, Nair M. Factors affecting prevalence of overweight among 12- to 17-year-old urban adolescents in Hyderabad. India. Obesity (Silver Spring). 2007;15:1384–90.CrossRef
18.
go back to reference Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH. Predicting obesity in young adulthood from childhood and parental obesity. N Engl J Med. 1997;337:869–73.PubMedCrossRef Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH. Predicting obesity in young adulthood from childhood and parental obesity. N Engl J Med. 1997;337:869–73.PubMedCrossRef
19.
go back to reference Neel JV. The thrifty genotype revisited. In: Kobberling J, Tattersall J, Tattersall R, eds. The genetics of diabetes mellitus. London: Academic; 1982. pp. 283–93. Neel JV. The thrifty genotype revisited. In: Kobberling J, Tattersall J, Tattersall R, eds. The genetics of diabetes mellitus. London: Academic; 1982. pp. 283–93.
21.
go back to reference Monasta L, Batty GD, Cattaneo A, et al. Early-life determinants of overweight and obesity: a review of systematic reviews. Obes Rev. 2010;11:695–708.PubMedCrossRef Monasta L, Batty GD, Cattaneo A, et al. Early-life determinants of overweight and obesity: a review of systematic reviews. Obes Rev. 2010;11:695–708.PubMedCrossRef
22.
go back to reference Freedman DS, Khan LK, Serdula MK, Dietz WH, Srinivasan SR, Berenson GS. The relation of childhood BMI to adult adiposity: the Bogalusa Heart Study. Pediatrics. 2005;115:22–7.PubMed Freedman DS, Khan LK, Serdula MK, Dietz WH, Srinivasan SR, Berenson GS. The relation of childhood BMI to adult adiposity: the Bogalusa Heart Study. Pediatrics. 2005;115:22–7.PubMed
23.
go back to reference Zimmet P, Alberti KG, Kaufman F, et al. IDF Consensus Group. The metabolicsyndrome in children and adolescents—an IDF consensus report. Pediatr Diabetes. 2007;8:299–306.PubMedCrossRef Zimmet P, Alberti KG, Kaufman F, et al. IDF Consensus Group. The metabolicsyndrome in children and adolescents—an IDF consensus report. Pediatr Diabetes. 2007;8:299–306.PubMedCrossRef
24.
go back to reference American Diabetes Association. Type 2 diabetes in children and adolescents. Pediatrics. 2000;105:671–80.CrossRef American Diabetes Association. Type 2 diabetes in children and adolescents. Pediatrics. 2000;105:671–80.CrossRef
25.
go back to reference Ramachandran A, Snehalatha C, Satyavani K, Sivasankari S, Vijay V. Type 2 diabetes in Asian-Indian urban children. Diabetes Care. 2003;26:1022–5.PubMedCrossRef Ramachandran A, Snehalatha C, Satyavani K, Sivasankari S, Vijay V. Type 2 diabetes in Asian-Indian urban children. Diabetes Care. 2003;26:1022–5.PubMedCrossRef
26.
go back to reference Barlow SE, Expert Committee. Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report. Pediatrics. 2007;120:S164–92.PubMedCrossRef Barlow SE, Expert Committee. Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report. Pediatrics. 2007;120:S164–92.PubMedCrossRef
27.
go back to reference Patton HM, Sirlin C, Behling C, Middleton M, Schwimmer JB, Lavine JE. Pediatricno nalcoholic fatty liver disease: a critical appraisal of current data and implications for future research. J Pediatr Gastroenterol Nutr. 2006;43:413–27.PubMedCrossRef Patton HM, Sirlin C, Behling C, Middleton M, Schwimmer JB, Lavine JE. Pediatricno nalcoholic fatty liver disease: a critical appraisal of current data and implications for future research. J Pediatr Gastroenterol Nutr. 2006;43:413–27.PubMedCrossRef
28.
go back to reference Friedlander SL, Larkin EK, Rosen CL, Palermo TM, Redline S. Decreased quality of life associated with obesity in school-aged children. Arch Pediatr Adolesc Med. 2003;157:1206–11.PubMedCrossRef Friedlander SL, Larkin EK, Rosen CL, Palermo TM, Redline S. Decreased quality of life associated with obesity in school-aged children. Arch Pediatr Adolesc Med. 2003;157:1206–11.PubMedCrossRef
29.
go back to reference American Academy of Pediatrics. Committee on Adolescence. Identifying and treating eating disorders. Pediatrics. 2003;111:204–11.CrossRef American Academy of Pediatrics. Committee on Adolescence. Identifying and treating eating disorders. Pediatrics. 2003;111:204–11.CrossRef
30.
go back to reference Cruz P, Hud J. Excess insulin binding to insulin—like growth factor receptors: proposed mechanism for acanthosis nigricans. J Invest Dermatol. 1992;98:82S–5S. Cruz P, Hud J. Excess insulin binding to insulin—like growth factor receptors: proposed mechanism for acanthosis nigricans. J Invest Dermatol. 1992;98:82S–5S.
31.
32.
go back to reference Spear BA, Barlow SE, Ervin C, et al. Recommendations for treatment of child and adolescent overweight and obesity. Pediatrics. 2007;120:S254–88.PubMedCrossRef Spear BA, Barlow SE, Ervin C, et al. Recommendations for treatment of child and adolescent overweight and obesity. Pediatrics. 2007;120:S254–88.PubMedCrossRef
33.
go back to reference Oude Luttikhuis H, Baur L, Jansen H, Shrewsbury VA, O’Malley C, Stolk RP, et al. Interventions for treating obesity in children. Cochrane Database Syst Rev. 2009:CD001872. Oude Luttikhuis H, Baur L, Jansen H, Shrewsbury VA, O’Malley C, Stolk RP, et al. Interventions for treating obesity in children. Cochrane Database Syst Rev. 2009:CD001872.
34.
go back to reference Indian Council of Medical Research Expert Group. Nutient requirements and recommended dietary allowances for Indians. New Delhi: National Institute of Nutrition; 1990. Indian Council of Medical Research Expert Group. Nutient requirements and recommended dietary allowances for Indians. New Delhi: National Institute of Nutrition; 1990.
35.
go back to reference Brufani C, Fintini D, Nobili V, Patera PI, Cappa M, Brufani M. Use of metformin in pediatric age. Pediatr Diabetes. 2011;12:580–8.PubMed Brufani C, Fintini D, Nobili V, Patera PI, Cappa M, Brufani M. Use of metformin in pediatric age. Pediatr Diabetes. 2011;12:580–8.PubMed
36.
go back to reference Inge TH, Krebs NF, Garcia VF, et al. Bariatric surgery for severely overweight adolescents: concerns and recommendations. Pediatrics. 2004;114:217–23.PubMedCrossRef Inge TH, Krebs NF, Garcia VF, et al. Bariatric surgery for severely overweight adolescents: concerns and recommendations. Pediatrics. 2004;114:217–23.PubMedCrossRef
37.
go back to reference Robinson TN. Reducing children’s television viewing to prevent obesity: a randomized controlled trial. JAMA. 1999;282:1561–7. Robinson TN. Reducing children’s television viewing to prevent obesity: a randomized controlled trial. JAMA. 1999;282:1561–7.
Metadata
Title
Childhood Obesity
Authors
Anju Seth
Rajni Sharma
Publication date
01-04-2013
Publisher
Springer-Verlag
Published in
Indian Journal of Pediatrics / Issue 4/2013
Print ISSN: 0019-5456
Electronic ISSN: 0973-7693
DOI
https://doi.org/10.1007/s12098-012-0931-5

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