Childhood obesity: a global public health crisis

Sameera Karnik, Amar Kanekar, Sameera Karnik, Amar Kanekar

Abstract

Introduction: Childhood obesity is a major public health crisis nationally and internationally. The prevalence of childhood obesity has increased over few years. It is caused by imbalance between calorie intake and calories utilized. One or more factors (genetic, behavioral, and environmental) cause obesity in children. Physical, psychological, and social health problems are caused due to childhood obesity. Hence, effective intervention strategies are being used to prevent and control obesity in children. The purpose of this manuscript is to address various factors influencing childhood obesity, a variety of interventions and governmental actions addressing obesity and the challenges ahead for managing this epidemic.

Methods: In order to collect materials for this review a detailed search of CINAHL, MEDLINE, ERIC, Academic Search Premier databases was carried out for the time period 1999-2011.

Results: Some of the interventions used were family based, school based, community based, play based, and hospital based. The effective school-based interventions were seen targeting physical activity along with healthy diet education. The major challenges faced by these intervention programs are financial, along with stigmatization of obese children. Governments along with other health care organizations are taking effective actions like policy changing and environmentally safe interventions for children to improve physical activity.

Conclusions: In conclusion, childhood obesity can be tackled at the population level by education, prevention and sustainable interventions related to healthy nutrition practices and physical activity promotion.

Keywords: Calorie imbalance; childhood obesity; interventions; physical activity; policy changing.

Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Graphically shows the increasing trend of obesity among children and adolescent population from 1963 to 2008. Source: CDC/NCHS, National Health Examination Surveys 11 (ages 6-11), 111 (ages 12-17), and National Health and Nutrition Examination Surveys (NHANES) 1-111 and NHANES 1999-2000, 2001-2002, 2003-2004, 2005-2006, and 2007-2008[6]

References

    1. Centers for Disease Control and Prevention, Overweight and obesity; Defining overweight and obesity. [Last accessed on 2010]. Available from: .
    1. Theodore LA, Bray MA, Kehle TJ. Introduction to the special issue: Childhood obesity. Psychol Sch. 2009;46:693–4.
    1. Ribiero RC, Coutinho M, Bramorski MA, Giuliano IC, Pavan J. Association of the waist-to-height ratio with cardiovascular risk factors in children and adolescents: The three cities heart study. Int J Prev Mednone. 2010;1:39–49.
    1. Centers for Disease Control and Prevention, Overweight and obesity; Childhood overweight and obesity. [Last accessed on 2009]. Available from: .
    1. Reilly JJ. Childhood obesity: An overview. Child Soc. 2007;21:390–6.
    1. Ogden C, Carroll M. Prevalence of obesity among children and adolescents: United States, trends 1963–1965 through 2007–2008. Retrieved from National center for health statistics, Center for Disease Control and Prevention. [Last accessed on 2010]. Available from: .
    1. Tulchinsky TH, Varavikova EA. The new public health. 2nd ed. Burlington, MA: Elsevier academic press; 2009.
    1. Singhal V, Schwenk WF, Kumar S. Evaluation and management of childhood and adolescent obesity. Mayo Clin Proc. 2007;82:1258–64.
    1. Stamatakis E, Wardle J, Cole TJ. Childhood obesity and overweight prevalence trends in England: Evidence for growing socioeconomic disparities. Int J Obes (Lond) 2010;34:41–7.
    1. Centers for Disease Control and Prevention, Overweight and obesity; childhood overweight and obesity, contributing factors. [Last accessed on 2009]. Available from: .
    1. Perusse L, Bouchard C. Role of genetic factors in childhood obesity and in susceptibility to dietary variations. [Last accessed on 2011 Sept 03];Ann Med. 1999 31:19–25. Available from: .
    1. Kelishadi R, Ghatrehsamani S, Hosseini M, Mirmoghtadaee P, Mansouri S, Poursafa P. Barriers to physical activity in a population-based sample of children and adolescent in Isfahn, Iran. Int J Prev Med. 2009;1:131–7.
    1. Centers for Disease Control and Prevention. Overweight and obesity; childhood overweight and obesity, consequences. [Last accessed on 2009]. Available from: .
    1. Ben-Sefer E, Ben-Natan M, Ehrenfeld M. Childhood obesity: Current literature, policy and implications for practice. Int Nurs Rev. 2009;56:166–73.
    1. Carraro R, García Cebrián M. Role of prevention in the contention of the obesity epidemic. Eur J Clin Nutr. 2003;57(Suppl 1):S94–6.
    1. Pott W, Albayrak O, Hebebrand J, Pauli-Pott U. Treating childhood obesity: Family background variables and the child's success in a weight-control intervention. Int J Eat Disord. 2009;42:284–9.
    1. Hutchinson G. Tackling obesity through school-based interventions. Br J Sch Nurs. 2010;5:335–7.
    1. Rahman T, Cushing RA, Jackson RJ. Contributions of built environment to childhood obesity. Mt Sinai J Med. 2011;78:49–57.
    1. Economos CD, Irish-Hauser S. Community interventions: A brief overview and their application to the obesity epidemic. J Law Med Ethics. 2007;35:131–7.
    1. Tucker P, Irwin JD, Bouck LM, He M, Pollett G. Preventing paediatric obesity; recommendations from a community-based qualitative investigation. Obes Rev. 2006;7:251–60.
    1. Centers for Disease Control and Prevention (2011) [Last retrieved on 2011 Feb 03];CDC grand rounds: Childhood obesity in the United States. Morbidity and Mortality Weekly Report. 60(02):42–46. Available from: .
    1. Inge TH, Xanthakos SA, Zeller MH. Bariatric surgery for pediatric extreme obesity: Now or later? Int J Obes (Lond) 2007;31:1–14.
    1. Doak CM, Visscher TLS, Renders CM, Seidell JC. The prevention of overweight and obesity in children and adolescents: A review of interventions and programmes. Obes Rev. 2006;7:111–36.
    1. Kanekar A, Sharma M. Meta-analysis of school-based childhood obesity interventions in the U.K. and U.S. Int Q Community Health Educ. 2009;29:241–56.
    1. Fussenegger D, Pietrobelli A, Widhalm K. Childhood obesity: Political developments in Europe and related perspectives for future action on prevention. Obes Rev. 2008;9:76–82.

Source: PubMed

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