one child in five is overweight: 3.5% were obese and 14.5% are overweight. From prevention to care, nutritionists, pediatricians and associations call for the mobilization of families against this scourge.
United States, in some states , obesity affects one in three: 33.5% in West Virginia, 33% in Mississippi, 32% in Missouri … A disease that affects more young. In France, the overweight child becomes a real concern. Among younger, screening and management of overweight and obesity are indeed subject to various constraints. Gathered at a conference devoted to this problem, pediatricians, psychiatrists and elected officials have stressed the importance of lifestyle of the child, it is sometimes necessary to completely revise.
Should we screen for childhood obesity?
To fight against obesity and overweight in children, various actions nationwide ( Obesity publication plan , the recommendations of the High Authority of Health , etc..) or local (EPODE) are conducted. The key word is always prevention. And, especially if the problem is located at puberty, the risk of being overweight or obese is high: between 20 and 50% before puberty and 50 to 70% after puberty!
Should we then promote early detection? But from what age speak childhood obesity? Should we worry if your baby is particularly chubby? And if your 7 year old boy you seem plump, this does he not arrange with age? … For Dr. Sylvie Hubinois, pediatrician, “it is practically detectable at birth … A child who takes a lot of weight during the first year of development is more likely to become obese at age 7. Beware, it is not for many parents feel guilty “.
About the possibility of widespread screening, the plan Obesity raises the possibility of collecting anthropometric data of children (height and weight). But according to the head of this plan, Dr. Arnaud Basdevant, screening will interest “if it provides a coherent and relevant downstream.”
For Dr. Cédric Grouchka of the High Authority of Health priority “is to better detect, identify at least overweight and possibly obesity, especially in children.” To do this, the body mass index is the best indicator, knowing that “the child, the BMI should be correlated with the weight curve, otherwise alone, it does not mean much,” says the Dr. Grouchka.
Involve the family in the fight against overweight
Once the possible overweight found, no question of putting the child on a diet! According to the official recommendations of the HAS, weight stabilization of the child is considered a sufficient objective insofar as “growth can offset the possible overweight if it stabilizes” says Dr. Grouchka, adding that ” in children, it should prohibit any food because it should not diminish the fun. ”
The management of obesity is not only to follow certain rules but basic food needs especially taking into account the lifestyle as a whole. This can involve introducing regular physical activity, avoid systematic meal tray in front of the TV to get back to cooking … In short, relearn family life.