OBESITY IN CHILDREN
WHAT IS OBESITY?
•Overweight and Obesity are defined as
abnormal or excessive fat accumulation that may
impair health. (WHO, 2013)
•Obesity is a medical condition in which excess
body fat has accumulated to the extent that it
may have an adverse effect on health, leading to
reduced life expectancy and/ or increased health
WHAT IS CHILDHOOD OBESITY?
•Childhood obesity is a serious medical
adolescents. It occurs when a child is well
above the normal weight for his or her age
STATISTICS (children ages 3-12)
•In Trinidad and Tobago, research has shown that a
quarter (25%) of school-aged children (5 – 18years) is
overweight or obese.
•One in four children is overweight. One third of our
children so far have a cholesterol level over 200.(WHO
•This country is the fifth fattest nation in the world,
according to a recent report from the Food and
Agriculture Organisation (FAO).
•According to the World Health Organisation (WHO)
2010 figures, about 43 million children under age five are
•According to research done in 2009/2011 by the
Caribbean Food and Nutrition Institute
•23% of primary school children in Trinidad and
Tobago were overweight/obese
•25% of students
•14% of the children in secondary schools had been
•In the last ten years in this country, obesity levels
•Availability of fast food
Primary prevention is an action designed to
parents, children on healthy life styles.
• Physical education : enforced in schools.
“School children stay inside and play games
instead of participating in P.E activities.”
Nurses promote healthy eating and physical
activity throughout the lifecycle but beginning
at an early age by educating parents
, importantly if parents are obese putting
emphasis on Childhood obesity, associated
health risks, ( chronic and acute) risk and
Nurses promote healthy eating using Food
Guide to Healthy Eating and focus on:
•Using age-appropriate portion sizes;
•Emphasizing fruits and vegetables;
•Limiting sugar containing beverages
(e.g., soft drinks and fruit juices);
•Limiting consumption of energy-dense
snack foods high in sugar and fat (e.g.
french fries, candy)
Nurses promote increased physical activity
based on Guides for Children and Youth using
interventions with one or more of the
•Leisure activity of low intensity that is
gradually increased to recommended levels.
•Sustained, repeated interventions.
Nurses promote a decrease in sedentary
activities with emphasis on reducing the
amount of time clients spend watching
TV, playing video games, and engaging in
recreational computer use.
Secondary prevention aims to halt or slow the
progress of disease (if possible) in its earliest
Sugar, Cholesterol and Blood Pressure
screening for children –
Community health Center).
• Children at
Childhood Healthy Lifestyle
(Wendy Fitzwilliams Paediatric
Nurses work with school communities to
implement school-based strategies for the
prevention of obesity using a multi-component
•Integrating healthy lifestyle messages into
implementation of quality daily physical
implementation of quality daily physical
activity (including vigorous physical activity)
• Using youth driven approaches with
information and advocacy component.
• Offering healthy choices in cafeterias and
• Increasing physical activity opportunities at
recess and during lunch breaks
•Nurses support a family-centred approach
to promote healthy eating and physical
•Nurses assess physical growth and
development of children and adolescents
•Discussing and documenting basic dietary
•Discussing and documenting physical
activity patterns including sedentary
activity (e.g., television and computer time)
•Identifying individual and
factors for childhood obesity
•Accurately measuring and recording height
•Calculating Body Mass Index (BMI) for
children two years of age and older
TERTIARY PREVENTION METHODS
Tertiary prevention aims to prevent further
physical deterioration and maximize quality of
• The Ministry of Health conducted a Childhood
Healthy Lifestyle Camp, 'The Wee Fit Camp' at
Mount Hope Hospital.
About The WEE FIT CAMP
• Participants in the Wee Fit Camp are currently
enrolled in the Childhood Healthy Lifestyle
Clinic at the Wendy Fitzwilliams Paediatric
• Camp held for (50) children aged 7-12 years
old from primary schools in St. George East
• Children are screened and assessed as
overweight or obese by school nurses of the St.
George East County
WeeFit Camp is geared towards promoting
healthy lifestyles . The objectives of the camp
Promote healthy nutrition by focusing on
making healthy food choices, using correct portion
sizes, and eating fruit and vegetables daily.
Promote active lifestyles through the use of
fun, and physical activities.
Promote and improve self confidence and
self esteem in the children.