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CHILDHOO
D OBESITYPriyam Sharma
Former Chief Bariatric Dietician
Former Dietitian in DDRC
Consultant Dietician in Shangri- La’s Eros
B.Sc (HND) M.Sc. (DFSM) IDA
www.dialdietitian.in
Email –priyamsharma@dialdietitian.in
Rapidly changing dietary practices and a
sedentary lifestyle have led to increasing
prevalence of childhood obesity (5-19 yr) in
developing countries recently: 41.8% in
Mexico, 22.1% in Brazil, 22.0% in India, and
19.3% in Argentina, 2012.
OBESITY DEFINED
• BMI=[weightLbs./(Heightininches)2]
x703
• BMI=Weightkg/m(heightin
metre)2 ]
C A U S E S A N D R I S K
F A C T O R S
• Poordiet
• Lackofphysical
activity
• Genetics
• Culture
• Certainmedical
disorders
• Environment
Metabolism
• Lifestyle
• Psychological
factors
• Lackofknowledge
HEALTH
IMPLICATIONS
Coronaryheartdisease
Type2diabetes
Hypertension
Non-alcoholicfattyliver
disease
Increasedriskofdisability
HEALTH IMPLICATIONS
• Alsolinkedwithmentalhealthconditionssuch
as:
–Depression
–Lowself-esteem
–Feelingsofshame
• Manyobesepeoplearediscriminatedagainst
andthetargetsofinsultsandverbalabuse
WHO IS AFFECTED?
Everyone…Evenyourdog.
HOW OBESITY HARMS A
CHILD
• Brain
• Heart
• Liver
• Pancreas
• GrowthPlates
PEOPLEANDPERSPECTIVES
Who is impacted by
childhood obesity?
PEOPLEANDPERSPECTIVES
• Argumentssupportingoccupationaltherapists
playaroleinchildhoodobesity.
• Argumentsagainstoccupationaltherapists
playingaroleinchildhoodobesity.
PREVENTION
• Advocacy/policy
• Educationalprogram
• Counselingsessions
• Specialexercisescounselingandtraining
INTERVENTIONS
• Workingwithfamilies
• Changinghabits
• Workingwithschoolsystems
• Environmentmodification
• ADLs/IADLs

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Childhood obesity final

Editor's Notes

  1. Cutoffs Male: BMI> 25.0 Female: BMI> 30.0 Extreme obesity BMI> 40.0 Childhood obesity = at or above the 95th percentiles of a specified reference population.
  2. The prevalence of obesity in the U.S. has increased SUBSTANTIALLY over the past 30 years. 1980-2004: Prevalence in adults increased from 15% to 33% Prevalence in children increased from 6%- 19% The highest BMIs (> 50) are increasing exponentially in all age groups and sexes in the U.S. and worldwide The largest increase has been in women and younger children
  3. Comorbidities
  4. Chau and Rach