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Childhood Obesity- Public Health Crisis Report

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Childhood Obesity- Public Health Crisis Report
Childhood Obesity- Public Health Crisis Report

Word Limit: 3000words
Word Count:3,223

Table of Contents
1. Introduction and definition of key terms 3
2. Assessment of Obesity 5
2.1 Body fat: direct measures and derived estimates 5
2.2 Anthropometric measures of relative fatness 5
2.3 Weight for Height 8
2.4 Body Mass Index (BMI) 8
3. The Causes of Childhood Obesity 10
3.1 Normal energy requirements 10
3.2 Genetic, familial and gene-environment interactions 12
3.3 Diet 13
4. Consequences of Obesity-physical, psycho-social and economic 14
4.1 Physical health consequences 14
4.2 Psychological and social consequences 15
4.3 The economic costs of obesity in childhood 16
5. Prevention and Government Schemes 17
5.2 Change4Life convenience stores 18
5.3 National Child Measurement Programme 18
5.4 Advertising and marketing of food to children 18
5.5 Childhood Obesity National Support Team 19
6. Conclusion 19
7. Bibliography 20

1. Introduction and definition of key terms

Childhood obesity is one of the most serious public health challenges of the 21st century. The problem is global and is steadily affecting many low- and middle-income countries, particularly in urban settings. The prevalence has increased at an alarming rate. Globally, in 2010 the number of overweight children under the age of five, is estimated to be over 42 million. Close to 35 million of these are living in developing countries (WHO, 2011).
Figure 1 Graph Showing Increasing Number of Overweight Children around the World Source: BBC News (2008)

Figure 2 Graph Showing Childhood Obesity in England from 2-15 years old Source: BBC News (2008)

The United Nations Convention on the Rights of the Child (1989) defines a child as “a human being below the age of 18 years unless under the law applicable to the child, majority is attained earlier”. The World Health Organisation (2011) defines overweight and obesity as



Bibliography: Armstrong J., Reilly J.J., 2002. Child Health Information Team, Breastfeeding and lowering the risk of childhood obesity, Lancet, 359, pp 2003–2004 BBC News, 2008 Bellizzi M.C., Dietz W.H., 1999. Workshop on childhood obesity: summary of the discussion, American Journal of Clinical Nutrition, 70, pp 173–175. Bessesen, D.H., 2008 Braet C., Mervielde I., Vandereycken W., 1997. Psychological aspects of childhood obesity: a controlled study in a clinical and nonclinical sample, Journal of Pediatrics and Psychology, 22, pp 59–71 Department of Health, 2011 Deurenberg-Yap M., Chew S.K., Deurenberg P., 2002. Elevated bodyfat percentage and cardiovascular risks at low body mass index levels among Singaporean Chinese, Malays and Indians, Obesity Review, 3, pp 209–215. Drewnowski A., Popkin B.M., 1997. The nutrition transition: new trends in the global diet. Nutrition Review, 55, pp 31–43. Ebbeling C.B., Pawlak D.B., Ludwig D.S., 2002. Childhood obesity: public health crisis, common sense cure. Lancet ,360, pp 473–482. Falkner N.H., Neumark-Sztainer D., Story M., Jeffery R.W., Beuhring T., Resnick M.D., 2001. Social educational, and psychological correlates of weight status in adolescents, Obesity Research, 9, pp 32–42. Goran M.I., 1998. Measurement issues related to studies of childhood obesity: assessment of body composition, body fat distribution, physical activity, and food intake, Pediatrics, 101, pp 505–518 Goran M.I., Gower B.A., 1999 Gregory J., Lowe S., 2000. National Diet and Nutritional Survey: Young People Aged 4–18 Years, 1, Report of the Diet and Nutrition Survey, The Stationery Office, London Hill A.J., Lissau I., 2002 Himes J.H., Dietz W.H., 1994. Guidelines for overweight in adolescent preventative services: recommendations from an expert committee, American Journal of Clinical Nutrition, 59, pp 307–316 Hulman S., Kushner H., Katz S., Falkner B., 1998 Jahns L., Siega-Riz A.M., Popkin B.M., 2001. The increasing prevalence of snacking among US children from 1977 to 1996, Journal Pediatrics, 138, pp 493–498 Kopelman, P.G., 2005 Lazarus R., Baur L., Webb K., Blyth F. 1996. Body Mass Index in-screening for adiposity in children and adolescents: systematic evaluation using receiver operating characteristic curves. American Journal of Clinical Nutrition,63, pp 500–506. Li L., Parsons T.J., Power C., 2003. Breast feeding and obesity in childhood: cross sectional study, British Medical Journal, 327, pp 904–905 Lobstein, T., Baur, L., Uauy, R., 2004 Must A., Strauss R.S., 1999. Risks and consequences of childhood and adolescent obesity, International, Journal of Obesity, 23, pp 2–11. National Obesity Observatory, 2009. Body Mass Index as a measure of Obesity http://www.noo.org.uk/securefiles/110504_2224//noo_BMI.pdf [Date accessed 15/04/2011] Phillips R.G., Hill A.J., 1998 Pietrobelli A., Faith M.S., Allison D.B., Gallagher D., Chiumello G., Heymsfield S.B., 1998. Body Mass Index as a measure of adiposity among children and adolescents: a validation study. Journal of Pediatrics,132, pp 204–210 Popkin B.M., 1998 Poulton R., Williams S., 2001. Breastfeeding and risk of overweight, JAMA, 286, pp 1449–1450 Power C., Lake, J.K., Cole, T.J., 1997.b Measurement and long-term health risks of child and adolescent fatness, International Journal of Obesity, 21, pp 507–526 Rogers J., Mitchell G.W., 1957. The relation of obesity to menstrual disturbances, New England Journal of Medicine, 247, pp 53–55. Staffieri J.R., 1967. A study of social stereotype of body image in children, Journal of Personality and Social Psychology, 7, pp 101–104. Strauss R.S., 2002. Friendship nominations in normal and overweight youth, Data presented by Must A. International Congress on Obesity, Sao Paulo, Brazil, Stunkard A.J., Foch T.T., Hrubec Z., 1986 Torún B., 2001. Energy Requirements of Children and Adolescents, Borrador FAO:UN Rome,5 United Nations General Assembly, 1989 Wang Y., Monteiro C., Popkin B.M., 2002. Trends of obesity and underweight in older children and adolescents in the United States, Brazil, China, and Russia, American Journal of Clinical Nutrition, 75, pp 971–977 Wells J.C.K., 2001 Whitaker R.C., Wright J.A., Pepe M.S., Seidel K.D., Dietz W.H., 1997. Predicting obesity in young adulthood from childhood and parental obesity, New England Journal of Medicine, 337, pp 869–873 Whitehead R.G., Paul A.A., 1984 World Health Organisation,2011. http://www.who.int/dietphysicalactivity/childhood/en/ [Date Accessed: 25/04/2011] World Health Organization, 2000 Yajnik C.S., 2001. Fetal origins of adult disease: where do we stand? International Journal Diabetes in Developing Countries,21, pp 42–50 Young L.R., Nestle M., 2002 Zaadstra B.M., Seidell J.C., Van Noord P.A., Te Velde E.R., Habbema J.D., Vrieswijk B., Karbaat J., 1993. Fat and female fecundity: Prospective study of effect of body fat distribution on conception rates, British Medical Journal, 306, pp 484–487

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