A.Children with Iobesity.
- Overweight and obesity are becoming a health risk. In the developing countries including Vietnam, the situation is growing fast in recent years especially in children besides a small number of patients with malnutrition.
Overweight obesity causes chronic diseases increased dangers such as heart disease, hypertension, diabetes mellitus, … in which the articular bone system is one of the diseases suffered serious harm of this condition.Health experts predict that the rate of overweight in children will increase in most parts of the world at the end of the Decade. In Europe, the figure will rise to 26 million. Overweight children will face the risk of type 2 diabetes, high blood pressure, increased cholesterol and cancer as adults.
1.Causes of obesity:
Many people believe that there are a myriad of reasons that cause overweight, but actually only has three main causes is the gene, the food and the level of training
Children with obesity .
+ Gene: scientists have identified several types of genes that increase or decrease appetite, making some people more hungry people soars, or need to eat more then enough new no. That was the cause of the phenomenon of overeating and weight gain.
+ Eating habits: the people or the choice of food high in fat or calorie (though only small servings) will be vulnerable to weight gain than those with full plates of food but very little energy such as bread, potatoes and vegetables. Eating too much fat increases the risk of cardiovascular disease. The consumption of fast food, even when not actually seeing starving, also makes you quickly fall into the situation difficult to control weight gain.
+ Physical activity: those with dynamic life usually less prone to gain weight than people who sit the doldrums before the computer, TV, or drive a car all day. Power exercise can help control weight, and improve your physique, reduces the risk of developing cardiovascular disease and diabetes
* Change of diet, little exercise and spends too much time in front of televisions and computer monitors is primary cause triggers obesity status.
2.Diagnosis of overweight and obesity
-Obesity is excess weight status due to excessive accumulation of body fat, when excessive fat then called obesity. There are many different methods to assess overweight and obesity such as: measuring the subcutaneous, measuring the proportion of the body, the use of the radioactive material or type of special scales to measure the percentage of body fat. In this method, the calculated BMI is being recognized by many authors.
BMI = weight/(height) ² (In there: weigh in kg, height in m).
-Classification and overweight, obesity in adults according to BMI’s of the World Health Organization (WHO) and by the WPRO & IDI for Asian countries (2002) as follows:
B. Overweight and obesity cause consequences?
Obesity is risk factor for many illnesses of many organs, parts of the body such as: Cardiovascular System (hypertension, vascular mortar fiber, myocardial infarction, cerebral vascular accidents, narrow arterial occlusion …), respiratory system (Reduced ventilation, stop breathing when sleeping is a very dangerous complications) , Endocrine, metabolic (poor glucose tolerance, insulin resistance, severe diabetes, blood fat metabolism disorders, increased uric acid causes gout …), the impact on the physical (self-esteem, depression, difficult to integrate the community…).
The influence of overweight and obesity for the system of the child
-Effects of obesity reveal right from his youth as the slow travel over, often ridicule her own friends, making childhood obesity fears more exposure and or play alone. On the other hand with the weight too high compared to the longer endurance of musculoskeletal system should the child often call upon fatigue pain osteoarthritis as the knee joint, the lumbar region. Some cases of deformed joints such as the letter O or X-shaped legs, affect and cause difficulties in operation.
-Other diseases also suffer in children overweight and obesity that is the core point of sliding phenomenon in the head on the femur cause joint pain condition and deformation joints in rotation-type joints. In the long run, this is the risk factors that cause degeneration of joints early and heavy.
-Degenerative joint, the lumbar pain: When body weight increases the weight on the joints, especially the back, joints, knees, ankles make this early damage joints and fast aging. The consequence is that cause pain and difficulty in mobility, daily living activities of patients.
The room, treatment of obesity and the diseases to coordinate how?
The purpose of the treatment of overweight and obesity is weight reduction in the early stages and then to maintain body weight at a reasonable level at a later stage by the following measures:
+ Reduced calorie diet: calories provide reduced from 20-25% compared to age and gender, to exclude the sugars absorbed quickly and saturated fats or the equivalent of 1,600-1,800 kcal/day. The goal is to lose weight slowly, not too fast, about 2-3 kg per month.
+ Enhance physical activity: fitness training, sports strength medium will help the muscles healthy, convenient for the circulation of the blood vessels, nutritional help for arthritis and articular cartilage. Healthy muscles will help reduce strain pressed up joints while campaigning. Should exercise a minimum of 30 minutes/day. The sports activities such as swimming, walking, aerobics … and collective sports like football, volleyball … should be encouraged.
Some ways of dealing with children with obesity.
-According to the experts, the child obesity is very hard to reach out to society and always feel miserable when deemed “featured person” … The young are more aware and diligent weight training, but also not a few children after a short time was up. In this context, the role of parents is very important.
+ Don’t taunt young: the worst thing that we do with the childhood obesity is pulled the children out as a joke, especially in public places. Don’t ever make jokes and call the child with names b?u guy, the pig … Parents should understand that, the child is very sensitive “oversized” and ease of body bags. Many parents thought the taunt that causes you anxiety and hard to lose weight. The fact that not a few older by being ridiculed so much has become ?chin ì inferiority.
+ Mirror patterns in practice: take a time to arrange training for young, probably one hour each morning. Should not “scream” wake up with an alarm clock and then to the child alone “silently” workout while both still asleep. Only the training style of both new homes pulled older out sleepy, inspire and help children to not feel alone. At the same time, parents should always tell the child sees the important role of training get a beautiful body.
+For the child to play sports and outdoor games: try to take the baby to “ph?ch” out of the House and participated in various types of sports. If there is not much time to take you away, you should give the child to a sports club. Never to abort halfway exercises. Tell the children to know the amount of money that you have played for the Club for children to have a sense of responsibility and more in training.
+ Diet: don’t make your child’s diet without the advice of a doctor. However, you can reduce the minimum sweets in the diet of young children, occasionally should loosen for relaxing with sweets which they prefer. Let the child gradually realized the importance of the diet to regain the balance weight. Song also should not do things become too serious. The family members also must “hold” many dishes like password because can not to see young people eat away the?ng cravings.
|Classifieds||WHO BMI (kg/m²)||IDI&WPRO BMI (kg/m²)|
|Low weight (thin)||< 18,5|
|Normally||18,5 – 24,9||18,5 – 22,9|
|period before obesity||25 – 29,9||23 – 24,9|
|Obesity level I||30 – 34,9||25 – 29,9|
|Obesity level II||35 – 39,9||30|
|Obesity level III||40|
-So, according to the classification for the Asian countries in the community then the Vietnam we should only have a BMI from 18.5-22.9. Usually for young women, the most ideal BMI is from 18.5 to 20. Also for women middle-aged and older adults, the ideal BMI is 20-22.
-Also you can quick weight calculators by:
+ The level of the ideal weight: odd height (in cm) human 9 divided by 10.
+ The level of the maximum weight: by the odd height.
+ The level of the minimum weight: odd number of height (in cm) 8 divided by 10.
-For example: you 160 cm tall (1.6 m) then the ideal weight is: 60 x 9:5 = 54 kg. The maximum weight allowed is: 60 kg. The minimum weight is 60 x 8:10 = 48 kg. So if your weight exceeds the odd height, i.e. you have been overweight, obesity as well as beyond the heavy, however should also not to weigh less than the minimum level.