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April 10, 2012
Child Obesity Expert Explains Why Epidemic Isn't Going Away Anytime Soon
MAYWOOD, Ill. -- Approximately 20 percent of adolescents in the U.S. today are obese or overweight. With the number of obese and overweight younger children close behind, this epidemic has lasting implications for the future.
“The difficulty really comes in that once adolescents are obese, they more than likely will remain obese into and through their adulthood. There is no easy fix. It takes time, hard work and a drive to change habits that have been established for a long time,” said Garry Sigman, MD, a pediatrician and obesity expert at Loyola University Health System and associate professor of pediatrics at Loyola University Chicago Stritch School of Medicine.
The physical implications of obesity are vast and dangerous. It is a major risk factor for numerous health problems, including cardiovascular disease, skin problems, orthopaedic abnormalities, diabetes and cancer. Just as scary are the psychological and emotional impact obesity will have on children and adolescents.
“Obesity in children can lead to a feeling of inadequacy and isolation. Even as young as 5 years old, children can be stigmatized by their peers. This can result in depression or suicidal ideation, especially among adolescent girls. Since food can be comforting, the child may turn to or may already have turned to food to feel better. This is a very circular problem and so when dealing with obesity the whole child – mind, body and soul – needs to be addressed as well as the environment,” Sigman said.
In working with children, Sigman has found that a child’s environment and social-cultural factors play an even larger role than genetics in their development of the disease.
“Genetics do play some role in whether a child will become obese, but the dramatic numbers and steady increase that we have seen can’t be attributed to genetics alone,” Sigman said. “What’s happening is our lifestyle is not only causing more people to become obese, but the BMIs of a larger part of the population are higher. So, even those who are not genetically prone to the disease are becoming obese."
Some nongenetic behavioral risk factors for children include:
Mother who is obese or diabetic
Mother who smokes
Bottle-feeding on a schedule vs. breast-feeding on demand
Too much screen and sedentary time
Not enough sleep
Portion size of food
Unhealthy snacking, including where, when and what a child eats
Not getting enough physical activity
Not eating enough healthy foods, including fruits and vegetables
Many of these factors are linked to a common feature in the lifestyles of today’s youth – too much screen time. According Sigman, there is a direct correlation between collective time youths spend in front of a screen and the number of patients who are obese.
“Unsupervised TV watching is terrible for kids. It has a hypnotic effect that causes us to move less and burn fewer calories. Eating in front of the TV is made worse by ads for food that make people of all ages have the desire to eat more, even if not hungry,” Sigman said.
We move more when we are reading a book or even playing a video game, so both pastimes are better than watching TV, Sigman said. Getting away from the screen and really moving are integral to battling the obesity epidemic and need to be priorities of both parents.
“Parents need to limit their children to two hours of screen time at home a day,” Sigman said. “This needs to be a rule and one that’s enforced. It’s time consuming for parents and it’s a lot of hard work, but it really could be a factor in whether you have a healthy child or not."
Screen time also affects a child’s sleep, which is another risk factor for obesity. Sigman said there should be no television in a child’s room. And close to bedtime, there should be limited access to computers, cell phones, video games, iPods, etc.
“Children and adults need less stimulation before bed to allow their bodies and their minds to wind down before going to bed. It’s important to include downtime into a child’s schedule to ensure a child is getting enough sleep,” Sigman said. “In addition to screen time, parents should limit a child’s vigorous exercise and loud music close to bedtime."
Sigman gives a 3-step plan for parents to start limiting their child’s screen time.
Plan it. Make a daily schedule for your kids and be sure to include active after-school play time. Don’t forget time for homework.
Model it. If you are sitting on the couch watching TV, so will your kids. So find ways to be active as a family.
Enforce it. Make the planning and the enforcement of it a priority. Plan it together. Look for alternatives to screen time, such as working on a project together, playing a game, taking a walk or even cleaning the house.
“It’s important for kids to be more active and take responsibility. So why not include cleaning or picking up as part of the daily family schedule? Everyone needs to contribute to make the family function. Kids need to learn at an early age that mom and dad are not servants,” Sigman said. They learn that if everyone is expected to pitch in, he said.
Still, Sigman believes it goes beyond the family to whole communities making changes to really make a dent in the epidemic.
“We need to create safe places for kids to play outside. Safety is a real issue for parents,” Sigman said. “Though organized sports are wonderful, they aren’t for all kids. Kids need free play. They need to be able to run and ride their bikes, but if there aren’t sidewalks or safe playgrounds, kids are stuck inside on a computer or in front of the TV."
For media inquiries, please contact Evie Polsley at email@example.com or call (708) 216-5313 or (708) 417-5100.
Loyola University Health System (LUHS) is a member of Trinity Health. Based in the western suburbs of Chicago, LUHS is a quaternary care system with a 61-acre main medical center campus, the 36-acre Gottlieb Memorial Hospital campus and more than 30 primary and specialty care facilities in Cook, Will and DuPage counties. The medical center campus is conveniently located in Maywood, 13 miles west of the Chicago Loop and 8 miles east of Oak Brook, Ill. The heart of the medical center campus is a 559-licensed-bed hospital that houses a Level 1 Trauma Center, a Burn Center and the Ronald McDonald® Children's Hospital of Loyola University Medical Center. Also on campus are the Cardinal Bernardin Cancer Center, Loyola Outpatient Center, Center for Heart & Vascular Medicine and Loyola Oral Health Center as well as the LUC Stritch School of Medicine, the LUC Marcella Niehoff School of Nursing and the Loyola Center for Fitness. Loyola's Gottlieb campus in Melrose Park includes the 255-licensed-bed community hospital, the Professional Office Building housing 150 private practice clinics, the Adult Day Care, the Gottlieb Center for Fitness, Loyola Center for Metabolic Surgery and Bariatric Care and the Loyola Cancer Care & Research at the Marjorie G. Weinberg Cancer Center at Melrose Park.