DiseasesChildhood obesity — who is to blame, and what can be done?
- Paul Clayton — Dieta a nasze przeznaczenie
- Bracia Rodzeń — Bracia Rodzeń
- Grażyna Cichosz — Kwasy tłuszczowe izomerii trans w diecie człowieka (Bromatologia i Chemia Toksykologiczna 2012)
- Henryk Różański — Otyłość – Obesitas.
- Preventing and treating childhood overweight and obesity in children up to 5 years old: A systematic review by intervention setting. · Matern Child Nutr 2022
- Early Nutritional Education in the Prevention of Childhood Obesity. · Int J Environ Res Public Health 2021
- Screen time and childhood overweight/obesity: A systematic review and meta-analysis. · Child Care Health Dev 2019
- The association between adverse childhood experiences and childhood obesity: A systematic review. · Obes Rev 2021
- Prevention of overweight and obesity in early life. · Proc Nutr Soc 2018
- Orthomolecular Medicine News Service — Most Cancer Patients Eating Wrong
- Orthomolecular Medicine News Service — Reboot Your Gut: Optimizing Health and Preventing Infectious Disease
- Orthomolecular Medicine News Service — Cholesterol-Lowering Drugs For Eight-Year-Old Kids?
Grażyna Cichosz points out that trans fats have a particularly harmful effect on the bodies of infants and children.
- The Rodzeń brothers recommend limiting carbohydrates because, they say, too many of them contribute to weight gain and insulin resistance.
- Paul Clayton links poverty and less frequent access to fresh, healthy food with more frequent choices of soda and fries.
- Paul Clayton adds that heat and humidity can discourage physical activity.
What the authors write
Poverty and less frequent access to fresh, healthy food are linked to more frequent choices of soda and fries.
Poverty and obesity occurred side by side, while highly processed food increasingly affected different social groups.
Heat and humidity can discourage physical activity.
The Rodzeń brothers recommend limiting carbohydrates, claiming that too many contribute to weight gain and insulin resistance.
Grażyna Cichosz links excess trans and saturated fats in the diet with insulin resistance in people with abdominal obesity.
Grażyna Cichosz points out that trans fats have a particularly harmful effect on the bodies of infants and children.
Obesity is described as a growing health problem that has reached epidemic proportions in some countries.
Research from PubMed · Europe PMC
We selected 5 studies with the best, positive results. This is a selection, not a full review of all research.
Total number of studies on this topic in PubMed: 11 878.
The review found improvements in obesity measures in some interventions, most often those combining family involvement with changes to the child's diet and physical activity.
Aim of the study: The prevalence of childhood obesity is increasing worldwide with long-term health consequences. Effective strategies to stem the rising childhood obesity rates are needed but systematic reviews of interventions have reported inconsistent effects.
Results: Thirteen (46%) interventions led to improvements in measures of childhood obesity, including body mass index z-score and body fat percentage. Twelve of these included both parent- or family-based interventions and changes to the child's diet and physical activity. Home-based interventions were identified as the most effective setting: four out of five studies reported significant changes in the child's weight outcomes. Interventions conducted at home and those involving parents or families were effective in preventing childhood obesity. These findings should be considered when developing optimal strategies for preventing childhood obesity.
“Not stated” does not mean nobody paid — the database does not always record it.
Nutrition education for parents improved children's BMI, especially among those with a higher BMI, and helped prevent overweight or obesity.
Aim of the study: Early childhood is a critical period for obesity prevention. This randomized controlled study evaluated the effectiveness of an educational intervention preventing obesity in preschool-age children.
Results: Initial BMI, weight, height-for-age and prevalence of overweight and obesity were similar for both groups. After the first year of the intervention, the zBMI of the intervention group decreased significantly from 0.23 to 0.10 (p = 0.002), and the subgroup of patients with baseline zBMI above the median decreased from 1 to 0.72 (p = 0.001), and in the second year from 1.01 to 0.73 (p = 0.002). The combined prevalence of overweight and obesity increased in the control group (12.2% to 20.1%; p = 0.027), while in the intervention group, there were no significant changes. This preschool educational intervention involving parents improved their children's BMI, especially among those with a higher BMI for their age, and helped prevent overweight or obesity.
“Not stated” does not mean nobody paid — the database does not always record it.
Children who spent at least two hours a day in front of a screen had a higher risk of overweight or obesity.
Aim of the study: Controlling childhood overweight/obesity would help early prevention on children from getting chronic noncommunicable diseases, exposing to screen for long periods may increase the risk of overweight/obesity due to lack of physical activity and tend to intake too much energy, and the relationship between screen time and overweight/obesity is inconsistent.
Results: A total of 16 studies met the criteria and were included in the meta-analysis. When compared with the screen time <2 hr/day, an increased overweight/obesity risk among children was shown in the screen time ≥2 hr/day (OR = 1.67; 95% CI [1.48, 1.88], P < .0001). The subgroup analysis showed a positive association between the different types of screen time and overweight/obesity among children. Based on our study, increasing screen time could be a risk factor for being overweight/obesity in children and adolescents.
“Not stated” does not mean nobody paid — the database does not always record it.
The review found that adverse childhood experiences are linked to childhood obesity, supporting the need to take them into account in prevention and treatment.
Aim of the study: Adverse childhood experiences (ACEs) are associated with numerous physical and mental health issues in children and adults. The effect of ACEs on development of childhood obesity is less understood.
Results: Findings suggest ACEs are associated with childhood obesity. Girls may be more sensitive to obesity-related effects of ACEs than boys, sexual abuse appears to have a greater effect on childhood obesity than other ACEs, and co-occurrence of multiple ACEs may be associated with greater childhood obesity risk. Further, the effect of ACEs on development of childhood obesity may take 2-5 years to manifest. Considered collectively, findings suggest a need for greater attention to ACEs in the prevention and treatment of childhood obesity.
“Not stated” does not mean nobody paid — the database does not always record it.
The review found that multi-component interventions may prevent obesity, and that the TrimTots program lowered BMI in preschool children.
Aim of the study: Childhood obesity is a serious challenge for public health. The problem begins early with most excess childhood weight gained before starting school.
Results: BMI was lower in children immediately after completing TrimTots compared with waiting list controls and this effect was sustained at long-term follow-up, 2 years after completion. Developing and evaluating complex interventions for obesity prevention is a challenge for clinicians and researchers. In addition, parents encounter barriers engaging with interventions. This review considers early-life risk factors for obesity, highlights evidence for preventative interventions and discusses barriers and facilitators to their success.
“Not stated” does not mean nobody paid — the database does not always record it.
Perspectives and opinion materials
The content below presents the authors’ opinions, interpretations and hypotheses. It is not treated as equal to scientific studies and systematic reviews.
Pisaczek does not judge who is right. It shows what was written and where to read it. Every sentence above has its source.