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Home » Complications of Child Obesity

Complications of Child Obesity

Obesity in children and adolescents has reached alarming levels. Almost 20%–25% of children and adolescents are overweight or obese among which 4.9% of boys and 5.4% of girls are obese. Obesity in childhood and adolescence is associated with many medical and psychological complications. Complications of child obesity can result serious health problems in adult life, like type 2 diabetes, hypertension, dyslipidaemia and non-alcoholic steatohepatitis. To stop Complications of child obesity children and adolescents requires a range of strategies involving changes in both the micro-environment that is house, neighborhoods and recreational opportunities) and the macro-environment like food, transport and urban planning.
Other Complications of child obesity include:
Children whose parents are obese have a greater chance of becoming obese. If the mothers do not have any inhibitions on the food of their children results in subsequent weight gain in their daughters, a study of children showed that parental dietary disinhibition is associated with greater increases in body fatness. Parents who strongly encourage their children to eat have obese children. If the child is fat in the earlier age then adiposity rebounds with increased body fatness in adolescence.

Socioeconomic status: In some developed countries, even poorer children living in rural settings are at risk of obesity, but in countries undergoing economic development childhood obesity is a result of a more affluent lifestyle and with living in urban regions.

Ethnicity: study from the United States show that the risk of obesity in Native Americans and Hispanic Americans is more than the white Americans, which may be largely related to differences in socioeconomic status.

Underlying medical disorders: children with medical conditions, like hypothyroidism, hypercortisolism, growth hormone deficiency and hypothalamic damage are more at a risk of becoming obese.

Prescription drugs: Some drugs like glucocorticoids, antipsychotic drugs and some antiepileptic medications also contribute to obesity.

Childhood obesity is a chronic pediatric disease. The Complications of child obesity may be immediate and long-term involving many body systems. The National Health and Medical Research Council (NHMRC) Clinical practice formulates guiding principles for the management of overweight and obesity in children and adolescents provides a comprehensive review of the complications of childhood and adolescent obesity.

The Insulin Resistance is a very common complication of child obesity. . Without proper medical intervention, obesity and insulin resistance may lead to type-2 diabetes. Almost 50% of newly diagnosed diabetes is in some pediatric populations especially in African Americans.

In 1979 Non-alcoholic steatohepatitis (NASH) was first described in adults. NASH also occurs in childhood. Obese pre-pubertal children with NASH when undergone liver biopsies may show fatty change, inflammation and fibrosis, with progression to necrosis and cirrhosis. Most cases of NASH are found in older children and adolescents. Increase in serum transaminase levels is an indicator of NASH in an obese child or adolescent. If NASH is detected, you should get yourself referred to a centre specializing in the management of childhood obesity.