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10 Reasons for Childhood Obesity

10 Reasons for Childhood Obesity

Habits and practices that are making children obese

We are having a public health crisis. Childhood obesity is a growing problem in the United States and the statistics are startling. According to data from the National Health and Nutrition Examination Survey (NHANES) and the Centers for Disease Control and Prevention (CDC), about 17 percent of children and adolescents aged 2 to 19 are obese, a number that has tripled since 1980. Obesity in children is defined as a body mass index in or above the 95th percentile on the standard growth chart for children of the same age and sex.

There are multiple health risks for kids who are obese. They can suffer from breathing problems such as sleep apnea and asthma, as well as suffer muscle and joint pain. Kids can also develop high blood pressure and high cholesterol, which can eventually lead to cardiovascular disease, and are also at an increased risk for type 2 diabetes. Unfortunately, these problems can follow obese children throughout their life span.

According to the CDC, obese children are more likely to become obese adults, which can lead to more serious health problems. In addition to the physical risks, there are the social and psychological problems that often come with childhood obesity. These kids often get teased and bullied about their weight by their peers and can develop low self-esteem and depression.

There are plenty of factors to blame for childhood obesity. Nikki Brender, a NewYork City-based registered dietician who specializes in pediatric nutrition, states, "Poor habits start early on. I see many parents adding juice to baby bottles, which introduces babies to sweet tastes too early on and predisposes them to being overweight as a toddler and adolescent." And that is just the beginning. Here are 10 more reasons why children are at risk for obesity as they grow into adolescents.

Click here to see the 10 Reasons for Childhood Obesity Slideshow.


Childhood Obesity: The New Plague in America

Did you know that nearly one in three American children is overweight? According to the Centers for Disease Control and Prevention, or CDC, the childhood obesity rate has almost been tripled in the past three decades. Overweight children are prone to immediate and long-term health effects, including cardiovascular disease, high blood pressure, type-2 diabetes, dangerous blood cholesterol levels, and even death in adulthood. Moreover, overweight children often suffer from low self-esteem, negative body image, and depression.

For those reasons, childhood obesity is the prime health concern in the USA today, even bigger than smoking and drug abuse. The drastic effects of childhood obesity echo clearly in the words of former Surgeon General Richard Carmona:

“Because of the increasing rates of obesity, unhealthy eating habits and physical inactivity, we may see the first generation that will be less healthy and have a shorter life expectancy than their parents.”

Childhood Obesity According to Ethnicity

Heart.org has released percentages of childhood obesity by ethnicity for children between the ages of 2 and 19:

  • For non-Hispanic whites, 17.5 percent of males and 14.7 percent of females.
  • For non-Hispanic blacks, 22.6 percent of males and 24.8 percent of females.
  • For Mexican-Americans, 28.9 percent of males and 18.6 percent of females.

How Do I Know if my Child Is Overweight?

Body Mass Index, or BMI, is widely used to determine a person’s body fat by correlating weight and height measurements. Rather than calculating the ratio yourself, use the BMI calculator for accurate readings.

Once you find your child’s BMI rating, it can be plotted on a standard BMI chart, which is given below for kids aged 2-19.

Underweight: BMI below the 5th percentile

Normal Weight: BMI at the 5th and less than the 85th percentiles

Overweight: BMI at the 85th and below the 95th percentiles

Obese: BMI at or above the 95th percentile

However, BMI calculations are not meant to determine body fat in infants or young toddlers. A physician can use special “weight for length” charts to estimate body fat in babies or infants.

In some cases, BMI can be misleading, for example . . .

  • Muscular children may have high BMIs, without being overweight, because much of the weight comes from extra muscle rather than fat.
  • Children experience rapid growth during puberty.

If your child seems overweight, consult your doctor, who can suggest changes in lifestyle and diet, based on a medical screening of your child.

Causes of Being Overweight

From genetics to medications, lifestyles and eating habits, many factors contribute to becoming obese. Children prefer snacks and fast foods over healthy and homemade food. Tight schedules and busy lives make it difficult to find time to prepare healthy meals or to exercise. Therefore, even kids with good BMIs can develop the tendency to become overweight.

What is the Role of the Parent in Tackling Childhood Obesity?

A parent’s support and effort are essential to keep childhood obesity at bay. As a responsible parent, you must encourage your children to eat healthy food and engage in physical activities in the following ways:

  • Improve your kids’ eating habits by adding healthy, real foods to their daily diet.
  • Limit their consumption of fast foods and snacks.
  • Motivate them to engage in physical activities, workouts, and sports.
  • Explain to them the benefits of health in one’s life, such as increased energy, better focus, etc.

In addition to parents, schools play an important role by creating a safe and supportive environment to encourage healthy eating and physical activities.


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Dr. Jones: The United States has an increasing rate of childhood obesity, so why can't we seem to improve on this problem? I'm Dr. Kyle Bradford Jones, family physician at the University of Utah. We'll talk about this next, coming up on The Scope.

Announcer: Medical news and research from University of Utah physicians and specialists you can use for a happier and healthier life. You're listening to The Scope.

Dr. Jones: Childhood obesity has long been a significant concern in the United States. The rate of childhood obesity has increased three to four times in the last 30 years. Approximately one-third of kids are either overweight or obese.

So this impacts multiple areas of health, both short-term and long-term, for these children such as impacting their heart, their lungs, their joints, and the possibility of developing diseases such as diabetes. It impacts their mental health as well as many other things.

Now, over the last few years there has been shown to be some mild improvement in the rate of obesity among young children age two to five years, so there is some bright side coming with hope on the horizon. However, a recent evaluation shows that the United States has the fifth highest rate of childhood obesity in the world. Now, in markers like this we tend to be number one in the world. However, I think this really underscores the problem. If we are number five that means this is a really big issue across the world and it's not just us.

So why is our rate so high? There are multiple factors. We're going to touch just on three.

Number one, our culture. It's changed a lot in the last 30 years. Our kids and adolescents and us as adults participate in a lot of screen time so television, computers, video games, phones. Many households have more screens than people. So spending so much time in front of a screen leads us to be more sedentary and leads our kids to be more sedentary and not getting the activity they need.

When you combine this with concerns about safety outdoors, as well as the availability and cost of healthy fresh food, this can be a very important thing that leads to obesity. Soda and junk food tend to be ubiquitous and extremely damaging to our health. They are all over.

Number two, and this can be a little more controversial, but advertising to children for junk food. Young children cannot tell the difference between an advertisement and a show, and small children are often unable to understand good food choices. Now, advertisers have been shown to very carefully study what are the most effective ways to target children to get them to take these products and that seems to be having a big impact on childhood obesity.

Number three, school lunches. This is something that we're getting improvements very slowly but are getting some improvements, big efforts by people such as Michelle Obama to continually improve the health of school lunches. Now, this can include many different forms such as eliminating vending machines, decreasing the amount of fatty food, increasing options that are healthy. But this is a big contributor to the problem of childhood obesity.

Childhood obesity continues to rise in the United States, making us one of the worst in the world in this marker. Our culture, certain advertising methods, and food exposures at school among many other factors all contribute to the problem. So let's hope we can make some changes as a society to improve the health of our children.


Reasons for children and adolescents to become obese

Obesity has become an epidemic in the United States. Children who are overweight/obese at a young age frequently stay overweight/obese as adolescents and then adults. There are multiple reasons for why obesity in children is rising: decrease in physical activity due to time spent on technology, bigger food portions, lack of nutritional knowledge, the consumption of sugary drinks, and many more. Studies show that 1 out of 3 children are obese.

Societal reasons for the childhood obesity epidemic

Obesity is an energy balance disorder whereby the number of calories being consumed exceeds the number of calories being burned. In addition, it can be caused by parents feeding their children with too many calories, for instance, junk food, instead of a proper balanced diet. The excess calories in the child’s body are converted into fats, which accumulate in the child’s body leading to overweight and obesity. In order for one to become non-obese, it will take a few lifestyle changes, which produce a small daily calorie deficit. Preventing childhood obesity will require societal changes to help the modification of diet and physical activities in children.

Nutrition and other lifestyle factors during several early periods in the lifecycle-just before conception, the months spent in utero, and the months after birth-can have profound effects on an individual’s weight at birth, during childhood, and on into adulthood. These are also potentially optimal times for intervention, for two reasons: women may be more receptive to making lifestyle changes as they prepare to get pregnant and when they are pregnant to increase the likelihood of having a healthy baby. And after giving birth, many women are willing to make substantial changes to raise a healthy infant. Here are some key messages for clinicians to give to women of childbearing age that could help improve their health and the health of their children, and limit the current epidemic of obesity:.

It is impossible to point to one single reason of the childhood obesity epidemic. Rather, a variety and combination of factors are at play. A number of studies have investigated the reasons for elevated rates of childhood obesity—with more studies ongoing. A more sedentary lifestyle has certainly been found to be prevalent in many studies. And studies have shown that children who watch television for longer than one hour per day tend to have a higher body mass index (bmi) as well as higher blood pressure. Researchers have suggested that more time spent in front of the television is associated with poor food choices that lead to overweight and obesity and, in turn, increased cardiovascular risk.


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Does obesity run in your family, and are you worried about your kids inheriting the same?

Does your child go on food eating spree although he isn’t hungry?

Are you worried that your child may end up being obese considering his widening waistline?

If mere listening to these questions alarms you about the wellbeing of your child, we encourage you to read this blog and ponder.

Obesity in children is a severe medical condition that attacks children and adolescents. Children can be said obese when they are above the normal weight for their age and height.

Childhood obesity is a problem and makes worrying because extra pounds make children face health problems that are faced by an adult problem such as diabetes, high blood pressure, and high cholesterol. Many overweight children become obese adult, especially if one parent or both parents are overweight. Obesity in children can also cause poor self-esteem and depression.

One of the best strategies to reduce obesity in childhood is to improve the nutrition and physical habits of your entire family and spend time together. Helping children to lead a healthy lifestyle begins with parents who lead by example. Treating and preventing obesity in childhood protects your child’s health now and in the future.

BMI is a tool for determining “weight.” BMI is calculated based on size and weight. Your BMI percentile (when your body mass index is far from other people) is then determined based on your gender and age. BMI is calculated based on height and weight of a child. In children and adolescents, BMI is used to determine whether a child or adolescent is underweight, healthy, overweight, or obese. The fat in a child’s body changes with age.

What Causes Obesity in Children:

Children become overweight and obese for various reasons. The common causes are genetic factors, lack of exercise, unhealthy eating habits, or a combination of these factors. In rare cases, being overweight is due to conditions such as hormonal problems. Diseases for the cause of obesity can be ruled out by physical examination, and some blood tests.

Although severe problems occur in families, not all children with a family history of obesity are overweight. Children whose parents or siblings are obese may be at high risk of becoming fat themselves. However, this might be related to family behavior, such as eating habits and activity habits.

There are many reasons why a child is obese. However, in most cases, children are overweight because they eat unhealthy food and live a sedentary lifestyle. If you think your child is overweight because of illness, consult pediatrician, who can do the examination.

The Reason Why More and More Children Become Overweight and Why It Is Increasing :

Obesity in children is a new curse for teenagers. There are several reasons why it almost becomes an epidemic. Let’s see the reason:

Behavioral factors: Eat a heavy portion, eat foods that are high in calories but low in nutrition, spend time watching TV or computers and spend too little time doing physical activity

Environmental factors: Easy access to high-calorie, unhealthy foods, low physical activity, lack of parks and playgrounds in several communities

Genetic factors: Children are at increased risk of obesity if at least one parent is overweight. However, genes do not always mean that children are obese there are steps that children can take to reduce their risk.

Medications: Taking the wrong medication, along with health problems, can damage the child’s body and cause obesity. Some steroids, and antidepressants and others

Medical conditions: The medical disorders that can cause obesity genetic syndromes like Prader-Willi, and hormonal conditions like hypothyroidism.

Lack of physical activity and food intake: Today, most of the time is spent watching television, computers or video games rather than playing in the open air like parks by children. This must be avoided because physical activity plays a significant role in maintaining a healthy health condition.

Bad eating habits: Inappropriate and unhealthy consumption of junk and oily foods and carbonated drinks must be avoided because they contain fat and fast carbohydrates.

Physical exercise must be mandatory: The school must prescribe exercise and other physical exercises for each student so that they can be physically active.

Good sleep is needed: Children can sleep well when exercising physically. This makes him feel tired and sleep well.

The home environment is another important factor: If a family follows an inactive lifestyle that also includes high-calorie foods, the child is likely to be overweight.

Stressful events: Child is feeling stress at home, examination stress, problems with friends, or family can cause this obesity.

Health Problems Caused Due to Obesity:,

Obese kids have some health risk problems they are:

  • Bone and joint problems
  • shortness of breath
  • Restless sleep or breathing problems at night
  • A tendency to mature earlier
  • Liver and gallbladder disease
  • Cardiovascular diseases
  • Diabetes
  • Hypertension

Conclusion:

In conclusion, obesity in the children population has risen alarmingly in recent decades. The causes of this epidemic are diverse and include economic, environmental, and genetic factors. Because obesity is a chronic disease, overweight and obese children usually grow into an unhealthy adult. Prevention and intervention strategies need to be developed and used to slow down the adverse effects of childhood obesity that leads to physical, emotional problems in growing adults.

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Childhood obesity: pathophysiology and treatment

Childhood obesity is among the most difficult problems which pediatricians treat. It is frequently ignored by the pediatrician or viewed as a form of social deviancy, and blame for treatment failure placed on the patients or their families. The definition of obesity is difficult. Using total body electrical conductivity (TOBEC) technology, total body fat ranges between 12% and 30% of total body weight in normal children and adolescents. This is influenced not only by age, but also by physical fitness. Anthropometry is the easiest way to define obesity. Children whose weight exceeds 120% of that expected for their height are considered overweight. Skinfold thickness and body mass index are indices of obesity that are more difficult to apply to the child. Childhood obesity is associated with obese parents, a higher socioeconomic status, increased parental education, small family size and a sedentary lifestyle. Genetics also clearly plays a role. Studies have demonstrated that obese and non-obese individuals have similar energy intakes implying that obesity results from very small imbalances of energy intake and expenditure. An excess intake of only 418 kJ per day can result in about 4.5 kg of excess weight gain per year. Small differences in basal metabolic rate or the thermic effects of food may also account for the difference in energy balance between the obese and non-obese. In the Prader Willi Syndrome, there appears to be a link between appetite and body fatness. When placed on growth hormone, lean body mass increases, body fat decreases, sometimes to normal, and appetite becomes more normal.(ABSTRACT TRUNCATED AT 250 WORDS)


The best person to determine whether or not your child is overweight is your child's doctor. In determining whether or not your child is overweight, the doctor will measure your child's weight and height and compute their ''BMI,'' or body mass index, to compare this value to standard values. The doctor will also consider your child's age and growth patterns.

If you have an overweight child, it is very important that you allow them to know that you will be supportive. Children's feelings about themselves often are based on their parents' feelings about them, and if you accept your children at any weight, they will be more likely to feel good about themselves. It is also important to talk to your children about their weight, allowing them to share their concerns with you. Your child’s doctor can also help you set healthy weight goals for your child’s height. The doctor can even guide on a timeline to achieve that healthy weight.

It is not recommended that parents set children apart because of their weight. Instead, parents should focus on gradually changing their family's physical activity and eating habits. By involving the entire family, everyone is taught healthful habits and the overweight child does not feel singled out.


Family bonding is a strong structure in the behavioral molding of the child. Parents and siblings are the people around the child who can influence child behavior and lifestyle.[15] Hence, effective interventions in a family setting can be beneficial to change child's behavior of overeating and unhealthy choice of food. Physical activity can be improved by small strategies like parking cars away from stores so that kids can walk and to take stairs instead of elevators or escalators. It is essential that parents are aware of the potential risk the child is facing due to obesity and take actions to control the problem. Effective measures to prevent obesity in future can be promoted by these interventions.[14] These weight-control interventions can be achieved and sustained by providing good support and a variety of strategies to parents.[16]

Children spend most of their time in schools. Hence, school plays an important role in the life of the child. There are many school-based intervention strategies. Some interventions focus on nutrition-based or physical-based aspect of weight-control independently, while others jointly focus on both aspects of nutrition and physical activity to achieve the aim of weight control in children.[17] Children take at least one meal at school. Hence, schools can encourage kids to make a healthy food choice like reducing the intake of carbonated drinks or sugary foods, encourage kids to drink healthy fruit juices, water, vegetables, and fruits. Schools which provide meals can have healthy nutritious food items with emphasis on a balanced diet.[18] Schools can involve kids in physical activity by strategies like lengthening the time of physical activity involving them in moderate to vigorous physical activity for short durations, encouraging them to walk or active commuting, and taking stairs instead of elevators. Kids should be encouraged to participate in various physical activities like games and dance groups with more emphasis on non-competitiveness. Some school-based programs along with the help of community members can help to promote physical education skills and healthy nutrition among children, with focus on implementing this education for maintaining long-term healthy behavior. Classroom-based health education can make older children and teens aware of eating nutritious diet and engaging in regular physical activity.[17]


References

Venn AJ, Thomson RJ, Schmidt MD, Cleland VJ, Curry BA, Gennat HC, Dwyer T. Overweight and obesity from childhood to adulthood: a follow-up of participants in the 1985 Australian Schools Health and Fitness Survey. Med J Aust 2007 186(9): 458–460

Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the United States, 2011–2012. JAMA 2014 311(8): 806–814

Boyer BP, Nelson JA, Holub SC. Childhood body mass index trajectories predicting cardiovascular risk in adolescence. J Adolesc Health 2015 56(6): 599–605

Baker JL, Olsen LW, Sørensen TI. Childhood body-mass index and the risk of coronary heart disease in adulthood. N Engl J Med 2007 357(23): 2329–2337

Franks PW, Hanson RL, Knowler WC, Sievers ML, Bennett PH, Looker HC. Childhood obesity, other cardiovascular risk factors, and premature death. N Engl J Med 2010 362(6): 485–493

Simmonds M, Burch J, Llewellyn A, Griffiths C, Yang H, Owen C, Duffy S, Woolacott N. The use of measures of obesity in childhood for predicting obesity and the development of obesity-related diseases in adulthood: a systematic review and meta-analysis. Health Technol Assess 2015 19(43): 1–336

Dietz WH. Critical periods in childhood for the development of obesity. Am J Clin Nutr 1994 59(5): 955–959

Ebbeling CB, Pawlak DB, Ludwig DS. Childhood obesity: publichealth crisis, common sense cure. Lancet 2002 360(9331): 473–482

Ludwig DS. Childhood obesity—the shape of things to come. N Engl J Med 2007 357(23): 2325–2327

Kumar S, Kelly AS. Review of childhood obesity: from epidemiology, etiology, and comorbidities to clinical assessment and treatment. Mayo Clin Proc: Elsevier, 2017:251–265

Pandita A, Sharma D, Pandita D, Pawar S, Tariq M, Kaul A. Childhood obesity: prevention is better than cure. Diabetes Metab Syndr Obes 2016 9: 83–89

Centers for Disease Control and Prevention (CDC). Prevalence of overweight and obesity among adults with diagnosed diabetes—United States, 1988–1994 and 1999–2002. MMWR Morb Mortal Wkly Rep 2004 53(45): 1066–1068

American Diabetes Association. Type 2 diabetes in children and adolescents. Pediatrics 2000 105(3 Pt 1): 671–680

Kaufman FR, Shaw J. Type 2 diabetes in youth: rates, antecedents, treatment, problems and prevention. Pediatr Diabetes 2007 8(s9 Suppl 9): 4–6

l’Allemand-Jander D. Clinical diagnosis of metabolic and cardiovascular risks in overweight children: early development of chronic diseases in the obese child. Int J Obes 2010 34(S2 Suppl 2): S32–S36

Skinner AC, Perrin EM, Moss LA, Skelton JA. Cardiometabolic risks and severity of obesity in children and young adults. N Engl J Med 2015 373(14): 1307–1317

Reilly JJ, Kelly J. Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: systematic review. Int J Obes 2011 35(7): 891–898

Twig G, Yaniv G, Levine H, Leiba A, Goldberger N, Derazne E, Ben-Ami Shor D, Tzur D, Afek A, Shamiss A, Haklai Z, Kark JD. Body-mass index in 2.3 million adolescents and cardiovascular death in adulthood. N Engl J Med 2016 374(25): 2430–2440

De Groot L, Chrousos G, Dungan K, Feingold K, Grossman A, Hershman J, Koch C, Korbonits M, McLachlan R, New M. Prevention of Obesity. South Dartmouth, MA: Endotext, 2000

Wang Y, Wu Y, Wilson RF, Bleich S, Cheskin L, Weston C, Showell N, Fawole O, Lau B, Segal J. Childhood obesity prevention programs: comparative effectiveness review and meta-analysis: Comparatife effectiveness review no. 115. Rockville, MD: Agency for Healthcare Research and Quality, 2013

Sturm R, An R. Obesity and economic environments. CA Cancer J Clin 2014 64(5): 337–350

GBD 2015 Obesity Collaborators Afshin A, Forouzanfar MH, Reitsma MB, Sur P, Estep K, Lee A, Marczak L, Mokdad AH, Moradi-Lakeh M, Naghavi M, Salama JS, Vos T, Abate KH, Abbafati C, Ahmed MB, Al-Aly Z, Alkerwi A, Al-Raddadi R, Amare AT, Amberbir A, Amegah AK, Amini E, Amrock SM, Anjana RM, Ärnlöv J, Asayesh H, Banerjee A, Barac A, Baye E, Bennett DA, Beyene AS, Biadgilign S, Biryukov S, Bjertness E, Boneya DJ, Campos-Nonato I, Carrero JJ, Cecilio P, Cercy K, Ciobanu LG, Cornaby L, Damtew SA, Dandona L, Dandona R, Dharmaratne SD, Duncan BB, Eshrati B, Esteghamati A, Feigin VL, Fernandes JC, Fürst T, Gebrehiwot TT, Gold A, Gona PN, Goto A, Habtewold TD, Hadush KT, Hafezi-Nejad N, Hay SI, Horino M, Islami F, Kamal R, Kasaeian A, Katikireddi SV, Kengne AP, Kesavachandran CN, Khader YS, Khang YH, Khubchandani J, Kim D, Kim YJ, Kinfu Y, Kosen S, Ku T, Defo BK, Kumar GA, Larson HJ, Leinsalu M, Liang X, Lim SS, Liu P, Lopez AD, Lozano R, Majeed A, Malekzadeh R, Malta DC, Mazidi M, McAlinden C, McGarvey ST, Mengistu DT, Mensah GA, Mensink GBM, Mezgebe HB, Mirrakhimov EM, Mueller UO, Noubiap JJ, Obermeyer CM, Ogbo FA, Owolabi MO, Patton GC, Pourmalek F, Qorbani M, Rafay A, Rai RK, Ranabhat CL, Reinig N, Safiri S, Salomon JA, Sanabria JR, Santos IS, Sartorius B, Sawhney M, Schmidhuber J, Schutte AE, Schmidt MI, Sepanlou SG, Shamsizadeh M, Sheikhbahaei S, Shin MJ, Shiri R, Shiue I, Roba HS, Silva DAS, Silverberg JI, Singh JA, Stranges S, Swaminathan S, Tabarés-Seisdedos R, Tadese F, Tedla BA, Tegegne BS, Terkawi AS, Thakur JS, Tonelli M, Topor-Madry R, Tyrovolas S, Ukwaja KN, Uthman OA, Vaezghasemi M, Vasankari T, Vlassov VV, Vollset SE, Weiderpass E, Werdecker A, Wesana J, Westerman R, Yano Y, Yonemoto N, Yonga G, Zaidi Z, Zenebe ZM, Zipkin B, Murray CJL. Health effects of overweight and obesity in 195 countries over 25 years. N Engl J Med 2017 377(1): 13–27

Gregg EW, Shaw JE. Global health effects of overweight and obesity. N Engl J Med 2017 377(1): 80–81

Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, Mullany EC, Biryukov S, Abbafati C, Abera SF, Abraham JP, Abu-Rmeileh NM, Achoki T, AlBuhairan FS, Alemu ZA, Alfonso R, Ali MK, Ali R, Guzman NA, Ammar W, Anwari P, Banerjee A, Barquera S, Basu S, Bennett DA, Bhutta Z, Blore J, Cabral N, Nonato IC, Chang JC, Chowdhury R, Courville KJ, Criqui MH, Cundiff DK, Dabhadkar KC, Dandona L, Davis A, Dayama A, Dharmaratne SD, Ding EL, Durrani AM, Esteghamati A, Farzadfar F, Fay DF, Feigin VL, Flaxman A, Forouzanfar MH, Goto A, Green MA, Gupta R, Hafezi-Nejad N, Hankey GJ, Harewood HC, Havmoeller R, Hay S, Hernandez L, Husseini A, Idrisov BT, Ikeda N, Islami F, Jahangir E, Jassal SK, Jee SH, Jeffreys M, Jonas JB, Kabagambe EK, Khalifa SE, Kengne AP, Khader YS, Khang YH, Kim D, Kimokoti RW, Kinge JM, Kokubo Y, Kosen S, Kwan G, Lai T, Leinsalu M, Li Y, Liang X, Liu S, Logroscino G, Lotufo PA, Lu Y, Ma J, Mainoo NK, Mensah GA, Merriman TR, Mokdad AH, Moschandreas J, Naghavi M, Naheed A, Nand D, Narayan KM, Nelson EL, Neuhouser ML, Nisar MI, Ohkubo T, Oti SO, Pedroza A, Prabhakaran D, Roy N, Sampson U, Seo H, Sepanlou SG, Shibuya K, Shiri R, Shiue I, Singh GM, Singh JA, Skirbekk V, Stapelberg NJ, Sturua L, Sykes BL, Tobias M, Tran BX, Trasande L, Toyoshima H, van de Vijver S, Vasankari TJ, Veerman JL, Velasquez-Melendez G, Vlassov VV, Vollset SE, Vos T, Wang C, Wang X,Weiderpass E,Werdecker A,Wright JL, Yang YC, Yatsuya H, Yoon J, Yoon SJ, Zhao Y, Zhou M, Zhu S, Lopez AD, Murray CJ, Gakidou E. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 2014 384(9945): 766–781

Whold Health Organization. Ending childhood obesity. 2016

McLaren L. Socioeconomic status and obesity. Epidemiol Rev 2007 29(1): 29–48

Shrewsbury V, Wardle J. Socioeconomic status and adiposity in childhood: a systematic review of cross-sectional studies 1990–2005. Obesity (Silver Spring) 2008 16(2): 275–284

Kang HT, Ju YS, Park KH, Kwon YJ, Im HJ, Paek DM, Lee HJ. Study on the relationship between childhood obesity and various determinants, including socioeconomic factors, in an urban area. J Prev Med Public Health 2006 39(5): 371–378 (in Korean)

Wu Y. Overweight and obesity in China. BMJ 2006 333(7564): 362–363

Pérusse L, Bouchard C. Role of genetic factors in childhood obesity and in susceptibility to dietary variations. Ann Med 1999 31(sup1): 19–25

Vaisse C, Clement K, Durand E, Hercberg S, Guy-Grand B, Froguel P. Melanocortin-4 receptor mutations are a frequent and heterogeneous cause of morbid obesity. J Clin Invest 2000 106(2): 253–262

Loos RJ, Bouchard C. FTO: the first gene contributing to common forms of human obesity. Obes Rev 2008 9(3): 246–250

Speiser PW, Rudolf MC, Anhalt H, Camacho-Hubner C, Chiarelli F, Eliakim A, Freemark M, Gruters A, Hershkovitz E, Iughetti L, Krude H, Latzer Y, Lustig RH, Pescovitz OH, Pinhas-Hamiel O, Rogol AD, Shalitin S, Sultan C, Stein D, Vardi P, Werther GA, Zadik Z, Zuckerman-Levin N, Hochberg Z Obesity Consensus Working Group. Childhood obesity. J Clin Endocrinol Metab 2005 90(3): 1871–1887

Nielsen SJ, Siega-Riz AM, Popkin BM. Trends in food locations and sources among adolescents and young adults. Prev Med 2002 35(2): 107–113

Paeratakul S, Ferdinand DP, Champagne CM, Ryan DH, Bray GA. Fast-food consumption among US adults and children: dietary and nutrient intake profile. J Am Diet Assoc 2003 103(10): 1332–1338

Thompson OM, Ballew C, Resnicow K, Must A, Bandini LG, Cyr H, Dietz WH. Food purchased away from home as a predictor of change in BMI z-score among girls. Int J Obes Relat Metab Disord 2004 28(2): 282–289

Ludwig DS, Peterson KE, Gortmaker SL. Relation between consumption of sugar-sweetened drinks and childhood obesity: a prospective, observational analysis. Lancet 2001 357(9255): 505–508

Atkin LM, Davies PS. Diet composition and body composition in preschool children. Am J Clin Nutr 2000 72(1): 15–21

Ludwig DS, Pereira MA, Kroenke CH, Hilner JE, Van Horn L, Slattery ML, Jacobs DR Jr. Dietary fiber, weight gain, and cardiovascular disease risk factors in young adults. JAMA 1999 282(16): 1539–1546

Troiano RP, Briefel RR, Carroll MD, Bialostosky K. Energy and fat intakes of children and adolescents in the united states: data from the national health and nutrition examination surveys. Am J Clin Nutr 2000 72(5 Suppl): 1343S–1353S

Centers for Disease Control and Prevention (CDC). Trends in intake of energy and macronutrients—United States, 1971–2000. MMWR Morb Mortal Wkly Rep 2004 53(4): 80–82

Miller JL, Couch J, Schwenk K, Long M, Towler S, Theriaque DW, He G, Liu Y, Driscoll DJ, Leonard CM. Early childhood obesity is associated with compromised cerebellar development. Dev Neuropsychol 2009 34(3): 272–283

Lee EY, Kang B, Yang Y, Yang HK, Kim HS, Lim SY, Lee JH, Lee SS, Suh BK, Yoon KH. Study time after school and habitual eating are associated with risk for obesity among overweight Korean children: a prospective study. Obes Facts 201811:46–55

Williamson DA, Lawson OJ, Brooks ER, Wozniak PJ, Ryan DH, Bray GA, Duchmann EG. Association of body mass with dietary restraint and disinhibition. Appetite 1995 25(1): 31–41

Howard CE, Porzelius LK. The role of dieting in binge eating disorder: etiology and treatment implications. Clin Psychol Rev 1999 19(1): 25–44

Fisher JO, Birch LL. Eating in the absence of hunger and overweight in girls from 5 to 7 y of age. Am J Clin Nutr 2002 76(1): 226–231

Hernández B, Gortmaker SL, Colditz GA, Peterson KE, Laird NM, Parra-Cabrera S. Association of obesity with physical activity, television programs and other forms of video viewing among children in Mexico city. Int J Obes Relat Metab Disord 1999 23(8): 845–854

Arluk SL, Branch JD, Swain DP, Dowling EA. Childhood obesity’s relationship to time spent in sedentary behavior. Mil Med 2003 168 (7): 583–586

Vicente-Rodríguez G, Rey-López JP, Martín-Matillas M, Moreno LA, Wärnberg J, Redondo C, Tercedor P, Delgado M, Marcos A, Castillo M, Bueno M AVENA Study Group. Television watching, videogames, and excess of body fat in Spanish adolescents: the AVENA study. Nutrition 2008 24(7-8): 654–662

Andersen RE, Crespo CJ, Bartlett SJ, Cheskin LJ, Pratt M. Relationship of physical activity and television watching with body weight and level of fatness among children: results from the Third National Health and Nutrition Examination Survey. JAMA 1998 279(12): 938–942

Jiang F, Zhu S, Yan C, Jin X, Bandla H, Shen X. Sleep and obesity in preschool children. J Pediatr 2009 154(6): 814–818

Sekine M, Yamagami T, Handa K, Saito T, Nanri S, Kawaminami K, Tokui N, Yoshida K, Kagamimori S. A dose-response relationship between short sleeping hours and childhood obesity: results of the Toyama Birth Cohort Study. Child Care Health Dev 2002 28(2): 163–170

Reilly JJ, Armstrong J, Dorosty AR, Emmett PM, Ness A, Rogers I, Steer C, Sherriff A Avon Longitudinal Study of Parents and Children Study Team. Early life risk factors for obesity in childhood: cohort study. BMJ 2005 330(7504): 1357

Kim DM, Ahn CW, Nam SY. Prevalence of obesity in Korea. Obes Rev 2005 6(2): 117–121

Hemmingsson E. A new model of the role of psychological and emotional distress in promoting obesity: conceptual review with implications for treatment and prevention. Obes Rev 2014 15(9): 769–779

Park S, Park S, Kim J, Song J, Doo Y, Lee J, Kim C, Kim M, Cho M, Lee M, Suh SK. Cell and molecular biology of medicine and cardiovascular system in normal and diseases. Korean Circ J 1992 22(2): 207–218

Park KW, Lee K, Park TJ, Kwon ER, Ha SJ, Moon HJ, Kim JK. The factors associated with becoming obese children: in 6th grade children of elementary schools in Busan. J Korean Acad Fam Med 2003 24(8): 739–745

Goldfield GS, Moore C, Henderson K, Buchholz A, Obeid N, Flament MF. Body dissatisfaction, dietary restraint, depression, and weight status in adolescents. J Sch Health 2010 80(4): 186–192

Britz B, Siegfried W, Ziegler A, Lamertz C, Herpertz-Dahlmann BM, Remschmidt H, Wittchen HU, Hebebrand J. Rates of psychiatric disorders in a clinical study group of adolescents with extreme obesity and in obese adolescents ascertained via a population based study. Int J Obes Relat Metab Disord 2000 24 (12): 1707–1714

Ackard DM, Neumark-Sztainer D, Story M, Perry C. Overeating among adolescents: prevalence and associations with weight-related characteristics and psychological health. Pediatrics 2003 111(1): 67–74

Kostanski M, Fisher A, Gullone E. Current conceptualisation of body image dissatisfaction: have we got it wrong? J Child Psychol Psychiatry 2004 45(7): 1317–1325

Al Sabbah H, Vereecken CA, Elgar FJ, Nansel T, Aasvee K, Abdeen Z, Ojala K, Ahluwalia N, Maes L. Body weight dissatisfaction and communication with parents among adolescents in 24 countries: international cross-sectional survey. BMC Public Health 2009 9(1): 52

Hill JO, Peters JC. Environmental contributions to the obesity epidemic. Science 1998 280(5368): 1371–1374

Grundy SM. Multifactorial causation of obesity: implications for prevention. Am J Clin Nutr 1998 67(3 Suppl): 563S–572S

Karnik S, Kanekar A. Childhood obesity: a global public health crisis. Int J Prev Med 2012 3(1): 1–7

Budd GM, Hayman LL. Addressing the childhood obesity crisis: a call to action. MCN Am J Matern Child Nurs 2008 33(2): 111–118, quiz 119–120

Moens E, Braet C, Bosmans G, Rosseel Y. Unfavourable family characteristics and their associations with childhood obesity: a cross-sectional study. Eur Eat Disord Rev 2009 17(4): 315–323

(U.S.) NCI. 5 A Day for Better Health Program: National Institutes of Health, National Cancer Institute. 2001

French SA, Story M, Jeffery RW. Environmental influences on eating and physical activity. Annu Rev Public Health 2001 22(1): 309–335

Lobstein T, Jackson-Leach R, Moodie ML, Hall KD, Gortmaker SL, Swinburn BA, James WPT, Wang Y, McPherson K. Child and adolescent obesity: part of a bigger picture. Lancet 2015 385(9986): 2510–2520

Borzekowski DL, Robinson TN. The 30-second effect: an experiment revealing the impact of television commercials on food preferences of preschoolers. J Am Diet Assoc 2001 101(1): 42–46

Anderson PM, Butcher KE. Childhood obesity: trends and potential causes. Future Child 2006 16(1): 19–45

Matthews CE, Chen KY, Freedson PS, Buchowski MS, Beech BM, Pate RR, Troiano RP. Amount of time spent in sedentary behaviors in the United States, 2003–2004. Am J Epidemiol 2008 167(7): 875–881

Yen CF, Hsiao RC, Ko CH, Yen JY, Huang CF, Liu SC, Wang SY. The relationships between body mass index and television viewing, internet use and cellular phone use: the moderating effects of sociodemographic characteristics and exercise. Int J Eat Disord 2010 43 (6): 565–571

Kotz K, Story M. Food advertisements during children’s Saturday morning television programming: are they consistent with dietary recommendations? J Am Diet Assoc 1994 94(11): 1296–1300

Lewis MK, Hill AJ. Food advertising on British children’s television: a content analysis and experimental study with nineyear olds. Int J Obes Relat Metab Disord 1998 22(3): 206–214

Kim KE, Cho YS, Baek KS, Li L, Baek KH, Kim JH, Kim HS, Sheen YH. Lipopolysaccharide-binding protein plasma levels as a biomarker of obesity-related insulin resistance in adolescents. Korean J Pediatr 2016 59(5): 231–238

Di Bonito P, Moio N, Scilla C, Cavuto L, Sibilio G, Sanguigno E, Forziato C, Saitta F, Iardino MR, Di Carluccio C, Capaldo B. Usefulness of the high triglyceride-to-HDL cholesterol ratio to identify cardiometabolic risk factors and preclinical signs of organ damage in outpatient children. Diabetes Care 2012 35(1): 158–162

Giannini C, Santoro N, Caprio S, Kim G, Lartaud D, Shaw M, Pierpont B, Weiss R. The triglyceride-to-HDL cholesterol ratio: association with insulin resistance in obese youths of different ethnic backgrounds. Diabetes Care 2011 34(8): 1869–1874

He S, Wang S, Chen X, Jiang L, Peng Y, Li L,Wan L, Cui K. Higher ratio of triglyceride to high-density lipoprotein cholesterol may predispose to diabetes mellitus: 15-year prospective study in a general population. Metabolism 2012 61(1): 30–36

Kang B, Yang Y, Lee EY, Yang HK, Kim HS, Lim SY, Lee JH, Lee SS, Suh BK, Yoon KH. Triglycerides/glucose index is a useful surrogate marker of insulin resistance among adolescents. Int J Obes 2017 41(5): 789–792

Birch LL, Fisher JO. Development of eating behaviors among children and adolescents. Pediatrics 1998 101(3 Pt 2 Supplement 2): 539–549

US Preventive Services Task Force Grossman DC, Bibbins-Domingo K, Curry SJ, Barry MJ, Davidson KW, Doubeni CA, Epling JW Jr, Kemper AR, Krist AH, Kurth AE, Landefeld CS, Mangione CM, Phipps MG, Silverstein M, Simon MA, Tseng CW. Screening for obesity in children and adolescents: US Preventive Services Task Force recommendation statement. JAMA 2017 317 (23): 2417–2426

Styne DM, Arslanian SA, Connor EL, Farooqi IS, Murad MH, Silverstein JH, Yanovski JA. Pediatric obesity—assessment, treatment, and prevention: an Endocrine Society Clinical Practice guideline. J Clin Endocrinol Metab 2017 102(3): 709–757

Waters E, de Silva-Sanigorski A, Hall BJ, Brown T, Campbell KJ, Gao Y, Armstrong R, Prosser L, Summerbell CD. Interventions for preventing obesity in children. Cochrane Database Syst Rev 2011 12(12): CD001871

Wolfenden L, Jones J, Williams CM, Finch M, Wyse RJ, Kingsland M, Tzelepis F, Wiggers J, Williams AJ, Seward K, Small T, Welch V, Booth D, Yoong SL. Strategies to improve the implementation of healthy eating, physical activity and obesity prevention policies, practices or programmes within childcare services. Cochrane Database Syst Rev 2016 10: CD011779

Fletcher S, Buring J, Goodman S, Goodridge A, Guthrie H, Hagan D, Kafka B, Leevy C, Nuckolls J, Schneider A. Methods for voluntary weight loss and control. Ann Intern Med 1993 119(7 II): 764–770

Yang Y, Kang B, Lee EY, Yang HK, Kim HS, Lim SY, Lee JH, Lee SS, Suh BK, Yoon KH. Effect of an obesity prevention program focused on motivating environments in childhood: a school-based prospective study. Int J Obes 2017 41(7): 1027–1034

Jacobson MF, Brownell KD. Small taxes on soft drinks and snack foods to promote health. Am J Public Health 2000 90(6): 854–857

Young L, Swinburn B. Impact of the Pick the Tick food information programme on the salt content of food in New Zealand. Health Promot Int 2002 17(1): 13–19

Swinburn B, Egger G. Preventive strategies against weight gain and obesity. Obes Rev 2002 3(4): 289–301

Cunningham SA, Kramer MR, Narayan KM. Incidence of childhood obesity in the United States. N Engl J Med 2014 370(5): 403–411

Serdula MK, Ivery D, Coates RJ, Freedman DS, Williamson DF, Byers T. Do obese children become obese adults? A review of the literature. Prev Med 1993 22(2): 167–177