Child obesity: Families 'in denial' over dangers of overweight …

Families in denial over dangers of child obesity
Families ‘need to recognise that obese children are in trouble’ (Picture: PA)

Obese children are having their chances of fighting the flab scuppered by relatives in denial, a report reveals.

Overweight youngsters face serious health problems in later life and need family members to recognise they are in trouble, the study states.

And with about 30 per cent of two to 15-year-olds in England classified as overweight or obese, the National Institute for Health and Care Excellence is calling for urgent action. ‘Efforts to manage a child or young person’s weight are not always supported, and are sometimes undermined, by members of the wider family,’ the Nice report says.

‘A lack of recognition or denial that the child is overweight can hinder uptake and adherence to a lifestyle weight management programme.’ Children with at least one obese parent are more likely to follow suit themselves, the Nice report added.

Meanwhile, 79 per cent of overweight early teens are likely to be so as adults, raising the risk of cancer, heart disease and type 2 diabetes.

Although critical of families who refuse to admit their children have a problem, Nice said local authorities should step in to help battle the bulge. Prof Mike Kelly said: ‘Parents should not have to face the challenge of obesity on their own.

We are recommending family-based lifestyle programmes are provided which give tailored advice.’

However, Tam Fry, of the National Obesity Forum, said councils have been handed a ‘poisoned chalice’ of dealing with it without proper funding.

Let's stop worrying about what we call obesity

Should we call obesity a disease—or a condition?

This is a question that has become really controversial. This week, the Council on Science and Public Health of the American Medical Association (AMA) put out a report saying that obesity shouldn’t be classified as a disease. The next day, the AMA’s House of Delegates disagreed, saying it should be.

You know what I think? I don’t care.

It’s not that I don’t care about obesity. I passionately care about it, because it is stealing the futures of far too many of my patients. Currently, one-third of U.S. kids are overweight or obese.  This is not a “baby fat” problem; current research overwhelmingly suggests that baby fat turns into adult fat. And being overweight increases your risk of all sorts of diseases, from heart disease and diabetes to cancer. Not only that, it increases your risk of social and emotional problems. This isn’t what I want for my patients.

Nobody wants it for anyone, of course. That’s exactly why this controversy has become so heated. Those who want obesity to be classified as a disease say that if we were to do that, it would draw much-needed attention and resources to the problem. They say that it would force us to take obesity seriously and come up with effective solutions for it.

But the people who don’t want it to be classified as a disease worry that if you call it a disease, the money would go to drugs and surgical treatments, and not into ways to make healthy eating and exercise more widely available. They worry that prevention efforts would take a back seat to the latest coolest medical treatment. They worry that obese people would say, oh, I have a disease—and not try as hard to lose weight. They worry that calling it a disease would mean that employers would have to make special accommodations for obese employees, further decreasing incentives for lifestyle change.

It’s so interesting that people equally passionate about fighting obesity can end up on opposite sides of an argument. Maybe that means it’s the wrong argument.

There’s also the problem that obesity doesn’t fit comfortably into the definition of a disease. Yes, it can affect the body in bad ways—no argument there. But it’s hard to define clearly when someone is obese; measures like body mass index (BMI) aren’t as reliable as we’d like them to be. There isn’t a clear way to say what the “signs and symptoms” of obesity are, and we should be able to do that for a disease. Not only that, while extreme obesity is clearly very bad for you, there are some obese people out there who don’t have any health problems—and some non-obese people with the health problems we associate with obesity.

More to the point for me, calling it a disease puts the attention on the patient, because that’s how we think about diseases. We might think about their environment and risk factors, but we don’t think big picture—and obesity is a big picture issue (no pun intended). We will never solve obesity if we don’t make healthy food and safe, affordable exercise opportunities available to everyone. We will never solve obesity if we don’t deal with the grain subsidies that make unhealthy foods so widely available and cheap.  We will never solve obesity if we don’t deal with the corporate and cultural factors that contribute to selling and buying super-sized sodas and fries.

I don’t care what you call obesity. Maybe it’s better not to call it a disease or a condition. Maybe we should just call it what it is: a thief. Because it is: it’s stealing the future of our children. It is increasing their risk of health problems, shortening lifespans and even taking away employment possibilities.

Maybe if we looked at it that way, we might get mad—and getting mad may be exactly what we need. Because more than anything, solving obesity is going to take a whole lot of effort and energy on the part of every single person, no matter what their weight. It’s going to take creativity, initiative, collaboration, tenacity and a whole lot of elbow grease.

Let’s stop worrying about what we call it—and start working together to fight it. Let’s not let our children’s future be stolen.

Claire McCarthy is a primary care physician and the medical director of Boston Children’s Hospital’s Martha Eliot Health Center.  She blogs at Thriving, the Boston Children’s Hospital blog, Vector, the Boston Children’s Hospital science and clinical innovation blog, and MD Mama at Boston.com.

Breathing through the mouth blamed for health problems

A recent study has revealed that pollen of certain spring flowers are to be blamed for the increase in seasonal allergies and can also lead to a health problem known as mouth breathing. According to www.scienceblog.com, if the problem of mouth breathing does not get treated during the early stages, it might end up causing problems and adversely affect the dental and facial development like crooked teeth, gummy smiles, narrow or long faces.

As per www.sciencedaily.com, people tend to visit dentists more often as compared to their health physicians. As such, dentists are more likely to know about the general symptoms associated with mouth breathing. Since dentists are aware of the problems that mouth breathing can cause, they can guide the patients about the ill effects of mouth breathing. Mouth breathing is also responsible for causing odd sleeping habits which can further lead to poor academic performance.

“After surgery and/or orthodontic intervention, many patients show improvement in behavior, energy level, academic performance, peer acceptance and growth,” said Leslie Grant, one of the researchers. He went on to add “Seeking treatment for mouth breathing can significantly improve quality of life.” The study was published in the latest issue of General Dentistry, a clinical journal.

Images: http://www.sxc.hu/photo/884146, http://www.sxc.hu/photo/1047190