"One of the most challenging issues that I often come across with my patients is obesity, not only in adults but in kids too. It's no longer unusual to come across children weighing over 100 kg. With the increasing influence of urban living and a so-called 'improved' lifestyle, childhood obesity is becoming alarmingly prevalent. Surprisingly, many obese children visit the clinic not specifically for weight concerns, but often due to other reasons. These might include slightly abnormal thyroid tests or parents (and often grandparents) worrying about their child's body development. However, the initial challenge lies in explaining that obesity is the primary issue", said Dr Ganesh Jevalikar, Senior Consultant, Pediatric Endocrinology, Max Hospital, Gurugram.
Elevated thyroid levels can be tied to obesity, and perceptions about body proportions can be skewed due to excess body fat, Here’s what Dr Jevalikar explains about childhood obesity, parental mindset and challenges, and ways to deal with it.
The Relationship Between Skipping Breakfast and Childhood Obesity
Dr Jevalikar said, “Skipping breakfast has a direct link to childhood obesity. While the idea that breakfast helps in calorie burning holds merit, skipping this meal forces the body into a defensive mode. Over time, this slows down metabolism, leading to weight gain.” Moreover, the lifestyle shift from walking or cycling to schools to the sedentary nature of commuting, coupled with limited outdoor activities, contributes to less energy expenditure. Increased frequency of eating out and indulging in high-calorie snacks has compounded the issue, often endorsed by influential figures.
According to the Journal of Family Medicine and Primary Care, children who are overweight or obese are prone to remain in this state as they grow up, increasing their risk of encountering non-communicable conditions such as diabetes and cardiovascular diseases at a younger stage of life.
Also Read: Childhood Obesity: Expert Explains Causes, Identification, & Prevention
Parental Mindset and Challenges
Dr Jevalikar said, “Parents often believe their child consumes less, especially in nutritional aspects. There's a widespread misconception that weight gain occurs despite eating 'healthy.' While the science of obesity remains complex, most cases stem from excessive calorie intake compared to expenditure. Common remarks like 'We only eat vegetarian food' or 'My child eats less than their friend' are frequent in obesity clinics. Yet, it's crucial to analyse a child's food intake objectively and consider everything consumed, including snacks and treats.”
Family Dynamics and Role Modelling
Recognising that a child is part of a family unit is pivotal. Children often emulate their parents' behaviours. Dr Jevalikar added, “Sometimes, the parents themselves exhibit habits contradictory to their expectations of the child. This paradox can be a sensitive topic, but addressing it is essential. Parents must lead by example, promoting a healthy lifestyle through their actions. Role modelling not only fosters better habits but also creates a supportive environment that aids in mitigating childhood obesity.”
Also Read: Study Links Childhood Inactivity To Adult Cardiovascular Events, Expert Highlights Lifestyle Changes
Shifting Focus: Healthy Choices and Principles
Dr Jevalikar highlighted, “Instead of fixating on numbers, the focus should shift towards fostering healthy choices and principles. The goal shouldn't just be about shedding kilograms or inches but about making informed decisions every day. For parents, it's imperative to start the change from within. By aligning actions with the guidance they give their children, parents can establish a foundation for positive lifestyle changes.”
Conclusion
Dr Jevalikar concluded, “Childhood obesity poses a multifaceted challenge that extends beyond physical health. As a paediatric endocrinologist, I stress the importance of a comprehensive approach that involves addressing not only nutritional and physiological factors but also family dynamics and role modelling. By embracing healthy choices, understanding the impact of skipping breakfast, and collectively adopting a positive lifestyle, we can work toward combating childhood obesity and creating a healthier future for our children.”
[Disclaimer: This article contains information shared by a registered healthcare professional and is for informational purposes only. Hence, we advise you to consult with your expert before making any changes in your diet, especially if your child is dealing with any health issues.]
