MANAGEMENT OF CHILDHOOD OBESITY--PREVENTIVE MEASURES IN OBESITY
Posted Nov 04 2009 10:01pm
There are ways in which to overcome the childhood obesity and overweight.the preventive measures has to be start as early in pregnancy.the following preventive measures are sub divided according to the stage of life
PREGNANCY Normalize body mass index before pregnancy. Do not smoke. Maintain moderate exercise as tolerated. In gestational diabetics, provide meticulous glucose control.
POSTPARTUM AND INFANCY Breast-feeding is preferred for a minimum of 3 mo. Postpone the introduction of solid foods and sweet liquids.
FAMILIES Eat meals as a family in a fixed place and time. Do not skip meals, especially breakfast. No television during meals. Use small plates, and keep serving dishes away from the table. Avoid unnecessary sweet or fatty foods and soft drinks. Remove televisions from children's bedrooms; restrict times for television viewing and video games.
SCHOOLS Eliminate fundraisers with candy and cookie sales. Review the contents of vending machines and replace with healthier choices. Install water fountains. Educate teachers, especially physical education and science faculty, about basic nutrition and the benefits of physical activity. Educate children from preschool through high school on appropriate diet and lifestyle. Mandate minimum standards for physical education, including 30–45 min of strenuous exercise 2–3 times weekly. Encourage “the walking schoolbus”: Groups of children walking to school with an adult.
COMMUNITIES Increase family-friendly exercise and play facilities for children of all ages. Discourage the use of elevators and moving walkways. Provide information on how to shop and prepare healthier versions of culture-specific foods.
HEALTH CARE PROVIDERS Explain the biologic and genetic contributions to obesity. Give age-appropriate expectations for body weight in children. Work toward classifying obesity as a disease to promote recognition, reimbursement for care, and willingness and ability to provide treatment.
INDUSTRY Mandate age-appropriate nutrition labeling for products aimed at children (e.g., red light/green light foods, with portion sizes). Encourage marketing of interactive video games in which children must exercise in order to play. Use celebrity advertising directed at children for healthful foods to promote breakfast and regular meals.
GOVERNMENT AND REGULATORY AGENCIES Classify obesity as a legitimate disease. Find novel ways to fund healthy lifestyle programs,(i.e., with revenues from food/drink taxes). Subsidize government-sponsored programs to promote the consumption of fresh fruits and vegetables. Provide financial incentives to industry to develop more healthful products and to educate the consumer on product content. Provide financial incentives to schools that initiate innovative physical activity and nutrition programs. Allow tax deductions for the cost of weight loss and exercise programs. Provide urban planners with funding to establish bicycle, jogging, and walking paths. Ban advertising of fast foods directed at preschool children, and restrict advertising to school-aged children.