Obesity in Children

Age 5 years, but Rudy weight was 35 kg. Because tubby, Rudy did not have good body balance, so he easily fell while running. His friends were so reluctant to play with him.

Even Rudy got the call "the fat". Rudy became a quiet child and not have self c onfidence. Prior to becoming depressed, yuk Moms, resolve the little insecure because of obesity!

Cause Obesity In Children

Obesity in children occurs because of imbalance between energy intake with energy expenditure. Intake is high because of excessive food consumption, whereas lower energy expenditure due to lower metabolism, physical activity and thermogenesis effect of food.

Thermogenesis effect of food is determined by the composition of food. Fat thermogenesis effect is lower compared to carbohydrates and protein.

Besides both cases, genetic factors are known to have strong role, if both parents are obese, it ranges from 80 percent of their children will become obese. If one parent is obese, 40 percent of obese children and if both parents are not obese, the prevalence of child obesity will fall to 14 percent.

When Obesity is said ..

A child is said to obesity or not, based on anthropometric measurement. Here are three methods of measurement of Dr Tan Lina, SpGK:

a. Measuring body weight (BW) and results were compared with ideal body weight according to height (TB), ie weight / height. Obesity in children if the weight / height greater than 90 percentile (the lines on the growth curve) or 120 percent over ideal body weight.

Example: Mery (5 years), weight 40 kg, while the ideal weight is 18 kg

BB child (kg) x 100%

Ideal body weight (kg)

40 x 100% = 222.222%

18

Note: percentage weight = 222.222% means children, including obesity as more than 120%

b. Body Mass Index (BMI) according to the WHO as the standard measurement of obesity in children aged over two years and adolescents). BMI is a guide to determine excess body weight based on the formula weight in kilograms divided by the square of height in meters (kg/m2). A child is declared obesity when BMI of 30 kg/m2 or equal to percentile 95.

Example: when a child's weight 40 kg, height 98 cm (0.98 m)

BW (kg)

-------

(TB (m)) 2

40 = 41 649 kg/m2

-------

(0.98) 2

Note: the child's BMI = 41 649 kg / m 2, mean children including obesity as more than 30 kg/m2 (normal range BMI = 18.5 to 22.9 kg / m²).

                                

c. Direct Measurement of subcutaneous fat by measuring skinfold thickness (Tlk). Indicators of obesity when Tlk triceps above percentile 85.

For More Self-Confidence

1. Parents should be more sensitive to emotions, attitudes and behaviors of children who are obese. Observe the change in attitude and behavior of children, for example, has suddenly become quiet or angry unpalatable.

2. Treat the child as a friend so she told the parents comfortable. Do not be too often blame and do not compare children with other children.

3. Do not look at obesity is the only one that stands out from the child. Encourage children to see themselves in a positive perception because every child has something unique in itself. Provide reinforcement, for example, "Although the fat but really good hair."

4. Try exploring the other side like a dig interests, talents, and ability for children to have self-confidence.

5. Encourage the child to be more sociable with the wider environment, not only in school, for example in a course or tutoring.

6. Evaluation of diets of children, consult with a doctor of nutrition. If you need to change your diet into a healthier child. For example, by providing healthy food supplies while at school.

7. Encourage children to do physical activity outdoors more.

Source: lifestyle.okezone.com