For the first time in history, the next generation will not live longer, or even as long, as their parents.

“Diseases such as type 2 diabetes, high blood pressure, heart conditions and joint deterioration - what were once considered ‘adult’ diseases - are regularly being diagnosed in children, due to the prevalence of obesity,” said Jessica Bartfield, MD, internal medicine and medical weight-loss specialist at Melrose Park, Illinois Gottlieb Memorial Hospital, part of the Loyola University Health System.

“What is particularly tragic is that studies have suggested that obesity in children today may contribute to a 2-5 year decline in their life expectancy, shorter than that of their parents, due to obesity related diseases that are largely preventable,” said Dr. Bartfield, who is part of Gottlieb’s medically supervised weight-loss program involving physicians, nutritionists, exercise physiologists and behavioralists.

She says the causes are “multi-factorial, including environment and culture.” Genetics and parental weight status also plays a role.

“If one parent is obese, a child has a 50 percent likelihood of being obese, and if both parents are obese, that skyrockets to 80 percent likelihood,” she said.

Research by the Center for Disease Control found that 80 percent of obese children between the ages of 10-15 continue to be obese at age 25. Furthermore, the earlier obesity develops in children, the more severe it tends to be as an adult.

In addition to health implications, there are psychological and social damages as well.

“In addition to decreasing years of life, obesity decreases the quality of life through social ostracism, bullying, social isolation, and poor self-esteem which can lead to poor performance in school, in jobs and in life,” she said.

Top Five Ways We Can Reverse the Obesity Trend
1 – Parents take charge. “Focus on getting the family healthy, not putting someone on a diet,” she said. “Monitor and take accountability for what the family is eating. Plan meals, set limits and take the team approach.”

2 – Involve the Kids. “As a family, create a weekly meal plan, look up calorie counts, make a grocery list, read product labels, choose fresh rather than packaged and get everyone’s participation,” said Dr. Bartfield. “Everyone has to get on board to be successful.”

3 – Add fresh fruits and vegetables. “Replace applesauce for oil in baked goods, add carrots, broccoli and kale to soups and omelet`s, cut up fresh fruit as a side dish,” said Dr. Bartfield. “Even if it is dipped in low-calorie whipped topping or low-calorie salad dressing (moderately) to make the fruit or vegetable more appealing to kids.”

4 – Cut liquid calories. “Soda, flavored and full fat milk, fruit punches and fruit -flavored beverages are loaded in sugar and empty calories,” says Dr. Bartfield. “Substitute 2 percent for whole milk, or skim for 2 percent, and try adding water, seltzer or club soda to juices to cut calories.”

5 – Prioritize breakfast and keep meals consistent. “Eating within the first hour of waking up powers the brain and jump-starts the metabolism for the rest of the day,” said Dr. Bartfield. “Choose protein and fiber in breakfast foods to boost endurance.” Establish set meal times, and calories per meal, and stick to them, with defined healthy options for snacking.

Keeping It Real
“In overweight children with medical complications or obese children, strive for a one-pound individual weight loss per month,” said Dr. Bartfield, who uses guidelines by the American Academy of Pediatrics. “Focus on weight maintenance for overweight kids without medical complications. As kids continue to grow in height, their percentage Body Mass Index (BMI) on the growth chart will decrease.”


Source: Loyola University Health System


Originally posted by DiabetesCare.net on January 20, 2011.