Many North American families have recently welcomed a new guest into their households…the Halloween booty! If your little goblins have done their jobs right, you now have more junk food in your homes than you may feel comfortable with. Reaping the rewards of a good night’s trick-or-treating is nothing new; we’ve been doing it for generations. However this tradition may have a more serious association attached to it now than in previous years. According to Statistics Canada, one out of every three children in this country is overweight. The epidemic of childhood obesity is no myth; for the first time in history North American, children are at risk of leading shorter and less healthy lives than their parents’. Worldwide, the number of deaths from the affects of excessive eating will soon surpass those from starvation and diseases related to malnutrition.
Even more frightening are the repercussions of childhood obesity. The physical effects are type 2 diabetes, metabolic syndrome, joint problems, high-blood pressure, asthma and other respiratory problems, sleep disorders, liver diseases, early puberty or menarche, and skin infections. The social and emotional fallout includes low self-esteem, eating disorders, bullying, behaviour and learning difficulties, and depression. Almost all overweight adolescents become overweight adults; in fact the condition usually worsens. An adult who is clinically obese at the age of 40 can expect to have 7 years cut from their lifespan. And the reality is that this problem affects us all; in British Columbia alone last year treatment of health problems related to obesity and a sedentary lifestyle cost tax payers 1.10 billion dollars.
What Causes Childhood Obesity?
Obesity in children occurs in the same way it does in adults; simply put, the body takes in more energy (calories) than it puts out. There are some genetic diseases that cause obesity in children (such as Prader-Will syndrome) but these conditions represent an extremely small portion of affected children. By far the primary cause is lifestyle. That being said, children are usually incapable of controlling many of the factors involved in their daily life; that responsibility belongs to their caregivers. Obviously providing a good role model for your children is the most important thing you can do; parents who lead healthy lifestyles are far more likely to have children who will do the same. This of course includes being active and eating a balanced diet; however since over-eating is sometimes caused by emotional factors, it is also important that families address the issue of emotional eating. The best way to do this is to maintain good communication with your children and encourage them to deal with the stresses of life in a healthy way, other than turning to food. And never use food (especially sweets) as a reward for good behaviour; this just reinforces the psychological connection between food and comfort.
How Can I Help?
Almost all experts dealing with childhood obesity agree on one factor: the best way to combat the problem is through prevention rather than treatment. As mentioned above, patterning a healthy way of living is probably the best approach. Resources on how to encourage your child to be active and eat a healthy and balanced diet abound. Some good examples are the Weight Control Information Network, Capital Health, & the Childhood Obesity Foundation of BC. One tip that made a lot of sense to me was to take a gradual approach to changes in your families’ lifestyle. For example, when attempting to introduce a variety of both food and activity choices, don’t despair if your kids don’t take to them all right away. Statistically children need to be presented with a new food 10 times before they readily accept it and it takes nearly as long for some children to start enjoying certain sports and activities, especially if they have a self-perceived lack of athletic ability.
One aspect of obesity that has been in the news quite a bit lately is the connection between sleep and weight gain, both in children and adults. A study done by the University of Bristol reported that a shorter sleep duration disturbs normal metabolism which may contribute to obesity, insulin resistance, diabetes and cardiovascular disease. The study indicated that teens who slept 5 instead of 8 hours each night had a 15% change in the hormones that helped prevent weight gain. Lack of sleep has been clinically proven to lessen energy and increase stress – both factors in obesity. And in a classic “Catch 22” situation, increased weight can then lead to serious sleep disorders such as Sleep Apnea. Recommendations are that parents not allow TV’s, videogames, or other electronic devices in their children’s bedrooms. Obviously this would not be welcomed by most kids, but sometimes good parenting requires making unpopular decisions. Enforcing policies like these often leads to having to deal with the dreaded “nag factor”, especially with adolescents.
Television, electronic games, the internet and other sedentary pursuits have gotten a lot of the blame for inactivity in children leading to obesity. However, in a study done by the Organization for the Prevention of Chronic Disease, time spent watching TV has actually gone down in children by 23% since 1981. Their research also shows a significant increase in the time children are spending away from the home that correlates with the period in North America that childhood obesity started becoming an issue. Children are now spending more time at school, daycare, and after-school programs and unfortunately many of these offer poor health related options. It is therefore important that you insure that the people in charge of your children while away from home have the same agenda for healthy living that you do. Even in our public school system, physical education and options for healthy eating are often neglected or even absent. One organization trying to put a stop to this is the Canadian Association for Health, Physical Education, Recreation and Dance; they have a link to an online quiz that ranks the effectiveness of your school’s PE program.
Most Important – Do No Harm!
Obviously, if your child has a serious weight problem it is vital that you intervene. However, it is just as vital that your attempts do not end up causing more harm than good. First, understand that a weight loss program for children bears little resemblance to one designed for an adult. Because children need extra energy to fuel their growth and development, no child should be put on a traditional “diet”, especially one that isolates them from the rest of the family. Healthy living is a family affair and every member must participate. If a child is seen as having a “problem” they will associate food with fear and anxiety and this can cause an increase in emotional eating (such as eating in secret or binge eating) as well as lead to eating disorders such as bulimia, anorexia, and the use of cigarettes and drugs to suppress the appetite.
If you feel your child might be suffering from obesity, it is best to get professional advice. Kids grow at different times and different rates and sometimes it isn’t easy to tell if a child is overweight or just in between growth spurts. Even BMI (body mass index) tabulations are different for children. This link for a BMI calculator is adapted for children; however it is not a 100% indicator of obesity. And remember, not all expert advice is the same; one study showed that when asked about weight loss for middle-school children, 85% of physical educators recommended a strict calorie reduced diet. You need to make sure that the person you consult knows that a thin child is not necessarily a healthy child and an overweight child is not necessarily an unhealthy one. They should also have an understanding of, not only of nutrition and physiology, but also the mental, social and spiritual needs of children.
Finally, if you and the rest of your family are trying to become healthier, be realistic; no one can be good everyday. So enjoy your Halloween treats and remember the absolute best thing you can do for your child is to love, support and accept them the way they are.