Childhood Obesity: Review of a growing Problem

Shivpuri, Anubhav; Shivpuri, Abhay; Sharma, Sunil

doi:10.5005/jp-journals-10005-1175

Cited by 8 publications

(3 citation statements)

References 24 publications

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“…The new obesity epidemic encountered in children and adolescents brings along an increased risk of multiple comorbidities and mortality at a young age [ 1 ]. Many studies show that childhood obesity will affect a future adult’s health.…”

Section: Introductionmentioning

confidence: 99%

Predictive Markers of Early Cardiovascular Impairment and Insulin Resistance in Obese Pediatric Patients

et al. 2021

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Background: The increased prevalence of obesity among children determined the rising number of its comorbidities in children and adults, too. This study aimed to evaluate certain markers of inflammation and insulin resistance in obese pediatric patients, identifying those who are more likely to develop further complications. Methods: We included 115 obese pediatric patients: 85 overweight and obese patients in the study group and 30 normal-weight patients in the control group. We calculated the body mass index (BMI) and we evaluated markers (biological, inflammatory) and the hormones profile. Results: Low-threshold inflammation was assessed by measuring interleukin 6 IL-6 and Intercellular Adhesion Molecules (ICAM). The analysis showed that IL-6 is significantly correlated with glucose (p = 0.001) and BMI value (p = 0.031). ICAM correlates significantly with triglycerides (p = 0.001), glucose (p = 0.044) and BMI percentile (p = 0.037). For pediatric obese patients, endotoxemia has been significantly correlated only with BMI percentile (p = 0.001). Plasma cortisol did not show significant correlations with total cholesterol, triglycerides, glucose or BMI percentile. The results indicated a significant predictive power of BMI percentile on inflammatory markers: IL-6 (AUC = 0.803, p < 0.001), ICAM (AUC = 0.806, p < 0.001) and endotoxemia (AUC = 0.762, p = 0.019). Additionally, BMI percentile has a significant predictive power for metabolic markers of insulin resistance (insulin value: AUC = 0.72, p < 0.001 and HOMA index: AUC = 0.68, p = 0.003). Conclusions: The study highlighted the importance of early markers of cardiovascular risk in obese pediatric patients represented by IL-6, ICAM, endotoxemia and their correlation with metabolic markers of insulin resistance represented by insulinemia, HOMA index and plasma cortisol. It can clearly be considered that the BMI percentile has significant predictive power for metabolic markers of insulin resistance.

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Section: Introductionmentioning

confidence: 99%

Predictive Markers of Early Cardiovascular Impairment and Insulin Resistance in Obese Pediatric Patients

et al. 2021

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“…Overweight and obesity pose major health risks for children, which include prediabetes, type 2 diabetes, hypertension, hyperlipidemia, sleep apnea, asthma, fatty liver disease, and orthopedic and psychological problems (Flegal et al, 2010; Ornelas, Francica, Wichi, & Maifrino, 2014; Paulis, Silva, Koes, & van Middelkoop, 2014). Psychological consequences include depression, low self-esteem, and poor social interactions (Kelsey, Zaepfel, Bjornstad, & Nadeau, 2014; Shivpuri, Shivpuri, & Sharma, 2012).…”

Section: Introductionmentioning

confidence: 99%

The Child Obesity Epidemic in Saudi Arabia: A Review of the Literature

Hammad

Berry

2016

J Transcult Nurs

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“…Between 1980 and 2020, the prevalence of obesity in adults and children and severe obesity in adults increased from 15% to 41.9%, 6% to 19.7%, and 4.7% to 9.2%, respectively [1][2][3]. Childhood obesity is a rising health problem and can cause health consequences, including type II diabetes, anxiety, depression, self-esteem issues, and a lower quality of life [1,[4][5][6][7]. If existing obesity rates continue to rise, nearly half of the children in the world will be overweight or obese by 2030, with considerable health consequences [1,8,9].…”

Section: Introductionmentioning

confidence: 99%

Community Solutions to Increase the Healthfulness of Grocery Stores: Perspectives of Immigrant Parents

Dastgerdizad,

Dombrowski,

Bode

et al. 2023

IJERPH

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Grocery store environments are recognized as one of the most crucial community settings for developing and maintaining healthy nutritional behaviors in children. This is especially true for disadvantaged ethnic minority families, such as immigrants, who reside in the Detroit Metropolitan area and have historically experienced inequities that result in poor health outcomes. Rates of obesity and type II diabetes have affected Detroit 38% more than the rest of the state and nationwide. In 2019, almost 54% of children aged 0–17 in Metro Detroit lived in poverty, and 21.6% experienced food insecurity, compared with the state level of 14.2%. Moreover, nearly 50% of ethnic minority children in Metro Detroit consume sports drinks, and 70% consume soda or pop in an average week. The primary purpose of this study was to explore immigrant parents’ perspectives on (1) how in-store Sugar-Sweetened Beverage (SSB) marketing impacts the purchasing behaviors of parents and the eating behaviors of toddlers, and the secondary objective was to (2) determine strategies to reduce SSB purchases and consumption within grocery environments from the viewpoints of immigrant parents. A qualitative multiple-case study design was used to achieve the aims of this study. Semi-structured individual interviews were completed with 18 immigrant parents of children aged 2 to 5 years old who were consumers in 30 independently owned full-service grocery stores within the immigrant enclaves of Detroit, Dearborn, Hamtramck, and Warren, Michigan. Three key thematic categories emerged from the parents’ narratives. These themes were: (1) non-supportive grocery store environments; (2) acculturation to the American food environment; and (3) strategies to support reduced SSB consumption among young immigrant children. The findings of this study revealed widespread SSB marketing targeting toddlers within the participating independently owned grocery stores. Even if families with young children practiced healthy nutritional behaviors, the prices, placements, and promotion of SSBs were challenges to establishing and sustaining these healthy eating habits. The parents believed that planning and implementing retail-based strategies in collaboration with families and considering families’ actual demands would assist in managing children’s eating patterns and reducing early childhood obesity.

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Childhood Obesity: Review of a growing Problem

Cited by 8 publications

References 24 publications

Predictive Markers of Early Cardiovascular Impairment and Insulin Resistance in Obese Pediatric Patients

Predictive Markers of Early Cardiovascular Impairment and Insulin Resistance in Obese Pediatric Patients

The Child Obesity Epidemic in Saudi Arabia: A Review of the Literature

Community Solutions to Increase the Healthfulness of Grocery Stores: Perspectives of Immigrant Parents

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