Intervention measures for obese children

If children's obesity exceeds the prescribed standards, they should go to the hospital for examination first to rule out the possibility of suffering from certain diseases. If it is caused by a disease, the primary disease should be treated. If the examination results show that the child is not sick, but simply obese, then it is necessary to think more about life management.

If the child is simply obese, parents should first manage the child's diet. The child is in the period of growth and development, so it is necessary to ensure that he has enough nutrition intake, such as protein, vitamins and minerals. And eat less sweets, fried foods and high-fat foods, and eat more vegetables, especially fresh vegetables with large volume and low calories.

While managing the diet, we should also pay attention to the fact that the child's weight should not drop too fast, and must take care of the needs of growth and development. Children should exercise more, cultivate their interest in physical exercise, and make it a habit, which is good for their health. Obese children generally don't need diet pills. For severely obese children, it is suggested that small doses can be used for a short time, but not for a long time, otherwise it will affect the calorie balance.

Criteria for overweight and obesity in children

The standard fat content of obesity exceeds the standard 15%, and the overweight weight is 20%.

The obesity grade is10% ~19%; Mild 20% ~ 39%; Moderate 40% ~ 49%; Severity greater than 50%

Body mass index (BMI) is the most widely used clinical diagnostic index for overweight and obesity.

The guideline suggests using the body mass index and body mass index percentile standard of the US Centers for Disease Control and Prevention to diagnose overweight and obesity in children and adolescents over 2 years old.

For children and adolescents over 2 years old, it is recommended that 85 ≤ body mass index.

Because of age

However, the body mass index (BMI) can't distinguish between muscle and fat, so it can't distinguish between excess adipose tissue and overweight or obesity of children and adolescents caused by muscle increase, and it is an index reflecting overweight rather than adipose tissue. It is suitable for clinical and mass screening applications.

In children, waist circumference is not a routine measurement, but it can be used as additional information for risk assessment of other long-term health problems.

Total fat measurement: The methods for directly measuring total fat content include underwater weighing, air displacement plethysmography, dual-energy X-ray absorption measurement, CT and MRI imaging measurement, bioelectrical impedance analysis, skinfold thickness measurement, waist circumference and waist-hip ratio. Among them, underwater weighing method is the gold standard to judge obesity, but it takes a long time and requires special equipment, which is not suitable for special people such as children and is limited to research and application. Wait a minute. These methods are generally not used for children.

Mild obesity is generally asymptomatic, while severe obesity will have psychological problems such as chest tightness, shortness of breath, hyperappetite, constipation, abdominal distension, joint pain, muscle soreness, fatigue, burnout, anxiety and depression. And easy to be laughed at.