Obesity in children/adolescents | Editorial CHAO

K. Widhalm
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Abstract

Overweight and obesity in children and adolescents is still widely regarded as a cosmetic or optic problem. This is not only true for parents, who frequently do not recognise, that a child is or becomes obese, it is also true for many physicians, paediatricians, general practitioners, teachers and so on. The reason for their refusal to believe overweight that obesity is present in a particular child is manifold: some parents/grandparents think that a baby/child with overweight is healthier than a child which looks undernourished. The other reason is the fact that a majority of parents do not want to realize that their child is overweight or obese, because they are suppressing their feelings to be responsible for this fact. The only consequence of these facts is that the scientific and medical community must increase all supreme efforts to improve information, education both on a medical and on a psychological basis. In this regard, the psychological problems of children suffering from obesity is also widely underestimated many obese children and adolescents report that they are being mocked and disrespected from their peers in school and in their social environment. Some of them have severe problems to maintain social contacts which often follows isolation and depression (Rankin 2016; Smith and Kobayashi 2020). The other side of the coin is the economic damage and injury of obesity in the young population. A recent publication of OECD describes clearly that children pay a large price being overweight or obese. They have poorer success in their schools and less possibilities for a higher education. They have less “life satisfaction”. OECD countries spend 8,4% of their budget for the treatment of obesity and follow-up diseases (diabetes, cardiovascular diseases, joint problems, liver damages. Psychological problems, etc.). Overweight is responsible for approximately 70% of the costs for diabetes, 23% cardiovascular diseases and 9% for cancer. The experts of OECD conclude, that prevention of obesity is the best method to avoid most of these medical, psychological and economic problems (OECD 2019). They have calculated that 1 USD spent on prevention is accompanied by an economic return of 6 USD. CHILD AND ADOLESCENT OBESITY 2022, VOL. 5, NO. 1, 1–2 https://doi.org/10.1080/2574254X.2021.2019556
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儿童/青少年肥胖|编辑CHAO
儿童和青少年的超重和肥胖仍然被广泛认为是一个美容或视力问题。这不仅适用于经常不认识到孩子肥胖的父母,也适用于许多医生、儿科医生、全科医生、教师等。他们拒绝相信超重儿童存在肥胖的原因是多方面的:一些父母/祖父母认为超重的婴儿/儿童比看起来营养不良的儿童更健康。另一个原因是,大多数父母不想意识到他们的孩子超重或肥胖,因为他们压抑自己的情绪,对这一事实负责。这些事实的唯一后果是,科学界和医学界必须加大一切最大努力,在医学和心理基础上改善信息和教育。在这方面,肥胖儿童的心理问题也被广泛低估。许多肥胖儿童和青少年报告说,他们在学校和社会环境中受到同龄人的嘲笑和不尊重。他们中的一些人在保持社交联系方面存在严重问题,这通常伴随着孤立和抑郁(Rankin 2016;Smith和Kobayashi 2020)。硬币的另一面是年轻人肥胖对经济的损害和伤害。经合组织最近的一份出版物清楚地描述了儿童因超重或肥胖而付出的巨大代价。他们在学校的成功率较低,接受高等教育的可能性也较小。他们的“生活满意度”较低。经合组织国家将其预算的8.4%用于治疗肥胖和后续疾病(糖尿病、心血管疾病、关节问题、肝脏损伤、心理问题等)。超重约占糖尿病费用的70%,占心血管疾病费用的23%,占癌症费用的9%。经合组织的专家得出结论,预防肥胖是避免大多数医疗、心理和经济问题的最佳方法(经合组织2019)。他们计算出,用于预防的1美元伴随着6美元的经济回报。儿童和青少年肥胖2022,第5卷,第1期,第1-2页https://doi.org/10.1080/2574254X.2021.2019556
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