Obesity and Its Effects on Population Health
Obesity and its Effects on Population Health
it comes to decision making, a child’s weight seems to spark some disagreement.
This paper is composed of two research articles that discuss how stoutness is
taking over young adolescents. The purpose of this paper is to bring reference
to childhood obesity and some of the social factors that contribute to the
disease. It also will discuss how it is
becoming more of a growing ethical concern in public health practice and
epidemiology studies. Last the paper
discusses what regulations policy makers have in place to make prevention less
Rates of youth stoutness have
significantly increased over the span of the latest 3 decades, though late
examinations have shown some alteration in most age groups.1 While
school-develop programs focused in light of extending physical development and
better support choices may add to the deceleration of this pandemic, about 4%
of US kids continue being requested as to an incredible degree heavy,
predominating the amount of children resolved to have danger, cystic fibrosis,
HIV, and pre-adult diabetes combined.2
et al. (2015) found that, Socio-traditional variables have additionally been
found to impact the growth of being overweight. Our general public tends to
utilize nourishment as a reward, to control others, and as a component of
socializing (as cited in Budd & Hayman, 2008, 113-7). Sahoo et al. (2015)
argue that these services of nourishment can support the advance of unfortunate
associations with sustenance, in this manner expanding the danger of creating
corpulence (as cited in Moens, Braet, Bosmans & Rosseel, 2009).
Sahoo et al. (2015) argue that, The social
results of stoutness may add to proceeding with trouble in weight control.
Overweight adolescents tend to shield themselves from negative remarks and harsh
outlooks by withdrawing to safe spots, for example, their homes, where they may
look for nourishment as a solace. (as cited in Niehoff, 2009, p.17-23
Furthermore, kids who are overweight tend to have less companions than ordinary
weight kids, which brings about less social connection and play, and additional
time spent in inactive activities (as cited in Niehoff, 2009, p.17-23).
As previously mentioned from Sahoo et al.
(2015), physical movement is frequently more troublesome for overweight and
stout kids as they tend to get shortness of breath and regularly experience
serious difficulties staying aware of their friends. This thus definitely
brings about weight pick up, as the measure of calories devoured surpasses the
measure of vitality burned (as cited in Niehoff, 2009, p.17-23).
child’s parent(s) or guardian(s) can be another leading influence on obesity in
children. The food that a child has access to in the house can be an influence
on their overall health. Sahoo et al. (2015) found that, “Studies have shown
that having an overweight mother and living in a single parent household are
associated with overweight and childhood obesity” (as cited in Moens, Braet,
Bosmans & Rosseel, 2009).
Considerations in Childhood Obesity
When deciding which treatment option
is most beneficial for the obese child, the primary consideration is if the
health of the child is being compromised by the obesity. Then the caregiver
must determine the effectiveness of other available weight loss options and
finally, the executive capacity of the child must be evaluated. This means that
the child(adolescent) must be aware of the different facets of the prevention
taking place. Some of these preventions are as follows: surgery (along with the
dangers and the benefits), the probability of the dangers and advantages
happening, and the deep-rooted responsibility regarding surgical development
(as cited in Gallagher, 2010, 231-234).
the health care professional must determine if the child has this ability, it
is the parent or guardian who must give consent for the child. This becomes
problematic when parents and their children do not agree on surgery to treat
obesity. Parents may focus on the perceived negative physical and psychological
consequences of their child’s obesity and attempt to persuade the child’s
assent (as cited by Pratt, Lenders, & Dionne,2009, p 901-910
Issue of Diagnosing Obesity
& Sidoti (2015) mention that, Arranging kids as corpulent creates its own
arrangement of moral concerns. BMI, a proportion of weight to stature, has
generally been utilized to survey overweight in grown-ups and keeps on being
the most prominent standard for measuring stoutness. In any case, Perryman & Sidoti (2015) acknowledge that as BMI
is currently reliably utilized for estimating the tyke and youthful populace,
it has moved toward becoming scrutinized because of the physical development
and advancement expected in this group (as cited in Huerta, Gdalevich &
Tlashadze, 2007, p. 573-578).
to Sahoo et al. (2015), A current review determined that a great number of
studies discovered a potential connection between eating conflicts and unhappiness
(as cited in Goldfield, 2010, p. 186-92).
Moreover, Sahoo et al. (2015) state that in a clinical example of stout
young people, a higher life-time commonness of nervousness issue was accounted
for contrasted with non-fat controls (as cited in Britz, 2000, p. 1707-14).
to Sahoo et al. (2015), Adolescence heftiness has additionally been found to
adversely influence school execution. An examination thinks about presumed that
overweight and fat youngsters were four times more inclined to report having
issues at school than their typical weight peers (Schwimmer, 2003, p. 1813-9).
Policy Holders Roles and
ethical concern that sparks debate is giving a child autonomy in deciding which
route is the best weight prevention for his/her body. Sahoo et al. (2015) address that, independence,
or the privileges of patients to freely self-oversee and select alternatives in
view of their own desires, is relinquished as kids are not ready to settle on
wellbeing related decisions. Self-governance would enable the kid to make and
actualize an arrangement, and in addition effectively seek after that picked
predetermination (as cited in Gallagher, 2010, p. 231-234). Be that as it may,
legitimately and morally, that obligation tumbles to the parent. This raises
doubt about the parent’s capacity to settle on choices to the greatest
advantage of the corpulent kid, given the present wellbeing condition
to Perryman & Sidoti (2015) Nonmaleficence, or
to do no mischief, is another commitment helping experts need to forgo activities
that hazard harming patients. While examining treatment alternatives for the
stout tyke, which mediations do no damage? (as cited in Van et al., 2014). Perryman
& Sidoti (2015) state, There are changing degrees of physical, social, and
passionate, dangers related with pharmacotherapy, family-based treatment, and
bariatric surgery. The slightest obtrusive of these is family-based treatment
for adolescence heftiness; in any case, new research has discovered that parent
inspiration is a critical factor in this sort of intervention, as is parental
weight loss (as cited in Van et al., 2014& Hunter H, Steele R, Steele M, 2008).
conducting the research Perryman & Sidoti (2015) discovered that as helping
experts are setting up committed associations with families and patients, trust
is foremost. Devotion is expert when the treatment group adopts an extensive
strategy and sees how to best meet the fat youngster’s objectives toward weight
reduction and wellbeing advancement and completes on their dedication. The
family and youngster are likewise trusting in that group considering their
promoted learning, ability, and skill in the zone of pediatric weight treatment.
(as cited in Buchwald, 2005, p.593)
to Perryman & Sidoti (2015), Veracity, or
truthfulness, is an essential element of communication between patients,
families, and doctors and is imperative to the decision-making process when
choosing the best treatment option for the obese child (as cited in Caniano, 2009, p.190)
the research provided by these two articles, it seems that childhood obesity is
becoming a more recognized topic in epidemiology. There seems to be an adequate
amount of information provided on the causes, and consequences of adolescents
with stoutness. When reviewing these
articles, it seems there should be a discussion on lifting some regulations on
children making them
conclude, the research that was provided from these articles thoroughly
discussed how obesity is affecting children within the population. The research
also brought light to contributions in society that is potentially enabling
this disease to grow. However, there may need to be some adjustments made on a
child’s decision to choose what preventative measures and treatments they want
to undergo for a healthier lifestyle/ This may help them not carry being
overweight into adulthood causing possible longevity in their lifespan.
Britz B, Siegfried W, Ziegler A, Lamertz C,
Herpertz-Dahlmann BM, Remschmidt H, et al. Rates of psychiatric disorders in a
clinical study group of adolescents with extreme obesity and in obese
adolescents ascertained via a population based study. Int J Obes Relat
Metab Disord. 2000; 24:1707–14.
Buchwald H. Bariatric surgery for morbid obesity:
health implications for patients, health professionals, and third-party
payers. J Am Coll Surg. 2005;200(4):593–604.
Budd GM, Hayman LL. Addressing the childhood
obesity crisis. Am J Matern Child Nurs. 2008; 33:113–7. PubMed
Caniano DA. Ethical issues in pediatric bariatric
surgery. Semin Pediatr Surg. 2009;18(3):186–192.
SM. What is the meaning of informed consent, weight loss surgery, and the
pediatric patient? Bariatr Nurs Surg Patient Care.
GS, Moore C, Henderson K, Buchholz A, Obeid N, Flament MF. Body
dissatisfaction, dietary restraint, depression, and weight status in
adolescents. J Sch Health. 2010; 80:186–92. PubMed
M, Gdalevich M, Tlashadze A, et al. Appropriateness of US and international
BMI-for-age reference curves in defining adiposity among Israeli school
children. Eur J Pediartr. 2007;166(6):573–578.
HL, Steele RG, Steele MM. Family based treatment for pediatric overweight:
parental weight loss as a predictor of children’s treatment success. Child
Health Care. 2008;37(2):112–125
Moens E, Braet C, Bosmans G, Rosseel Y.
Unfavourable family characteristics and their associations with childhood
obesity: A cross-sectional study. Eur Eat Disord
Rev. 2009; 17:315–23. PubMed
V. Childhood obesity: A call to action. Bariatric Nursing and Surgical
Patient. Care. 2009;4:17–23
M. L., & Sidoti, K. A. (2015, March 05). Full text Ethical considerations
in the treatment of childhood obesity | MB. Retrieved January 09, 2018, from https://www.dovepress.com/ethical-considerations-in-the-treatment-of-childhood-obesity-peer-reviewed-fulltext-article-MB
JS, Lenders CM, Dionne EA, et al. Best practice updates for
pediatric/adolescent weight loss surgery. Obesity (Silver Spring).
K., Sahoo, B., Choudhury, A. K., Sofi, N. Y., Kumar, R., & Bhadoria, A. S.
(2015). Childhood obesity: causes and consequences. Journal of Family
Medicine and Primary Care, 4(2), 187–192. http://doi.org/10.4103/2249-4863.154628
JB, Burwinkle TM, Varni JW. Health-related quality of life of severely obese
children and adolescents. JAMA. 2003; 289:1813–9. PubMed
Allen J, Kuhl ES, Filigno SS, Clifford LM, Connor JM, Stark LJ. Changes in
parent motivation predicts changes in body mass index z-score (zBMI) and
dietary intake among preschoolers enrolled in a family-based obesity
intervention. J Pediatr Psychol. 2014;39(9):1028–1037.