I'll never forget the afternoon I asked one of my patients, a 17-year-old high school student, what he was going to do after graduation. He had good grades and a great personality. He'd also been struggling with obesity since he was a toddler and now was being treated for hypertension. In answer to my question, he burst into tears.
"I always wanted to be a state trooper," he said, "but I'm afraid I won't pass the physical."
At that moment, I realized that we were not only fighting for his good health. We were struggling for his future.
In a new Pediatrics study, "Prevalence of Obesity and Severe Obesity in US Children 1999-2016," the authors deliver a grim message that despite nearly 3 decades of awareness and prevention efforts, the childhood obesity epidemic continues to grow on a national scale.
A hoped-for stabilization in obesity rates among 2 to 5 year-olds suggested by earlier research has vanished. The new, more nuanced study found rates of overweight and obesity have increased in all age groups among children ages 2 to19, and the increase in severe obesity and obesity in Black and Hispanic children is accelerating at an alarming rate.
Each of us has a stake in stopping this insidious epidemic. It's going to take a society-wide shift to counteract environmental forces fueling excessive weight gain in children. But the obesity epidemic didn't happen overnight, and neither will these comprehensive changes. In the meantime, as pediatricians and citizens, we need to help families do what they can to keep kids healthy and fit. This includes:
- Support and encourage breast feeding, responsive feeding, and other early feeding practices linked to healthy weight later in childhood. Build parenting skills and increase access to healthy foods for infants with referrals to local, state and federal resources. Help keep critical initiatives like the Women, Infant and Children (WIC) and the Supplemental Nutrition Assistance Programs alive and healthy, and encourage enrollment.
- Make healthy schools the norm, with daily physical education, healthy meals, no junk food, and health education that includes health literacy and healthy skills like cooking and meal planning. This costs money, but so does specialty medical care, emergency department visits and missed school or work.
- Help ensure communities have plenty of safe spaces for physical activities and access to healthy food. Incorporate population health measures into local government planning and accountability.
- Engage the business community to promote healthy behaviors in their employees and make health a priority for product development.
- Fix our food supply so that healthy food is incentivized and plentiful.
- Improve payment for obesity treatment and preventive care.
- Hold each other and policy makers accountable for doing what it takes to have a healthy population.
With obesity-related illness such as cardiovascular disease and diabetes accounting for several of the top causes of death in the United States, some public health experts now suggest obesity is far and away the top killer. It's a killer that threatens to steal lives, and dreams.
It will take all of us--physicians, legislators, business leaders, parents, teachers, and people in every community—working together to fix the unhealthy environments that led to this epidemic among our children. Let's redouble our efforts to ensure no child is denied a future.
View the original article here.
Sandra G. Hassink, MD, FAAP, is Medical Director of the American Academy of Pediatrics Institute for Healthy Childhood Weight. Dr. Hassink served as president of the American Academy of Pediatrics in 2015.