Factors Influencing Basal Metabolic Rate In Pediatric Populations

Childhood obesity in America is a growing disease that has become an epidemic problem that has lasting psychological effects, because of advertisement of fast food, lack of physical activities, and parental control; which has made food become a major health issue in many young teenager's lives today. Childhood obesity is something that most kids inherit from his or her own parent. When it comes to child obesity, there is a great deal of understanding of the causes and consequences of this kind of problem. There are important necessary steps to take in order to take preventative action.

In 2015, 15% of children between the ages of 2 to 15, in Scotland, were at risk of obesity, in relation to their Body Mass Index (Scottish Health Survey, 2015). For children, the BMI ranges changes as they grow and get older, as well as being dependent on gender. For example, if a 12 year old boy and a 9 year old boy have the same BMI, and the 12 year old is classed as healthy, it doesn’t mean that subsequently the 9 year old is healthy too. It can, in fact, allude that the younger boy is overweight. Obesity in childhood can lead to a plethora of health issues in later life, and the children are more likely to be obese or overweight in adulthood. The World Health Organisation identified some of the future health outcomes of being obese in childhood. These include cardiovascular diseases, diabetes, musculoskeletal disorders, such as osteoarthritis, and in the worst case; death. WHO has estimated that, globally, over two million people die annually from health problems associated with being obese or overweight (WHO, 2016). There are several contributing factors to a child’s weight, including; parental weight and activity level, geographical location and deprivation.

There have been studies conducted to find out what has caused or what the leading factors to obesity are. Researchers are currently still doing research to find out what causes or what may be the lead to obesity. Childhood obesity is a serious medical condition which considers a child to be obese if their Body Mass Index (BMI) is at or above the 95th percentile for children and teens of the same age and sex. (Rendall., Weden, Lau, Brownell, Nazarov & Fernandes, 2014). Obesity is on a rise in the Unites States and all over the world and can lead or result to other health complications later in life. The crucial breakdown serves as an implication of outlining childhood obesity, collaborating problems of the disease and resolutions, as well as applying critical thinking to give a complete approach to deliver information on childhood obesity. This will be done through citation of scholarly articles, samples and other modes of supporting details.

Childhood obesity has become an epidemic in the United States in the past three decades. In 2012, roughly 17% or 12.5 million children and adolescents are overweight or obese” (“Childhood Obesity Facts,” 2014). According to the Centers of Disease Control and

Childhood onset overweight and obesity and its’ associated health consequences are quickly becoming major significant public health issues facing America today. Centers for Disease Control and Prevention (CDC) define overweight as a body mass index (BMI) between the 85th and 95th percentile while obese is defined as BMI above the 95th percentile for children of the same age and sex . The prevalence of overweight children, defined based on 2009 CDC’s National Center for Health Statistics data, has more than tripled in the past 30 years. Between 1980 and 2006, the incidence of overweight among children aged 6 to 11 years increased from 6.5% to 17.0% while overweight levels for adolescents aged 12 to 19 years increased from 5.0% to 17.6% .

Child obesity is alarmingly prevalent in the United States today; approximately 18 percent of adolescents are considered obese. Obesity is defined as “one of the most pervasive chronic diseases...that affects more than one-third of the population” (Source 2). While obesity may be a major challenge facing adults in the United States, adolescents are facing a similar struggle. More than 33 percents of all children and teens suffer from obesity. But why is child obesity such a major problem in the United States? Though obesity has been shown to have some genetic inheritance between parents and offspring. Adolescents are regularly eating fatty and unhealthy foods, and are not getting the

Childhood obesity has increased dramatically over the last three decades, and conditions in many communities continue to act as barriers to healthy eating and adequate physical activity. Childhood obesity is a serious health problem that has adverse and potentially long-lasting consequences for individuals, families, and communities. Perhaps most shocking, life expectancy for today’s children may be shortened in the United States because of the impact of childhood obesity (Olshansky and Ludwig, 2005).

Childhood obesity remains a chief public health concern nowadays. During the past two decades, the prevalence of obesity among children has increased 47% globally (Brown et al., 2016). The risk associated with childhood obesity including hypertension, dyslipidemia, glucose intolerance as well as mental and emotional illnesses. Individuals who are obese during childhood are more likely to become obese during adulthood. When obesity continues into adolescence and adulthood, individuals are at risks of diabetes mellitus, hypertension, stroke, coronary vascular disease, and cancer. Obesity disproportionately affects children from ethnic minorities. Approximately one out of six US children are overweight

Obesity in our youth has been identified as one of the most serious public health challenges of the 21st century. (Lobestein). Overweight children and adolescents are more likely to develop sleep apnoea, breathlessness on exertion and reduced exercise tolerance, some orthopaedic and gastrointestinal problems, non-alcoholic fatty liver disease, and early signs of metabolic and clinical consequences, such as hypertension, hyperinsulinaemia, hypertriglyceridaemia and type 2 diabetes. (WHO, DENNY W) A major long-term consequence is that overweight children are more likely to become overweight or obese adults, with an increased risk of chronic diseases and early mortality. (BRIO FM)

Although laws have been implemented to fight this disease, new legislations are still been negotiated with different ways of trying to rectify the issue. Despite these rules and regulations, childhood obesity continues to plague the society. According to Hajian-Tilaki et al. (2011), the current approach in determining the presence of obesity is the body mass index (BMI). The BMI is calculated by using the height and weight to determine if an individual is overweight or obese. In the case of a child, an age and weight specific BMI is used to determine their weight status. This is required because children’s body composition varies as they get older and it also varies between boys and girls. A child with a BMI at or over the 85th percentile and below the 95th percentile for a child of the same age and sex is considered overweight. If the child has a BMI that is over the 95th percentile for a child within the same category is considered obese (Hajian-Tilaki et al., 2011). The authors also stated that males were more at risk than female in developing childhood obesity in the region of Babol. Furthermore, Hajian-Tilaki et al. mentioned a few contributing dynamics that may lead to obesity, such as genetic and metabolic factors, lack of physical activities, unhealthy eating habits, and socioeconomic standards. With all said and done, the goal of eradicating childhood obesity is still been

The obesity rate in America has become a major national health issue over the last several decades. Increasingly alarming statistics have garnered national headlines. Current statistics place 68.5% of the U.S. population in classifications ranging from "overweight" to "super obese." Approximately 35% of all U.S. adults currently fall under the label of "obese".(Ogden, et al., 2014) Potentially more alarming is the prevalence of obesity in adolescents. U.S. youth are becoming obese at earlier and earlier ages. One out of six children ages 2-19 are now obese and fully one-third of adolescents are overweight or obese. (Ogden, Carroll, Curtin, Lamb, & Flegal, 2010) Between 1980 and 2000, obesity rates among adults doubled and tripled among adolescents. (CDC.gov)

States many facts that have occurred in our time related to childhood obesity. Childhood obesity has more than tripled in the past 30 years. The percentage of children aged 6–11 years in the United States who were obese increased from 7% in 1980 to nearly 20% in 2008. Similarly, the percentage of adolescents aged 12–19 years who were obese increased from 5% to 18% over the same period. In 2008, more than one third of children and adolescents were overweight or obese. The CDC defines being overweightas having excess body weight for a particular height from fat, muscle,

Social Factors: Children of many various ethnicity have greater implications with obesity, however studies have shown that Hispanic American children (both genders) and African American female children are effected at higher rate than European Americans and Asians (Salinas, Leyao, & DeWan, 2016). Numerous studies including BMC genetics have directly associated low household income to higher likelihood children being obese or overweight. According to the CDC 2000 growth reference, adolescence ages 12-19 are obese or over-weight with the body mass index (BMI) ≥95th, that is one in six child in the United States (Diesel, Eckhardt, Day, Brooks, Arslanian, & Bodnar, 2015).

Obesity has been a major health issue in the community for the past three decades, and has recently become a spreading concern for children (Black & Hager, 2013). Childhood obesity leads to many health and financial burdens in the future, and has become a public health priority. According to the Centers for Disease Control and Prevention (CDC) (2016), childhood obesity has doubled in children and quadrupled in adolescents in the past 30 years. Black and Hager (2013) state that pediatric obesity is a major public health problem that effects a child’s mental and physical health. Having childhood obesity also increases the risk of developing adult obesity and many other chronic illnesses. Childhood obesity will be further explored in the following sections and will include: background, current surveillance methods, epidemiology analysis, screening and diagnosis, and the plan of action.

When speaking of her 8-year old daughter's obesity, a prideful mother replies "Oh it's no big deal, she just still has her baby fat." Unfortunately, chances are that the daughter's obesity is not caused by her baby fat, but can be contributed to a combination of diet, genetics, and a sedentary lifestyle. Studies show that obesity among children 6-17 years of age, has increased by 50% in the last 20 years, with the most dramatic increase seen in children ages 6-11 (Axmaker, 1). This obvious epidemic has raised great concern in the medical community because widespread childhood obesity has increased the prevalence of the once rare juvenile diabetes and pediatric hypertension (Bastin, 45). This concern has prompted intense investigation