The Effects Of Nonalcoholic Fatty Liver Disease On Obese Pediatric Population

In United States of America (USA), the prevalence of obesity was 10% among children 2 to 5 years of age and 15% among adolescents. When children at risk for obesity (overweight) were included, the values increased to 20% and 30%, respectively. Therefore, > 1 of every 4 patients examined by pediatricians either is obese or is considered to be at high risk for developing this challenging health problem (Ogden et al.,

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

In America childhood obesity statistics show that almost 60 percent of children are obese. This statistic continues to grow at an alarming rate. 70 percent of obese adolescence become obese adults. This means when these children grow into adults they will have more health problems than they already do and their quality of life will decrease. The amount of children who are obese between ages 6-11 years old has risen from 6.5 percent in 1980 to 19.6 percent, in 2008. In adolescents ages 12-19 years old the obesity rates risen from 5.0 percent in 1960 to 18.1 percent in 2008. Last year the United States government stated that obesity and type 2 diabetes have become a national epidemic.

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% .

Statement of Health Problem: Childhood obesity has been a significant problem across our nation for decades, and can be clearly associated with insufficient nutrition, health, and wellness. Obesity is defined as a body mass index (BMI) at or above the 95th percentile for adolescents within the same age group ("Defining Childhood Obesity"). The most recent data show that the national childhood obesity rate for those between 2-19 years old is 18.5% ("The State of Childhood Obesity"). This equates to nearly 1 in 5 school age children being classified as obese ("Childhood Obesity Facts").

According to the CDC, childhood obesity in the United States is at a steady incline and has seen an exponential growth in the past 30 years. (“Childhood Obesity Facts”, 2015).

Obesity is a chronic health condition characterized by presence of excess of body fat. Obesity is measured by using Body Mass Index (BMI) in children 2 years of age and older. The BMI is calculated by the body weight (in kilograms) divided by the height squared in meters. In adults, a BMI between 25 and 30 kg/m2 is regarded as overweight and a BMI greater or equal to 30 kg/m2 is regarded as obese. Obesity in adults is subcategorized as class I (BMI ≥30 to 35), class II (BMI ≥35 to 40), and class III (BMI ≥40) (Klish, 2016). It is associated with physiological ailments such as hypertension, Type 2 diabetes, heart disease, stroke, various forms of cancer, and is a key factor in metabolic syndrome (Must et al., 1999). A marked increase in the prevalence of overweight and obese children and adolescents has been observed all over the world in 80’s and 90’s. Evidence from the US suggests that this upward trend has continued into the 21st century ((Janssen et al., 2005). The prevalence of obesity among adolescents in the United States

The key words used for this search were children, primary care, BMI screening, and obesity interventions. These key words were selected based on their relevance to the research question. BMI, or body mass index, is a tool that assists providers in identifying overweight and obese children (Kwapiszewski & Wallace, 2011). BMI for children and teens is computed by calculating their weight in kilograms divided by their square height in meters, taking their age and sex into consideration (CDC, 2015). A BMI at or above the 85th percentile is considered overweight and a BMI greater than or equal to the 95th percentile is considered obese (CDC, 2015). According to the World Health Organization (WHO, 2017), a healthy lifestyle is defined by a nutritious diet, participation in moderate to vigorous physical activity, and the maintenance of a normal body weight with a BMI between

“Total costs for childhood obesity are estimated at eleven billion for children with private insurance and three billion for children with Medicaid (Mulheron, Joyal, Vonasek 13).” According to Centers for Disease and Prevention, childhood obesity is a medical condition in which weight significantly exceeds what is normal for age and height (Crothers, Kehle, Bray, Theodore 787). Childhood obesity is calculated according to a child’s body mass index. The formula used to calculate body mass index is formed by dividing children’s weight by their height squared. Therefore, every child’s body mass index is then compared to a standard chart, averaged from other children in the same age category. “Children whose BMI exceeds 25-30 kg/m2 are

The prevalence of obesity in childhood is a big concern because of its adverse consequences in the short and long term. According to World Health Organization (WHO, 2010), the rise in childhood obesity for the past ten years has been very alarming. It was noted that obesity now rank as the 5th leading risk factor for death (Larsen, 2015). It is also estimated that obesity is attributed to 44% in diabetes development, 23% in ischemic heart disease and 7 to 41 % of some certain cancers (Larsen, 2015). Childhood obesity is defined as a body mass index equivalent or greater than the 95th percentile of a child's body weight or body mass index more than 30 kg/ms (WHO, 2010). Obesity identifies biologically those children who will later in life

The rate of childhood obesity is growing at a rapid rate across the globe, creating concerns as obesity leads on to other serious illnesses including diabetes, heart disease, hyperinsulinaemia (an excessive amount of insulin in the blood), hyperlipidaemia (high number of lipoproteins in the blood) and hypertension (extremely high blood pressure) (Cole et al, 2000).

Childhood obesity is defined as having a age and sex specific Body Mass Index (BMI) at or above 95th percentile. The prevalence of childhood obesity has risen dramatically with the increase more than triple since the 1970 in the United States. According to Centers for Disease Control and Prevention (CDC), about one in five children from age six to nineteen are in obese. The consequences of childhood obesity include high blood pressure and high cholesterol, these are the risk factors for cardiovascular disease; type 2 diabetes mellitus, fatty liver disease, gallstone, and breathing problems such as asthma and obstructive sleep apnea. If children are obese will more likely to become adults with obesity, and their obesity and risk factors

Obesity is considered one of the major healthcare challenges in the 21st century. It has become a growing epidemic among men and women, especially children (Penney,2014). With the expanding population, there seem to be an increase in the number of children who are considered to be obese. There have been countless and numerous cases related to childhood obesity in healthcare in the recent years (Maggio, 2014). According to the Center for Disease Control (CDC), childhood obesity has more than doubled in children and quadrupled in adolescents 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 18% in 2012. Similarly, the percentage of adolescents aged 12–19 years who were obese increased from 5% to nearly 21% over the same period. In 2012, more than one third of children were overweight or obese.

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.

Obesity is a growing problem among U.S. children. In 1994, one in five children between the ages of 6 and 17 was overweight. This is double the rate of 30 years ago (National Center for Health Statistics, 1999). This adverse trend has potentially profound effects on children's health, including their long-term health. The terms "obese" and "overweight" often are used interchangeably. Technically, "obesity" is the upper end of "overweight." Obesity is clinically diagnosed as: greater than 90th percentile for weight for height; or greater than or equal to the 95th percentile Body Mass Index (BMI), age and sex specific. The gold standard is becoming the BMI, since this is also used