Introduction/Overview
It is accepted that the incidence of childhood inactive behavior is increasing at a disturbing rate. The physical activity level and health behavior of the youth population has the capability to be a valuable instrument in countering this undesired behavior and the obesity pandemic as well as lowering all-cause mortality (Tudor-Lock et al., 2011). According to the center for Disease Control and Prevention, childhood obesity rates have doubled among children since 1980 (McNamara et al., 2010). Being obese as a child amounts to having a 17% higher incidence of being obese as an adult then those children of healthy Body Mass Index or “BMI” (Tudor-Lock et al., 2011). It is documented that obesity in children is linked
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Key Health Issue
School physical education programs are the primary social institutions responsible for promoting physical activity in youth (Sallis et al., 1997). A consensus reached among all the studies, was that schools are the best location for childhood obesity intervention. This is a result of children molding beneficial dietary and physical leisure habits at a young age and schools capacity to impact those behaviors (Sallis et al., 1997). Physical education also promotes physical activity outside of the school and has as a public health benefit. Behavioral theories involved in enhancing physical activity include the Locus of Control, Health Belief model, and the Social Learning Theory. Physical education in School allows the Health Belief Model to be addressed to students regarding the severity of obesity and the benefits of taking preventative action. This may also assist in removing any perceived barriers the child may have and motivate the student to take action.
Priority Population It is currently believed that within the United States, one and five children are overweight or borderline obese (Williamson et al., 2008). Specific populations within the United States have demonstrated a higher prevalence of obesity in youth, which include Hispanic and African Americans. This fact results in obesity being the most prevalent nutritional disorder among youth populations (Williamson et al., 2008).
For years, Americans have been told that exercising and staying active is imperative to maintaining a healthy lifestyle. In general, this fact holds true for all generations and age groups, including the youth of today. Children simply need to exercise and participate in more physical activities in order to maintain a high level of health. The Center for Health and Health Care in Schools suggests that, “one of the leading causes of this epidemic (childhood obesity) is a marked decline in physical activity and athletic participation” (“Athletics in Schools”). Childhood fascinations with watching television, playing video games, and browsing the internet are just a few of the sedentary hobbies taking over children’s free time to be active. Therefore, mandating physical activities in schools across the country will effectively reduce the frequency of this major, obesity health crisis in young students. Understandably, a plethora of factors cause and influence children to become overweight and obese, but working to fix each evident problem will, in the end, contribute to finally ending the developing childhood health crisis.
“The physical and emotional health of an entire generation and the economic health and security of our nation is at stake” a quote made by the First Lady, Michelle Obama, as she launches her comprehensive initiative to change the way children think about nutrition and physical fitness (“Learn the Facts,” 2010). Three decades ago, children lived active lives that kept them healthier. They walked to and from school, ate home cooked, reasonable portion meals with vegetables and played outdoors most of the time. Today, children ride the bus instead of walk, eat more fast food and snacks throughout the day because parents are busier, and watch more television or play video games rather than be active outside with peers (“Learn the Facts,” 2010). Young children are becoming overweight and obese along with being diagnosed with type 2 diabetes more frequently. They are making poor dietary choices, inadequate physical activity, and spending too much screen time all contributing to the obesity crisis. One of the effective solutions to reversing the trend of childhood obesity is to provide safe, affordable and accessible after-school health and physical fitness educational programs for all school ages across the nation.
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% .
Children and adolescents, their health is of the most upmost importance. The child is impacting through everything they do in their lives and everything that they come face to. One of these factors that come into play into a child’s life is Obesity. Most importantly the racial and ethnic disparities that involve Obesity. Unless this issue of this inclining obesity is addressed, there will be assumptions that the amount of years a person will live will surely decline (Johnson, 2012). Obesity is a killer as it is the secondary killer and could well be our first if the people don’t take action (Johnson, 2012). Obesity increases the risk of cardiovascular disease as well as asthma and diabetes (Johnson, 2012). Seventeen percent of young adults in the USA today are obese (Rossen, 2014). The commonness of obesity has escalated throughout the years in Children and Young adults that were being seen in Adults (Caprio et al., 2008). There are many disparities in which affect children in every way but the one that affects the obesity in childhood is racial and ethnic disparities. The amount of obesity in childhood is increasing in all ethnic and racial groups but it is found that nonwhite population have the most amount of Obesity (Caprio et al., 2008). The Mexican- American and non-Hispanic black children have a heavier load to carry as of racial and ethnic subgroups (Rossen, 2014). As children are expose to different physical and social environments, they are wide-open to different
Childhood obesity has increased dramatically during the past decade (U.S. Department of Health and Human Services, 2011). Although the rise in obesity cuts across all of age groups, both genders, and all cultural and racial groups; statistics have demonstrated that Hispanic children are more likely to become obese than White or Black children in the United States. According to the United States Department of Agriculture (2011), childhood obesity is more prevalent among Hispanic children than in other ethnic groups, and the United States problem has been steadily increasing over the past decade. Lack of physical activity and poor nutritional habits could be the leading causes of the rise in obesity among this vulnerable population. The consequences of obesity are not trivial. Obesity is an independent risk factor for cardiovascular diseases such as hypertension and hypercholesterolemia, serious conditions such as type II diabetes mellitus and nonalcoholic fatty liver disease, and psychosocial problems such as low self-esteem (Strauss, 2000). Early intervention is imperative to address the implications of childhood obesity in the United States.
Overweight and obesity, an excessive accumulation of body fat, is one of the major public health challenge in the 21st century, affecting one in every six people worldwide (World Health Organization, 2013a). According to the World Health Organization (WHO) estimation, globally over 42 million children under the age of five were overweight in 2010 (WHO, 2011). A recent study estimated that the worldwide prevalence of overweight and obesity among preschool children aged 2-5 years increased from 4.2% to 6.7% within two decades and is expected to reach 12.7% by 2020 (de Onis et al., 2010). The results of National Health and Nutrition Examination Survey indicated that in the United State (US) obesity among pre-school children increased from 5% to 10.4% between 1976-1980 and 2007-2008 respectively. In addition, about 17% (or 12.5 million) of children and adolescents aged 2-19 years were obese in the US in 2007-2008 (Pan et al., 2012). A recent study by Grow et al. (2010) found that obesity was mostly prevalent among poor or minority groups with low socioeconomic status residing in disadvantaged areas in the US.
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
Currently, more than one in six American children is obese, which is three times the rate as that of the 1970s [1]. There has been much attention given to childhood obesity as an epidemic in our nation. However, far less attention, has been given to the severe and rising rates of childhood obesity among communities of color, which usually have the least available resources to tackle with the consequences of obesity [2]. In terms of racial/ethnic disparities of childhood obesity, 22.4% of Hispanic and 20.2 % of African-American children are obese, compared to 14.3 % of white children. The statistics are even higher for Hispanic boys, with 24.1% of obesity rate [3]. Obesity contributes significantly to cardiovascular disease, different types of cancers, as well as diabetes. About 70% of obese children/adolescents have at least one risk factor for heart disease, such as hyperlipidemia and hypertension, and almost 40% of obese youths have at
Childhood obesity is becoming one of the top public health concerns in the United States. “Over the past three decades, childhood obesity rates have tripled in the U.S., and today, the country has some of the highest obesity rates in the world: one out of six children is obese, and one out of three children is overweight or obese” (World Health Organization, 2015). With the drastic increase in obese children over the last 30 years and the huge healthcare associated costs many programs and incentives have been implemented to fight this epidemic. Although any child can become obese “racial and ethnic inequities persist among children; 22.5 percent of Latino children and 20.2 percent of Black children are obese, compared to 14.1 percent of
According to the American Academy of Pediatrics, “Increasing physical activity among youth is an essential component of the broad strategy needed to curb the obesity epidemic” (CITATION). The AAP goes on to encourage different forms of physical activity, whether it’s joining a sport, taking part in extracurricular activities or even participating in gym class and to start this routine from childhood. When experimenting to see the impact that sports and extracurriculars made on a person’s health, they stated, “Our findings supports previous research demonstrating sports were related to substantially lower risk of both overweight/obesity and obesity” (CITATION). While other factors play a big part in maintaining a healthy lifestyle, childhood is a crucial point because that’s when the body is nurturing, which is why there should be more budgeting towards helping those who are unable to
Childhood obesity is a consequential medical condition that effects the youth and adolescence of society. This disorder creates health problems that were once only seen in adults, such as diabetes and cardiovascular diseases. Although childhood obesity is a world wide issue, the percentage of overweight children differs, especially throughout the United States. Today, the greatest population suffering from this disease are African American children who reside in the southern part of the country. Parents, as well as children, continue to support unhealthy lifestyles even though they are well aware of the life-threatening diseases caused by obesity.
Obesity disproportionally affects certain minority youth populations. According to the NHANES found African American and Mexican American adolescents between ages 12-19 were more likely to be overweight, the percentile ratio show that 21 to 23 percent respectively than non-Hispanic White adolescents in children 6-11 years old and 22 percent of Mexican American children were overweight, whereas 20 percent of African American children and14 percent of non Hispanic White children were overweight. In additional to the children and teens who were overweight in 1999-2002 another 15 percent were at risk of becoming overweight. In the national survey of American Indian Children 5-18 years old, 39 percent were found to be overweight or at risk of being overweight.
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)
Due to the rapid increase in childhood weight gain, the threat of obesity to our health, environment, and economy is enormous. According to the Economic Cost of Obesity, “The estimated annual health care costs of obesity – related illness are a staggering $190.2 billion or nearly twenty-one percent of annual medical spending in the United States. Childhood obesity alone is responsible for fourteen billion in direct medical costs." (Economic Costs of Obesity 4) Obese kids tend to become obese adults. According to Alliance for a Healthier generation, one in three children (2-19 years) in the United States is overweight or obese. There is evidence that a child’s environment has a great impact on childhood obesity. Children are being raised
Childhood Obesity has now reached a critical level. The main reason for the growing number of obese children is inactivity. With obesity in children being related to many health issues, it is important that we not only stop the rise in childhood obesity, but reverse it. With their health at risk, it is imperative that we assure our children are in good physical shape and at healthy weight levels. The stakes are quite high, according to the U.S. Department of Health and Human Services, “Being overweight during childhood and adolescence increases the risk of developing high cholesterol, hypertension, respiratory ailments, orthopedic problems, depression and type 2 diabetes…,type 2 diabetes has