Today, we are learning more and more about how childhood nutrition and physical fitness affect our health as we age. For example, science has shown that being an obese child increases the chances of being an obese adult. It also increases a person’s risk of developing serious health problems like heart disease, diabetes, and some types of cancer.
How is Childhood Obesity Diagnosed?
In the United States, almost 17% of children and adolescents between ages 2 and 19 are obese. That’s triple the percentage of children who were obese in 1980.
In children over age 2, obesity is diagnosed using the Body Mass Index (BMI). This is a calculation that uses a child’s height and weight. The BMI number is plotted on a growth chart that has been approved by the Centers for Disease Control and Prevention. A percentile is used to indicate the relative position of the child’s BMI number among children in the United States of the same age and sex.
Children are considered to be overweight when they have a BMI greater than the 85th percentile but less than the 95th percentile. Childhood obesity is diagnosed when a child has a BMI greater than the 95th percentile. To better understand what a child’s BMI indicates, picture a line of 100 children of the same age and sex lined up according to their BMI, from the thinnest to the heaviest. An overweight child would have only 5 to 15 children with a higher BMI than him or her, while an obese child would be one of the 5 heaviest children in the line.
Preventing Childhood Obesity With the 5-2-1-0 Rule
It is important that each of us plays a role in encouraging a lifestyle for our children that promotes optimal health and well-being. According to the Healthy Active Living Initiative, an obesity prevention program recommended by the American Academy of Pediatrics, families should follow the 5-2-1-0 rule:
5 fruits and vegetables a day
2 hours or less of screen time (TV, computer, video games) per day
1 hour of physical activity per day
0 sugar-sweetened drinks
Additionally, families should try to develop routines that encourage healthier living by regularly preparing and eating meals together, reducing fast-food and eating out, and encouraging physical activity.
And don’t forget about the role your child’s health care providers can play in helping kids stay healthy. Partnering with your child’s pediatrician may help to prevent and address childhood obesity. Pediatricians are not only an excellent source of information on nutrition and physical activity, but they routinely follow your child’s growth, development and risk factors.
Ultimately, we owe it to our children to follow the advice we may have received from our own parents and pass on that wisdom to help build healthy habits that may last a lifetime.
Dr. Thompson is a pediatrician in Pfizer’s Medical Organization. He is the Lead for the Pfizer Pediatric Center of Excellence and Chair of the American Academy of Pediatrics Section on Advances in Therapeutics and Technology. He also holds an academic faculty appointment and medical staff position in Hartford, Connecticut.
After reading this article, how likely are you to speak with a friend or healthcare provider about preventing childhood obesity?