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Childhood Obesity
Leads to Adolescent Obesity
Overweight children are often said to have baby
fat that will disappear as they get older, but
a new British study suggests this is a myth.
In reality, overweight kids are more likely to
become overweight teens, increasing their risk
for diseases linked to obesity, such as type 2
diabetes.
"Contrary to our expectation, children who
are overweight at 11, stay that way right through
to 16, with no sign that they were growing out
of their 'puppy fat,' " said lead researcher
Jane Wardle, director of the Cancer Research UK,
Health Behavior Unit in the Department of Epidemiology
and Public Health at University College London.
In the study, researchers collected data on 5,863
children as they developed into young adults.
The results clearly showed that weight problems
are established before adolescence. The researchers
found that children who were overweight when they
were 11, continued being overweight through adolescence.
Their report appears in the May 4 online edition
of the British Medical Journal.
The research team found that 25 percent of children
were overweight. Girls had greater weight problems
than boys. Black girls particularly were more
likely to have weight problems, with an average
of 38 percent being overweight or obese over the
study period, compared with 28 percent of white
girls and 20 percent of Asian girls. However,
among boys, ethnicity made little difference in
weight.
Economics also played a role, with those from
the lowest economic background more likely to
be overweight. Among girls, 35 percent from the
lowest economic background were overweight or
obese, compared with 28 percent of other girls.
Wardle sees these findings as a warning sign
of future health problems. "Obesity, which
is developing before 11 in childhood, is persistent
obesity rather than a temporary stage children
are going through," Wardle said. "Parents
have to take action earlier. And, as a society,
we have to recognize that what's going on with
the children is a future time bomb and not just
a passing phenomenon."
One expert sees the same pattern of obesity among
U.S. children.
"The data are worrisome," said Dr.
Walter Willett, the Frederick John Stare Professor
of Epidemiology and Nutrition at Harvard Medical
School and chairman of the Department of Nutrition
at the Harvard School of Public Health. "They
show the same pattern that we see here of continued
high levels of overweight and obesity," he
said.
Overweight is a problem that is showing up earlier
in childhood, Willett said. "We need to be
putting more emphasis on younger children,"
he noted.
Childhood obesity needs to be attacked from many
directions, Willett said. "Health-care systems
need to be giving more attention to counseling
the whole family about weight control," he
said. In addition, Willett believes that schools
need to do a better job in promoting healthy eating
and in increasing physical activity both during
and after school.
Willett noted that the racial and economic disparity
in overweight children seen in the British study
is seen in the United States as well. "This
is heavily wound up in economic disparities, educational
opportunities, the physical environment and food
availability," he said.
Willett believes that parents can play an important
part in keeping their children from becoming overweight.
"That means setting a good example,"
he said. "Not buying junk food. Soda doesn't
belong in households. Parents who are eating well
and being active are setting a good example, and
that's really important," he said.
"Healthy weight control is a life skill,"
Willett added. "We focus on childhood obesity
a lot, but still the biggest weight gain comes
on after age 20," he said. Controlling weight
is a lifetime task. "It needs to be almost
from birth to death," he said.