PREVALENCE OF OBESITY IN DELHI SCHOOL CHILDREN FROM DIFFERENT SOCIO -ECONOMIC GROUPS 0 200 400 600 800 1000 1200 1400 PrivateBoysGirlsGovt. Total Non-obese Obese /Overwt. 23.9 28.7 1.5 24.4 Tandon and colleagues, 2004
Obesity in Children and Young Adults Obesity Abdominal Obesity Misra and colleagues, International Journal of Obesity, 2004
Childhood Obesity is the Important Determinant for Diabetes in Children Snapshot Youth-onset Type 2 diabetes is a real concern in many countries Our data show that increase fat over chest and abdomen is a extremely important determinant of youth-onset diabetes
Type 2 Diabetes Mellitus in Children, Adolescents and Young Adult Asian Indians (CAYA-2DM Trial): A Multicenter Collaborative study Objective To study the anthropometric, biochemical and immunological profiles of children, adolescents and young adults with type 2 diabetes mellitus and compare them with age-matched healthy controls
Subjects: 31 patients; 59 age-matched healthy controls Anthropometric Profile: Body mass index, waist circumference, waist-hip ratio, skinfold thickness at 8 sites Percentage body fat by two-point bioelectrical impedance CAYA-2DM Trial Methods
ISSUES Increasing obesity Contributory factors: - calorie dense food - consumption of processed foods - limited physical activity - sedentary interests: computers, TV, video games THE SEED FOR ADULT OBESITY IS SOWN EARLY - CHILDHOOD
INTERVENTIONS Catch them young - school age children must be targeted Increase awareness: media; school teachers; governmental and NGO effort Minimise advertising pressure for “junk foods” School play grounds; “Games periods” Health food in school canteens
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