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Prevention of obesity and overweight in young children

https://doi.org/10.51793/OS.2022.25.3.009

Abstract

Currently, the problem of obesity and overweight has covered all countries of the world, including Russia. The number of children, including preschool-aged children, is growing. Which causes particular concern, since at this age food habits and taste preferences are formed, which determine the contribution for all subsequent periods of life. The issues of prevention of obesity and overweight come to the fore, in order to prevent the development of metabolic disorders (diabetes mellitus, dyslipidemia, pathology of the gastrointestinal tract and others). The main principles of prevention of obesity and overweight are dietotherapy, regular physical activity, reduction of time spent in front of the screen, normalization of sleep, instilling the rules of proper nutrition in the family. Dietotherapy includes a reduction in the total caloric of the diet, due to an increase in the use of fruits and vegetables, as well as a reduction in fats and refined carbohydrates. Attention is focused on the need to exclude sweetened beverages, while fruit juices can be used in nutrition, however, the amount consumed should be strictly limited. According to international recommendations, the intake of fruit juices is possible from the age of one year. From one year to three years, the maximum allowable consumption of fruit juice is 120 ml, from four years 120-180 ml. According to Russian recommendations, the introduction of fruit juice is possible from the age of 8 months. Physical activity at an early age should be at least 180 minutes a day. And the time spent in front of the screen should not exceed 60 minutes a day. The child's parents should actively participate in the process of obesity prevention. To improve psychological interaction, it is desirable that meals are carried out together with parents. You should not force a child to eat by force. Food should not be as a means of encouragement or repression.

About the Author

А. A. Pisareva
University Children's Clinical Hospital of the Federal State Autonomous Educational Institution of Higher Education I. M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation
Russian Federation

Elena A. Pisareva, MD, pediatric endocrinologist

SPIN: 7463-2105

19 b. 1 Bolshaya Pirogovskaya str., Moscow, 119435



References

1. Recommendations for the diagnosis, treatment and prevention of obesity in children and adolescents. M.: Praktika, 2015.

2. WHO Newsletter of 09.06.2021 (https://www.who.int/ru/news-room/factsheets/detail/obesity-and-overweight)

3. Klish W. J., Skelton J. A. Definition, epidemiology, and etiology of obesity in children and adolescents (https://www.uptodate.com/contents/definition-epidemiology-and-etiology-of-obesity-in-children-andadolescents?source=history_widget).

4. Whitaker R. C., Wright J. A., Pepe M. S., et al. Predicting obesity in young adulthood from childhood and parental obesity // N Engl J Med. 1997; 337: 869.

5. NCD Risk Factor Collaboration (NCD-RisC). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults // Lancet. 2017; 390: 2627.

6. Peterkova V. A., Remizov O. V. Obesity in childhood // Ozhireniye i metabolizm. 2004; 1: 17-23.

7. Latest WHO data on child obesity shows that southern European countries havethe highest rate of childhood obesity/доклад Dr Joao Breda 25 ЕСО май 2018, Австрия).

8. Styne D. M., Arslanian S. A., Connor E. L., Farooqi I. S., Murad M. H., Silverstein J. H., Yanovski J. A. Pediatric Obesity—Assessment, Treatment, and Prevention: An Endocrine Society Clinical Practice Guideline // J Clin Endocrinol Metab. 2017; 102 (3): 709-757.

9. Daniels S. R., Hassink S. G. Committee on Nutrition. The role of the pediatrician in primary prevention of obesity // Pediatrics. 2015; 136: e275-e292.

10. James J., Thomas P., Cavan D., Kerr D. Preventing childhood obesity by reducing consumption of carbonated drinks: cluster randomised controlled trial // BMJ. 2004; 328: 1237.

11. Pereira M. A., Ludwig D. S. Dietary fiber and body-weight regulation. Observations and mechanisms // Pediatr Clin North Am. 2001; 48: 969-980.

12. Glickman D., Parker L., Sim L., Del Valle Cook H., Miller E. A., eds. Accelerating Progress in Obesity Prevention: Solving the Weight of the Nation. Washington, DC: National Academies Press; 2012.

13. Bray G. A., Popkin B. M. Calorie-sweetened beverages and fructose: what have we learned 10 years later // Pediatr Obes. 2013; 8: 242-248.

14. Caprio S. Calories from soft drinks — do they matter? // N Engl J Med. 2012; 367: 1462-1463.

15. Shin S. M. Association of meat intake with overweight and obesity among school-aged children and adolescents // J Obes Metab Syndr. 2017; 26: 217-226.

16. Crowe T. C., Fontaine H. L., Gibbons C. J., Cameron-Smith D., Swinburn B. A. Energy density of foods and beverages in the Australian food supply: influence of macronutrients and comparison to dietary intake // Eur J Clin Nutr. 2004; 58.

17. Shin H. J., Cho E., Lee H. J., Fung T. T., Rimm E., Rosner B., et al. Instant noodle intake and dietary patterns are associated with distinct cardiometabolic risk factors in Korea // J Nutr. 2014; 144: 1247-1255.

18. Healthy Beverage Consumptionin Early Childhood Recommendations from Key National Healthand Nutrition Organizations 2019.

19. The program for optimizing the feeding of children in the first year of life in the Russian П78 Federation: guidelines / FGAU «NMITS zdorov'ya detey» Minzdrava Rossii. M.: b. i., 2019. P. 112.

20. Auerbach B. J., Wolf F. M., Hikida A., Vallila-Buchman P., Littman A., Thompson D., Louden D., Taber D. R., Krieger J. Fruit Juice and Change in BMI: A Meta-analysis. Affiliations expand, PMID: 28336576, PMCID: PMC5369671, DOI: 10.1542/peds.2016-2454.

21. Feeding and nutrition of infants and young children. Guidelines for the WHO European Region with a special focus on the republics of the former Soviet Union. WHO regional publication. Yevropeyskaya seriya № 87.

22. Fruit Juice in Infants, Children, and Adolescents: Current Recommendations. Melvin B Heyman, Steven A Abrams, SECTION ON GASTROENTEROLOGY, HEPATOLOGY, AND NUTRITION; COMMITTEE ON NUTRITION // Pediatrics. 2017; 139 (6): e20170967. DOI: 10.1542/peds.2017-0967.

23. The program for optimizing the nutrition of children aged 1 to 3 years in the Russian Federation: П78 guidelines / FGAU «NMITS zdorov'ya detey» Minzdrava Rossii. M.: b. i., 2019. 36.

24. Tremblay M. S., LeBlanc A. G., Kho M. E., Saunders T. J., Larouche R. Colley R. C., Goldfield G., Connor Gorber S. Systematic review of sedentary behaviour and health indicators in school-aged children and youth // Int J Behav Nutr Phys Act. 2011; 8: 98.

25. Guidelines on physical activity, sedentary behaviour and sleep for children under 5 years of age, World Health Organization 2019 (https://apps.who.int/iris/handle/10665/311664).

26. Davis C. L., Tomporowski P. D., McDowell J. E., Austin B. P., Miller P. H., Yanasak N. E., Allison J. D., Naglieri J. A. Exercise improves executive function and achievement and alters brain activation in overweight children: a randomized, controlled trial // Health Psychol. 2011; 30: 91-98.

27. Te Velde S. J., van Nassau F., Uijtdewilligen L., van Stralen M. M., Cardon G., De Craemer M., Manios Y., Brug J., Chinapaw M. J. Energy balance-related behaviours associated with overweight and obesity in preschool children: a systematic review of prospective studies // Obes Rev. 2012; 13 (Suppl 1): 56-74.

28. Epstein L. H., Roemmich J. N., Robinson J. L., Paluch R. A., Winiewicz D. D., Fuerch J. H., Robinson T. N. A randomized trial of the effects of reducing television viewing and computer use on body mass index in young children // Arch Pediatr Adolesc Med. 2008; 162: 239-245.

29. Weng S. F., Redsell S. A., Swift J. A., Yang M., Glazebrook C. P. Systematic review and meta-analyses of risk factors for childhood overweight identifiable during infancy // Arch Dis Child. 2012; 97: 1019-1026.

30. Small L., Lane H., Vaughan L., Melnyk B., McBurnett D. A systematic review of the evidence: the effects of portion size manipulation with children and portion education/training interventions on dietary intake with adults // Worldviews Evid Based Nurs. 2013; 10: 69-81.


Review

For citations:


Pisareva А.A. Prevention of obesity and overweight in young children. Lechaschi Vrach. 2022;(3):59-63. (In Russ.) https://doi.org/10.51793/OS.2022.25.3.009

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