Fat children, mothers are praised for raising children well, but children face diseases

Health effects when children are fat

Pediatric patient Tr. M. D. 12 years old, male, living in Binh Tan district, Ho Chi Minh City, overweight and obese with a weight of 67kg (normally about 34-36 kg in this age group). Nearly 30 kg more than his peers, D. admitted to the emergency room with two severely damaged lungs.

The boy was co-infected with Covid-19 and severe Dengue hemorrhagic fever causing shock, liver and kidney damage and large pleural and peritoneal effusion. The doctors had to fight for every breath, every darkness on the X-ray film.

This is a rare case of a child co-infected with Covid-19 and infected with dengue fever, causing many difficulties for doctors to treat because dengue shock does not have an indication to use anticoagulants and anti-inflammatory drugs because it can cause serious illness. greater risk of bleeding.

Dr. Nguyen Cat Phuong Vu – Children’s Hospital of Ho Chi Minh City. HCM City said that during the recent Covid-19 epidemic, most of the children who were seriously ill and required medical support were obese. There are children who are only 13-14 years old and weigh up to a hundred kilograms. Obesity when infected with other diseases is also more likely to get worse.

In addition, MSc. Dr. Nguyen Thi Phuong Khanh – Children’s Hospital Ho Chi Minh City, said that not only is it worse when suffering from infectious diseases, obese children also face the risk of type 2 diabetes. Normally, the disease Type 1 diabetes in children occurs when the pancreas is not able to produce enough insulin.

Meanwhile, the majority of children with type 2 diabetes in Vietnam are also increasingly associated with overweight and obesity, caused by an unbalanced lifestyle and disordered eating.

An overweight child emergency because of dengue fever.

According to Dr. Khanh, the diagnosis of diabetes will go through stages such as performing a urine test (for glucose and ketones), a blood test (evaluating blood sugar). If you’re still in doubt, another blood test called a glucose tolerance test can be done.

For children with diabetes, the first treatment recommendation is always weight loss for the child and lifestyle changes. If not treated properly, children face many complications. Meanwhile, losing weight in children is often very difficult.

Every parent likes their child to be plump and white. In fact, the fat baby only looks cute, has eyes and is praised for raising children well, but it leaves many health effects.

How to lose weight for children?

According to Doctor Bui Thu Phuong – Pediatrics Department, 108 Central Military Hospital, said obesity is often divided into two types: simple and pathological. In which, obesity is common in clinical and community. The main reason is due to changes in energy balance: increased energy intake, decreased energy consumption, resulting in increased fat accumulation.

The causes of obesity alone are complex. It is the result of a combination of factors, an interaction between genetics and environmental factors that favor childhood obesity. Genetic factors in which genotype contributes 40% in the cause of obesity.

If the parents are fat, the child is more likely to become fat than the child without the parent being fat; one of two obese parents, the risk of child being obese increases 3 times; If both parents are obese, this risk increases tenfold. A fat mother is easier to make a fat child than a fat father.

In addition, for children with birth weight over 4 kg, the amount of food is too much compared to the demand, the composition of substances in the food is not balanced (high in fat and sugar, few vegetables); In developed countries, children with low standards of living have increased rates of obesity.

To treat obesity, Doctor Phuong said that the key is to reduce the rate of weight gain, so that children can grow taller.

Adjusting the diet is an important job, young children should be breastfed, have enough calories and protein, and lose fat. Older children should drink milk without sugar, limit stir-fried dishes, eat meals regularly, do not skip meals and should not eat too full, do not eat much at night, increase fruits and vegetables.

In particular, parents do not let children drink a lot of carbonated soft drinks, limit the use of sweets and condensed milk with sugar; Before going to bed, do not feed the child.

Exercise and sports should be enhanced, children do housework, and limit watching TV and video games. It is necessary to monitor the treatment process by periodically monitoring the weight and height of children; supervise the child’s diet, activity and exercise regime.

Khanh Chi