It's not baby fat: Among 4-year-olds, nearly 1 in 5 is obese
By Madison Park
CNN
http://www.cnn.com/2009/HEALTH/04/07/obesity.preschool.children/(CNN) -- Nearly one-fifth of American 4-year-olds are obese, and children of color are at higher risk, according to new research. Obese children are at risk for early onset of diabetes, fatty liver and musculoskeletal problems. Researchers calculated the body mass index from a sample of 8,550 Hispanic, black, white, Asian and Native American 4-year-olds. The children were born in 2001, and in 2005, their height and weight were measured -- 18.4 percent of them were obese.
Significant differences in the prevalence of obesity between racial/ethnic groups were evident at 4 years of age," the researchers wrote in the April issue of the Archives of Pediatrics and Adolescent Medicine. Using body mass index, they found that 31.2 percent of American Indian/Native Alaskans, 22 percent of Hispanics, 20.8 percent of blacks, 15.9 percent of whites and 12.8 percent of Asians were obese. "It's surprising that there are large differences by racial/ethnic group by that age," said Sarah Anderson, an assistant professor of epidemiology at The Ohio State University and lead study author. Anderson and co-author Robert Whitaker's analysis showed that children were becoming obese even before encountering soda and candy vending machines in schools.
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"The expectations, lifestyle, behaviors are different on a cultural and socioeconomic basis," he said. "Kids who live in the inner city, whose neighborhoods are perceived as dangerous, stay at home more, sit more, eat more snacks, because that's all they can get at the local bodega. There are no supermarkets to get produce. That's what mom is eating, so that's what kid is eating. What we're dealing with here is whole life issues."
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According to data from the Centers for Disease Control and Prevention, adults fare no better. Approximately 45 percent of blacks, 36.8 percent of Mexican Americans and 30 percent of whites are obese. "It's a very bad sign if we see obesity at a young age," Robinson said. "When we see children obese at age 4, we're likely to see complications -- high blood pressure, abnormal lipids -- which can lead to heart disease and stroke, diabetes in children."
Diseases commonly seen in 40- or 50-year-olds are presenting in 6- and 7-year-olds. Obese children are developing type 2 diabetes, fatty liver disease and musculoskeletal problems, which occur because their bodies can't carry that much weight, doctors said. Calculate your child's body mass index.
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The first step is for the parents to acknowledge that the child is overweight, instead of making excuses or comparing him or her to heavier children. Many of the parents of obese children are overweight themselves, which makes that acknowledgment difficult, said Rich, who is also director of the Center on Media and Child Health at Children's Hospital in Boston.
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While it's possible for some kids to outgrow the excess weight, she warned parents not to count on that. "We've seen over time that the environment doesn't promote that," she said.
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