Also, acute child
malnutrition rates are declining overall in the region, mostly with the poor. But
poor nutrition associated with obesity is growing, and “poses greater risks,”
Tonietti said.
She said that in the
public hospital where she works, she often sees that families “do not even
notice” that their child is overweight, as if it were just a natural part of
life.
“One example: two obese
parents come in with a child who is heavily overweight, and they say they are
there because they were ‘sent by the traumatologist’. And when they are asked
if there is a family history of obesity, they say no.”
Tonietti said this
indicates that the capacity to identify the problem is being lost, which
creates delays in coming up with solutions.
The probability that an
overweight preschooler will become an overweight adult is 25 percent. In the
case of schoolchildren, the likelihood rises to 50 percent, and for
adolescents, the risk climbs to 80 percent, experts say.
At a conference on
childhood obesity held last month in Buenos Aires , Carmuega called his
colleagues’ attention to the need for early intervention.
At the conference,
organized by CESNI and the Argentine Society of Obesity and Eating Disorders,
Carmuega said “the only way to treat this problem is by trying to prevent it
from happening.”
He recommended working
with women who may be ready to have children to prevent overweight, and to help
them control their diet during pregnancy. He also said breastfeeding is
“perhaps the only vaccine” that protects children against obesity.
“We have to try to
start earlier, working with women, through a strong intervention during the
critical first 1,000 days of growth of the child,” he said.
Carmuega said Argentina had made “a major
stride forward” when the center-left government of Cristina Fernández adopted
the universal child benefit, a cash transfer that covers the
children up to the age of 18 of unemployed parents and informal sector workers,
rural workers and domestics with incomes below the minimum monthly wage.
But he also said it was necessary to “adapt all health policies”
to the obesity seen in doctors’ offices, in order to urge families, doctors and schools to
create “healthier environments” for children to grow up in.
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