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Literature Review on Childhood Obesity Sample

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<strong>Childhood</strong>obesity-anew multidisciplinary<br />

problem lookingforpreventi<strong>on</strong>programs<br />

prom<strong>on</strong>ghealthyeanghabits,restricngtheimplementa<strong>on</strong>ofrestricvedietsinthe<br />

senseofprevenngsome<strong>on</strong>efrom eangdisorders,especialyforgirls,daily,recrea<strong>on</strong>alphysicalacvityofatleast30to60minutes<strong>on</strong>theday,preven<strong>on</strong>ofsmoking,<br />

alcohol,narcoc,unhealthy,unc<strong>on</strong>troleddietarysupplements.<br />

Primaryobesitypreven<strong>on</strong>isal<strong>on</strong>g-lasng,comprehensiveprocessofthesocial<br />

communityasawhole.Thesuccessofprimarypreven<strong>on</strong>requiresthesupportof<br />

variousministries(MinistryofHealthandSocialWelfare,MinistryofEduca<strong>on</strong>,Ministry<br />

ofTransportandCommunica<strong>on</strong>s),butalsotheacvityofn<strong>on</strong>-governmentalorganiza-<br />

<strong>on</strong>sandsociees("OurChildren","HealthyCies"etc.).Primaryobesitypreven<strong>on</strong>is<br />

anextremelydemandingprogram foralparcipantsbecauseitisfounded<strong>on</strong>the<br />

l<strong>on</strong>g-term,immediateworkofhealthandeduca<strong>on</strong>workers,includingthemediawith<br />

individualsaswelaswiththepopula<strong>on</strong>.Theresultsofprimaryobesitypreven<strong>on</strong>can<br />

<strong>on</strong>lybec<strong>on</strong>sideredinthel<strong>on</strong>gterm,whichmaybeitsmainlimita<strong>on</strong>asregardsthe<br />

problem ofsustainingthemova<strong>on</strong>ofalitsparcipants(Stenderetal.,2005).<br />

Theunderlyingsec<strong>on</strong>darypreven<strong>on</strong>ofobesityisthedefini<strong>on</strong>ofriskgroupsfor<br />

obesitydevelopment.Sec<strong>on</strong>darypreven<strong>on</strong> programsincludechildren andyoung<br />

peoplewho,based<strong>on</strong>theirinheritance,anamnesisaboutthefamily'stendencyto<br />

obesity,thesedentarymodeoflifehaveapredisposi<strong>on</strong>tobecomeobese.Sec<strong>on</strong>dary<br />

obesitypreven<strong>on</strong>programsincludechildrenandyoungpeoplewhoseobesityis<strong>on</strong>eof<br />

thedeterminantsoftheunderlyingdisease(endocrinopathy,syndrome).Sec<strong>on</strong>darypreven<strong>on</strong>isdirectedattheindividual,i.e.thepopula<strong>on</strong>oftargetpredisposingagegroups,<br />

whichhasanITM of85to95percenleforageandgender,coresp<strong>on</strong>dingtoanequivalentof25to29.9kg/m2byageandsex.Thedefinedriskgroupsaretaughtaboutthe<br />

importanceofc<strong>on</strong>trolandmaintenanceofbodymasstopreventthedevelopmentof<br />

somechr<strong>on</strong>icdiseasesassociatedwithobesity,whichcansignificantlyaffectnot<strong>on</strong>ly<br />

thelengthbutalsothequalityoftheirfurtherlife.Adopngknowledgeabouttheimportanceofc<strong>on</strong>trolingappropriatebodymassisaprerequisiteformovanganindividual,<br />

butalsoforafamilyenvir<strong>on</strong>ment.Childrenandadolescentsbel<strong>on</strong>gingtothegroupof<br />

obesity-inducedobesityarel<strong>on</strong>gitudinalym<strong>on</strong>itoredbyclinicalandlaboratorym<strong>on</strong>itoringofthebasicparameters(bloodpressure,bloodglucoselevel,lipidogra,hepatogram,<br />

CRP,urine .),whichcouldpointtothedevelopmentofsomediseasesthatmayariseas<br />

aresultofobesity.<br />

C<strong>on</strong>sideringtheproblem ofobesityinchildrenintermsofitsdynamics,itisslanopen<br />

ques<strong>on</strong>inwhichcasesandatwhatagetheprimaryhealthcarepediatricianshouldreferthe<br />

obesechildtosubspecialistsformoredetaileddiagnoscandtherapeucprocedures.

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