Ekaterina Morozova

Reading time: 14 minutes

A.

Obesity in our time becomes an increasingly relevant problem. Excessive weight wars goes in all countries - and that the worst thing is in all age categories. In total, on this "Field of the battle" for some reason children turn out, and the most disease gradually goes beyond the scope of heredity alone. For example, in the US, extra weight is celebrated by each second child, and each fifth is diagnosed with "obesity". In Russia, such a diagnosis is 5-10% of children of different ages, and about 20% redundantly absorbed.

Is it dangerous for a child overweight, and how to deal with a problem?

Causes of excess weight in children 2-5 years old - why is my child fat?

Where is the extra weight in adults, it is clear (there are a lot of reasons, and everyone). But where are the extra weight in the kids who still do not even go to school?

Children's fluffy is considered very cute until the fullness becomes unnatural, and signs of really excess weight appear.

The intensive formation of a fat layer begins at a 9-month age - and throwing this process on samonek, parents risk missing weight from under control.

If the Karapuz began to actively walk and run, but the cheeks did not leave, and the overweight continues to keep (and even increase) - it means it is time to take action.

Video: Overweight at the child. Dr. Komarovsky

Where is the extra weight of the kids?

The main reasons are still a genetic predisposition and permanent overeating. If the baby gets more "energy" than spending, then the result is predictable - the surplus will be deposited on the body.

Other reasons:

• Lack of mobility. Lack of active recreation, which is replaced with TV and laptop past.
• Abuse sweets, fatty food , fast food, soda, and so on.
• Overclocking. "A more spoonful for mom ...", "do not eat, do not stand because of the table," etc. Parents forget that much more correctly when the child gets up because of the table with a slight feeling of hunger than "seal" with a crowded stomach.
• Psychological aspects. Stress jammed - the reason is very common in children as well as in adults.
• Lack of the right day , constant lack of sleep.
• Durable medication. For example, antidepressants or glucocorticoids.

Also the cause of excess weight can be chronic diseases

For example…

1. Violation of metabolism, problems with an endocrine system.
2. Tumor of the hypothalamus.
3. Hypoteriosis, etc.
4. Chromosomal and other genetic syndromes.
5. Diabetes.

Of course, it is impossible to wait for the extra weight of the child into obesity - to begin treatment should be immediately, to complications and consequences of obesity.

What is dangerous weight and obesity in young children?

The formation of excess weight in the child only at first glance seems to be a trifle - they say, "will pass with time ...".

In fact, the extra weight in the child becomes an even more dangerous problem than obesity in an adult.

What is the danger?

• The child is growing, and at this age, not all systems work in full force - they still learn to function correctly. Naturally, such stress for the body in this period may have unpredictable consequences.
• The spine assumes an exorbitant load. It is at the time of the formation of a skeleton and posture, an active growth of the kid.
• With increasing due to excess weight, the burden on the body system is already to adolescent age (of course, if the parents do not take the right steps in time) hypertension, ischemia, an increased risk of heart attack, and so on.
• Without coping with snuffing nutrients, it is knocked down from its rhythm of the pancreas, which ultimately can lead to diabetes.
• Immunity decreases, inclination to colds increases.
• Dream is disturbed.
• Psychological problems begins associated with the complexity of the child.

Also among possible complications:

1. Dysfunction of the floor glands.
2. Oncological diseases.
3. Changes in the musculoskeletal system: a breakdown of gait and posture, the appearance of flatfoot, the development of arthritis, osteoporosis, and so on.
4. Cholelithiasis.
5. Diseases gasts.

And this is not the entire list.

What to say about the fact that fat children are unfortunate children who constantly suffer from other people's ridicule, their complexes, powerlessness.

The task of parents is to prevent such a problem. And if the extra weight still appeared - then start the treatment as early as possible, so as not to deprive my child well-being in the future.

Video: Overweight in children is especially dangerous!

How to see excess weight and obesity in children of younger age - signs, weight norms and degree of obesity

At various age, the disease manifests themselves with different symptoms, and the clinical picture will depend on the age of the child.

Among the main features to which close attention should be paid:

• Excess weight.
• Increased pressure and shortness of breath after load.
• Increased sweating.
• Constipation, dysbacteriosis, violation of the work of the tract in general.
• The appearance of fat folds and others.

We can also identify overweight table body weight values , comparing the weight rate and its excess, respectively, the WHO data.

We must not forget that the parameters are adjusted in accordance with the growth, age and gender.

If the growth exceeds the norm, then the extra weight does not necessarily have a deviation from the norm. All individually.

As for the very small carabuzikov age up to a year, their norm is determined taking into account the double gain in weight by 6 months. And triple - by year.

And the beginning of obesity in the kids until the 1st year is considered the moment of exceeding the normal weight value by more than 15 percent.

Obesity is classified as follows:

• Primary. An option when the disease develops due to an illiterately organized nutrition or hereditary factor.
• Secondary. It is usually developing against the background of a malfunction of the internal secretion glands, as well as against the background of a chronic disease.

Moreover, obesity is classified in degrees . This diagnosis is carried out on the basis of the calculation of the BMI (approx. - body mass index), which is calculated by a special formula.

For example, if the growth of a 7-year-old child is 1.15 m, and the body weight is 38 kg, then BMI \u003d 38: (1,15x1,15) \u003d 29.2

Important:

Calculate BMI makes sense only after the occurrence of the baby is 2 years old. To understand whether there is obesity, it is necessary to calculate the BMI and compare the value with the norm adopted by WHO.

And, of course, it is impossible not to say that even a suspicion of overweight and obesity in a child is a reason to appeal to a doctor, regardless of the values \u200b\u200bobtained.

What if the child is 2-5 years old, to which experts to contact?

If you celebrate that your child will fulfill, do not wait for a miracle - running into the clinic! It is important to diagnose in time, to find the cause and receive recommendations on the treatment.

What do doctors go?

• Start with a pediatrician and endocrinologist.
• Next - Gastroenterologist, nutritionist, cardiologist and neuropathologist, psychologist.

The rest of the doctors will tell you the therapist.

Diagnostics should include:

1. Full collection of anamnesis.
2. Study of general data (growth and weight, BMI, development stage, pressure, etc.).
3. Laboratory diagnostics (urine and blood analysis are common, blood for hormones, lipidogram, etc.).
4. Ultrasound, MRI, ECG and Echo-kg, Okulist surveys and polysomnography.
5. Genetic research and so on.

Video: Overweight in children - how to deal with him?

Prevention of obesity in child of younger

To protect your child from excess weight, you need to remember the basic rules of prevention:

• Food - by regime and graphics. Without overeating, doctors and push up "Pope spoons" - optimal for a child portions.
• Use smaller products. We produce in your child with a diaper habit to eat right and move a lot.
• Sport - yes. Walking - yes. Movement - life. Take the leisure of your child completely - do not twist it on super caring grandmothers and a computer with TV. Walk in the park, ride skiing and rollers, go to the sections, participate on holidays and competitions, run together in the morning and dance in the evenings - let the child absorb the habit of being vigorous, slim and light.
• Want to wean a child from harmful meals? Get all together! The child will not refuse chips if their dad is eating near the TV.
• Replace all the dishes with which you usually eat. The smaller the plate - the less serving.
• Food is a process involving the obtaining energy of the organism . And no more. Not pleasure. Not entertainment. Not a feast of the abdomen. Do not cult. Therefore, no TVs during lunch.
• Choose sections - not those in which the child will quickly lose kilograms, but those where he will want to go. The more interesting to the child section, the more intense it does and the more laid out in training.
• Prepare useful desserts with a child. It is clear that all the children love sweet. And it is impossible to wean them. But in your power - make desserts useful. Look for recipes - and delight households.

Website site provides reference information. Adequate diagnosis and treatment of the disease is possible only under the supervision of a conscientious physician. If an alarming symptom occurs, contact a specialist!

In order to understand how relevant today is relevant today, it is enough to just go outside, walk around the playgrounds or parks. Surely you noticed that almost half of the children have one degree of completeness.

There are an increase in full children and pediatricians. But the parents, unfortunately, do not always pay attention to this aspect of the development of their child. What is the reason for such neglity?

There are several reasons as always. These are chubby babies in advertising and films, and the eternal confidence that if the child eats well, it means that he is healthy. Do not forget about such a phenomenon as a natural children's fullness. This condition is characteristic of children aged about 9 months. At this time, a fat layer begins to actively form.

However, this does not mean that you can not pay attention to the overweight of your child during this period. In addition, it is not worth mentally stretching the period of natural children's fullness. If after the child begins to actively walk, excess weight does not disappear, it means it's time to beat the alarm.

To begin with, it is worth understanding what causes of excess weight in children. As always, allocate something one will not work. Each child has their own problems and their solution.

Usually, in children, as in adults, obesity develops due to chronic overeating . The law of energy conservation is valid here: if you eat more than spending per day, you will inevitably encounter an excess weight.

In second place, of course, low mobility . As a rule, both of these factor occur. Today, fatty foods, fast food, various sweets, were enormous popularity. All this can be purchased literally at every step. Even parents themselves sometimes, saving time, feed the child of harmful food. At the same time, modern children are still resting in front of a TV or computer. Naturally, an imbalance occurs in the body, which is instantly reflected on the weight of the child.

Here you can also note social factor . Children in all copy their parents, and if adults eat high-calorie food, children will most likely give preference to the same products. Often the child is escaped, considering that he should eat exactly so much and not smaller. Usually, grandmothers tend to such behavior, especially if their childhood had no postwar years.

Such a feeding system violates one of the most important commandments of a healthy nutrition - to eat exactly as much as you need to saturate. It is better to leave a part of the portion on the plate and to achieve later than to press and eat everything, just not to leave anything.

However, it is impossible to discount and hereditary factors . If one of the parents of the child suffers obesity, then in half of the cases, the child himself faces this problem. If obesity is observed in both parents, the risk increases even more. In the case of hereditary obesity, it is necessary to pay more attention to prevention, without waiting for the occurrence of the problem.

Oddly enough it can sound for many, but also psychological aspects They can influence the extra weight of the child. Children, like their parents, can "eat" some kind of sorrow, experiences and stress.

In some cases, although quite rarely, the cause of obesity becomes various diseases . Despite the fact that this is not the most common cause of unnecessary kilograms, it is impossible to forget about it.

What is dangerous obesity in children?

It is important to understand that the extra weight in children is more dangerous than the same problem in an adult. After all, the children's organism grows, changes, is formed. Many systems in it still do not function in full force, but only learn to fulfill their tasks.

The first suffers how it is not difficult to understand spine. It is on him that the overtime load suddenly falls. But in preschool age there is still a rapid formation of a skeleton, the bones are actively growing, the child is growing. It is at this stage that the posture is formed, and overweight in the compartment with low mobility is capable of breaking it at this stage, which is fraught with various diseases of the spine.

The load and the circulatory system increases, in connection with this, children, from the infancy of those who suffer over weight, have already arise such traditionally to adolescence age DiseasesAs hypertension, heart failure, ischemia, the risk of heart attack increases.

The pancreas also does not cope with the excess of nutrients, which is why there is a violation of glucose metabolism, and this may cause diabetes mellitus.

You can not lose sight of psychological problems. Full children are often teased by peers, because of which they develop complexes, they become unsure in themselves. And these complexes accompany such children the rest of life, even if the child's problems in a child can decide.

Is there a reason for excitement?

However, after reading all this, you should not immediately plant a child on a diet. First, "adults" diets in the case of a child, especially breastless, are not simply not effective, but also dangerous to health. Secondly, the development of a child is a very individual concept and before making any measures, you need to make sure that the problem really exists.

If it seems to you that your child has overweight, to begin with, it is worth trying to determine if it is independently. In particular, the special tables of weight standards can help this depending on age and growth. Please note that the situation needs to evaluate for all three parameters.

So, if a child weighs for his age a little, do not forget to pay attention to its growth. If the growth is also higher than the norm, it means everything is in order. You just encountered a private version of the norm.

Especially collected parameters in infants. First of all, because they have a different start and large, in comparison with the common weight, the initial difference in growth and weight. Some children weigh less than 3 kg, Other Bole 4. During this period, the weight itself is not much important, but an increase in weight in a month. This information can also be seen in the table:

It is important to keep in mind that the children on artificial feeding almost always gain weight faster than their peers who feed on maternal milk. Evaluating the weight of his child, this moment should also be considered.

Another way to determine whether there is an extra weight in the child, this is the calculation of the body mass index. Please note that this calculation makes sense to do only after a two-year-old age. This is done quite simple: the BMI is equal to the mass of the body into kg, divided into the growth of the child in the cm in the square. The value obtained must be compared to the table in it indicate values \u200b\u200bfor excess mass and for obesity.

If the resulting number is less than BMI with overweight, it means that in your case everything is in order if it is or more, then the problem takes place. If the value of the BMI has reached the mark of obesity, then the child's problem is very serious.

Regarding how you used, if there is a suspicion that your child has overweight, you don't need to immediately throw a problem, limit the child in food and drive into classes. First you need to contact the pediatrician. He will confirm or refute your concerns, and also determines the cause of excess weight.

Only after that it will be possible to choose an adequate solution to the problem. So, if the cause of excess weight in children is one or another disease, food restrictions and any physical exertion may be ineffective, and in some cases even dangerous. In this case, it is necessary to first reveal and cure the disease - the reason.

If everything is prose, and the reason lies in overeating, then you can begin the fight against overweight.

How to deal with overweight in infants?

Overweight in a breast child on natural feeding - the phenomenon is extremely rare. When the baby feeds on Mother's milk, he himself, together with the parent organism, regulates the amount of milk drinking milk. Thanks to this, overeating is almost impossible.

But with artificial feeding everything is somewhat more complicated. Determine when the child was found at this age it is still difficult. It is necessary to make a clear chart of feeding, strictly follow the recommendations in the amount of mixture and the volume of water.

Sometimes you can hear the view that artificials are better as early as possible to introduce lures. In fact, it is not at all necessary. But if you decide to enter the baby's lore on artificial feeding, then keep in mind that you need to start with vegetable puree. They are the least calories, and will not contribute to the weight gain.

Often, vegetable purees are made on the basis of potato. Pay attention to this, potatoes should be no more than 50% of the portion. Ideally make mashed houses on your own, so you will definitely be confident in the purity of the products and in their ratio.

The next point in the provinces will be cereal on low-fat milk. Prefer the buckwheat or oatmeal, but the manna is better to refuse. In addition, porridge can only be given once a day, desirable sutra. If there is a need to sweeten porridge, it is better to do it with the help of berries and fruits without adding sugar.

How to deal with overweight from the preschooler?

With older children, the situation is somewhat more complicated. When a child goes into a shared table with parents, controlling his diet becomes harder. The child sees that his parents eat, and trying to eat the same.

Another aspect that often prevents the weight loss process is nutrition in kindergarten. There, parents cannot control the child's menu. First of all, it is necessary to talk to the staff and find out what children are fed. Next to ask for educators to cut portions, if necessary, do not give additives, to remove particularly calorie products, naturally, if possible.

However, the main difficulties are still waiting for you at home. The fact is that the whole family will have to rebuild your diet, get used to healthy eating. It is impossible to explain to the child why everyone will have dumplings with a sour cream or a sweet cake, and it is a pair of vegetables. He will perceive it as a punishment as a manifestation of some injustice.

Therefore, with changes in the menu, you will have to come down to everyone. However, it is not at all bad, because such a diet is useful for health and is suitable for people of any age. The nutrition of your family must be balanced, proteins, fats and carbohydrates must be present in the right proportions. As a rule, this ratio is called: 1: 1: 4, where carbohydrates are understood under the last digit - the main source of energy and fiber. The main thing, remember that this should be complex carbohydrates, not sweets and flour.

Abundance in your menu vegetables and Kash It is also necessary because the fiber contributes to the restoration of the disturbed metabolism, as well as the real brush, the intestine clears and helps the slags accumulated in it. All this normalizes the operation of the gastrointestinal tract, eliminates the various problems of digestion, including from constipation, which are not at all rare in children with overweight.

However, meat fishMilk products and fats must also be present. Children's body proteins are needed necessarily, as it is constantly growing, and it needs construction material for cells.

However, preferred better diet meat, not fat. It may be poultry meat, veal, low-fat beef. As for the methods of cooking, it is better to give up from frying and smoking completely, but to stay on boiled meat and meat cooked for a couple.

By the way, the same applies to vegetable dishes. They also have no need to drink butter during frying, it significantly increases the calorie content of dishes, and harmful substances in the heated oil apparently, nor apparently.

Concerning dairy products, It is necessary to give preference to low-fat milk, kefir and sour cream. It is also not necessary to get involved in various yogurts with additives. It is better to use natural products, without preservatives. Kefir and yogurt can be made at home based on a special break. Buy it today is not a problem. You should not refuse from cheese, but it is necessary to submit to limited quantities.

Fat. Must be predominantly vegetable, and the child's animals will receive a sufficient amount of both milk. Sunflower or olive oil can be filled with vegetable salads.

Another small advice: purchase for a child separate dishes, smaller than yours. In a small plate, even a truncated portion would seem quite sufficient, and a small spoon will have to draw food from the plate more often. A large number of movements will help to deceive the body, and the saturation sense will come before.

For this, it is also necessary to organize a calm atmosphere for a child while eating. TV, radio is better to turn off, you should not take the kid with conversations. And at this time it is better to climb. This will allow him to fully focus on food and its feelings.

An integral part of the weight loss process should be physical exercise. The child can be given to the sports section, start with it to walk in the evenings, sign up to the pool. But here it is also necessary to take into account that if you continue to spend time, sitting, your child is unlikely to like the desire to apply some efforts.

What can I do?

When parents face the problem of obesity in the child, the temptation is great to start someone to accuse, arrange terror or concentrate all its strength on the achievement of the result. However, it is very important to understand what you can do, but why it is impossible. So, by itself, the search to blame for nothing will lead to anything. No need to accuse the garden with unbalanced nutrition, grandmother, with her cakes, a child, with his unlimited appetite, or himself. The most important thing in this situation is to recognize the problem and cause and fight with them without unnecessary reproaches.

As mentioned above, it's easy to prohibit the child there are certain products will not work. In preschool age, such measures are perceived very painfully. It is not worth making goodies the desired prize, obtained for some achievements. In this case, the child can make a certain cult from the food, and this is unlikely to affect the process.

Separate conversation - physical activity. The power here is also nothing to decide. It is better to try to make the morning charging of a cheerful game, and do together with your baby. This not only helps to instill a useful habit, but will give you the opportunity more and better communicate with your child.

As for the selection of sections ... Again, the temptation is great to choose those where the greatest loads go, but it is necessary to provide a choice of child. Classes should not pass from under the stick. Let it be more calm and less energy-consuming sport, but he will like the child, and, as a result, he will be laid out more in class.

As you know, a specific goal before your eyes is the best motivation. However, the goal must be achievable. No need to demand from the child everything immediately. Start with small. First, teach it to a daily charge, only then proceed to the selection selection. In a meal, stick to the same principle.

And one more thing: no need to concentrate on the problem and emphasize the child's attention on it. He should not feel flawed, it adversely affects the process and the child's psyche. Let it be a game, cheerful and relaxed.

Prevention of child obesity

Of course, prevention is always better than a rush solution already arising. Actually, in order to prevent prevention, it is necessary to do about everything the same as required for weight loss. That is, morning exercises, sports, mobility, proper nutrition.

Of course, if there is no extra weight yet, prohibitions and restrictions may be much less strict. In any case, the child does not have to strictly control, for example, at the festive table. One piece of cake or a portion of salad with mayonnaise is unlikely to damage him.

Plus prevention not only in the fact that it allows not to face the problem of excess weight in children, but also that the child from childhood will get used to a healthy lifestyle, and therefore will avoid many other problems.

Even a child. School of Dr. Komarovsky (video)

Extra weight nutrition (video)

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Asks Kurbanova Shahnoza:

Zdrastvuyte Moemu Dochke 8let Ana Vesit 28kg Rost 122metr Ana Viglidit Me Kajtsy Polnim Ya Ochen Boyus Ana Esli Polnet Kak Mne Bit

Replies:

Calculation of the body mass index, indicates that your child has an overweight body. It is necessary to contact your pediatrician or children's endocrinologist for a complete inspection and examination of the child. Under the excess body weight, it is also necessary to pass the blood test on sugar, lipidogram. Recommended power regimen for children with excess body oil: frequent fractional power with small portions, a complete exception to the diet of flour, sweets. The base of the diet should be protein (skimmed cottage cheese, non-fat boiled meat grade (veal, rabbit) and fish (heck, river fish), and vegetables with fruit. The mode of physical exercise should include at least 1 hour of exercise per day.

Tatyana asks:

Hello, my son is 7 years old 7 months Height 129 Weight 44 kg What to do? After 18 hours does not eat, sweet sometimes in minimis. What to do?

Replies Kovbasco Ekaterina Mikhailovna:

Hello, weight is not taken out of the air. Analyze all food. It should be eliminated by all easily dismantled carbohydrates (bells, candy, grapes, raisins, honey, vermicelli, manna and other porridges, etc.) + rational physical education. In addition, an endocrinologist should be examined (blood glucose, glycated hemoglobin, growth hormones, etc.)

Asks Marina:

Girl 5 and a half years old Growth 109 Weight 16kg fine-eyed, permissible norms or worth alert. Congenital elongated intestines, so bad appetite. Thank you.

Replies Parshin Sergey Aleksandrovich:

Hello. According to the central tables, the growth corresponds to the average physical development. And by weight of the body, the indicators are low. In general, physical development is average, but disharmonious due to low body weight. The issue of nutrition needs to be solved. We offer Ciddi Pharmanton Vitamins Course. They enhance appetite.

Olga asks:

Hello! My daughter will be 2 months after a week, and she has problems with a weight set (child on gv). Birth weight 3850, at the discharge of 3740. per month - 4150, after a week - 4100. The analysis of the feces normally (according to the pediatrician "only fat is not digested to one plus"). Introduced with a mixture of 1 in 30 ml at the end of each feeding, but each feeding does not work, because The daughter is eaten (herself hesitates the chest and falls asleep, or he let go and no longer takes). After another week at the control weighing - 4175. The child is calm, cheerful, pink. By clothes I see that it grows. He asks to eat in 2.5-3 hours, and at night it can watches 6-7 watches, often woofed to feed. Appetite is good, eats for 25-40 minutes. Tell me, please, what can be the cause of such a weak weight gain and is it really necessary to hospitalize. Thanks in advance.

Replies Yakubchik Natalia Nikolaevna:

Olga, "Insufficient" Weight Set is not a reason for hospitalization! Refsions of the mixture give rise to numerous new problems, and does not save. It is difficult for me to be in a situation without feedback, but I will give a few recommendations: 1. Call the Consultant for Breastfeeding, 2. Remove the discounts. 3. Do not make day breaks for more than 2 hours, and no night more than 5 hours. 4, you can track the number of pops per day, there must be from 10 or more. 5. Exclude stressful situations, including walks, guests, bathing, massage, control weighing. It's so rebel. But I highly recommend personal advice! Good luck to you and wisdom! -

Asks Victoria:

Hello, I am also very worried about my weight. My son. Papa has a complete. Cairnet is engaged in sports, very moving, and after three years they could not suck out the fortress. Hello I can say that he is very complete. Now height is 126-127 cm, Weight 32 kg, we see the tables that you exceed the weight rate. For doctors we go regularly everything is fine, I am very worried that there is no obesity.

Replies Medical consultant of the portal "Health-ua.org":

Good day. Evaluation of the weight and growth of the child is carried out using central tables. However, these tables show averaged indicators. When evaluating weight, the constitutional features of the child should also take into account. For the prevention of obesity, a child needs rational nutrition and sufficient physical activity. That is, note that the child eats and how much, set the power mode, eliminate the snacks. Also follow the physical activity of the child, sport, outdoor walking, active games. If you unexplainably increasing body weight, contact your endocrinologist for consultation. All the best.

Aerlena asks:

Hello! Doctor Help me please advice. My son is 10 months old and how I think it's thin. The last time we weighed at the pediatrician at 7 months and he weighed 6.500. Movages say nothing bad, they say that everything is fine. Delightened until the year They do not disturb them without a reason, they say you and so everything is excellent. It is very mobile, crawling in general on the spot he does not be shy. He is very bad, I feed the breast. What can I do, tell me please. Yes, and how can you feed it to gain weight?

Replies Medical consultant of the portal "Health-ua.org":

Upon the condition of normal well-being and mobility of your child, as well as if there are no other symptoms, it is unlikely that a bad weight gain of the body testifies to serious health problems of your child. In this case, a more complete examination is recommended, comprising a common blood test, a general urine analysis, a coprogram, and a thorough full-time inspection of the pediatrician. It should also be noted that the child's nutrition at 10 months should include, 3 dust (vegetable puree, milk-cereal porridge, and dairy products), as well as meat puree (50 grams per day), cottage cheese (30-50 grams per day ) and fruit juices (up to 100 ml).

Asks Janet:

Zdrastvuyte! U Menya Devochka Ey 4.3 Rost 11o. A VES 21 KG ONA NE MNOGO KUSHAET A VES TAKOY YA PEREJIVAYU (VI NEMOGLI BI SKAZAT CHTO DELAT? SPASIBO VAM! S Uvajeniem Zaet

Replies Medical consultant of the portal "Health-ua.org":

Good day. Evaluation of the weight and growth of the child is carried out using central tables. According to these tables, the weight and growth of your child is above average. However, the tables indicate the averaged data excluding individual characteristics. For a reliable assessment of the physical development of the child, it is necessary to take into account constitutional data, that is, heredity, features of the child's development. But an increase in body weight can be a symptom of the disease. For a more detailed assessment of the child's weight, it is necessary to contact the children's endocrinologist, and if necessary, make a comprehensive examination of the child. All the best.

Asks Elmira:

My child with a height of 129 cm weighs 34 kg what to do

Replies Medical consultant of the portal "Health-ua.org":

Good day. The average weight of the child is determined using the central tables. According to their child, your child's weight is above average. However, it is impossible to draw conclusions without inspection and find out some data. The fact is that weight depends on many factors, among which are constitutional features, heredity, features of the development of a child, concomitant diseases. If the child has visible weight problems, the first thing to be done is to pay attention to the nutrition and physical activity of the child. And also refer to the children's endocrinologist for full-time consultation. All the best.

Asks Elena:

Hello! My daughter is 12 years old, weight - 62kg. Address what you need to do to throw the weight? (we have a complete family in our family)

Replies Medical consultant of the portal "Health-ua.org":

To begin with, without looking at the family history. It is necessary to still refer to the children's endocrinologist, to eliminate other causes of excess body weight. It is also necessary to pass the blood test on sugar, lipidogram. Recommended power regimen for children with excess body oil: frequent fractional power with small portions, a complete exception to the diet of flour, sweets. The base of the diet should be protein (skimmed cottage cheese, low-fat boiled meat grade (veal, rabbit) and fish (heck, river fish), and vegetables with fruit. Physical exercise mode should include at least 1 hour of exercise per day

Asks Elena:

Good day. My daughter from summer began to gain weight. Now we are in the first grade, and it seems to me that OEA is the largest. Our growth somewhere I think 130. Weight 36 kg. I'm shocked. It became to limit it in everything. Bread she really eats little herself. What should I do? And too big weight? Thank you

Replies Renchkovskaya Natalia Vasilyevna:

Hello, Elena. Refer to the doctor endocrinologist-pediatrician. Pass the examination, eliminate endocrine pathology ,. It is not reasonable to limit the child about everything, reduce calm, assign frequent fractional nutrition, and all the more to assign pills for weight loss. A growing organism should receive all the necessary proteins, vitamins, fats, trace elements. The doctor must write a balanced nutrition. The more restricting, the greater the body is set to the "black day" the correct power mode, water mode and physical mode. From uv. Natalia Vasilyevna.

Asks Tamara:

Hello! My grandson is 10 years old. Judo actively engages, goes to the pool. Its weight is currently 44 kg. We believe that this is a bit, what do you say? Thank you.

Replies Medical consultant of the portal "Health-ua.org":

Hello, Tamara! In order to determine the normal weight for your grandson, you need at least to know its growth. It is possible that somewhat larger than normal, weight is associated with the peculiarities of the growth and development of the child. However, since the weight exceeding the norm may be a consequence of certain diseases (for example, endocrine disorders), it is necessary to consult on this issue of a pediatrician. In the absence of deviations, the normalization of the weight can be achieved by a diet, taking polyvitamins, trace elements in order to normalize metabolism. Take care of health!

Asks Anna:

Hello.
I will summarize the problem: In 2010, for the month, my daughter (she was then 7 years old) began to gain weight sharply, today its weight is almost 80 kg. (now she is 10 years old). For 3 years she scored 50 kg. She lay in the hospital and was examined to identify the cause, after a month it was discharged, and not finding the reason for which she gained weight, while rearing the following violations in the body:
- MRI brain and brain vessels - concluding -MR picture of single foci of changes in the substance of a dystrophic brain. Asymmetry of blood flow on the intracranial departments of the vertebral arteries;
- Transcranal color duplex scanning of the arteries of the main brain - conclusion - bending of the intracranial segment of the LPA. Increase the tone in PSMA, PPML;
- Duplex scanning of extracranial departments of brachiocephalic arteries - Conclusion - S-shaped bending of PVA before entering the skull. Increasing the tone in all pools;
- Ultrasound of the thyroid gland does not exclude hypoplasia.
Already within 3 months, the child doesn't eat anything or anything, after 18.00 completely refused food, makes charging, but the weight is also gaining.
Please tell me how serious its conclusion is serious and where should I get better?
Thanks in advance.

Text: Fotobank / Getty

Not only adults suffer from extra kilograms, but also children. Moreover, more and more often. The frequency of overweight and obesity in children and adolescents is growing and reaches now in the most modest estimates somewhere 15-20%.

About why this happens, we asked Mikhail Ginzburg, a nutritionist, director of the Samara Nii of dietology.

Another 30 years ago, the picture was different, and the frequency of excess weight in children and adolescents did not exceed 10%. These trends scare, as obesity in childhood is almost certainly obesity for life with all the consequences that arise. Explain the increase in weight with some painful reasons you can not more than 5% of children. In other cases, no diseases that could cause unnecessary kilograms cannot be detected. In these at least 95% of cases, we can talk about some natural reasons with which our children face in everyday life, in choosing a nutrition, in communicating with us or with each other.

New Floors in Power Culture

General trends with whom mankind is now faced - our food is becoming increasingly oily, sweet and refined. An increasing share of energy falls on delicacies. Not the last role in these changes are played by the laws of the market - manufacturers of products need to feed the filled, festened delicious people. So, advertising is needed, convincing us to try cheeseburger or biscuit. And if we can still figure out what is useful, and what is not, our children are completely defenseless before this advertising flow.

And it is on children who are increasingly focused on advertising food. And what does she offer them to eat or drink? Coca-Cola - a drink containing 4 teaspoons of sugar (!) On a glass. Crackers for children's breakfasts royalty-thief of about 10% (for comparison, ordinary bread contains only 1-2% fat), chips, the fat content of which reaches 30%, milk drinks are twice as fat, than ordinary milk, plus, with unnaturally high sugar content .

All these products cannot be the basis of the power of a modern person, they directly contribute to the increase in body weight. But advertising does not just advise them. It creates a culture of their consumption. What company, what a friendly conversation without chips, nuts or crackers fried in oil? And how to play, run and jump, how not to slow down, if there is no chocolate bars at hand? Youth party without cola? Do not make me laugh!

And as a result, we get a generation of people who, since childhood, are accustomed to eat on the go, chew between the case, preferring to eat excessively fat and sweet.

Computer Prefix Instead of War, TV Series Instead of Games in Mother's Days - these are the current realities

The predominance of sedentary forms of leisure

Children should play. It is during the game that the experience of communication, relationships with each other, choosing roles, behavior models, and so on. This process is absolutely necessary for the normal development of the human personality and psyche. And until the last time, the game also defended our children from weight rise. It hurts a lot they demanded energy. And time. Our children behind the games often forgot about food.

But it turned out that it was possible to play and master the "adults" skills, literally not going off the place. Computer prefix instead of war, serials instead of mother's daughter games. Without leaving the computer, you can engage in oriental martial arts, play basketball or football.

By the way, the facilitability is dangerous not only by a decrease in energy consumption, but also an increase in food intake. The switch is triggered by the Wildlife. An animal is either moving in search of food, or eats it and in this case dwells in relative motionable. Stop for an animal means that food is somewhere nearby. What would feel the action of this mechanism on yourself, just remember when we eat more, on weekdays or weekends? Studies show that food consumption on weekends is approximately 20-30% more than on weekdays.

And the stereotype of behavior is developing, one hundred percently leading to further kilograms - to sit for hours in front of the monitor screen and, to relieve the voltage caused by a computer game, nervously eating some chips.

Bad example of parents

Recognized fact. Full children are much more likely to appear in families of full parents. It is believed that if the mother and dad suffer overweight, all their children will be at least inclined to complete. If obesity is observed in one of the parents, the probability of the appearance of unnecessary kilograms in the descendants is about 50-60%. Why? Here, the opinion of scientists diverges. Some believe that genetics is to blame. Some genes transmitted by inheritance make the likelihood of overweight significantly higher than the average on the population. Others reasonably notice that in addition to all genes, children adopt their lifestyle and habits in their parents.

Most likely, the right and others are right. The tendency to complete part is inherited, part is transmitted to the upbringing. Children watching the full parents involuntarily adopt their way of food (often with the usual excess of fats and sugars), attitude to mobility (often negative). And extra kilograms become already a consequence of such a "rigid" lifestyle.

Hard bans do not help to lose weight

Too cruel prohibitions

But sometimes everything happens exactly to the opposite. Parents, aware of the harm of extra kilograms, at the slightest signs of completeness begin to limit the nutrition of the child, to ban him chocolate and candy, do not give it after the notorious 18 hours, to force him to run around the stadium and so on. It seems that their actions are dictated by concern about the child, but in fact they do not help him lose weight. Moreover, there is always a way to capture food: a compassional grandmother, which feeds, money, accumulated and spent on chipses or chocolate bars. A negative attitude towards loads and sports efforts is produced. The child continues to recover. This justifies the parents in the inventing all new ways to limit the tasty, and the child makes more dodged in search of food. The circle closes.

At different times, the ideals changed as quickly as the weather in the spring. In my childhood, kids with "dressings" on handles and legs were considered the most attractive, such as they would have been experiencing with overweight. The ideas of a slim figure, proper nutrition and sports are applied not only to a constantly losing mom, but also for a child.

The fullness has become the scourge of our time, with which everyone is already tired, but, nevertheless, continue. But if an adult can close the mouth, to hang a barn castle on the fridge, do not buy different bakery tastes, avoid fat and rich food carbohydrates, when it comes to our children, everything is not so simple. It is not always possible to make them eat chicken breast and broccoli, when they want roasted potatoes and sausages.

Of course, the fullness is different, but do not forget that the deviation of the weight from the norm by 10% is already obesity. If the weight began to increase, and the lifestyle has not changed, it is necessary to consult a doctor, it may be a symptom of hormonal failure, metabolic disorders and other diseases.

Puffy baby

Teases and offensive nicknames

Many children are offended at school and on the street because of completeness. , is there a child friends, with pleasure whether he speaks about school. If the complexes have already appeared, then your duty is not to leave a child with them one on one.

When the child appears the idea that it is fat and worse than others, parents must do everything possible to raise self-esteem and getting rid of the problem. Be always nearby, support, prompt. If you yourself do not cope, be sure to consult a specialist, go to a psychologist, an endocrinologist. Do not let the complete child's completeness, because health needs to be preserved.