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Unravelling the Causes and Consequences of Childhood Obesity

Encouraging kids to eat mindfully and with balance requires deliberate methods. Emphasize a diet rich in fruits, vegetables, whole grains, and lean proteins while restricting processed foods, sugary drinks, and excessive saturated/trans fat…Dr. Meghna Chawla speaks with N. Lothungbeni Humtsoe

In today’s sedentary environment, childhood obesity and the health problems it causes, such as type 2 diabetes, have gained major attention. Long stretches of inactivity and unhealthy eating habits are the main causes of this worrying trend.

The connection between a sedentary lifestyle and childhood obesity, the adverse effects of sitting too much, ways to promote balanced nutrition in kids, early signs of type 2 diabetes, and the critical medical emergency known as diabetic ketoacidosis. To address the increasing health issues that children are facing, it is imperative to comprehend these facets. Let’s explore the intricacies of this issue with Dr. Meghna Chawla, a Paediatric Endocrinologist Consultant at Ruby Hall Clinic in Pune.

What is childhood obesity? And how severe is this condition?

Dr. Chawla: Childhood obesity is identified when a child’s body mass index (BMI) exceeds the expected range for their age and gender, leading to the accumulation of excess body fat and a range of health complications. Studies suggest that overweight children are more likely to carry this condition into adulthood, elevating their susceptibility to chronic ailments like cardiovascular diseases, diabetes, and certain cancers. Additionally, the psychological impact, such as low self-esteem and depression, can persist into adulthood.

How does a sedentary lifestyle contribute to childhood obesity?

Dr. Chawla: A sedentary lifestyle, characterized by prolonged periods of sitting and minimal physical activity, significantly contributes to childhood obesity. This lack of physical activity disrupts the balance between calorie intake and expenditure. Moreover, sedentary habits often involve excessive screen time, exposing children to unhealthy food advertisements and fostering unhealthy snacking patterns.

What are the effects of prolonged sitting and lack of physical activity on kids?

Dr. Chawla: Prolonged sitting and insufficient physical activity in children have multifaceted effects on their well-being. This sedentary lifestyle increases the risk of obesity, as it disrupts the balance between calorie intake and expenditure. Beyond weight-related issues, it compromises bone health, diminishes cardiovascular fitness, and weakens muscles Sedentary habits are also associated with academic and cognitive difficulties, which have a detrimental effect on development overall. Furthermore, children who watch a lot of screens during idle hours are exposed to marketing for unhealthy foods, which influences their eating patterns.

How can we promote balanced nutrition and mindful eating in kids?

Dr. Chawla: Encouraging kids to eat mindfully and with balance requires deliberate methods. Emphasize a diet rich in fruits, vegetables, whole grains, and lean proteins while restricting processed foods, sugary drinks, and excessive saturated/trans fats. Reinforce regular meal intervals, discourage distractions during meals, and instill the value of portion management. 

What kinds of illnesses will result from childhood obesity?

Dr. Chawla: Childhood obesity significantly increases the risk of various health conditions. Obese Kids are more likely to experience respiratory issues, cardiovascular illness, type 2 diabetes, and hypertension. These conditions not only impact their physical health but also diminish their overall quality of life. Additionally, overweight children are more likely to carry obesity into adulthood, further elevating their susceptibility to chronic ailments such as certain cancers.

What are the early signs and symptoms of type 2 diabetes in children?

Dr. Chawla:

Frequent urination: Elevated glucose levels prompt increased urine production.

Excessive thirst: Fluid loss from frequent urination leads to heightened thirst.

Unexplained weight loss: Despite normal or increased food intake, children may experience weight loss due to glucose regulation issues.

Fatigue: Low blood sugar levels and glucose regulation difficulties can result in fatigue.

Blurred vision: High blood sugar levels can damage blood vessels in the eyes, causing blurred vision.

What is diabetic ketoacidosis, and why is it a medical emergency?

Dr. Chawla: Diabetes ketoacidosis (DKA) is a severe diabetes complication marked by high blood sugar levels, dehydration, and ketones in the blood. In children with type 2 diabetes, DKA can occur if the condition is left untreated, requiring immediate intervention to prevent life-threatening complications such as organ failure

High blood sugar levels: Ketones are produced as an alternative energy source, leading to elevated blood sugar.

Nausea and vomiting: Ketone buildup can cause nausea, vomiting, and abdominal pain.

Rapid breathing: The body attempts to eliminate ketones through rapid breathing, resulting in a fruity odor on the breath.

Confusion and drowsiness: Severe DKA can lead to confusion, drowsiness, and even coma.

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CME conference expresses concerns regarding childhood obesity

Dr. Nidaa Khan, Specialist Obstetrics and Gynecology at Life Medical Centre, initiated conversation about the prevalence of obesity among pregnant women…reports Asian Lite News

Lifestyle patterns, social preferences and dietary factors have led to a significant rise in the prevalence of obesity among residents, especially in children, say experts.

Speaking at a Continuing Medical Education (CME) conference conducted by Life Healthcare Group in Dubai recently, they expressed concerns regarding childhood obesity and its far-reaching effects.

Presenting a paper at the conference, Dr. Nasreen Chidhara Pari, Specialist Paediatrics at Life Medical Centre, said, “Childhood obesity has a profound impact on both physical and psychological well-being. Statistics show that the rate of childhood obesity in the UAE has increased from 12 per cent to 17.4 per cent between the years 2018 to 2022. This has, in turn, led to a rise in various preventable illnesses and health risks that are becoming increasingly common in the population.”

With over 250 attendees, the conference focused on raising awareness about the rise of lifestyle diseases and aimed to educate medical professionals on their causes, consequences, and effective control strategies. With a comprehensive agenda featuring 20 presentations, the program covered a diverse range of topics on lifestyle diseases, with a particular focus on childhood obesity and diabetes

Commenting on the conference, Mr. Jayan K, CEO of Life Medical Centres and Clinics, said, “We are happy to organize the CME conference as part of Life Healthcare Group’s ongoing commitment to contribute to the welfare of society by empowering the medical community. These conferences play a pivotal role in fostering knowledge, exchanging insights, and keeping healthcare providers at the forefront of medical advancements. By equipping healthcare professionals with the necessary knowledge, we can effectively tackle a wide range of healthcare challenges.”

According to the World Health Organisation (WHO), 60 per cent of the factors influencing an individual’s health and quality of life are associated with unhealthy lifestyle choices that lead to various health issues, disabilities, and even mortality. Conditions such as metabolic disorders, musculoskeletal problems, cardiovascular diseases, hypertension, and more can stem from an unhealthy lifestyle.

Dr. Kirti Mohan Marya, Group Medical Director and Chief of Orthopaedics, said, “Lifestyle disorders are growing in prevalence worldwide and they pose a long-term threat to humanity, acting as silent killers. As a prominent healthcare provider in the region, it is our duty to spearhead positive and preventive changes in the field of medicine. Knowledge-sharing platforms like this CME conference play a vital role in ensuring optimal medical care for our patients.”

The conference featured renowned doctors and experts from different Life Medical Centres in the UAE, where they shared their expertise and research in multiple disciplines and highlighted various key lifestyle diseases and health risks, which have become more frequent in their occurrence in recent years. The event also highlighted the need to implement comprehensive strategies to address the increased prevalence of lifestyle diseases. It emphasised evidence-based treatment options for obesity, involving long-term approaches that encompass nutrition, behaviour, and, if necessary, surgery.

Dr. Nidaa Khan, Specialist Obstetrics and Gynecology at Life Medical Centre, initiated conversation about the prevalence of obesity among pregnant women. “Obesity is the most common medical condition among women of reproductive age. Less than half of pregnant women have a normal body mass index. The implications of obesity during pregnancy are frequently overlooked due to the absence of evidence-based treatment options. Effectively managing obesity requires long-term strategies encompassing nutrition, behaviour, and, in some cases, surgery.”

One of the most prominent lifestyle diseases that have seen a dramatic rise in recent years is diabetes. Dr. Mohammed Salman Khan, General Practitioner at Life Medical Centre, said, “Unhealthy lifestyle choices play a significant role in the development of diabetes. The prevalence of diabetes is expected to increase manifold by the year 2045, with an estimated 110 per cent increase in the Middle East and North Africa region. Early identification is essential as it allows individuals to make necessary lifestyle modifications, such as adopting a healthy diet, engaging in regular physical activity, and maintaining a healthy weight.”

Other speakers at the conference included Dr. Yasmeen Shereef, Specialist Radiologist; Dr. Muhammed Fasil Nalakath, Physiotherapist; Dr. Nithya, Specialist Endodontist; Dr. Sara Arun, Specialist Paediatrician; Dr. Sunita Nain, Specialist Clinical Pathologist; Dr. Nikhilesh Nain, Specialist Paediatrician; Dr. Hannah Jose, General Practitioner; Dr. Maturi Chaitanya, Specialist Obstetrician and Gynaecologist; Dr. Sameer Arora, General Practitioner; Dr. Sanoop George, Specialist Endodontist; Dr. Hudaib Mohammad, Specialist Psychiatrist; Dr. Abhinav Gupta, Specialist Internal Medicine; Dr. Sandeep Thomas, General Medicine; and Dr. Josy Panikulam, Specialist Internal Medicine.

Life Healthcare Group, UAE’s leading homegrown healthcare company, remains committed to combating lifestyle diseases and aims to continue organizing similar CME conferences in the future. The group aims to stay at the forefront of medical advancements and equip healthcare providers with the knowledge required to tackle the challenges arising from this global health crisis.

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Obesity is just a lifestyle disorder

One of the primary reasons for this disorder in the current generation is the absence of physical work on a day-to-day basis, individuals have become increasingly lethargic…writes Aminder Singh

Obesity is not a disease, but a lifestyle disorder that has emerged from the choices we make in terms of what we consume and how much we exercise.

It is a challenge that has been evolving rapidly in recent years and is now ranked among one of the primary causes of preventable deaths across the globe. What’s surprising is that 50 years ago, there was no disease as obesity, presumably because at the time individuals led more active lives, and did not have access to the high-calorie, processed foods that we have at present.

Decoding the primary causes of obesity

One of the primary reasons for this disorder in the current generation is the absence of physical work on a day-to-day basis, individuals have become increasingly lethargic.

Another major cause for a considerable surge in obesity rates is unorganised eating habits. There is not adequate awareness about the nutritive value of the meals we consume, and individuals usually eat without considering the effects on their health.

Today, individuals frequently consume more calories than their body requirements, resulting in weight gain and gradual obesity. However, despite the significant challenges that our current lifestyle and obesity pose to our health, they can be overcome by following these simple strategies in our day-to-day life:

Keep your calorie intake in check

To combat obesity, we must comprehend that our calorie intake should be proportional to our physical activity. This implies that we need to lead more active lives and consume meals that are nutritious and healthy. A healthy lifestyle is built on two pillars- Good nutrition and regular exercise. Disregarding either of these pillars will negatively influence our overall health.

Aim for natural weight loss

It is also essential to note that the emphasis should be on natural weight loss strategies rather than opting for cosmetic surgeries like liposuction. While these surgeries may yield temporary results, they can be detrimental in the long run. Rather, we must focus on weight loss techniques that are sustainable and healthy.

A proficient fitness coach can do wonders!


Another important element of fighting obesity is picking a fitness coach who has the required knowledge and expertise. Here, it gets crucial to understand the difference between a trainer and a teacher. While a host of individuals in the market claim to be fitness coaches, they lack the essential qualifications and experience. Hence it gets pivotal to shortlist a coach who possesses the necessary experience to advise us on the right path.

Make sustainable changes in your lifestyle

One of the most efficacious methods to fight obesity is to enlighten ourselves about the significance of healthy living. We need to be conscious of the nutritional value of the food we consume and comprehend the impact of our choices on our health.

A result-yielding strategy here would be to make short, sustainable changes in our lifestyle. For instance, we can begin by making minor changes in our diet, like lowering the intake of high-calorie, processed foods and increasing the consumption of fruits and vegetables. We can also begin by including more physical activity into our daily routine, such as walking or cycling to workplaces.

By encouraging healthy lifestyles and making healthy choices easier, we can prevent and address obesity, enhance overall health outcomes, and lessen the burden on healthcare frameworks.

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Hard impacts of obesity in life

They mentioned that even after you lose the “unwanted” weight, it remains a challenge to gain back your lost confidence and self-esteem…reports Asian Lite News

It is hardly news that obese people suffer tremendous discrimination. The bias gets often overlooked in other fields, but when it comes to the dating world, obesity-related discrimination is weightier than anywhere else. Dating app, QuackQuack, ran a survey and a poll among users between the age of 23 and 33, both from tier 1 and 2 cities, to analyse the impact of obesity on an average human’s dating life.

The weight of judgment (IANSLIFE)

Among many others, the opinion poll asking people if their weight issues have weighed in on their relationships says around 27 percent of people have faced rampant judgment and rejection owing to the stigma around obesity. They mentioned that even after you lose the “unwanted” weight, it remains a challenge to gain back your lost confidence and self-esteem.

Body Image Issues

With technology on the constant rise and filters, social media platforms are full of pictures that would put supermodels to shame. Body image issues are rising at an alarming rate. Young people challenge themselves at a dangerous rate to stay fit and in shape. 33 per cent of young daters between the age of 20 and 25 commented on feeling an overbearing need to look their best at all times. They mention that it seems like the only way to find a date because society’s deep-seated and flawed ideas say an obese person is not worthy of true love.

Love Vs Love Handles

With the rise of online dating, the dating pattern has seen a drastic change. 45 per cent of the platform’s female users above the age of 28 voiced their disregard for their match’s weight. These women expressed that a person’s nature and core values weigh over their body type heavily enough to make it seem insignificant.

While some find their match’s weight trivial enough to overlook, 21 per cent of users ranging between 23 and 26 disclosed that they would prefer someone on the fitter side. They backed their statement by saying they think everyone has a choice to be healthy and obesity should not be encouraged in the name of body positivity. It can lead to life-threatening conditions.

Numbers Game

Dating is a numbers game of more levels than you know. From the number of appealing qualities, you have to the number displayed on your scale, everything decides the number of matches you will get, regardless of the mode of dating. According to more than 46 per cent of daters from tier one and two cities, while body-shaming is called out and discouraged with slogans of ‘all bodies are beautiful,’ the slim and trim body type still remains a crowd favourite, especially when it comes to dating. How desirable you are is often dictated by your body weight.

Men and Women Alike

The survey shows that obesity-related discrimination is not partial toward one gender bringing little respite to either. 28 per cent of male users above 28 disclosed having faced multiple rejections owing to their weight. Similarly, 31 per cent of women between 25 and 30 said they faced difficulty in finding a date who did not mind their size. On a tragic note, many of these daters faced several failures in the traditional form of dating before finding their ideal match from online dating platforms.

The Virtual World Is Kinder Than The Real One

The findings from the survey show that 47 per cent of people with failed attempts at finding love through a more traditional format of dating found their perfect match in the virtual world. 28 per cent of these people, between 26 and 28 years and working professionals, mentioned that online dating platforms offer you the chance to know your match before you meet them in person. It not only lets an overweight person disclose their condition to their match, if it was not obvious, but also allows the couples to discuss it at length, making it possible for one to gauge the other’s view around the issue.

QuackQuack’s Founder and CEO, Ravi Mittal, commented, “Our app sees approximately 24 million chats per month, and we notice our users discussing fitness-related matters more than obesity, possibly stemming from the stigma around being overweight. Our app, trusted by 20 million users, is trying to evolve in manners that make our users feel more comfortable in their own skin.”

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Refined food and obesity

The pattern they observed matched that predicted by the Protein Leverage Hypothesis after they plotted energy intake versus time of consumption…reports Asian Lite News

The growing body of evidence suggesting highly processed and refined foods are the main cause of the rising obesity rates in the Western world is supported by a 12-month study of the eating habits of 9,341 Australians.

The Charles Perkins Centre (CPC) at the University of Sydney recently published a new study that supports the “Protein Leverage Hypothesis” and was based on a nationwide nutrition and physical activity survey done by the Australian Bureau of Statistics (ABS).

The Protein Leverage Hypothesis, first proposed in 2005 by professors Raubenheimer and Stephen Simpson, contends that humans overeat fats and carbs due to their bodies’ great demand for protein, which it actively prefers above all other nutrients. People are compelled to consume more energy-dense meals until they meet their protein needs because the majority of current diets consist of highly processed and refined foods, which are poor in protein.

Processed foods lack protein and drive craving

“As people consume more junk foods or highly processed and refined foods, they dilute their dietary protein and increase their risk of being overweight and obese, which we know increases the risk of chronic disease,” said lead author Dr Amanda Grech, a Postdoctoral Research Fellow at the CPC and the university’s School of Life and Environmental Sciences.

“It’s increasingly clear that our bodies eat to satisfy a protein target,” added Professor David Raubenheimer, the Leonard Ullmann Chair in Nutritional Ecology at the School of Life and Environmental Sciences. “But the problem is that the food in Western diets has increasingly less protein. So, you have to consume more of it to reach your protein target, which effectively elevates your daily energy intake.

“Humans, like many other species, have a stronger appetite for protein than for the main energy-providing nutrients of fats and carbohydrates. That means that if the protein in our diet is diluted with fats and carbohydrates, we will eat more energy to get the protein that our bodies crave.”

Protein essential to good health

Every cell in the body contains proteins, which are also utilised to create new cells or repair damaged ones. It is thought that over a million different types of proteins are required for the human body to operate. Meats, milk, seafood, eggs, soy, legumes, beans, and some grains like quinoa and wheat germ are all sources of protein.

Researchers from the University of Sydney examined data from the National Nutrition and Physical Activity Survey, a cross-sectional study of eating habits and physical activity that included 9,341 people with an average age of 46.3 years and was conducted from May 2011 to June 2012. They discovered that the average daily energy consumption for the population was 8,671 kilojoules (kJ), with just 18.4% of that coming from protein, compared to 43.5 per cent from carbohydrates, 30.9 per cent from fat, and only 2.2 per cent from fibre and 4.3 per cent from alcohol.

The pattern they observed matched that predicted by the Protein Leverage Hypothesis after they plotted energy intake versus time of consumption. While individuals who received the appropriate quantity of protein did not do so and, in fact, decreased their food intake throughout the day, those who received the necessary amount of protein did not raise their overall food intake in future meals.

Overeating has been linked to “protein hunger”

By the third meal of the day, they discovered a statistically significant difference between the groups: those who had consumed more protein at breakfast had consumed much less total energy throughout the day. Those who began the day by consuming low-protein foods then increased their intake, suggesting they were trying to make up for it by consuming more total energy. This is true even though both groups’ first meal was the smallest, including the least quantity of food and energy, and their last meal was the largest.

Throughout the day, participants consumed less of the recommended five food groups–grains, vegetables/legumes, fruit, dairy, and meats–and more discretionary items–energy-dense meals high in saturated fats, sweets, salt, or alcohol. Their percentage of protein energy decreased even as their intake of discretionary foods increased, resulting in an overall inferior diet at each mealtime. This phenomenon is known as “protein dilution.”

Effect seen in other studies

Professor Raubenheimer and colleagues have seen this effect before in other studies for more than a decade, including randomised control trials.

“The problem with randomised controlled trials is that it treats diet as a disease when it’s not,” said Dr Grech. “Laboratory studies may not be indicative of what people are actually eating and doing at a population level. So this study is important as it builds on work, showing that people do seek out protein. And it confirms that, at a population level, as the proportion of energy from protein increases in the diet, people eat fewer fats and carbohydrates.”

While there are many factors that can cause excessive weight gain, such as eating habits, physical activity levels, and sleep schedules, scientists from the University of Sydney contend that the body’s strong need for protein and the absence of highly processed and refined foods are major contributors to energy overconsumption and obesity in the West.

Explanation for Obesity

“The results support an integrated ecological and mechanistic explanation for obesity, in which low-protein, highly processed foods lead to higher energy intake in response to a nutrient imbalance driven by a dominant appetite for protein,” said Professor Raubenheimer. “It supports a central role for the protein in the obesity epidemic, with significant implications for global health.”

Seeking to understand how protein drives human nutrition has also sought taken Professor Raubenheimer to study the diets of people in some of the most remote places, from the Congo to the Himalayas. “The protein mechanism in appetite is a revolutionary insight,” he said. “Obesity, diabetes, cardiovascular disease – they’re all driven by diet, and we have to use what we’re learning to bring them under control.” (ANI)

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