Childhood Obesity

Childhood obesity, often seen by parents as “cute chubbiness,” can actually lead to serious health problems. These include high cholesterol, diabetes, high blood pressure, snoring, irregular menstruation, and even psychological issues such as low self-esteem or being teased by peers.In recent years, the number of overweight and obese children in Thailand has increased significantly. This is mainly due to excess calorie intake compared to daily energy expenditure, often from overindulgence by parents or the belief that chubby children are healthier or cuter. Other causes may include genetic conditions or hormonal imbalances.Diagnosis is typically based on a child’s weight-for-height growth chart. If a child’s weight exceeds 120% of the standard value, they are considered obese. These charts are usually recorded in the maternal and child health handbook, where doctors track weight and height during routine visits.For management, children should not be put on strict diets, as they are still growing. Instead, parents should guide them to develop healthy habits and discipline, such as:

 - Encouraging physical activity (at least 1-2 hours of play or exercise per day)

 - Reducing screen time (TV, computers, mobile devices)

 - Controlling portion sizes and promoting balanced nutrition

 - Avoiding high-calorie foods such as fried foods, fatty meats, and oily dishes

 - Limiting sugar intake, including candies, ice cream, desserts, cakes, and sugary drinks (such as soda, green tea, and milk tea with added sugar)

Children with severe obesity or additional symptoms should consult a doctor for proper evaluation and care.

Finally, avoid using food or sweets as rewards, as this can reinforce unhealthy eating habits.

 

 

 

source : Rajavej Hospital Chiangmai

**Translated and compiled by ArokaGO Content Team