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Thursday, May 29, 2025

“How can ‘Little Fatty’ lose weight? Doctors remind: Losing weight is different for adults and children!”

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Currently, the proportion of overweight and obese teenagers in our country has reached nearly 1/5. Is obesity already a “sign” from the fetal period? Are weight loss methods commonly used by adults suitable for teenagers? Let’s find out below.

01

A severely obese 14-year-old adolescent

Various weight loss clinics across the country are seeing a peak in teenage patients seeking treatment

During the summer vacation, in cities like Beijing, Shanghai, and Chengdu

Many patients consulting for weight loss at medical institutions are mostly teenagers

Chengdu, Sichuan

A young patient, Niuniu (alias), came for a consultation

Niuniu, 14 years old, with a height of 161cm

Weighing 232 jin, the doctor found after examination

Niuniu has a BMI index of 44.7, classified as severely obese

There is also a black acanthosis nigricans on the back of the neck

High chances of concurrent metabolic diseases

Currently, the overweight and obese rate among children and adolescents aged 6-17 in our country has reached 19.0%

Equivalent to 1 in every 5 elementary and middle school students being overweight or obese

If effective intervention measures are not taken

By 2030, the detection rate of overweight and obesity in children aged 7 and above will reach 28.0%

What are the hazards of overweight children?

Doctors explain:

Obese children have a 3.9 times higher risk of developing hypertension and a 2.7 times higher risk of developing diabetes compared to normal-weight children; if obesity persists from childhood to adulthood, the risk of developing diabetes is 4.3 times higher than that of the normal-weight population.

Obese children experience disrupted neuroendocrine regulatory mechanisms, leading to early puberty, usually 2-3 years earlier than other children.

The rise in hormone levels accelerates bone maturation, premature closure of epiphysis, resulting in reduced growth in height during puberty.

02

Does the obesity crisis start during fetal development?

Reasons for child obesity include

Obesity can lead to conditions like high uric acid, hyperlipidemia, hypertension, hyperglycemia, sleep apnea, posing a threat to health

Research shows that the earliest formation of childhood obesity

can be traced back to the fetal period

Doctors caution

It is not true that the more a pregnant woman eats, the healthier the child will be

Controlling childhood obesity should start from the mother’s pregnancy period

What are the causes of childhood and adolescent obesity and overweight?

Experts suggest the reasons may be

Insufficient intake of two food groups

Excessive intake of two food groups

“Insufficient intake of two food groups”

① Inadequate intake of fruits and vegetables: School-age children (from 6 to under 18 years old) should consume 300-500 grams of vegetables daily, but in reality, the intake is generally less than 200 grams. Fresh vegetables contain vitamins and minerals and also increase satiety. Remember to include vegetables in every meal!

② Inadequate intake of coarse grains: Whole grains and cereals are rich in dietary fiber, vitamins, etc. It is recommended to combine them with refined rice and flour to lower body fat content. You can try making multigrain rice or cooking eight-treasure porridge!

“Excessive intake of two food groups”

① Excessive meat consumption: Refers to meats with high fat content, such as braised pork, fried chicken wings, etc., should be consumed at most once a week. For low-fat, high-protein meats like fish, chicken, duck, they are recommended but avoid fried cooking methods.

② Excessive sugar consumption: Apart from direct sugar intake, there is hidden sugar, such as a bottle of cola containing about 53 grams of sugar, providing energy equivalent to about two small bowls of rice.

03

How to help “chubby children” control their weight?

Fasting and carb cycling methods are not suitable for children

Doctors advise

Children and adolescents are at a critical stage of growth and development

Weight management aims to reduce body fat while ensuring balanced nutrition to maintain normal growth and development

Weight loss methods commonly used by adults, such as fasting and carb cycling, are not suitable for children’s weight management

How to help “chubby children” control their weight?

Doctors suggest:

For children to lose weight, they need to ensure regular meals, control the total amount of food intake, consume 12 or more types of food daily, and at least 25 types of food weekly.

If a child feels hungry between meals, opt for low-fat dairy products or fresh fruits and vegetables with low energy density and high satiety to avoid high-sugar, high-fat, high-calorie foods.

Doctors caution

Weight management for obese children

Avoid blindly using weight loss drugs, foods, or beverages

Avoid extreme weight loss methods

Avoid chasing rapid weight loss in the short term

As these may disrupt the endocrine system in children

Damage bone development and limit intellectual growth

Weight management under the guidance of a doctor is safer and more effective

Source: CCTV Channel 1 WeChat public account combined with “Evening News,” “Oriental Time,” “Life Circle”

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