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CONTROL AND DAILY CARE OF SICK CHILDREN AT SCHOOL: Obesity
Author(s) -
Murata Mitsunori
Publication year - 1985
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/j.1442-200x.1985.tb00662.x
Subject(s) - medicine , obesity , christian ministry , pediatrics , incidence (geometry) , cirrhosis , childhood obesity , severe obesity , diabetes mellitus , weight loss , endocrinology , overweight , philosophy , physics , theology , optics
Recently, the incidence of obese children is increasing in Japan. According to the School Health Examination Survey by the Ministry of Education, about 5–10% of school children are obese. Obesity is considered a primary risk factor for atherosclerosis. It is most worthwhille to treat obesity in the school health program. However, it is very important to differentiate those obese children who really require management from those who do not and to detect the potentially obese children as early as possible. In order to do this easily and effectively studies on the growth curve for weight and height should be done. If the slope of his or her actual growth curve for weight is always greater than that of the standard, the child should be under medical control for obesity. Even if a child is obese, but his or her growth curve for weight has a normal pattern, the child is only placed under the observation and need not be categorized as in the “obese group.” Generally speaking obesity with short stature is symptomatic. It is also worthwhile to screen for risk factors such as hypertension, dyslipoproteinemia and diabetes mellitus in obese children. It is known that fatty liver in obese children results in cirrhosis, and it is recommended to examine liver function (measurement of serum GPT) in all obese school children. In order to obtain satisfactory results in the management of obese children, everything should not be left to the school health program and it is necessary to have the concerted efforts of the government, medical associations, society, school and homes, each of which should have a common understanding of the problem.