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Tutu will be 9 years old next month. When the parents bathed the child, they found that the child's chest development was obvious, Tutu's mother quickly took him to the hospital, and after examination, he was diagnosed with "central precocious puberty", and the bone age was 12 years old, and the estimated height in the future was only about 150cm.
After ruling out organic lesions and other related factors, doctors judged that precocious puberty was associated with obesity.
It turned out that until the age of 7 and a half, Tutu had been shorter than the children in the class. Mom feels that she is 163cm tall, Dad is 175cm, Tutu should not be so short, how should it be medium to high. The reason why the child is not tall is because he eats badly, so the mother tries her best to let the child eat more, and with the efforts of the mother, Tutu has gained more than ten pounds a year, which has reached the level of obesity, and even precocious puberty.
Tutu's mother now regrets it, blindly let the child eat more, gain weight, the child's height is not only not obvious to catch up, the bone age is also advanced.
A growing body of medical research shows a clear correlation between obesity and precocious puberty in children, as well as bone age.
How to tell if a child is obese?
How to judge whether a child is obese
Obesity is a chronic nutritional disease with an imbalance in energy metabolism that leads to excessive hyperplasia of adipose tissue throughout the body and overweight.
Body mass index (BMI): that is, weight÷ height÷ height (kg/㎡), is the internationally recommended index for evaluating children's overweight and obesity.
Parents can check the table below to see if their child is overweight or obese.
Q
Why does obesity cause children to have older bones?
We all know that bone age reflects the potential for height growth, and the older the bone, the smaller the room left for growth.
Obese children have a correspondingly large amount of fat in their bodies, and fat cells contain a substance called aromatase, which can convert male hormones (both boys and girls have androgens in their bodies) into female hormones and cause the development of gonads ahead of schedule.
We also found that some children with simple obesity, he did not have obvious precocious puberty, but his bone age was ahead of the curve, and its mechanism research is not very clear.
It may be due to too much fat tissue, which makes the estrogen level in the child's body relatively high.
Obese children under the stimulation of high levels of estrogen will make the bone age progress rapidly, and the growth plate will close early,
Q
Prevention and control of obesity in children and adolescents
If you want to keep your children away from obesity, parents must start from the two aspects of their children's diet and exercise.
1
Eat a sensible diet
Children are in the growth and development period, should optimize the child's dietary structure, control the intake of sugary drinks and foods, fried foods, eat less snacks, and provide foods that meet the nutritional needs of children and adolescents, such as fresh vegetables, fruits, and high-protein foods. Eating more vegetables and fruits can also regulate the body's metabolism, enhance immunity, and reduce the risk of chronic diseases.
Reasonably arrange the proportion of three meals a day, and achieve breakfast regularity. In addition, parents should remind their children to slow down their eating speed. Chewing slowly helps children savor food and improves tolerance for hunger and sensitivity to appetite to avoid overeating.
2
Strengthen the movement
Many obese children do not like exercise, coupled with large body size, which increases the difficulty of exercise to lose weight. But despite this, parents still need to cultivate their children's positive and healthy physical activity habits, create a good family sports atmosphere, create enough sports opportunities for children, actively guide children to outdoor activities and physical exercise, and ensure about 40 minutes of exercise time every day.
Guide children to develop the habit of regular exercise, ensure adequate sleep time, primary school students sleep 10 hours a day, junior high school students 9 hours, high school students 8 hours. When there is no way to go out to exercise, it is also good to do some small chores (such as cleaning the room, folding the quilt, etc.), which not only allows the child to be active, but also helps to cultivate the child's self-care ability.
3
Limit the time spent using electronics
Can watching TV also cause obesity? Don't be surprised, it's true! A 2015 study showed that children who spend more than 1 hour a day watching TV increase their risk of obesity because watching TV and electronic devices compress their activity time. The time to watch TV or electronic devices should not exceed 1 hour, and limiting the time spent watching electronic devices is also good for your child's vision protection.
At present, the severe situation of the weight of young school-age children on the mainland, the prevention and control of obesity in young children is an arduous and long-term task, and on this road, it is impossible to achieve it only by relying on the personal efforts of children and adolescents.
In addition to personal attention to developing regular exercise habits and healthy lifestyles, parents should strengthen their children's health education, maintain a balanced diet, scientific exercise, regularly measure height and weight, and let children grow up healthily within the normal weight range. The effects of childhood obesity will last a lifetime, so don't let your child "be a teenager" !!!
Therefore, parents should be vigilant about whether obesity is making the child's bone age grow rapidly and "stealing" the child's height.