Vandana Nutrition and Diabetic Education Clinic

Vandana Nutrition and Diabetic Education Clinic
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VANDANA NUTRITION & DIABETES EDUCATION CLINIC ,You can visit my facebook page @dtvandanasingh Follow me on Twitter-Vandana Nutrition and Diabetic Education Clinic

Saturday, August 29, 2020

Childhood Obesity, Causes and Prevention in 2020

 


Childhood Obesity:Beware!Cause and Prevention 2020:



Overview
Childhood Obesity, Causes and Prevention in 2020
Childhood Obesity

At present time, Childhood obesity (Children who are obese are above the normal weight for their age and height.) is a major serious medical problem, because of unhealthy lifestyle other than genetic.

                                                        CDC & IAP Graph of obesity in Children



IAP Graph is based on Indian Association of Pediatrics while CDC graph is based on American Children where obesity rate in children is high.

When we put BMI of obese Indian children on CDC chart , it is on higher side. That means in India Obesity rate is increasing .


Obesity in Children is a condition in which excess fat present (mostly in upper part of the body) negatively affects the health of the child. It can cause Metabolic Disorder (Diabetes, High Blood Pressure and High Cholesterol),Hormonal Disorder and other health problem.Sometime it can also lead to poor self-esteem and depression also.

Methods for directly measuring body fat are difficult, the diagnosis of obesity is often based on BMI and WHR (waist to hip ratio) .But now a days new measuring machine is available into the market which is best to calculate body composition i.e visceral fat,bone density,muscles mass,body age as well as BMI also.  

One of the best strategies to reduce childhood obesity is to improve the eating habit and increase physical activity not only of children bot also  it should be adopted  by entire family. Treating and preventing childhood obesity helps protect your child's health now and in the future.


Method to Major the Severity of Obesity:

BMI (Body Mass Index): is a person’s weight in kilograms divided by the square of height in meters. It is an inexpensive and easy-to-perform method of screening.The normal range of BMI in children depends on age and sex.      
IAP-  BMI Chart for Boys
IAP - BMI chart of Boys


IAP-  BMI Chart for Girls
IAP - BMI chart of Girls


CDC BMI chart for Boys


CDC BMI chart for Girls


   
                                                        

              Weight Status Category                                           Percentile Range 

 

            Normal or Healthy Weight                                         5th percentile to less than the 85th percentile

            Overweight                                                                85th to less than the 95th percentile

            Obese                                                                         95th percentile or greater

 


  • WHR(Waist to Hip Ratio) : is a quick measure of fat distribution that may help indicate a person’s overall health. People who carry more weight around their middle (Apple shape) than their hips may be at a higher risk of developing certain health conditions.
Waist to Hip Ratio
Waist to Hip Ratio


WHR and WHtR exhibited an age-dependent decrease for both genders. The cut-off of WHR > 0.90 corresponded at the 97th WHR percentile for adolescent boys whereas the cut-off of > 0.85 corresponded at the 93rd-99th percentiles in girls according to age.


Diagnosis:

  1. Insulin Resistant / Hyperinsulinemia Insulin resistance (IR) is a pathological condition ,which is strongly associated with obesity ,dyslipidemia, atherosclerosis, polycystic ovarian syndrome (PCOS), and non-alcoholic fatty liver disease .In obese children and adolescents of any age there is an evident association between IR and an increased prevalence of Type 2 Diabetes  and other elements contributing to the metabolic syndrome, leading to a higher cardiovascular risk. Therefore, early diagnosis and interventions is the best way  to prevent Type  2 Diabetes .
  2. IFG (Impaired Fasting Glucose) & IGT (Impaired Glucose Tolerance): IFG is defined by an elevated fasting plasma glucose (FPG) concentration & Impaired glucose tolerance is defined as raised two-hour glucose levels ,but not high enough to warrant a diabetes diagnosis

    Treating impaired glucose tolerance may help to prevent diabetes development and lower the risk of cardiovascular disease.

  3. Acanthosis-Nigricans: Children who have these hyper-pigmentation of the skin are at greater risk of developing type 2 diabetes.They're most common in skin folds, such as the armpits, neck or groin.

     

    Acanthosis-Nigricans
    Acanthosis-Nigricans

  4. Gynecomastia: Being very overweight (obese) is a common cause of gynecomastia – this is because being overweight can increase levels of estrogen ( boys going through puberty due to hormonal changes), which can cause breast tissue to grow. If you're overweight you're also more likely to have excess fat that can enlarge the breast tissue.  

 

https://www.healthylivingwithnutritionupdated.com/2020/08/childhood obesity causes and prevention in Indian children .html


What should you Do When your Child is Obese

Helping Overweight Children

For young children weight loss diet (fad diet like keto diet ,low carbohydrate diet etc.) is not a good approach,because heir bodies are in growing and developing stage. 

A restrictive diet (weight loss diet) may not fulfill the energy and nutrients requirement of children,needed for normal growth and development.

Best approach for obese young and growing children is to maintain the current weight ,while the child grows normally in height.OR to check his/her waist and hip size in cm or inches and motivate them to follow a healthy eating pattern and doing regular physical activity and reduced sedentary activity (such as watching television and videotapes, and playing computer games).

Lifestyle Modification in Childhood Obesity

 

Promote a Healthy Lifestyle

Parents and caretaker  can help  to prevent childhood obesity by providing healthy meals and snacks, daily physical activity, and nutrition education. Healthy meals and snacks provide nutrition for growing bodies while modeling healthy eating behavior and attitudes.

Nutrition education helps young children develop an awareness of good nutrition and healthy eating habits for a lifetime.

  • Children can be encouraged to adopt healthy eating behaviors and be physically active when parents:
  • Focus on good health, not a certain weight goal. Teach and model healthy and positive attitudes toward food and physical activity without emphasizing body weight.
  • Focus on the family. Do not set overweight children apart. Involve the whole family and work to gradually change the family's physical activity and eating habits.
  • Establish daily meal and snack times, and eating together as frequently as possible. Make a wide variety of healthful foods. Determine what food is offered and when, and let the child decide whether and how much to eat.
  • Plan sensible portions. Use the Food Guide Pyramid for Young Children as a guide.
    • Discourage eating meals or snacks while watching TV. Eating in front of the TV may make it difficult to pay attention to feelings of fullness and may lead to overeating.
    • Buy fewer high-calorie, low-nutrient foods. Help children understand that sweets and high-fat treats (such as candy, cookies, or cake) are not everyday foods. Don't deprive children of occasional treats, however. This can make them more likely to overeat.
    • Avoid labeling foods as "good" or "bad." All foods in moderation can be part of a healthy diet.
    • Involve children in planning, shopping, and preparing meals. Use these activities to understand children's food preferences, teach children about nutrition, and encourage them to try a wide variety of foods.
    • Make the most of snacks. Continuous snacking may lead to overeating. Plan healthy snacks at specific times. Include two food groups, for example, apple wedges and whole grain crackers. Focus on maximum nutrition - fruits, vegetables, grains, low-sugar cereals, low fat dairy products, and lean meats and meat alternatives. Avoid excessive amounts of fruit juices, which contains calories, but fewer nutrients than the fruits they come from. A reasonable amount of juice is 4-8 ounces per day.
    • Encourage physical activity. Participate in family physical activity time on a regular basis, such as walks and active games. Support your children's organized physical activities. Provide a safe, accessible place outside for play.
    • Limit the amount of time children watch television, play video games, and work on the computer to 1 to 2 hours per day. The average American child spends about 24 hours each week watching television. Reducing sedentary activities helps increase physical activity.








Monday, July 27, 2020

✅ OR ❌ Should I Try intermittent fasting? πŸ‘ˆπŸ™‡

You can visit my facebook page @dtvandanasingh Follow me on Twitter-Vandana Nutrition and Diabetic Education Clinic

         

        Q- Who Should do Intermittent Fasting ?

A-  There are so many discussions on INTERMITTENT FASTING  whether it is safe or not. But based on many researches we can say that INTERMITTENT FASTING is not so dangerous but not safe for everyone also.



























After INTERMITTENT FASTING it is also possible to just gain in the weight as quickly back ,one will most likely feel hungry, overeating, become dehydrated, feel tired and be irritable, develop low energy stores which can result in a depressed mood, Sleeping disorder.
















Who should avoid, INTERMITTENT FASTING:-


·      Who are at risk of an eating disorder should not undergo any diet associated with fasting.

·      Not for pregnant, breastfeeding mother

·      Growing Children as they need sufficient calories on a daily basis for proper development.

·      People who have a BP problem or heart problem.





















Q- How much weight can you lose in a month with Intermittent Fasting ?

A-

How much weight anyone lose depend on the type of INTERMITTENT FASTING & how long you follow that INTERMITTENT FASTING .πŸ˜€

 It is also depends on how much calorie we restrict on fasting day by taking into consideration (calculate) TDEE, BMI , BMR, Ideal Weight, Maximum Muscular Potential and Daily Macronutrients (Maintenance, Cutting, Bulking)

 INTERMITTENT FASTING can help promote weight loss and muscle building when done properly. πŸ’ͺ

 

 

Q- What can I Drink during Intermittent Fasting ?

A- During fasting windows, you have to avoid from consuming any food or beverages that contain calories. So …no food. But you have several low calories beverage options, and these are important because it is critical to keep yourself hydrated while fasting.

 The best thing we can drink during INTERMITTENT FASTING  is water. Since drinking a lot of water prevents hunger while keeping our body hydrated. The other beverages are

*      Lemon water                               
                   

* Black coffee                              

              

* Green, Black or Herbal Tea             

* Clear vegetable soup or Chicken soup (home made)

* Plain water with Apple Cider Vinegar (ACV)


* Detox Water                                 

               

* 2 teaspoon of Chia seeds soaked in water   





Q- Drinks You Should Avoid During Fasting Window Period ?⏰⏰⏰

A- There are a few beverages (including “zero-calorie” ones) that you might not realize are capable of “breaking your fast.” This means that if you consume these, you will knock your body out of the “fasted state.”

 

*         


Diet Soda 
& Zero Coke   - Sugar Free drinks have sweet taste from artificial sweeteners (like aspartame) which can create an insulin response. That will inhibit the positive effects of fasting and should be avoided during your fasting windows.


                          

   *         Almond Milk - say no to almond milk because it contains protein

        


 *
          Alcohol- During fasting windows time, it’s best to limit alcohol consumption. Because alcoholic beverages are high in sugar and calories, so drinking alcohol can easily break your fast. Plus, alcohol affects us more on an empty stomach, so even one glass of wine during a fasting window might feel awful the next day.

 

                          

*    Fruit juices - Even if it’s often seen as a very healthy drink option, most juices have around 100-150 kcal per glass. Having a few glasses of juice can equal a meal! That means they’ll definitely break your fast.


 

 

  *          Tender Coconut Water- High in sugar and calories, coconut water          will  work  against you when trying to fast.

 



     

              *    Protein shakes/Smoothies 

 



     

                      *           Milk 







 Q- How long does it take for Intermittent Fasting to work?

  A- The most common regimen is 16 hours of fasting and 8 hours of eating. But there’s no right or wrong duration, it all depends on your goals and your schedule.

   A person needs to follow the basic rules for at least 10 weeks. Following the diet properly with the specific period of time will help you to lose 3 to 5 kilos of weight.





Q- Is Intermittent Fasting Healthy?



A-   A-  Doing Intermittent Fasting in combination with a healthy diet and lifestyle, can be a particularly effective approach to weight loss, especially for people at risk for diabetes.

Increased insulin sensitivity is the main benefit of intermittent fasting.

  However, people with advanced diabetes or who are on diabetes medications (OHGD & Insulin ) should not do intermittent fasting



QWhat Does Intermittent Fasting Do ?

A-Intermittent Fasting all depends on Insulin Sensitivity .It increases insulin sensitivity and helps in weight loss .

During fast our insulin levels will go down and our fat cells can then release their stored sugar, to be used as energy. We burn off fat & lose weight after far enough and for long enough if our insulin levels go down.




Q-How much calories should you eat in 16/8 Diet?

A- During this method of Intermittent Fasting, calories calculation varies with how much the person want to lose weight in a healthy way by taking into mind his/her BMR,BMI,TDDE  (Total Daily Expenditure).

But in simple term how much calories you need /day to maintain a healthy weight-500 calories/day will help you lose weight up to 0.50 kg-1 kg /week .

For exp  -

Calorie Requirement /day=   30 kcal/kg IBW or DBW (IBW-Ideal Body Weight ,DBW –Desirable Body Weight)

My weight is 50 kg ,so my daily calorie requirement is 1500 kcal/day

My target weight is 45 for this I have to lose 5 kg .For this I have to restrict my calories to 1000 kcal/day, so that I will achieve my target weight in a healthy way.

 

In 16:8 Method- you have to fast for 16 hours & within 8 hours i.e. 1000 kcal .

In this method you can skip your breakfast or skip your dinner each day.



Q- Diet plan in 16/8 Intermittent Fasting?

A- Having said all this, if you love love love your breakfast, and you’re healthy, then enjoy! If you’re struggling with a metabolic medical problem, consider a breakfast of water, tea, or coffee and then have a healthy lunch. Or, at the very least, try not to eat close to bedtime. Whatever your preferred schedule, try to stretch out the time between meals, and give your body a chance to burn fat. Your metabolism will thank you!

 

DAY 1

DAY 2

DAY 3

DAY 4

DAY 5

DAY 5

DAY 6

DAY 7

Midnight

FAST

FAST

FAST

FAST

FAST

FAST

FAST

FAST

4 A.M.

8 A.M.

12 Noon

Besan cheela 1+

Green chutney + Curd  with pomegranate

 

After 2 hours

 

Dry Roasted makhana with roasted Pumkin seeds

 

After 2 hours

 

Apple Shake smothie add water soaked Chia seeds  )without sugar)-1 /2 cup

 

Vegetable poha (no aloo) with lemon juice

 

After 2 hours

 

Apple

 

 

After 2 hours

 

Vegetable pulao- ¾ cup cooked

Add nutrella

+

Cucumber

salad

 

Green moong dal cheela-2

+ awala chutney

 

After 2 hours

 

Tomato soup+

Dry roasted low fat paneer-100 gm

 

After 2 hours

 

Pear

Overnight soaked rolled oats in Milk with chia seeds+ 5-6 fresh strawberries

 

 

After 2 hours

5 Almonds+2 walnut +

Lobia Chaat

 

  After 2 hours

Mix vegetable soup

2 Multrigrain bread with peanut butter

 

After 2 hours

 

Paneer + corn chaat

 

After 2 hours

 

Green tea+ roasted pop corn

2 sprouted

Ragi Dosa+  sambhar

 

After 2 hour

 

2 boiled egg white  

+ Apple

 

After 2 hours

 

Butter milk with chia seeds and 1 tespoon isabgol

10 almonds

 

Vegetable upma

 

 

After 2 hour

 

Apple smothies

Add  roasted seasame seeds

 

After 2 hours

5 almonds+ 2 walnuts+2 Fig

Ragi Upma

+ milk Double Toned

 

 

After

2 hours

 

Apple + Roasted pumkin seeds

 

 

After 2 hours

s

 

2 Egg white

 

 

4  P.M.

Milk – 1 cup + rolled Oats (1/2 cup) + 1 banana+

Sprinkle roasted flax seeds

 

Mix fruit

Salad

1 soup bowl

+

Mix vegetable soup

1 vegetable Roll multrigrain roti

+2 boiled egg white

Bajra Khichdi + curd

Quinoa pulao

+ mix salad

 

Bajra roti 1+

Palak corn

 

Soya keema + 1 roti

Broccoli green macaroni

8  P.M.

FAST

FAST

FAST

FAST

FAST

FAST

FAST

FAST

Midnight





























Now, what is the question came do in your mind that “okay, so by skipping my meal, I will eat less calories than I normally eat on average (2 meals instead of 3), and thus I will lose weight, right?”

 So the answer is YES. By cutting out an entire meal each day, you are consuming fewer calories per week – even if your two meals per day are slightly bigger than before. Overall, you’re still consuming fewer calories per day.



Skipping breakfast in long term is not good, so try to follow any type of intermittent fasting method but not for a long time.




Reference


 https://www.health.harvard.edu/blog/eating-breakfast-wont-help-you-lose-weight-but-skipping-might-not-either-2019041916457

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4042085/#B38

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5409723/.