Childhood obesity, 1 child out of 5 suffers In Perugia, an ad hoc clinic



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The diet and the paradox of the Mediterranean: the countries that face it have the highest rate of childhood obesity. The black shirt goes to Italy that with 21% of obese or overweight children is the first country in Europe for childhood obesity, thus exceeding Greece and Spain.

To confirm this, the latest data from the World Health Organization's Childhood Obesity Surveillance Initiative (2015-2017). Italian children are therefore among the most reckless in Europe: 42% of men are obese or overweight, while among girls this figure drops to 38%. And to the south, the situation worsens: 35% suffer

The good news is that, despite the high rates of obesity, overweight and obese children in our country have decreased by 13% less of ten years, as noted by the health monitoring system Okkio, promoted by the Ministry of Health / CCM (Center for Disease Control and Prevention) coordinated by the Istituto Superiore di Sanità

" Obesity in children is a warning bell that parents should never underestimate – warns Professor Susanna Esposito, professor of pediatrics at the University of Perugia and president of the World Association for infectious diseases and immunological disorders, WAidid.In fact, obesity represents a significant risk factor for chronic diseases and, if present in children, it is badociated with an earlier onset of diseases typical of # 39; age adult such as hypertension, heart disease and type 2 diabetes. fundamental to counter the spread of the phenomenon. The decrease in cases recorded in recent years is due, in fact, to the enormous effort of some countries, including Italy, in the prevention and control of obesity. "
Childhood obesity is also a risk factor for the emergence of eating disorders (AAA) and is often badociated with the rampant phenomenon of bullying.

"Obesity in children – Speaks Dr. Laura Dalla Ragione, psychiatrist, director of USL 1 Umbria DCA Network – she is often linked to intimidation episodes, scarecrow of each parent, which is manifested today. more and more early, even from the age of 6: weight and physical appearance are the first reasons to be harbaded. Obesity in the early years of life is also a risk factor for eating disorders in adolescence and even before. Indeed, when a child is obese or overweight, he is more likely to develop anorexia or bulimia in adolescence and in adulthood. Last but not least, childhood obesity is a reliable predictor of obesity in adults; for this reason, it is important to prevent from an early age and, in established cases, to intervene on the pathology with an integrated treatment based on a psycho-nutritional and family approach.

Addressing pediatric obesity in a multidisciplinary manner at the Pediatric Clinic of Santa Maria della Misericordia Hospital of Perugia in collaboration with USL 1 DCA Umbria Services from May 2018 to was opened a clinic which sees the contextual presence of the pediatrician, the psychologist and nutritionist and who already follows more than 100 patients. The goal is to provide personalized nutritional and behavioral indications, also considering the role of the gut microbiome in the promotion of overweight and obesity

And in the summer, thanks to the relaxation and l & # 39; The air of the holidays, the attention, the food and the drinks and the relative quantities that take the children and the young people can diminish, with consequent an aggravation of the problem, in particular among those who tend to make the Overweight

"The summer – Susanna Esposito points out – should be the perfect time to reduce calories at meals and start new sports, it is often badociated with a disruption of healthy eating habits and sleep-wake rhythm. particularly in pre-school and school age children, and we generally recommend that sugary and carbonated beverages, ice creams and snacks be minimized, entant consumption of fruits and vegetables and, of course, water. "

For the summer to be a period of rest and fun, in the name of well-being, here are the 10 rules to remember from WAidid:

1. Drink a lot of water: it is recommended to consume 1 liter per day up to 10 kg of weight of the child, 1 liter and a half between 10 and 20 kg and 2 liters and more than 30 kg of weight
2. Do not give up the usual breakfast (perhaps a bit late) and prefer homemade desserts or pastries, milk, yoghurt, jam, fruit salad or homemade fruit ice cubes and centrifuged
3. Respect as much as possible the hours of lunch, afternoon snack and dinner, limiting the intermezzo of useless and harmful offal.Evening lunch on the beach with older children, keep a healthy and healthy intake carbohydrates or protein without exaggerating with the quantities.With the little ones, do not let them eat under the umbrella and keep them r the beach during the hottest hours (11-17) to avoid the risk of sunburn and heat
4. After meals, wait 2 hours before taking a bath
5. Keep a diet varied rich in seasonal fruits and vegetables. Limit pre-cooked or breaded foods and prefer cold, light foods. Proper nutrition allows you to consume meat, fish and vegetables at least 3-4 times for a week, while cheeses, meats and eggs are 1-2 times
. 6. Wash fruits and vegetables well. vegetables: poor hygiene often causes salmonellosis, an intoxication characterized by symptoms such as nausea, vomiting, abdominal pain, diarrhea and fever
7. Pay attention to raw fish and molluscs: raw fish may carry a parasite , Anisakis, which is harmful to humans because it can cause gastrointestinal manifestations (similar to those of peptic ulcers and appendicitis) or allergic reactions
8. Yes to homemade ice cream, but better consume them in known places: raw egg derivatives such as ice cream and creamy desserts are foods responsible for poisoning caused by Staphylococcus aureus [194] 59005] 9. Do not consume advanced foods, especially previously heated in the sun or left at room temperature for more than 1 or 2 hours
10. Doing sports: Physical activity is essential for prevent overweight, obesity and cardiovascular disease; enjoy the summer to reduce the time of television and video games.

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