Pediatrics & Therapeutics
Sohrabi, Pediat Therapeut 2012, 2:6
http://dx.doi.org/10.4172/2161-0665.1000e116
Volume 2 • Issue 6 • 1000e116
Pediat Therapeut
ISSN: 2161-0665 Pediatrics, an open access journal
Open Access Editorial
Children’s Obesity, Overweight and Underweight: Alarms of Youth Epidemics
in Future
Mohammad-Reza Sohrabi*
Shahid Beheshti University of Medical Sciences, Tehran, Iran
*Corresponding author: Mohammad-Reza Sohrabi, MD, MPH, Associate
Professor of Community Medicine, Social Determinants of Health Research Center
and Department of Community Medicine, Shahid Beheshti University of Medical
Sciences, Tehran, IRAN, E-mail: m.sohrabi@sbmu.ac.ir
Received October 14, 2012; Accepted October 15, 2012; Published October 17,
2012
Citation: Sohrabi MR (2012) Children’s Obesity, Overweight and Underweight:
Alarms of Youth Epidemics in Future. Pediat Therapeut 2:e116. doi:10.4172/2161-
0665.1000e116
Copyright: © 2012 Sohrabi MR. This is an open-access article distributed under
the terms of the Creative Commons Attribution License, which permits unrestricted
use, distribution, and reproduction in any medium, provided the original author and
source are credited.
Editorial
Nowadays following risk factor and epidemiologic transition
the world is experiencing more episodes of chronic and non-
communicable diseases. Obesity and overweight as a main risk factor
for cardiovascular diseases, some cancers and Diabetes has been focused
during recent decades. Industrialization and urbanization changed
the life style of people; their physical activity decreased following
technology improvement and their dietary habits changed toward
high calorie and low volume foods [1]. Developed countries mainly
are in the inal level of the risk factor transition. hey successfully
controlled underweight and under nutrition in children and now their
main problem is overweight and obesity following over nutrition and
physical inactivity. Developing countries based on their health system
function are in diferent levels of transition. Most of them have under
nutrition yet as a consequence of inequality in revenue distribution,
low education and sometimes cultural issues. On the other hand they
faced with over nutrition at the same time but in diferent levels and
the burden of obesity and overweight is now shiting towards the poor
[2,3].
In the case of disease epidemiology, we still expect to see
considerable cases of communicable diseases in children as the result
of lower immune system function following malnutrition. On the other
side in future years, we expect a dramatic decrease in the onset age
for diabetes, cardiovascular diseases, some cancers and other obesity-
induced diseases. he reason for this phenomenon is considerable
increase in overweight and obesity in primary school children [2,4].
Authorities of health systems should be aware of consequences
of these transitions. he best strategy for combating the outcomes of
nutritional imbalance is primordial prevention. Public health actions
should be considered as the best cost efective tool for control of these
risk factors. Field studies should be designed to follow the trend,
suggest the best interventions and assess the efectiveness of applied
interventions. Unfortunately, the trend of obesity is going to involve
even pre-school children; so the target population in these studies and
interventions is very wide including pre-school and school children,
youths, adults and even older people. A main problem in all countries,
especially developing countries, is limited resources for intervention.
To overcome this, the most cost-efective group for educational
intervention is mothers; the married women who have at least one child
should be considered as the irst important target group, especially in
developing countries.
Developing evidence based policies needs native data for every
country. It is recommended to set priorities of health system based
on scientiic methods and encourage researchers to develop relevant
evidence. his evidence should be valued and used by policy makers.
Most of developing countries have serious problems in inter-sectoral
cooperation for planning and implementing public health actions. his
is another key point for improving preventive programs for combating
risk factors of non-communicable diseases. Advising multidisciplinary
committees for this issue could help policy makers to overcome this
limitation.
References
1. Hu FB (2011) Globalization of diabetes: the role of diet, lifestyle, and genes.
Diabetes Care 34: 1249-1257.
2. Kovalskys I, Rausch Herscovici C, De Gregorio MJ (2011) Nutritional status of
school-aged children of Buenos Aires, Argentina: data using three references.
J Public Health (Oxf) 33: 403-411.
3. Popkin BM, Gordon-Larsen P (2004) The nutrition transition: worldwide obesity
dynamics and their determinants. Int J Obes Relat Metab Disord 28: S2-S9.
4. Amanolahi A, Sohrabi MR, Montazeri A, Abadi AR, Kolahi AA (2012) Study of
obesity levels among school students. Payesh 11: 83-89.