Childhood Obesity and Parent Responsibility (2024)

Childhood obesity rates continue to rise in the United States, but this doctor claims parents can help turn that around.

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In the United States, childhood obesity is a big concern — and it’s growing bigger.

Children are at a greater risk of developing obesity than ever before. A recent study found that lack of exercise, fast food, and number of hours spent watching television are all factors contributing to the epidemic.

However, Dr. Joseph Galati, author of “Eating Yourself Sick: How to Stop Obesity, Fatty Liver, and Diabetes from Killing You and Your Family,” suggests another element is partially to blame: parents.

The root problem, he tells Heathline, is that parents aren’t paying enough attention to what they feed their kids. Families aren’t eating enough home-cooked meals and parents aren’t serving healthy snacks.

Galati, a liver specialist in Houston, says parents need to step up and take responsibly. He also urges doctors to be more forceful with their assessments.

“Most physicians do not have the spine to tell the entire family, you’re all in trouble, you’re all going to die early,” he says.

Galati may have a point. But the American Academy of Pediatrics (AAP) counsels a gentler approach.

“Obesity is a medical diagnosis with real health consequences, so it is important for children and families to understand the current and future health risks,” a 2017 policy statement notes. “But the information should be given in a sensitive and supportive manner.”

“Guilt and blame don’t motivate long-term healthy changes, they just make people feel bad,” Texas pediatrician Stephen Pont, co-author of the AAP statement, says. He encourages children and families to make small changes as a family that stick and “keep it positive.”

Obesity is a risk factor of the current American lifestyle and that’s heavily reflected in the habits of our children.

American kids are less likely to bike or walk to school than ever before.

From ages 8 to 18, they also spend an average of 7.5 hours a day wrapped up in TV, computers, video games, cell phones, and movies. During those hours they tend to snack as well.

About 1 in 5 American children/teens cope with obesity, compared to about a third of adults.

Recently, obesity rates among young children seemed to be dropping, but a study in the journal Pediatrics in March, using 2016 data, reported that this wasn’t true.

In fact, severe obesity among children ages 2 to 5 has jumped since 2013.

Among 16 to 19 year olds, 41.5 percent live with obesity. More than 4 percent fall into the heaviest group, “class III.”

Some parents dismiss plumpness as “baby fat,” but kids tend not to shrink. In a study of almost 4,000 public school students, nearly all 10th-graders with obesity were above normal weight in 5th grade.

Instead, experts advise a more realistic approach. They suggest concerned parents use tools such as the Centers for Disease Control and Prevention’s calculator, which includes healthy standards for different ages and heights, to assess their child’s risk.

Frank Biro at the Cincinnati Children’s Hospital Medical Center offers this rule of thumb: if after the age of 1 a girl’s waist is more than 60 percent of her height, both measured in inches, she’s “at risk of having the metabolic complications of overweight.”

Recent research shows childhood obesity may become an even bigger health concern in the future.

According to projections in a 2017 study, close to 60 percent of today’s American children could be living with obesity by the time they’re 35.

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As a liver specialist, Galati tends to see adults with obesity who have been diagnosed with fatty liver disease. When those patients tell him they have children, he starts asking questions. Often, he finds that the kids of those patients are also on the path to developing obesity. That’s when Galati warns them that their kids are likely to die sooner than they would if they lost weight.

Much evidence backs up Galati’s claim that childhood obesity can shorten a person’s life, upping their chances of heart disease, stroke, liver disease, and cancer.

Modern medicine and a growing economy pushed U.S. life expectancy up rapidly for more than a century, but that increase began to slow when more Americans became overweight.

Research shows U.S. life expectancy at birth has actually dropped in the last two years.

The problem is worse in areas of the South and Midwest where more people have obesity, notes David Ludwig, an endocrinologist and obesity specialist at Boston Children’s Hospital.

Ludwig, who is also author of the cookbook “Always Delicious,” argues that the “downward trend in longevity will almost certainly accelerate as the current generation of children — with higher body weights from earlier in life than ever before — reaches adulthood.”

Health problems we associate with middle age are showing up earlier. Galati has begun to see teenagers complaining of fatigue and nausea. Then their bloodwork shows they have a fatty liver.

Up to 40 percent of children with obesity have nonalcoholic fatty liver disease (NALD), which can progress to cirrhosis of the liver.

One group’s clinical guidelines recommend screening children with obesity for NALD between ages 9 and 11, and screening overweight children with prediabetes, a big belly, or sleep apnea. NALD seems linked to the size of your waistline as much as your overall weight.

A mother’s responsibility for a child’s weight may begin as early as the womb. According to one large 2012 German study, expectant mothers who gain too much weight during pregnancy increase their child’s chances of being overweight by 28 percent before they turn 6 years old.

Minimizing antibiotics for babies and toddlers may help. Evidence in mice and children under 2 suggests that antibiotics can alter gut bacteria in an unhealthy way.

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How can you help your kids steer clear of this unhealthy trend?

Family dinner is a good start, according to much research.

In a study of 8,550 4-year-olds, findings showed that those who regularly ate dinner as a family — and also had limited screen-time and enough sleep — were 40 percent less likely to have obesity.

Children who eat with their families also have better grades, family relationships, and overall health, Galati points out.

The American Academy of Pediatrics (AAP) advocates for “screen-free” zones in children’s bedrooms, no TV during dinner, and only one or two hours a day of TV or video games.

Tapping fingers on a keyboard or jiggling a mouse doesn’t count as exercise. The CDC suggests a target of doing at least an hour of physical activity a day, most of it aerobic, and muscle and bone-strengthening activities like skipping rope, gymnastics, and pushups at least three days a week.

Look into game-oriented activity and step trackers. You might also use point systems attached to rewards. For example, if your son is active for a half hour a day four or five nights a week, he might get to pick a family movie night. “It’s ideal if the reward is not an unhealthy food,” Pont says.

Stick to bedtimes and keep electronics away from bed. Fatigue leads to overeating and can prime the body for weight gain. Overweight children may need treatment for sleep apnea as well.

“When you do not sleep enough, your inflammatory markers go up, it raises blood pressure, insulin and cortisol,” Galati says.

When you eat out, you might talk about how portion sizes have grown bigger than in the past. Make it a rule to share entrees or have a child eat an appetizer as their main course. Turn down the bread basket, order salads, avoid rich sauces, and share or skip dessert.

But cooking food at home is the best way to control fat and sugar, Galati says. “When parents pick up the kid from an activity, they say, ‘I don’t have time to cook dinner, let’s go to the drive through, let’s go to Cheesecake Factory and take something home.’ So they’re consuming high-calorie, high-fat food three or four times a week,” Galati said. “Naysayers say to me you’re living in a fantasy world if you think parents are going to start cooking dinner again. I say, we have to get back to the basics.”

Galati argues that children like home-cooked healthful food. He recalls his mother serving soups and fruit salad to his friends growing up on Long Island. “The kids would come over looking for the cookies and chips,” but they’d love his mother’s food. “My mother would invariably get a phone call from the other kid’s mother asking for the recipe,” he said. “At her funeral, they were telling me they remembered what she made for them.”

Galati believes in teaching kids to think of food in two categories: “Earth food came from the ground or had a mother. Man food comes in a box or can.”

“It’s time parents start educating themselves and their children about food and start making better choices,” Galati says. “Otherwise the consequences will be a lot direr than what most parents probably realize.”

Pont, who is medical director of the Office of Science and Population Health for the Texas Department of State Health Services, urges doctors to avoid any kind of fat-shaming. A number of studies have documented “anti-fat bias” among medical professionals.

He points out that shame, guilt, and blame backfire.

A team at Johns Hopkins did a national survey of 600 higher-than-normal weight adults to test that thesis. The result: If your primary care doctor had talked to you about your weight and you felt judged, you were more likely to try to lose weight, but less likely to actually succeed. About 13.5 percent of those who felt judged in that conversation went on to lose at least 10 percent of their weight year. But among those who didn’t feel judged, a bigger group — more than 20 percent — reached that goal.

Pont, who struggled with his own weight as a boy, argues that parents should avoid judgment as well.

“Parents should be empathic and say that there’s no perfect shape or size,” he said.

The goal would be to slowly make healthy changes, rather than adopt an extreme diet that won’t last.

Parents can also set an example, improving their own eating habits. “If a parent does something then it is important; if a parent doesn’t do something then it means it is less important,” Pont says. “When parents lead the way and create a supportive environment for a child then they are all far more likely to be successful.”

Childhood Obesity and Parent Responsibility (2024)

FAQs

Are parents responsible for the problem of childhood obesity? ›

There are numerous causes of childhood obesity. However, the ultimate responsibility for the problems and costs associated with an obese child should be attributed to that child's parents. Parents owe a duty of care to their child and, when their child is obese, have arguably breached that duty.

Who is responsible for children becoming obese? ›

Genetics are one of the biggest factors examined as a cause of obesity. Some studies have found that BMI is 25–40% heritable. [18] However, genetic susceptibility often needs to be coupled with contributing environmental and behavioral factors in order to affect weight.

What role do parents play in preventing childhood obesity? ›

Parents and caregivers can help 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.

What responsibilities do parents have for their children's health? ›

Parenting has three essential components. Firstly, care protects children from harm. Care also encompasses promoting emotional as well as physical health. Secondly, control involves setting and enforcing boundaries to ensure children's and others' safety, in ever widening areas of activity.

How do parents influence obesity? ›

From previous studies, parental influence is a key risk factor for childhood weight gain and obesity. It can control the obesegenic environment by affecting the child's dietary habits, physical activity, the accessibility and availability of foods and food-related processes [26].

How does family influence childhood obesity? ›

Siblings and other family members also play a key role, by encouraging physical activity through play, and demonstrating and encouraging positive attitudes and healthy behaviours. The environment where a home is situated can affect the types of foods and activities available to children.

Are parents responsible for their children's weight? ›

Policy Points. The American public—both men and women and those with and without children in the household—holds parents highly responsible and largely to blame for childhood obesity.

Are parents responsible for their children's behavior? ›

Parents are held responsible because they have a duty to educate and supervise their minor children. So, if their minor child (a child under 18) causes harm to another person, the law says that the parents have not met their duty. The harm would not have occurred if the child had been properly supervised and educated.

Are parents to blame for child's behavior? ›

Most studies shows that parents are to blame for children's behaviour, hence, parents must take a greater role in shaping their children's future regarding the embrace of morally acceptable behavior. They must bear in mind that children's development at home should take precedence.

Why is play important to prevent obesity? ›

Exercise Can Help Control Weight

Keeping active can help people stay at a healthy weight or lose weight. It can also lower the risk of heart disease, diabetes, stroke, high blood pressure, osteoporosis, and certain cancers, as well as reduce stress and boost mood. Inactive (sedentary) lifestyles do just the opposite.

How do you deal with obese family members? ›

Here's how:
  1. Wait for cues. Your friend or loved one may not yet be ready to make the lifestyle changes necessary to lose weight in healthy ways. ...
  2. Emphasize good health, if anything. ...
  3. Encourage healthy eating. ...
  4. Be an exercise buddy. ...
  5. Share useful information. ...
  6. Keep them motivated. ...
  7. Help reduce their stress. ...
  8. No judgment.
17 Jun 2021

Why is it important to address childhood obesity? ›

A primary reason that prevention of obesity is so vital in children is because the likelihood of childhood obesity persisting into adulthood increases as the child ages. This puts the person at high risk of diabetes, high blood pressure, and heart disease.

What are 5 responsibilities of a parent? ›

These include:
  • to protect your child from harm.
  • to provide your child with food, clothing and a place to live.
  • to financially support your child.
  • to provide safety, supervision and control.
  • to provide medical care.
  • to provide an education.
22 Sept 2020

What are the 4 main parenting responsibilities? ›

What are Parental Responsibilities? A parent in the United States must meet their child's basic needs. This means that they give their child medical care, housing, education, and food. In addition, parents are expected to meet a child's emotional and physical needs.

What are four basic responsibilities of parents? ›

These Are The Basic Responsibilities Every Parent Has
  • Keep A Safe Environment for Your Child. ...
  • Ensure Your Child's Basic Physical Needs Are Being Met. ...
  • Ensure Your Child's Basic Emotional Needs Are Being Met. ...
  • Financially Support Your Child. ...
  • Provide a Suitable Education for Your Child.
2 Jan 2021

What maternal factors are associated with obesity in toddlers? ›

Maternal prepregnancy BMI, weight gain during pregnancy, smoking during pregnancy, low socioeconomic status, birth weight, increased weight gain during early years, and poor home environment have been reported to predict early childhood obesity [2, 5, 7, 13–15].

How does family history affect BMI? ›

Those with a family history of obesity had a higher BMI and were at increased risk of obesity. Individuals with a family history of diabetes had a higher BMI and higher concentrations of glucose, cholesterol, triglycerides and uric acid, and their risk of obesity and diabetes was increased.

What is the impact of obesity on society? ›

Overweight and obese people are at significantly higher risk for non-communicable diseases. Obesity has a major impact on national economies by reducing productivity and life expectancy and increasing disability and health care costs.

What are ethical issues with childhood obesity? ›

In addition to physical consequences, there are also many psychological implications of obesity on children and adolescents, such as being stigmatized, socially marginalized, having a poor self-concept and low self-esteem, along with acquiring a low health-related quality of life.

Are parents responsible for their children's mental health? ›

A child's mental health is supported by their parents

A child's healthy development depends on their parents—and other caregivers who act in the role of parents—who serve as their first sources of support in becoming independent and leading healthy and successful lives.

Are parents responsible for childhood obesity UK? ›

Download the Health Survey for England infographic. Children of obese parents are more likely to be obese themselves than children whose parents are not overweight or obese, according to NHS Digital figures released today.

Should parents take responsibility for their children's actions? ›

Parents held accountable for their children's delinquent behavior are more likely to reinforce appropriate behavior in the youth. Nearly 130,000 juveniles were arrested for major violent crimes in 1992. Teenagers are now more likely to be victims of violent crime than adults over age twenty-five.

Should parents be responsible if their children behave badly? ›

Bad behavior has its own reasons. Children who perform any act which is not good for the society should be given warnings by the parents. Parents need to keep an eye on their kids. They should be given appropriate love and kindness, however, etiquettes should also be taught frequently.

Are parents morally responsible for their children's actions? ›

It is the parent's job to teach morals to children. Therefore, if the child is a minor, the parents are morally responsible for their children's actions. As children are growing, parents teach them right from wrong through discipline.

Who influences a child the most? ›

As a parent, you influence your child's basic values, like religious values, and issues related to their future, like educational choices. And the stronger your relationship with your child, the more influence you'll have, because your child will be more likely to seek your guidance and value your opinion and support.

What happens when you blame your child? ›

Blame leads to emotional distress. It comes from a symbolic and social penalty. It, however, doesn't lead to responsibility, it doesn't promote autonomy, nor allow each person to make the decision of which values to follow or not. Using blame to raise children doesn't educate them, it just conditions them.

Should parents be punished for children's mistakes pros? ›

Since children are too young to understand what is right or wrong, it is the responsibility of parents to guide them in the right direction. Hence, I agree with the argument that parents should be held responsible for the actions of their minor children. Children have impressionable minds.

How do you deal with childhood obesity? ›

Treatment usually includes changes in your child's eating habits and physical activity level.
...
Even small changes can make a big difference in your child's health.
  1. Prioritize fruits and vegetables. ...
  2. Limit sweetened beverages. ...
  3. Avoid fast food. ...
  4. Sit down together for family meals. ...
  5. Serve appropriate portion sizes.
5 Dec 2020

What activities should be included to prevent child obesity? ›

Move More as a Family. Physically active youth have stronger muscles and bones, better cardiovascular fitness, and lower body fat than those who are inactive. Children aged 3–5 years should be physically active throughout the day. Children aged 6–17 years need at least 60 minutes of physical activity every day.

How can schools prevent childhood obesity? ›

Staying Active throughout the School Day

Children require at least 60 minutes of moderate to vigorous physical activity each day. Schools can help prevent obesity by offering higher quality and more active physical education-for all grades, every day-and by promoting physical activity throughout the school day.

How can I help my overweight daughter? ›

Steps for success
  1. be a good role model.
  2. encourage 60 minutes, and up to several hours, of physical activity a day.
  3. keep to child-sized portions.
  4. eat healthy meals, drinks and snacks.
  5. less screen time and more sleep.

How do I motivate my overweight teenager? ›

Here are 5 ways to encourage healthy weight management.
  1. Avoid body talk. If you are constantly talking about your own body, that mindset can easily rub off on your teen. ...
  2. Have more meals together as a family. ...
  3. “Sneak” in exercise. ...
  4. Always focus on being healthy — not dieting. ...
  5. Look out for signs of an eating disorder.
6 May 2022

How do you motivate someone to lose weight? ›

Join them: Eat healthy choices while with them, even if it isn't your usual way of eating. Go for walks with them. Be a partner. Offer to help them with other things: Maybe doing their dishes for them or picking up their kids from school gives them breathing room to plan meals or take more time to grocery shop.

How does obesity affect a child socially? ›

Obese children and adolescents are at greater risk for joint problems, as well as social and psychological problems, such as anxiety, stress, depression, and poor self-esteem.

What is the cornerstone for dealing with childhood obesity? ›

Treatment. Lifestyle modification is the cornerstone of treatment of childhood obesity. Interventions primarily include dietary changes, physical activity, and behavioral modifications.

What are 3 main causes of obesity? ›

These include diet, lack of exercise, environmental factors, and genetics.

How do I prove parental responsibility? ›

Sign a parental responsibility agreement

Take the agreement to your local family court where it can be signed and witnessed. Also take the child's birth certificate and proof of your identity, like a passport or driving licence.

Why is it important to be a responsible parent? ›

It is from responsible parents that we most often learn social values such as kindness, honesty, altruism, etc. Responsible parents also teach practical things about how to exist in society. Parents' values and parenting style can shape children fundamentally as people.

What are parents moral responsibilities to their child? ›

A parent's moral responsibilities are: helping their child develop a positive self-image,providing the child with morals and values appropriate for their own culture,encouraging mutual respect with their words and actions, providing kind, fair, and predictable discipline, being active with their children, staying ...

When can a parent lose parental responsibility? ›

Parental responsibility usually lasts until the child is 18 years old. It gives someone the right to make key decisions about the child's care and upbringing, such as: The child's name.

What age does parental responsibility stop? ›

When does parental responsibility end? Parental responsibility will end when the child reaches 18 years old.

What age are your parents not responsible for you? ›

Parental obligations typically end when a child reaches the age of majority, which is 18 years old in most states. However, you may wish to check your state's legal ages laws to see if they vary from this standard.

What responsibilities do parents have for their children's health? ›

Parenting has three essential components. Firstly, care protects children from harm. Care also encompasses promoting emotional as well as physical health. Secondly, control involves setting and enforcing boundaries to ensure children's and others' safety, in ever widening areas of activity.

What is the most important duty of parents with regard to their children? ›

They must respect them , pay them due reverence and honour, speak and act with proper deference, accept their corrections readily, consult them and seek their advice regarding important decisions.

What does parental responsibility include? ›

What is parental responsibility? Parental responsibility means the legal rights, duties, powers, responsibilities and authority a parent has for a child and the child's property. A person who has parental responsibility for a child has the right to make decisions about their care and upbringing.

Are parents responsible for childhood obesity UK? ›

Download the Health Survey for England infographic. Children of obese parents are more likely to be obese themselves than children whose parents are not overweight or obese, according to NHS Digital figures released today.

Is it the parents fault for child behavior? ›

Most studies shows that parents are to blame for children's behaviour, hence, parents must take a greater role in shaping their children's future regarding the embrace of morally acceptable behavior. They must bear in mind that children's development at home should take precedence.

Are parents responsible for their children's mental health? ›

A child's mental health is supported by their parents

A child's healthy development depends on their parents—and other caregivers who act in the role of parents—who serve as their first sources of support in becoming independent and leading healthy and successful lives.

What roles should schools play in addressing childhood obesity? ›

Serving healthy choices in the lunch room, limiting availability and marketing of unhealthful foods and sugary drinks, and making water available to students throughout the day are some of the ways that schools can help prevent obesity.

Are parents responsible for their children's weight? ›

Policy Points. The American public—both men and women and those with and without children in the household—holds parents highly responsible and largely to blame for childhood obesity.

What are ethical issues with childhood obesity? ›

In addition to physical consequences, there are also many psychological implications of obesity on children and adolescents, such as being stigmatized, socially marginalized, having a poor self-concept and low self-esteem, along with acquiring a low health-related quality of life.

Why is childhood obesity an important issue? ›

A primary reason that prevention of obesity is so vital in children is because the likelihood of childhood obesity persisting into adulthood increases as the child ages. This puts the person at high risk of diabetes, high blood pressure, and heart disease.

Should parents be responsible for children's actions? ›

Parents are held responsible because they have a duty to educate and supervise their minor children. So, if their minor child (a child under 18) causes harm to another person, the law says that the parents have not met their duty. The harm would not have occurred if the child had been properly supervised and educated.

Why should parents not be held responsible for their children's actions? ›

The fear of taking responsibility for their children's involvement in crime will make parents punish them each time they err as the failure to do so is what makes their behavior crooked and leads to their committing felony.

Why parents should not be blamed for their children's actions? ›

If the he or she decides to commit the crime, itmeans the child has decided to commit the crime. It does not matter whether the child was underexternal influence because the decision lies and depends on the child. Hence, the parentsshouldn't be punished or blamed.

How parents actions affect children's mental health? ›

The relationship between parent and children's mental health

Children of parents with anxiety disorders are four to six times more likely to develop an anxiety disorder in their lifetime, and children of parents with depression are three to four times more likely to develop depression.

How do parents influence their child's behavior? ›

As a parent, you influence your child's basic values, like religious values, and issues related to their future, like educational choices. And the stronger your relationship with your child, the more influence you'll have, because your child will be more likely to seek your guidance and value your opinion and support.

How do parents affect their children's self-esteem? ›

Parental mirroring through early childhood, adolescence, and young adulthood communicates acceptance, acknowledgement, and admiration. This contributes significantly to the development of self-esteem and self-confidence. When parental involvement is limited, children typically receive scant mirroring or encouragement.

How can parents help their children live a healthy lifestyle? ›

Being more active (for children and families)

Try to get between 30 and 60 minutes of physical activity each day. Short sessions of movement throughout the day add up. Include physical activity in your daily routine. Walk as a family before or after meals.

How can we help childhood obesity? ›

Healthy eating
  1. Prioritize fruits and vegetables. When food shopping, cut back on convenience foods — such as cookies, crackers and prepared meals — which are often high in sugar, fat and calories.
  2. Limit sweetened beverages. ...
  3. Avoid fast food. ...
  4. Sit down together for family meals. ...
  5. Serve appropriate portion sizes.
5 Dec 2020

How can students overcome obesity? ›

Children and teens
  1. Don't just focus on a child's weight. ...
  2. Be a role model. ...
  3. Encourage physical activity. ...
  4. Reduce screen time. ...
  5. Encourage children to eat only when hungry. ...
  6. Don't use food as a reward. ...
  7. Keep the fridge and pantry stocked with healthy foods and drinks. ...
  8. Serve at least 5 servings of fruits and vegetables a day.

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