3 The association between obesity and morbid outcomes makes it a public health concern for children and adolescents. Obesity can affect all aspects of children and adolescents including but not limited to their psychological health and cardiovascular health and also their overall physical health. Trends in obesity prevalence among children and adolescents aged 2 to 19 years: the United States, 1999-2000 through 2015-2016. 1 According to Ahmad et al, 80% of adolescents aged 10 to 14 years, 25% of children younger than the age of 5 years, and 50% of children aged 6 to 9 years with obesity are at risk of remaining adults with obesity. 1 Moreover, the rates of obesity have been steadily rising from 1999-2000 through 2015-2016 ( Figure 2). Adolescent girls (20.9%) had a higher prevalence of obesity than preschool-aged girls (13.5% Figure 1). School-aged boys (20.4%) had a higher prevalence of obesity than preschool-aged boys (14.3%). Overall, the prevalence of obesity among adolescents (12-19 years 20.6%) and school-aged children (6-11 years 18.4%) was higher than among preschool-aged children (2-5 years 13.9%). 1 The latest data from the National Health and Nutrition Examination Survey show that the prevalence of obesity among US children and adolescents was 18.5% in 2015-2016. In the past 3 decades, the prevalence of childhood obesity has more than doubled in children and tripled in adolescents. This review article highlights the health implications including physiological and psychological factors comorbidities, as well as the epidemiology, risk factors, prevention, and control of childhood and adolescent obesity in the United States.Ĭhildhood and adolescent obesity have reached epidemic levels in the United States, affecting the lives of millions of people. A combination of both primary and secondary prevention is necessary to achieve the best results. Primary prevention methods are aimed at educating the child and family, as well as encouraging appropriate diet and exercise from a young age through adulthood, while secondary prevention is targeted at lessening the effect of childhood obesity to prevent the child from continuing the unhealthy habits and obesity into adulthood. While a complete picture of all the risk factors associated with obesity remains elusive, the combination of diet, exercise, physiological factors, and psychological factors is important in the control and prevention of childhood obesity thus, all researchers agree that prevention is the key strategy for controlling the current problem. Due to the increase in the prevalence of obesity among children, a variety of research studies have been conducted to discover what associations and risk factors increase the probability that a child will present with obesity. The association between obesity and other conditions makes it a public health concern for children and adolescents. Obesity can affect all aspects of the children including their psychological as well as cardiovascular health also, their overall physical health is affected. Currently, about 17% of US children are presenting with obesity. Childhood and adolescent obesity have reached epidemic levels in the United States.
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"It gives you comedy elves, flying reindeer…a time traveling scientist dressed as a magician…You see how none of this makes any sense?" There's a similar moment of self-awareness in Moffat's "Last Christmas," when Santa Claus (Nick Frost) is cataloging all the preposterous elements that prove the entire scenario is a dream. I still stand by that, but I can also ask: to what was I really objecting? A fiction, meeting a fiction? A legend meeting a legend? A dream meeting a dream? I hated "Robot of Sherwood," and I took major objection to how it played fast and loose with historical fact and presented this cartoonish fiction as an actual person. "There's no such thing!" But that didn't seem to matter. "He's made up!" the Doctor (and I) protested. Not the long-lost historical figure that inspired the legend of Robin Hood, but Robin Hood himself, straight out of the legends. In the third episode of the 2014 season, Mark Gatiss's " Robot of Sherwood," the Doctor met Robin Hood. You've all seen it, after all, and you don't need me to tell you what happened or whether you liked it. It's not a review, per se, and certainly not a recap. I watched it again last night, and today I woke up knowing more or less exactly what I wanted to write about it. It's not my favorite of the Moffat-era Christmas specials-2010's "A Christmas Carol" still holds that title-but it's an impressive and surprisingly deep piece of work. (Am I the only one who thinks that, sometimes, he just likes to screw with us?)īut it was only on second viewing that I realized Moffat had also done something more: yes, "Last Christmas" was an excellent, entertaining hour of television that worked as a Doctor Who story, but it also resonated outward with wisdom, and maturity, and more than a little melancholy. It's like he knew what we'd all be thinking, and toyed with us and our expectations in delightful ways. By the end of the episode, it was clear that Steven Moffat had threaded the needle with "Last Christmas," flirting dangerously with disaster but coming through with a fiendishly clever, reasonably logical explanation for a lot of different elements that seemed, on their faces, preposterous. Oh god, they're not really doing this, are they?īut, as it turned out, I needn't have worried. (Somehow I'm sitting there the entire time thinking, Please don't screw this up.) And "Last Christmas," the 2014 Christmas special, was particularly nerve-wracking: once Santa Claus himself shows up on Doctor Who, after all, the fear that this will turn out to be an all-time stinker is powerful. I never know if I enjoy the Doctor Who Christmas specials on first viewing: for some reason, the "big event" episodes just make me too nervous to actually enjoy them. 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