Need for New Global Alliance to Advance Effective Actions Against Child Obesity

It is estimated that childhood obesity affects more than 10 million children every year. The UK's action plan to significantly reduce childhood obesity is "severely limited", argue a team of experts in The BMJ. They say the government missed an opportunity to take global leadership of child health.

Professor Mark Hanson from the British Heart Foundation, University of Southampton, Professor Neena Modi, President of the UK Royal College of Pediatrics and Child Health, and Professor of Neonatal Medicine, Imperial College London, and Dr Edward Mullins, a trainee in obstetrics and gynecology, criticize a number of key failings within the report.

Childhood Obesity - Criteria - Causes - Complications, Treatment
Childhood obesity is one of the most serious health challenges in the developing countries and needs to be understood and tackled effectively.

‘The United Kingdom's action plan to significantly reduce childhood obesity is "severely limited", argue a team of experts in The BMJ.’

Tweet it Now

They say following publication of the report 'Childhood Obesity: a Plan for Action" in 2016, there was an "immediate outcry from the medical and public health communities, who had hoped for much more."

They warn that "strong actions were conspicuous by their absence, and the desired discussion of anti-obesogenic medicine [countering obesity onset] had been watered down to an emphasis on voluntary actions by industry, consumers, and schools."

The report, they say, "fails to recognize that overweight and obesity in children and young people are driven by multiple modifiable biological, behavioral, environmental, and commercial factors, some of which operate before conception and birth."

Mantra to Prevent Childhood Obesity - Vigorous Physical Activity
Being physically very active is the mantra to prevent pediatric obesity rather than concentrating efforts at restricting energy consumption.

Furthermore, the report does not "recognize that the harm extends across generations," and "this failure", they say, represents "a major lost opportunity for effective prevention."

The report also does not include the World Health Organization's (WHO) Commission on Ending Childhood Obesity (ECHO) recommendations, and by doing so, the UK government 'missed an opportunity to show global leadership in child health."

Early Antibiotic Use Increases Risk of Childhood Obesity
As antibiotics are blamed for increased drug-resistant diseases in today’s world, it has now emerged as a new contributor to childhood obesity.

They say it could be considerably strengthened by including evidence based interventions, such as an industry levy on sugar sweetened beverages, nutrient profiling to identify healthy and unhealthy foods, clearer food labeling, and promoting physical activity in schools.

Other recommendations absent from the report include stronger controls on advertising, mandatory food reformulation, and nutrition education.

Excess Pregnancy Weight Gain Increases Childhood Obesity
Excess weight gain and elevated blood sugar during pregnancy increase a woman's risk of delivering a large baby who is more likely to become an obese child.

They say to achieve these recommendations, health professionals should use their national and global professional networks to coordinate action between sectors including education, industry, government, and the public.

As such, they suggest a new global alliance against child obesity led by an international alliance of healthcare organizations, which "the UK government would work with the alliance to build on their plan for action and develop it into a strategy for childhood and future societal health."

They recommend the new alliance should focus on a life course approach, where the preconception period is an "important opportunity for engaging parents to prevent obesity and promote health."

Furthermore, there needs to be effective training of health and education professionals on how to engage parents, children, and young people with the issue of overweight and obesity.

Experts need to formulate key questions around preventive measures and methods of implementation, and to set key research priorities on infancy and the preconception period.

They stress that dialogue needs to be encouraged between industry, policy makers, scientists, educators, professional bodies, children and young people.

Lastly, they call for campaigning of government actions on policies, regulation, fiscal actions, and investment, as some of these have brought "enormous benefits" to child and population health, while voluntary action has been ineffective.

Source-Eurekalert