"Children are chubby, not cute, but harmful!" Dr. Lin Yan, a joint outpatient clinic for children with fatty liver in the Metabolic Disease Center of the Affiliated Hospital of Hangzhou Normal University, said, "Children's obesity will not only affect normal growth and development, but also lead to chronic diseases such as fatty liver/hypertension/diabetes, and will also affect children's mental health, even the academic performance that parents are most concerned about."
On August 1 day, the joint clinic of fatty liver for children in the Affiliated Hospital of Hangzhou Normal University was opened, and chubby children got together for consultation. Dr. Lin was most impressed by three children, 65,438+04. The highest weight reached 182kg, the lowest weight 1.765438kg and the average weight1.78kg.. You know, this figure is very eye-catching even among adults of average height.
Dr. Lin said that these chubby children have some common characteristics-
House.
Introversion!
Parents are not thin!
14-year-old brother's weight 182 kg, family mobilization.
A father and his two sons are going to have a pre-school physical examination. At the doctor's suggestion, they came to the children's fatty liver joint clinic. Dr Lin Yan, who attended the clinic, first assessed their obesity.
Brother 14 years old, height 17 1cm, weight 9 1kg, body mass index 3 1. 12.
My younger brother is 9 years old, with a height of 140.5cm, a weight of 42.8kg and a body mass index of 2 1.68.
Dad's height 175cm, weight 90 kg and body mass index 29.39.
A family of three is out of the chart!
The results of liver elasticity examination showed that my brother's CAP value was 266, which seriously exceeded the normal index, and my brother was still in the normal range. Combined with the results of B-ultrasound examination, Dr. Lin once suspected that my brother was fatty liver. Fortunately, the possibility of fatty liver was ruled out after the quantitative examination of magnetic resonance fat, but hyperinsulinemia and hyperuricemia were confirmed, which should not be underestimated.
According to Dr. Lin's prescription, the three of you went to the Chinese Medicine Prevention Center of the United Clinic. Peng Tianfang, a Chinese doctor, feels the pulse and looks at the coating of the tongue. He found that the teeth marks on both sides of his brother's tongue coating were obvious. Combined with the child's habit of biting his fingernails, he judged that his brother was introverted, prescribed Chinese medicine for his child, and suggested that parents should not neglect communication with his brother because they had two children at home.
Dad said, "My brother is not as lively as his brother. He hardly goes out all summer vacation and usually doesn't like outdoor activities! " "
In order to make children exercise and eat scientifically in summer, Dr. Zhang Pengwei from the Center for Prevention of Diseases of Traditional Chinese Medicine gave his younger brother an exercise evaluation.
After exercise evaluation, all the indexes of my brother are abnormal, and the cardiopulmonary function is only 46, which is seriously lower than that of his peers (the normal value of cardiopulmonary function of his peers is 60). The doctor gave him a customized exercise prescription and told him to keep exercising and punch in regularly!
Dad said, "Both brothers were chubby when they were young. I didn't expect them to grow up so fat. In the future, I will definitely supervise the two brothers to do weight loss exercises according to the doctor's advice and report here regularly! "
Dr. Lin suggested that parental guidance is very important for children to lose weight. It's a good start for dad to pay attention to childhood obesity. The key is to supervise each other and exercise together according to the exercise plan formulated by the doctor.
Image source: provided by the hospital
How to see if the child is fat or strong? You can look at the neck color.
Dr. Lin introduced that she also received two other children 14 years old that day. Linlin (pseudonym) is a girl, with a height of 160cm, a weight of 90kg and a body mass index of 35. 15, while Lei Lei (pseudonym), with a height of 170cm, is a boy, with a weight of 85.5kg and a body mass index of 29.58. Judging from the body mass index, they all belong to the category of obesity.
B-ultrasound diagnosis shows fatty liver, and further diagnosis requires liver magnetic resonance imaging. Biochemical tests in Linlin showed an increase in liver enzymes. First of all, consider steatohepatitis. Other factors leading to liver injury, such as viral infection and abnormal gene metabolism, are under study. In addition, Linlin has irregular menstruation. If obesity is not controlled, the risk of polycystic ovary syndrome will increase greatly.
Dr. Lin reminded that the skin behind the neck of obese children is easy to accumulate, and excessive pigmentation forms what we often call acanthosis nigricans, which is also an obvious skin change of fatty liver caused by obesity. Parents and friends of Xiaopang's family must pay attention to this.
It is impossible to lose weight quickly, so scientific guidance is very important.
Dr. Lin reminded parents that obesity will not only affect their children's health, but also affect their academic performance. Compared with their peers with normal weight, obese teenagers are psychologically sensitive, usually negative, inferior, prone to depression and have great psychological pressure, which often leads to learning difficulties. For girls, we should pay attention to their endocrine development.
Dr. Lin also stressed: "Because there is no specific medicine for fatty liver, it is the safest and most effective treatment to keep your mouth shut and open your legs." Losing weight can't be "fast" blindly. Some folk remedies or extreme weight loss methods are effective quickly, but they also rebound quickly.
Dr. Lin suggested that we should change our way of life first.
Diet: control calories, adjust diet structure, achieve low sugar, low fat and high protein, and appropriately increase dietary fiber. Do not eat: sweet drinks, candy, fried food, fat, cream, butter, peanuts, melon seeds, wine, animal oil, etc. Eat less: cereals, fruits, lean meat, milk, bean products and vegetable oil. Dr. Lin suggested that cooking methods should be steamed more, fried less, cooked more vegetables and eaten slowly.
Exercise: reduce the daily meditation time. Besides studying, the daily meditation time should be less than 2 hours. At the same time, increase the amount of exercise, which requires moderate intensity aerobic exercise. For how to judge the intensity of exercise, Dr. Lin gave an image metaphor, that is, when you are exercising, you can talk, but you can't sing. This is moderate intensity aerobic exercise. It is suggested that the exercise time should be 1 hour every day, which can be carried out in stages.
Children must lose weight under the guidance of professional doctors, pay attention to early intervention, and return their children to a healthy and sunny childhood!