Obesity is a complex disease characterized by excessive accumulation of fat in the body weight gain and its consequences. Obesity results from an imbalance between consumption and energy expenditure, but is also associated with social, behavioral, cultural, physiological, metabolic and genetic. It is accompanied by problems of excess body weight among which are: difficulty breathing, shortness of breath, drowsiness, orthopedic problems, skin disorders, excessive sweating, swollen feet and ankles, menstrual disorders in women and increased risk of coronary heart disease, diabetes, asthma, cancer and gallbladder disease. (Zametkin & Zoon, 2004, 134)
Childhood Obesity
Many experts worldwide, defining obesity is difficult because as mentioned previously, there are many factors that cause and vary between populations (Benas et al, 2005, 123).
It is important to know that it is normal after four months of age has a large amount of fat, which decreases steadily between two and six years and increase about seven years. However, if a child is obese between six months and seven years of age, likely to remain obese in adulthood is 40%. If a child is obese between ten and thirteen years, the odds are 70%. This is because fat-storing cells are multiplying at this stage of life, which increases the possibility of the child to be obese as an adult. One child (6 to 19 years) is considered obese when their weight exceeds 20% over ideal weight for their age, height and sex. (Walter,2002 , 150)
One of the best parameters for assessing overweight or obesity is the body mass index. Body mass index (BMI) is a ratio between weight and height. BMI indicates the risk of diseases related to overweight and obesity, likely to remain obese as an adult and most importantly, the emergency medical care (Tim, ,2004, 200).
Managing, Planning and Evaluating
Ewles and Simnett This includes managing money, materials and people. Evaluation in health promotion is particularly important and should be thought through at the planning stage. A particularly good text, which combines health promotion theory and evaluation of 'success' in health promotion, is by Tones and Tilford (2001) chapters 1 and 2.
The planning of health promotion is covered well and simply in Ewles and Simnett (1999p77) with a seven-stage planning and evaluation cycle, which includes:
identify needs and priorities;
set aims and objectives;
decide the best way of achieving the aims;
identify resources;
plan evaluation methods;
set and action plan;
action!
Information Regarding Child Obesity
One of every 4 to 5 children is obese, while one out of every 3 is at risk of homelessness. Children who are obese at the age of 6 years have a 27% chance of being obese as adults. Children who are obese at age 12, this probability increases to 75%. One in ten children is obese to reach 10 years (Birch, 1998,539). An obese child is 6.12 more likely to have diabetes mellitus and 9 times more likely to be hypertensive at an early age that children are not ...