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M.D. - Understanding Childhood Obesity (Understanding Health and Sickness Series)

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    Understanding Childhood Obesity (Understanding Health and Sickness Series)
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Almost fourteen percent of American children over age six and twelve percent of adolescents are obese, more than double the rate of thirty years ago. Although there are countless diet and weight-loss books on the market, few of them explain in jargon-free terms the basic factors, the body processes that can lead to childhood obesity, and the research currently underway to combat this growing health risk. In Understanding Childhood Obesity, Dr. J. Clinton Smith has created a comprehensive guide covering nearly every field of obesity research. He explores causes and methods of control, the bodys physical and chemical make up, prevention strategies, new treatments and behavior modifications, and future research possibilities. Smith closely examines the genetic and environmental factors that can lead to childhood obesity. For parents, he answers the all-important question of whether an obese child needs help, and he outlines traditional diet and exercise treatments as well as aggressive medical and surgical techniques. He also introduces readers to the continuous care and problem solving model that has proved valuable in pediatric treatment clinics. Featured are: An explanation of how obesity is identified by using a childs height and weight. A frank discussion of the health consequences of obesity. A review of how the body breaks down food for energy and how and why the body stores energy. An examination of the powerful environmental factors affecting childhood weight gain. A thorough gathering of the treatments and research, and a view of exciting new discoveries in genetics and body chemistry. J. Clinton Smith is an associate professor of pediatrics and an assistant professor of preventive medicine at the University of Mississippi School of Medicine. He has taught at Louisiana State University, practiced privately in pediatrics, and has served as Medical Director to the Tennessee State Department of Health and Environment and as Executive Director of the Division of Medicaid to the Office of the Governor, State of Mississippi.

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title Understanding Childhood Obesity Understanding Health and Sickness - photo 1

title:Understanding Childhood Obesity Understanding Health and Sickness Series
author:Smith, J. Clinton.
publisher:University Press of Mississippi
isbn10 | asin:1578061342
print isbn13:9781578061341
ebook isbn13:9780585203102
language:English
subjectObesity in children--Prevention, Obesity in children--Psychological aspects, Children--Nutrition, Behavior therapy for children.
publication date:1999
lcc:RJ399.C6S63 1999eb
ddc:618.92/398
subject:Obesity in children--Prevention, Obesity in children--Psychological aspects, Children--Nutrition, Behavior therapy for children.
Page i
Understanding Childhood Obesity
Page ii
Understanding Health and Sickness Series
Miriam Bloom, Ph.D.
General Editor
Page iii
Understanding Childhood Obesity
J. Clinton Smith, M.D., M.P.H.
Page iv Copyright 1999 by the University Press of Mississippi All rights - photo 2
Page iv
Copyright 1999 by the University Press of Mississippi
All rights reserved
Manufactured in the United States of America
02 01 00 99 4 3 2 1
The paper in this book meets the guidelines for permanence and durability of the Committee on Production Guidelines for Book Longevity of the Council on Library Resources.
Illustrations by Regan Causey Tuder
Library of Congress Cataloging-in-Publication Data
Smith, J. Clinton, 1939
Understanding childhood obesity /J. Clinton Smith.
p. cm.(Understanding health and sickness series)
Includes bibliographical references and index.
ISBN 1-57806-133-4 (cloth: alk. paper).ISBN 1-57806-134-2
(pbk.: alk. paper)
1. Obesity in childrenPrevention. 2. Obesity in children
Psychological aspects. 3. ChildrenNutrition. 4. Behavior
therapy for children. I. Title. II. Series.
RJ399.C6S63 1999
618.92 '398dc21 v98-44680
CIP
British Library Cataloging-in-Publication Data available
Page v
Contents
Acknowledgments
vii
Introduction
ix
1. Why Is Obesity an Important Health Problem in America?
3
2. Who Is Obese, and How Do We Know?
17
3. How Our Bodies Obtain Energy
33
4. Obesity: A Disorder of Energy
50
5. Some Factors That May Determine Obesity
64
6. What Can Be Done to Prevent Childhood Obesity?
81
7. If Prevention Doesn't Work
99
8. The Great Beyond: New Frontiers in the Treatment of Obesity
122
Notes
131
Glossary
135
References
140
Index
149

Page vii
Acknowledgments
I am grateful to Jim Joransen, David Braden, Makram Ebeid, and Charlie Gaymes, my colleagues in the Division of Cardiology of the Department of Pediatrics at the University of Mississippi Medical Center, for allowing me time to write this book. Only through their support has the Pediatric Preventive Cardiology Clinic become a reality. I am also appreciative of the physicians, nurses, and dietitians who have made referrals to our clinics. Without the support of the Mississippi State Department of Health, our clinics could not have met in various communities across the state, and families would have been unable to obtain assistance.
I would also like to thank the editor of the Understanding Health and Sickness Series, Dr. Miriam Bloom, for her patient efforts. In spite of her many other activities in the community and around the state, she always found time to scrutinize drafts of this book. Her suggestions were consistently on target, and she helped me translate the scientific jargon into everyday language (I take full responsibility for any lapses in this regard).
Two other individuals were extremely helpful in the book's preparation. Dr. Richard Troiano of the National Center for Health Statistics graciously provided me with unpublished data from the National Health and Nutrition Examination Survey III concerning overweight and obesity among children. Dr. Harold White, Emeritus Professor of Biochemistry at the University of Mississippi Medical Center, reviewed the material on digestion and energy and made invaluable comments and suggestions.
Most of all, I am indebted to Lois, my wife of thirty years, for her unconditional love and her even temperament. She always makes it easy for me to do what I need to do.
Page ix
Introduction
Hardly a week goes by that a magazine or tabloid newspaper doesn't feature an article about someone who is overweight, who is trying to lose weight, or who should be trying to lose weight. "How-to" books about weight loss are available in great number. We know about celebrities such as Oprah Winfrey, Elizabeth Taylor, David Letterman, and Tommy Lasorda who have successfully dealt with their own weight problems. Others, including swimmer Lynne Cox, musicians Kate Smith, Fats Domino, and Chubby Checker, singer Cass Elliot, Chicago Bear "Refrigerator" Perry, and most professional football linemen, have used excess weight to their advantage. Thanks to overweight opera singers, "It's not over 'til the fat lady sings" is a national aphorism. Americans seem obsessed with weight loss. We talk about how much weight we want to lose or how much we have lost as frequently as we talk about the weather. Our weight and what we're trying to do about it is always a timely subject. And our conversations about weight usually have something to do with our appearancethe way we look to other people.
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