Obesity has risen a full 34% since 1960 while morbid obesity is up six fold. This is the biggest challenge faced by America. The whole strategies are aimed at reducing the BMI of obese and overweight people. what more is needed is to stop it developing. we need to place bar that the moment a person feel gaining weight ,it should be halted at that point. From the beginning the pregnant mother gaining excessive weight should be screened, data suggests that childhood obesity is documented high in obese mothers, genetic factor do play a role but at the same time acquired obesity factors are not exempted. Early-life influences, beginning with the intrauterine environment and continuing through the first few years of life, also figure out the course of weight gain and body fatness throughout the life. Higher weight at birth is also linked with obesity, diabetes, and other adult diseases. Three factors play a crucial role in fetal health which include smoking habits
of a mother during pregnancy, weight gain
during pregnancy and mother’s blood sugar levels
during pregnancy, specifically, whether she develops pregnancy-related (gestational) diabetes. According to Dr. Ludwig over nutrition in pregnancy increases the likelihood of fetus for an increased lifetime risk for obesity. Lack of regular exercise or walk during pregnancy also make a women gain excessive weight ,though effect on child's weight is not documented.
In a meta-analysis of 14 studies, maternal smoking during pregnancy was associated with a 50 percent higher risk of childhood obesity. Most of the studies looked at children’s obesity status at ages 3 to 7; one study assessed obesity at age 14, and another tracked the children all the way to young adulthood. Medical News Today
reported that mothers who smoke during pregnancy
are at higher risk of their daughter becoming obese at birth and year later or developing gestational diabetes
Children of women who gained an “excessive” amount of weight had more than four times the risk of being obese or weight at age 3, compared with children of women who gained an “inadequate” amount of weight. Even women who gained what was considered at the time to be an “adequate” amount of weight bore children who were nearly four times more likely to be overweight at age 3 than children of women who gained an “inadequate” amount of weight. Using a within-family design (testing associations within each family), the researchers found that for every kilogram of weight a mother gained during pregnancy, their child's BMI would increase by 0.02 kg/m2 (8%) by age 12.
The risk of having a high weight for age was increased among those whose mothers had untreated gestational diabetes, compared with children whose mothers had treatment.
Nutrition and other lifestyle factors during several early periods in the lifecycle just before conception, the months spent in utero, can have immense effects on an individual’s weight at birth, during childhood, and on into their adolescence. This is also potentially best possible time to intervene, for two reasons: as women are keen to have healthy baby they agree to wherever healthy modifications are made in their lifestyle. And after giving birth, many women are willing to make considerable changes to raise a healthy infant. The final message conveyed to mother before being pregnant is to improve the pregnancy outcome and healthy child.
They should make every effort for a healthy weight before pregnancy, quit smoking during pregnancy and aim for a reasonable weight gain during pregnancy.
New guidelines from the IOM guide obstetricians and women to more moderate weight gain goals during pregnancy for women who are obese. Women with a pre-pregnancy BMI in the normal range (18.5 to 24.9) should gain 25-35 pounds, for example, whereas women with a BMI between 25.0 and 29.9 should gain only 15-25 pounds; women with a BMI of 30 or higher should gain only 11-20 pounds.
Pre pregnancy counseling is needed especially for those mothers who already have an overweight baby or an obese child to reduce the chance of next obese child.
Diet plans, BMI charting, regular healthcare visits and above all lifestyle modification like quit smoking and regular pregnancy safe exercises can definitely cut down the obesity rate.