In a year filled with so much tragedy and suffering, it would be easy to lose a few extra pounds in a child or to consider weight gain as a problem that needs to be solved once the pandemic subsides. But the weight gain we see in children is not small and can not wait either.
The details that lead to weight gain vary. Sometimes it’s Dad, who has recently taken over the culinary arts and perhaps feeds the children too much; other times it is Grandma who has spoiled them now that they are home; for still other, favorite sports are no longer an option, or they completely stop going outside.
Through the many stories we hear in our practices, one fact remains: the pandemic created the perfect conditions for children to gain weight, and so did they.
What we saw in our offices – which mainly serve black and brown children – was predictable. As a result of what has become an unnecessarily protracted crisis, countless children in this country have been deprived of the nutrition and opportunity for physical activity they previously received at school.
The loss of structured personal learning, in turn, disrupted other aspects of children’s lives – what used to be 20 hours of sleep on a school night became 9 hours or later until there was no sleep. While parents work from home while supervising online learning, mealtimes have changed, portion sizes have increased, and snacks have become more common.
The changes in every home took place against a backdrop of record-breaking unemployment and the rise of food insecurity. In our practice, we have seen food budgets gradually tighten and families move to cheaper, higher calories, more processed foods in an effort to feed their children.
All of this – the unemployment, the food security, the lack of personal learning and the interruptions that come with it – have affected the black and colored communities excessively.
Higher prices of obesity
Previously healthy children are ill
Although it may seem like far-reaching effects from the stream, it is currently manifesting itself. Over the past few months, our clinics have filled with children who previously had healthy children who now have high blood pressure, increased markers for pre-diabetes and diabetes, children who deliberately start skipping meals after noticing their own weight gain, and children for whom the extra pound has translated into a new sleep apnea.
As we begin guiding families to build healthier habits, an increase in mental health conditions such as depression and anxiety in both children and their parents, as well as the same interruptions that caused children to gain weight in the first place, can lead to obesity. more difficult to treat.
Mental health issues make it worse
Depression can make it difficult to plan meals, just as anxiety can sometimes lead to overeating. And to recommend that a child eat more vegetables is an impossibility for a mother who has no access to fresh fruits and vegetables and is just trying to feed hungry stomachs and keep the lights on; and physical activities inside can be a big task for a family of eight living in a single room.
Like many problems, the obesity epidemic has been going on for a long time and the Covid-19 pandemic is getting worse. However, as we begin to imagine a post-pandemic world, we have the opportunity to make significant improvements in childhood obesity and thereby in the long-term health of a generation.
Now is the time to support national health recommendations with the financial relief parents need to implement them. Schools will also need improved and sustained funding if they are to provide healthy school meals to the many children who have spent the best part of 2020 at home. We also need to find ways to serve the many small primary care offices across the country that provide primary care services and serve as safety nets for the vulnerable among us.
Although a vaccine will soon be available to many people, and the end of the pandemic seems more palpable, the consequences of the life disruption will remain with us for years to come. The health of a generation of children depends on our foresight, investment and dedication.