Girl. The result you guessed it the overweight girl was getting worse grades overweight children are marginalized and disadvantage up the number increases worldwide so the world over relations says we have to do something about it we are in good shape doing something about it. Were in the center for chronically Sick Children at butlins shall i take hospital. 3 employees here have declared war on child obesity nutritional therapist t. N. F. Alpha. Social work at pizza. And pediatrician says and i began. Prevention is the best way to treat obesity it makes all people healthier. Almost 200000000 Children Worldwide underweight or even starving and on the other hand the number of these children is on the increase like in the us where one out of 5 children is considered to be overweight all i can put on a show where one out of 3 kids is obese one thing of clear this is not healthy because if you are obese early in life you. You get sick early in life so what to do you have to get rid of the excess weight. I have phases of being hungry a lot when food is all my think about. And thats why levante has a problem hes overweight something hes been battling for 2 years his weight is affecting his life. When i run up stairs i cant lift my knees very high. If nothing changes leventon he will look like this as an adult and hed be at greater risk of developing conditions like diabetes. And how many children who are obese often have high Blood Pressure which could lead to a heart attack or stroke relatively early on in life then as the threat of cancer. We know that an increased fact mass causes tumors to develop more quickly and their care more frequently amongst people who are obese. Its clear that something has to change. And Martin Babbage is the man to help the pediatrician who specialized in treating cases of obesity among children and adolescents. Is taking part in a one year Treatment Program for overweight children his parents are also involved thats important because parents can have a huge influence on their childs weight. Before parents are role models toys we often dont realize how much children learn from them and from their behavior. The choice of food that is available at home serves as an example to the children. And so does the way the parents structure their day. Do they have breakfast or not does the family eat together or not do they go out in the fresh air and exercise together. The event his mother tries her best after going for a consulting session on nutrition she better understands why has some has weight issues. There are those and with a live event is a good teacher he likes to eat a lot and fast. He can polish off 2 portions in 10 minutes. From home. He spends a lot of time sitting at his computer thats his favorite pastime. And he often likes to watch t. V. While having his mail and then he just doesnt notice how much hes eating and this is. The link between spending lots of time in front of a screen and being overweight is scientifically proven if children sit in front of a computer t. V. Or cell phone for more than 3 hours a day theyre more likely to be overweight. When leventon goes for a check up the doctor examines him to see if his excess weight has damaged his health in any way illnesses like type 2 diabetes tend to come on very gradually and dont produce any symptoms at 1st but the pediatrician is satisfied levante has lost a lot of weight since his 1st visit and is doing well. With. Your organs when it comes to treating excess weight and to be city we always say the early start the better. Your pencil. And leventon case it was just in time now the family is trying to take their meals together more often and without the t. V. On leventon is learning to eat most slowly and mindfully so that he senses when hes full without the distraction of media entertainment. And once a week leventon goes to a therapeutic exercise class the games are designed to promote insurance and to burn off calories the main goal is to ensure that children learn that exercise can be fun. And. Im not talking to doctors as i have a girl and she thought head of the pediatric obesity Outpatient Department in the Burton Charity thanks o. B. Today i mean its very simple its to have. 2 at a time with a computer not enough exercise i mean its all their own fault isnt that most people think that the lifestyle ungenerous a major cause for so development of or which and obesity especially in kids. But there is only. Of some reason. A lifestyle is 50 percent and the genetic predicts that predisposition is at least 50 percent we know this for many from trin studies. And we were really surprised over the last 10 years that the genetic presence predisposition plays such a big role but why is the number increasing of obesity intruder in the lessons i mean theyre not changing their genes are here Lifestyle Changes dramatically for all of us of the last 10 to 15 years just an example Food Industry changes and also especially if its a Media Consumption increases to our very high level and the result is less physical activity especially for young kids and our lessons what role does tradition play i mean in many traditions will be use to a child and is considered to be very healthy all grant grandparents laugh chubby babies all of that all i would say about. Our feeling about what is nice what is beautiful especially for our female adolescence is totally different even more important for our traditional food before because food habits are changing only over one to 3 generations being overweight is not only a health issue there are more issues with it it is a health issue because. A lot of especially adolescents with severe overweight have got already metabolic complications recall of metabolic syndrome its a complex of Cardiovascular Risk Factors including hypertension hyperlipidemia impaired glucose tolerance. Type 2 diabetes are non alcoholic ferdie Liver Disease this is a medical part its also a very severe social issue just an example its much harder for obese adolescents to get into trying to chip so patients and families come into your patiently me how can you help them. Most important is really a good screen screening for all these issues the medical part as well as apply to social part of nutrition and then. We talk to the patients and families and try to find a very low level stepwise procedure. Where some homework for example do you think we in general need more education about this mission not in general back especially in risk groups for example if you realize the sugar content of a soft drink is most of the families are really surprised how much sugar is in it and do you think that the government should play a bigger role in regulating things. Well that would be very helpful because Environmental Program sion is a most effective treatment and Food Industry sugar content in for example soft things. Is one point is one puzzle part of the whole system and our work would be much easier if the mountain or components would be more healthy for all of us but the number of overweight children in richer countries has been basically stagnating over the last 2 years and there already are enough but in developing countries who are gaining some wealth the number increases and the Food Industry wants to get a piece of the pie the weapon fast food the target children. Around the world obesity is a growing problem diets are becoming increasingly unhealthy even in countries where poverty is widespread the major Food Companies are targeting developing nations they make huge profits marketing processed food as healthy. As it is read up at a park and when children see a commercial for these foods they want to have them so we end up buying them sandwich cookies and so on your kids one day we buy sweets and Dairy Products even though we know that bad for us we succumb to a manipulative advertising industry. Probably again. Its not as though all traditional brazilian friends are healthy either brigadier or us are chocolate truffles. A bit of chocolate now and then is of course harm us too much on the other hand is a health risk. In brazil 30 percent of children between 5. 00 and 9. 00 are obese diabetes is widespread. 210000000 people live in purcell fast food is ubiquitous and cheap and even people in the favelas can afford it and multinationals like nestle cocacola pepsico you know lever and i know now are making the most of these markets but the processed foods they sell to poor communities exacerbate the problems of obesity and diabetes. Its a development that condos montero has been observing for some time a professor of nutrition and Public Health at the university of south powell hes also a member of the w. H. O. Nutrition expert advisory group. But the problem is that the products what we call out of process products they are. Increasingly being consumed by brazilians so then in the last 20 years the proportion of calories that come from these products they double. So then what we project is that if they dont do anything in a few years. The situation will be much worse in terms of the diet. Of brazils population of 2c1xw4xw are overweight. 14000000. 00 suffer from diet related diabetes the government is now taking action. In this whole center and nutritionist brandow and 13 have a patient base of 30000. Many of those people are an educator and know next to nothing about Healthy Eating she advises her patients and also pays home visits to raise Awareness Among members of the community who dont visit the health center. Do they stop them and what we were asked to make Natural Foods more readily available than processed foods that solve biggest challenge that many mothers in this area go to work and dont have much time so they often give their families ready made meals is a tricky thing thats a common problem it will die. But the nutritionists patients include maria disinvite and her family. Shes a cleaner and her husband took early retirement. Her daughter and her grandchild are all overweight they dont eat a healthy diet. But now their eating habits are starting to improve. Ok so. The contents of their Kitchen Cupboard are typical for poor families in brazil. Is a. Lot of these products have a high sugar content people have adopted this diet year thats what they eat instead of proper meals. But these products are not only unhealthy theyre actually comparatively expensive business some car business. Despite their dirt cheap ingredients sugar salt fat and carbs. But in the fabulous there are few alternatives big supermarkets that stock fruit and vegetables or a long way away small Neighborhood Stores like this one dont sell much fresh produce. 25 percent of food consumed in brazil is industrially processed. Unhealthy fast food is a global problem and not one restricted to developing countries today 641000000 people on the planet are overweight 6 fold increase in the last 40 years. Im not talking to you are not the whole man shes a nutritionist and a nutrition scientist here conventionality how do you want to do and what are the biggest misconceptions concerning your tradition i think my foremost families tend to underestimate the amount of sugar thats added to processed foods for example 150 grams of strawberry yogurt no matter whether its from the discount supermarket or not gammick food store already has more sugar than a 6 year old should eat in a whole day. A lot of families buy low fat products but these are often have an even higher sugar content to improve the flavor. Or they buy expensive products from organic food stores that say no added sugar but which are full of for those and are real sugar grams but whats a couple and have a chef minister but how is a family supposed to change its dietary habits like potato chips are much tastier snack them chewing on broccoli awkward its a cone you know i think its true so the goal isnt to make children always eat vegetables or only snack on broccoli but to teach them to make better decisions about for example when they eat pizza from the freeze they dont have to eat a whole pizza they could be just half and then add a salad on to food lines a lot if i was able to say i have 2 daughters 10 and 14 and i know that growing children are always hungry how can i fill them up at. This its actually relatively easy with a balanced diet. To compare a bar of chocolate has as many calories as a small carton of plain yogurt a large apple a large bell pepper and 2 slices of whole grain bread with cream cheese. So you should aim for more volume that gives you the same energy and makes you fuller than something thats very energy rich. So you replace energy rich with nutrient rich thats right isnt it isnt the problem back you miss out on the pleasure of food for thats part of eating too. Most of the children and parents that we see actually report that the children dont really enjoy their flat that much anyway and they eat too fast so they need to really learn the pleasure of eating. So changing the way they eat is really a behavioral change its not like theyll never be able to eat a burger or chocolate again right. Quite the opposite its about integrating chocolate and burgers into their normal diet in a way that sensible. Thank you so much changing habits is a very difficult task here in germany children and adolescents are sent to rehab to change their habits and they can do it in a group with a lot of fun. Shame by solution withdrawal all too often the fates are waiting overweight children and adolescents. In this residential clinic overweight youngsters spend 4 to 6 weeks on a health retreat its an opportunity for a new beginning here they learn how to prepare healthy food leek soup salad chocolate pudding and vegetable pits are on the menu today no frozen foods no Convenience Foods for many of these kids that in itself is new. If you look into. A lot of kids are left to their name devices when they get home from school so they just throw a frozen pizza in the oven or maybe grab a bite on the way home. Its a serious problem that lots of families simply dont eat together anymore their family you know. Not everyone who eats convenience. Gets ferrets with a predisposition to obesity also plays a role but when a child or adolescent puts on weight they can easily wind up in a vicious circle of rejection and frustration which makes them eat even more of their of things but this isnt quite often its just comfort eating ive been bullied at school because of my weight. And there. Was almost friends say come on lets go swimming down at the pool but im not comfortable doing that sort of thing and just stay at home instead of in this one for the backyard i was bullied for 8 years which really hurt. Under the needle more if theyre feeling frustrated or being name called yeah its like that sometimes and sometimes you just sit on your pad and id cry all day. Long. Dr your hardest urbans this clinic for children and adolescents they come here to learn about selfcontrol or anyone predisposed to be overweight needs a strong will. You know victor i want you to show everyone how to work everyone to school is accompanied by food smells in every station there are 4 or 5 snack bars usually selling very fatty foods because that is a flavor enhancer if it wasnt all on offer wed walk straight on without even thinking about it like on a. Homemade vegetable pits are nice and tasty with no effect on the waistline. In the afternoon its time for sports. Were going to why does a girl exercise instead of comfort eating. Just to get this important that the kids have positive experiences in sports that they find out that gems can be quite nice places and that if you beads of sweat on your forehead can also be a good thing good feeling. Being part of a group is a Welcome Change kids with weight problems often feel left out. Thats enough thats an important aspect of the program it shows them theyre not alone that others can support them and that they can still do things despite their weight issue its important that they learn to trust others. Telling overweight kids to just pull themselves together isnt going to help any constructive help support. Im not talking to dr peter shes a social education worker here in the team whats your job i know my job in the team is to gauge the familys social situation i look at all the family members especially the mothers who play a big part in feet of the child at my check whether theyre all doing well. I think of a mother doesnt take good care of herself at some point she wont be able to take good care of her children so is it really the case that an unstable family can be a cause of obesity. Oh yes and thats why our team not only has nutritional therapists pediatricians and pediatric nurse is but also child and adolescent psychotherapist and me as a social worker. So social problems can be a trigger for being overweight and excess weight then brings its own set of problems with the now been exactly i can tell you about one family as an example. Its a family of 6 living in very very cramped quarters with just 2 rooms. In the 14 year old patient who came to our clinic had to sleep on the sofa and only got some rest when everyone else had gone to bed after midnight. In a case like that its not enough for our nutritional therapist to give advice about meal frequency its so here we really need to see how we can resolve the situation and connect with the family. Child obesity is not just linked to food its just eating more broccoli wont help the problem lies much deeper deeper now exactly. So we have to put all the family puzzle pieces together and see what needs to be done 1st. That im the one in the team responsible for Child Protection and so for example if a child is experiencing physical abuse theres no point discussing bread rolls or yogurt or sugary drinks. I 1st have to see how to end the situation and then at some point later down the line the child can start thinking about weight management. Overweight alone can lead to the kind of vicious cycle we saw in your overweight then you experienced bullying in school for example that causes you to eat more how can we break that cycle. As well as mom was lucky in that 1st of all we have to make the children strong these children often have very low selfesteem very very low selfesteem. So were back to asking who needs what does the child need therapy to strengthen him or her can i contribute to the fathers on mothers parenting skills does the family need support from Child Welfare for example and i have to keep focused on how i can make the situation better for the child thanks so much for the talk because using weight is teamwork its not just a work for a Single Person like the show you were a team and we need you and your questions. In good shape your Weekly Health show on d w that covers many aspects of health care we look at whats new in medical treatment nutrition fitness and beauty we just does these topics in depth with specialists and offer you opportunities to pose your own questions so get in touch with. Well i think many of you may say not well my child is obese so what kind of use do 1st look for a medical reason and then try to make life one of the product healthier for the whole family thanks a lot for this talk thank you and well be back next weekend and then lets all try to stay and get into good shape. Food. Costs lawyer. Culture. A hair. Superfood stylish style icon dont let oh say. Lifestyle youre a hero. Long. Is the human race to destroy itself. We are moving the basic elements of our existence the bruising to much more and moving the boat motor is why. The brain may think oh our supplies one last forever. But they move the ball when the rain stuff. Starts march 20th on g. W. Right i mean down in history. Kristen. You made me in the very dirt but still mike duffy. Did you manage to see may have broken our. Shoulders for. Me so. Theres tension issues to. Dig into. That. Come from a house committee. On the. Back. Room. This is news coming to you live from berlin some response from millions of civilians trapped in syria as. Russia and turkey agree to a cease fire a tense calm has been reported in the region almost a 1000000 people have been displaced as a result of fighting between government endeavor forces in recent months also on the