Obesity in adolescents is getting worse day by day. Childhood obesity often accompanies many of the obesity-related conditions adults affected by obesity often experience, such as type 2 diabetes, hypertension, sleep apnoea and more. The liking for the fast foods and lack of physical activity are the main culprits. We should clearly understand that every fat child is not a healthy child. Many parents are ignorant about this fact and think that their child is little chubby (not obese) and the baby fat will go once the child becomes an adult. On the contrary, approximately 70% of the obese adolescent grow up to obese adult and once obesity sets in with all its consequences, it becomes difficult to control. The risk of a child carrying obesity into adulthood is influenced by genetic, biological, psychological, cultural, and environmental factors.
Control of obesity or overweight in young child can be achieved by lifestyle modifications. But in case of severe obesity or morbid obesity these measures usually fail. In them Bariatric (Weight loss) surgery is the other option. But the most vital point is to select proper candidate, so that the advantage can be achieved maximally. In addition to individual BMI and comorbid disease status as the basis of eligibility criteria, assessment of the adolescent patient’s psychosocial maturity level, including the ability to demonstrate a general understanding of the benefits and risks of bariatric surgery, has been shown to be an important factor in determining eligibility. Bariatric surgery can be contemplated in children once bone maturity is completed (around 15 years).
It is not an easy decision to accomplish. Hence, as the famous idioms say- “Prevention is better than Cure.” Parents and elders, must inculcate a habit of healthy diet and regular physical exercise the young members of the family. For this, they must lead by example.