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儿童减肥—一个严肃的话题

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小编摘要:帮孩子减掉40公斤左右的体重是一场艰难又严酷的斗争,纵使伴随着规律的食疗和行为疗法也相当困难。

obese children

国家儿童肥胖症专家称,帮孩子减掉40公斤左右的体重是一场艰难又严酷的斗争,纵使伴随规律的食疗和行为疗法也相当困难。
Helping a child lose 100 pounds or more is a brutal, uphill battle even with intense diet and behavior treatment, national childhood obesity experts say.
前些天,有新闻报道称,美国克利夫兰市一8岁儿童因体重超过90公斤被带出家门,送入寄养家庭,治疗严重肥胖症儿童因此即成为本周的新闻焦点。社会工作者们称,这种做法很有必要,这个三年级小学生的母亲对孩子体重没有得到控制难辞其咎。
Interest in the treatment of severely obese children is in the spotlight this week after the news that an 8-year-old Cleveland boy who weighed more than 200 pounds was taken from his family and put into foster care. Social workers said it was necessary because the third-grader's mother wasn't doing enough about his weight.
想让孩子减掉那么多体重是很困难的,梅琳达·萨森这样说,梅琳达是《体型匀称的孩子》的合著者,同时也是新奥尔良市路易斯安那州立大学健康科学中心的教授。在过去的20年里,她已经治疗了3000多名肥胖症和严重肥胖症儿童。
It's hard for a child to lose that much weight, says Melinda Sothern, co-author of Trim Kids and a professor at Louisiana State University Health Sciences Center in New Orleans. She has treated more than 3,000 obese and severely obese children over the past 20 years.
她说,有些家长朋友们,即使本意很好,也很难坚持可能“帮孩子减掉45公斤”的饮食计划。
Even the most well-meaning parents would have a hard time sticking with a diet program that would "erase 100 pounds off a child," she says.
萨森表示,尽管事实如此,家长有责任想办法帮助超重的孩子,将其体重保持在健康水平,如果孩子能够参与规律的家庭饮食计划,这个计划又有医生、注册营养师、心理学家以及运动生理学家的指导,这样的孩子更易成功减肥。但是,她还说,这样做代价很高,因为我们很难联系到一些机构,给有严重肥胖症孩子的家庭提供这种类型的帮助。
Still, parents have a responsibility to try to help their overweight children reach a healthy weight, and the kids are more likely to be successful if they are involved in an intense, family-based program that includes guidance from a doctor, registered dietitian, psychologist and exercise physiologist, Sothern says. But it's costly to do this, and it's hard find facilities that offer this type of help for families with severely obese children, she says.
玛丽琳·泰纳,是华盛顿大学圣路易斯分校的一名注册营养师,从事帮助肥胖症儿童的工作已有20年,她同样认为帮孩子减掉45公斤非常难。她说:“多数情况下,你是可以阻止孩子发胖的,在此期间,你处于主导地位。”
Marilyn Tanner, a registered dietitian at Washington University in St. Louis who has worked with overweight children for 20 years, agrees that it's very difficult to help a child lose 100 pounds. "A lot of time if you can stop children from continuing to gain, you are ahead of the game."
美国营养协会的发言人泰纳表示,营养专家可能会想方设法帮一个90公斤的孩子减掉四分之一的体重,实现体重不超过70公斤。
Nutrition experts might try to help a 200-pound child lose 50 pounds and grow into the 150-pound weight, says Tanner, who is a spokesperson for the American Dietetic Association.
虽然萨森和泰纳并不十分了解克利夫兰市那个男孩的具体情况,但她们说,儿童严重肥胖往往是一种很复杂的身体状况,部分原因可能是遗传素质,而不良的饮食习惯与体育锻炼不足又使其恶化。
Although Sothern and Tanner don't know the specific details of the Cleveland boy's case, they say severe obesity in childhood is often a complex medical condition that may be partly the result of a genetic predisposition to be overweight exacerbated by poor eating habits and lack of physical activity.
有些孩子似乎先天就容易肥胖,萨森说,“他们拒绝治疗。我一直都在注意这个问题。假如家长们可以持续合理地安排孩子的饮食,孩子的体重就不会增加。孩子们是根本无法抵挡食物的。他们要不停地往嘴里塞食物才能满足食欲。”
Some of those children appear to have the deck stacked against them genetically, she says. "They are resistant to treatment. I've seen it. Parents can be doing everything correctly, and the child's weight won't budge. It may be virtually impossible for the kids to resist food. They are constantly putting food in their mouth to feel satiated."
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2011-12-03 16:52 编辑:kuaileyingyu
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