Childhood Obesity in Monroe County, Kentucky

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Obesity has been identified as one of the risk factors affecting directly and indirectly the health outcome of the population. Even though many approaches and programs have been conducted in order to reduce the obesity rate, this health issue is still a big headache and keeps being put on the table. According to the Centers for Disease Control and Prevention (CDC), overweight and obesity rate have been increasing significantly in the past two decades in the United States with more than 35.7% of adults and almost 17% of children and adolescents from 2-19 years olds being obese ("Overweight and obesity," 2013). As Healthy People 2020 indicated, in the period from 1988-1994 to 2009-2010, the age adjusted obesity rate among U.S adults aged 20 and over increased from 22.8% to 35.7%, which means increased by 57% while the obesity rate among children and teenagers from 2 to 19 years old increased from 10% to approximately 17%, witnessing the increase of 69% ("Nutrition, physical activity," 2013). Obesity has impact both on economic and health of the nation. Obesity is the risk factor of serious chronic diseases, including heart disease, stroke, type II diabetes, certain kinds of cancer, and other leading causes of preventable deaths ("Overweight and obesity," 2013). Moreover, obesity continues to be economic burden in terms of medical costs for either public or private payers up to $147 billion per year which increased from 6.5% to 9.1% (Finkelstein et al, 2009). In 2008, medical spending per capita for the obese or obesity related health issues is $1,429 per year, as 42% higher than “those of normal weight” (Finkelstein et al, 2009, p.8). Based on the report of F in Fact – a project of the Trust for America’s Health and the Robert Wood Johnson Foundation, medical costs for childhood obesity itself is more than $14 billion ("Fast facts: Economic,"). Obese children under private insurance are three times likely to cost health expenditure than the average insured children, with $3,743 and $1,108, respectively. With one third of children overweight and obese and childhood obesity rate has doubled in the past 30 years ("Childhood obesity facts," 2013) along with the medical costs for treating obesity and obesity related health issues among children is more than $14 billion ("Fast facts: Economic,"), childhood obesity is still a public health issue needs to be discussed. Obesity among children and adolescents contributes significantly to other health issues in adulthood, including heart disease, type II diabetes, high blood pressure, specific types of cancer such as typhoid, kidney, and other health problems such as asthma, sleep apnea, and social and psychological health effects.

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