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Obesity Kills Child
Aged Three

By David Derbyshire
Science Correspondent
The Telegraph - UK
5-27-4
 
A grossly overweight three-year-old child died from heart failure in hospital, a damning report on the scale of the country's obesity epidemic says today.
 
The Commons report issues a warning that obese children as young as eight are being diagnosed with adult onset diabetes. Others suffer serious sleep disorders because they are "choking on their own fat" at night.
 
The Government and the National Health Service are severely criticised for failing to tackle the crisis, while the food industry is condemned for cynically promoting junk food to children as young as three.
 
A voluntary ban on junk food advertisements during children's television programmes and a simple system of traffic light health labels for food are needed, the report says.
 
MPs want children to do a minimum of three hours' physical education a week in school and be given better cookery lessons to help reduce their preference for high fat, high salt convenience food. They also want children's weight to be regularly monitored at school.
 
The long-awaited report paints a bleak picture of the country's health. Obesity has risen fourfold in 25 years, it says. Three quarters of adults are overweight, with 22 per cent clinically obese.
 
Obesity has grown faster in England than anywhere else in Europe, with childhood obesity tripling in 20 years.
 
Among the evidence collected by MPs was an account of life in a London obesity clinic for children.
 
Dr Sheila McKenzie, a consultant paediatrician at the Royal London Hospital, said that waiting lists there were 11 months long and growing.
 
"In the past two years one child at the age of three has died of heart failure secondary to extreme obesity," she told the inquiry.
 
Four other children were being treated for apnoea, a sleep disorder caused when airways are blocked by folds of fat.
 
"In other words, they are being choked by their fat," she said. "Were we able to study all severely obese children, I am confident we would identify many more with obstructive sleep apnoea."
 
Dr Tim Barrett, of Birmingham Children's Hospital, said he had seen a super-obese child aged eight with type 2 adult onset diabetes.
 
The report says that obesity costs the health service £7.4 billion a year in treatment for heart disease, diabetes - which can cause blindness and the loss of limbs, kidney failure, brittle bone disease, tumours and psychological damage. Obesity is now the second biggest avoidable cause of cancer after smoking.
 
The report says: "Should the gloomier scenarios relating to obesity turn out to be true, the sight of amputees will become much more familiar in the streets.
 
"There will be many more blind people. There will be huge demand for kidney dialysis. The positive trends of recent decades in combating heart disease, partly the consequence of the decline in smoking, will be reversed.
 
"Indeed, this will be the first generation in which children die before their parents as a consequence of obesity."
 
David Hinchliffe, the chairman of the Commons health committee, said the report was an urgent warning to the Government.
 
"The devastating consequences of the epidemic of obesity are likely to have a profound impact over the next century." he said.
 
"Obesity will soon supersede tobacco as the greatest cause of premature death. It is staggering to realise that, on present trends, half of all children in England in 2020 could be obese."
 
John Reid, the Health Secretary, defended the Government's record in the fight against obesity.
 
"We share the committee's concern about the seriousness of obesity," he said. "It is one of the key issues which will be addressed in our White Paper on public health this year.
 
"We recognise that these issues are not just a matter for government; they involve individuals and the choices they make, as well as the food and leisure industry."
 
The Department of Health was working closely with other departments to encourage people to eat more nutritious food and take more exercise, he said.
 
The food and drink industry also defended itself against criticism in the report.
 
Martin Paterson, the deputy director general of the Food and Drink Federation, said: "The entire food and drink chain, from farmers to caterers, is clear that our industry must be a part of the solution.
 
"However, the obesity problem is complex and multi-faceted; there are no quick fixes.
 
"Any action taken must be based on sound science and we need Government, industry and all stakeholders to work together with a commitment to achieving real results over the long term."
 
© Copyright of Telegraph Group Limited 2004.
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