1ESSAY Introduction- Obesity is one of the most deliberately noticeable and stereotyped public health problems. Childhood obesity refers to the condition that is characterized by accumulation of excess body fat, which in turn creates a negative impact on the health and wellbeing of the affected people (Black, Hughes and Jones 2018). As strategies to find out body fat directly are complicated, the identification ofobesityis frequently based oncalculation of BMI.The phrase overweight, rather than obesity is repeatedly used when talking about childhood obesity, particularly in open discussion, owing to its lessstigmatizing nature. The initial problems to crop up in obese kids are more often than notemotionalorpsychosomatic. In 2014-15, around 20% children aged 2-4 years were obese or overweight, with almost comparable proportion of boys and girls (7% vs. 9%) (AIHW 2017). This essay will elucidate the images of obese children in the society. Discussion- Obese children over and over again experiencediscriminationby their peers. Moreover, some are discriminatedagainst or hassled by their own relatives. Stereotypesare plentiful and have the probability of causing to low sense of worth and depression. According to Frontzeket al.(2016) the perceptions of parents about their children, suffering from obesity is generally distorted and often tends to underestimate the children. Often it has been found that body image is a multifaceted human phenomenon that encompasses cognitive, social, affective, and motor aspects. It is allied to self-concept and is predisposed to the dynamic relations between the individual and its environment. Hence, presence of distorted perceptions amid parents creates a negative psychological impact on the children (Stevenset al.2017). Time and again it has been found that overweight and obese children demonstrate an increased likelihood to encounter numerous connected psychosocial issues, when compared to their healthy-weight peers (Chuet al.2019). Such issues deteriorate the emotional wellbeing of
2ESSAY the children and are most commonly triggered by stigma, mockery, and maltreatment. Main sources of disgrace for children and youth have been reported to comprise of teachers/educators, parents, peers, and healthcare providers. Obese children being harassed and teased might also have less constructive conduct, negative social circumstances, inferior academic performance, and lack of adequate social participation, on comparison with normal-weight children (Rankinet al.2016). In the words of Peraltaet al.(2016) non-overweight kids had considerably lesser perceived physical capability score when contrasted with overweight kids. Apart from the direct effect of obesity and overweight in kids, they also create a strong influence on the physical perception of the kids and their peers and family members. This can be considering perturbing owing to the fact that physical perception has previously been recognized as a significant associate of motor competence, physical activity, and performance in childhood. Harrigeret al. (2019) conducted a study to examine age and gender differences in attitude towards weight bias amid a sample that comprised of 3-5 year old preschool children. The research was based on the premise that persistent weight predisposition has been confirmed amongst kids as young as three years, and the situations aggravates with age owing to the exposure of children to a range of sociocultural circumstances involving the peers, family, and media. It was found that girls demonstrated a larger weight bias, when compared to their male counterparts, and there was an increase in weight bias with increase in age in adjective attribution job. Tanget al.(2018) reported that an estimated 60% caregivers having overweight or obese kids underestimated the weight status of the children. These caregivers demonstrated a less susceptibility to be anxious about the weight of their kids, and limit their children’s nutritional intakes. Kids of caregivers who erroneously categorised their weights were expected to have a
3ESSAY poor desire for food. Caregivers of boys and those belonging to families with earnings between 7000 and 11,000 Ren Min Bi (RMB) reported an increased likelihood of underestimating weight, in contrast to those having daughters, and from higher earning households.The negative perception about childhood obesity was also affirmed by Harrigeret al.(2019) who stated that several young girls report negative attitude and outlook towards Barbie dolls that are curvy. While more positive approach is manifested towards dolls that are original, petite and tall, young girls demonstrated reduced likelihood of playing with curvy Barbie dolls, thereby emphasizing on the pervasiveness of body dissatisfaction, in relation to overweight and obesity. Hence, these findings reported the preference of people for thin bodies, together with repugnance towards bigger bodies. Lydecker, O’Brien and Grilo (2018) identified the wide-spread recognition of negative attitude towards obesity and tried to determine the weight bias among children against obese children. They suggested that there were around 93% parents who held moderate explicit weight bias. While negative outlook towards obese children was more common amongst fathers, when compared to mothers, there was no significant connotation between the negative attitude and demographic variables such as, sex of child, parent age, or child age. The researchers elaborated on the fact that parents commonly demonstrated an implicit correlation towards pairing negative remarks like ‘stupid’ and ‘bad’ with children who were fat, in contrast to the usage of words like ‘smart’ and ‘good’ with thin children. The study findings were significant since parents who themselves were obese also demonstrated presence of implicit bias against the condition. This elucidated the fact that weight bias is near universal and pervasive. However, Eket al.(2020) found that parents often discussed about the challenges they encountered while managing appetite of their children and seeking treatment services. Parents were found to report that they
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4ESSAY generally appreciated the practical behavioural changes taught to them, regarding food changes. Group settings were also found to influence parenting skills and helped them effectively target childhood obesity. The findings therefore highlighted that intervention programs that focused on childhood obesity offer adequate training on parenting skills that facilitate management of the emotionally and socially challenging situations that are concomitant with childhood obesity. FindingsfromMarks,BarnettandAllender(2019)alsosuggestedthatschool communities generally display a concern about the ever-increasing challenge of childhood obesity amid the students. However, they demonstrate decreased level of readiness towards adopting appropriate actions within the existing community. Descriptive information from the study emphasized on the strong focus that schools place on promoting healthy dietary behaviour and physical exercise, for management of childhood obesity. According to Pontet al.(2017) weight stigma is repeatedly disseminated and endured in the society owing to the pre-existing opinions that shame and disgrace will encourage individuals to lose weight. Nonetheless, rather than inspiring positive transformation, this disgrace directly contributes to actions such as, reduced physical activity, social isolation, binge eating, escaping utilization of health care services, and augmented weight gain, thereby worsening obesity and leading to the development of other barriers to lifestyle modifications. In the words of Baschet al.(2019) bias towards children who are obese or overweight exists amid the healthcare professionals as well, and this creates a significant impact on the quality of health interventions delivered to them. Findings from this research revealed that around 12-22% healthcare professionals dependent on the cues related to weight status of paediatric patients while conducting assessments about mother and patient adherence and accountability for health. Most of the healthcare professionals associated greater weight status
5ESSAY with inferior anticipated treatment compliance and better health accountability. Results also suggested that the body weight of paediatric patients, together with their mother exerted a significant role on the clinical judgments of pre-health professionals, thereby causing disparities in care. Conclusion- Thus, it can be concluded that majority of children who live with obesity are most commonly subjected to a range of negative attitudes and stigmatizing behaviour from their parents, peers, teachers, and healthcare providers. While some teachers and school associates recognize the long-term consequences of childhood obesity and focus on healthy eating and physical activity for managing the condition, majority of the negative attitude causes isolation and deteriorates the mental wellbeing of the children. They commonly report name calling and are addressed by words that are derogatory, and indicative of their body image. The condition also reduces their chance of receiving proper healthcare services. Not only do they resort to isolation, but also engage in binge eating, sedentary lifestyle, lack of participation in physical exercise and unhealthy food habits. Therefore, it can be stated that negative images of children who are obese and overweight are widespread, and must be immediately addressed to enhance the health outcomes of the target population.
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7ESSAY Harriger, J., Trammell, J., Wick, M. and Luedke, M., 2019. Gender and age differences in pre‐ schoolers’ weight bias beliefs and behavioural intentions.British Journal of Developmental Psychology. Harriger, J.A., Schaefer, L.M., Thompson, J.K. and Cao, L., 2019. You can buy a child a curvy Barbie doll, but you can’t make her like it: Young girls’ beliefs about Barbie dolls with diverse shapes and sizes.Body image,30, pp.107-113. Lydecker, J.A., O’Brien, E. and Grilo, C.M., 2018. Parents have both implicit and explicit biases against children with obesity.Journal of behavioral medicine,41(6), pp.784-791. Marks, J., Barnett, L.M. and Allender, S., 2019. Is school community perception of student weightstatusabarrierforaddressingchildhoodobesity?.HealthPromotionJournalof Australia,30(1), pp.28-36. Peralta, M., Marques, A., Martins, J., Sarmento, H. and Costa, F.C.D., 2016. Effects of obesity on perception of ability and perception of body image in Portuguese children and adolescents. Pont, S.J., Puhl, R., Cook, S.R. and Slusser, W., 2017. Stigma experienced by children and adolescents with obesity.Pediatrics,140(6), p.e20173034. Rankin, J., Matthews, L., Cobley, S., Han, A., Sanders, R., Wiltshire, H.D. and Baker, J.S., 2016. Psychologicalconsequencesofchildhoodobesity:psychiatriccomorbidityand prevention.Adolescent health, medicine and therapeutics,7, p.125. Stevens, S.D., Herbozo, S., Morrell, H.E., Schaefer, L.M. and Thompson, J.K., 2017. Adult and childhood weight influence body image and depression through weight stigmatization.Journal of health psychology,22(8), pp.1084-1093.
8ESSAY Tang, A., Ji, M., Zhang, Y., Zou, J., Li, M., Yang, L. and Lin, Q., 2018. Dietary Behaviors and CaregiverPerceptionsofOverweightandObesityamongChinesePreschool Children.International journal of environmental research and public health,15(4), p.716.