Caption: Zhao and Wang Juliang face-to-face consultation
The boy developed late.
This 10-year-old boy is 1 m 6 and weighs 70 kilograms a day, which is several times larger than his peers. Every day parents are worried about the early development of their children. Half a year ago, they took him to the Department of Endocrinology, Genetics and Metabolism of Pediatric Hospital. You can check every day that there is no problem of early development, but there is still a serious problem that has been ignored for a long time-obesity! Moreover, due to obesity and high estrogen, the external genitalia is less than the normal development level every day.
"Many parents don't realize that their children have obesity problems. It is often when they come to the hospital to see other problems that they find that the root of the original problem is obesity. " Zhao said that grandparents always thought that children were "chubby and cute", but they didn't know that the price of loveliness was a serious health problem. Obesity in children will bring the same serious consequences as obesity in adults, such as abnormal glucose metabolism, abnormal lipid metabolism, and even type 2 diabetes and fatty liver at a young age. Moreover, obesity is also one of the inducing factors of precocious puberty, especially for girls, which may also lead to polycystic ovary syndrome and affect future fertility.
"Childhood obesity is the reserve army of adult obesity." Zhao explained with a simple metaphor that one-third of obese children will continue to be obese in adulthood, while two-thirds of obese teenagers will continue to be obese in adulthood, which can be described as "endless troubles"!
At present, to solve the problem of childhood obesity, it is necessary to "keep your mouth shut and keep your legs open"-keep exercising every day, change the bad eating habits of high sugar and high fat, and go to bed early and get up early. Recently, I have successfully lost 8 kilograms every day and my height has increased by 6 centimeters. When he came to the hospital for a review during the summer vacation, Zhao couldn't help but sigh, "It seems like a different person!"
"In fact, losing weight is not simple, and it is not difficult to say it is difficult." Zhao said that it is gratifying to successfully get rid of childhood obesity like every day, but there are also many painful cases of failure due to poor implementation by parents. "To solve childhood obesity, parents must realize the harm of obesity in their minds and then urge their children to lose weight."
The girl didn't grow up.
Will my little darling be precocious? How many years have girls been precocious? Children are precocious, will they grow taller? The problems of girls' parents are also a laundry list, but Zhao Xian gave parents a "reassurance": "First of all, there is a difference between precocious puberty and premature development. There is a strict definition of precocious puberty, that is, boys have secondary sexual characteristics before the age of 9 and girls before the age of 8. Secondly, children are generally well nourished and it is normal to develop earlier than before. In the past, menarche for girls was generally at 14 years old, and now menarche for girls is around 12. "
So, how should parents find signs of early development as soon as possible? Zhao said that girls can observe the development of breasts. For example, when the chest gets bigger, they can feel a lump like an olive nucleus in the breast, and sometimes it hurts when they accidentally touch the chest. The main symptom of boys is testicular swelling. Because of its concealment, almost all the boys who often come to see a doctor have developed. So dads need to observe more carefully.
Don't eat supplements indiscriminately, and don't beat hormones indiscriminately.
There is a traditional idea that eating "hair" will lead to obesity and premature development. Is it true?/You don't say. There is some truth in what Zhao said, because both childhood obesity and precocious puberty are related to nutritional status. She stressed that parents should not give their children supplements such as ginseng and royal jelly. "Especially royal jelly, which naturally contains estrogen, is not suitable for children." And eels, turtles, velvet antler, hairy eggs, silkworm chrysalis and other foods that greatly replenish vitality should also be eaten as little as possible or not. If you really want to make up for your child, you must also do it under the guidance of regular Chinese medicine.
Once a child has a precocious tendency, parents are most concerned about the child's height. Can children grow taller? Is it okay to take growth hormone? In this regard, Zhao said that it is necessary to resist the abuse of growth hormone. "Some parents are not tall, their children have limited genetic height and blindly want growth hormone. The effect is very limited and is not recommended. " Zhao said that growth hormone therapy should only consider patients whose predicted height is much lower than their genetic height or more than 2 standard deviations lower than their normal peers.
Finally, Zhao also asked parents to "develop early and intervene early" while "relaxing". Many children in early development don't need special treatment if their predicted height is less than 5cm from their genetic height, and their bone age and height are appropriate. They just need psychological counseling and education. "If you can cure it, you don't have to cure it. Let the children grow up well and don't worry too much about the height of one or two centimeters to' toss' the children; However, children with precocious puberty or a lot of height difference must be treated in time, and they will definitely gain something after treatment. "