Ka wehewehe ʻana i ka momona a me ka momona o nā keiki

ʻO ka nui o ka momona ʻo ka momona o ke kino. ʻAʻole like ia me ka overweight, ʻo ia hoʻi ke kaupaona nui ʻana. Ke lilo nei ka maʻamau i mea maʻamau i ka wā kamaliʻi. ʻO ka pinepine, hoʻomaka ia ma waena o nā makahiki o 5 a me 6 mau makahiki a i ka wā ʻōpio.

Paipai nā poʻe loea olakino keiki e nānā ʻia nā keiki no ka momona ma ka makahiki 2. Inā pono, pono lākou e kuhikuhi ʻia i nā polokalamu mālama kaumaha.

Hoʻomaulia ʻia ka papa kuhikuhi nui o kāu keiki (BMI) me ka hoʻohana ʻana i ke kiʻekiʻe a me ke kaumaha. Hiki i kahi mea mālama ola ke hoʻohana i ka BMI e koho ai i ka nui o ke kino o kāu keiki.

ʻO ke ana ʻana i ka momona o ke kino a me ka hōʻoia ʻana i ka momona i nā keiki ʻokoʻa ia ma mua o ke ana ʻana i kēia mau mea i nā mākua. I nā keiki:

• Hoʻololi ka nui o nā momona o ke kino me ka makahiki. Ma muli o kēia, ʻoi aku ka paʻakikī o ka BMI e wehewehe i ka wā ʻōpio a me nā wā o ka ulu wikiwiki.
• He nui nā momona o ke kino o nā kaikamahine a me nā keikikāne.

ʻO kahi pae BMI e ʻōlelo nei he nui ke keiki i ka makahiki hoʻokahi he maʻamau no ke keiki i ka makahiki ʻokoʻa. E hoʻoholo inā kaumaha a keiki nui paha ke keiki, hoʻohālikelike ka poʻe loea i nā pae BMI o nā keiki i ka makahiki like i kekahi. Hoʻohana lākou i kahi pakuhi kūikawā e hoʻoholo inā he olakino ke kaumaha o ke keiki a ʻaʻole paha.

• Inā ʻoi aku ka kiʻekiʻe o ka BMI o ke keiki ma mua o 85% (85 mai 100) o nā keiki ʻē aʻe o ko lākou mau makahiki a me ka wahine, manaʻo ʻia lākou i ka makaʻu o ka momona.
• Inā ʻoi aku ka kiʻekiʻe o ka BMI o ke keiki ma mua o 95% (95 i waho o 100) o nā keiki ʻē aʻe o ko lākou mau makahiki a me ka moekolohe, manaʻo ʻia he overweight a obesity paha.

ʻO Gahagan S. Kaumaha a me ka momona. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds.ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 60.

O'Connor EA, Evans CV, Burda BU, Walsh ES, Eder M, Lozano P. Nānā no ka momona a me nā hana no ka mālama ʻana i nā keiki a me nā ʻōpio: hōʻike hōʻike hōʻike a me ka loiloi ʻōnaehana no ka US Preventive Services Task Force. JAMA. 2017; 317 (23): 2427-2444. PMID: 28632873 pubmed.ncbi.nlm.nih.gov/28632873/.