Skinny Kids VS Healthy Kids
Thin does not always mean unhealthy. Only, we must know the cause why he looked thin.
Which parent, who could calm me if her look thin. Certainly efforts were made to the child's parents could be obese. Therefore, he considered obese children, right, a healthy sign.
Indeed, it is recognized Aryono Hendarto, MD, a pediatrician from the Nutrition and Metabolic Subdivision Section of Child Health, Dr RSUPN. Cipto Mangunkusumo Jakarta, there are often wrong perception of parents. "The ideal healthy child was identical with the body fat." Though, of course not. "Because something is excessive or deficiency would not either. Normally, an age-appropriate weight and height."
THIN CHILD TERMS
Physically, according Aryono, the child is said to lean not only on weight but also height. There are two important things that cause children called skinny: 1) Thin as underweight according to age, while her height according to age or less according to age. 2) Thin because of his height more by age while the weight is quite according to age.
Well, healthy according to WHO criteria include physical and mental health. "Son of a second thin to say healthy, healthy if the criteria are seldom sick. While the skinny kid who first said to be unhealthy because of her weight and even height was less or not suitable according to age," said Aryono, who also practices at RSIA Hermina Jatinegara.
In principle, further Aryono, though thin, the child's weight should be increased every month according to age. "Well, that was the problem that skinny kid did not go up-up weight. It should look for the cause. Could be due to lack of nutritional intake, child activity despite the excessive intake enough and it could be because there are diseases that melatarinya so that less food intake."
THIN WHETHER PARAMETERS
Weight loss is one of the parameters of a child's growth, in addition to height factor. Therefore, the term growth and development in children. Growing up means growing larger cells and mature flower means the cells function. "Well, when the skinny kid weighs not comply with the ideal weight according to age, it is said to be less good growth," explained Aryono.
Clearly, the ideal weight of a child has range. The default for boys and girls are different. Usually girls have a lower body weight than boys. To measure body weight is generally in Indonesia using parameters adapted from the American NCHS (National Center for Health Statistics). There also are using a count of the Ministry of Health for national consumption, the KMS (Card Towards Healthy). Well, this parameter can be seen on the ideal weight of a child according to age and gender. "When the child's weight through the standard 100 percent then said to be overweight and over 120 percent is called obesity, whereas if the weight below the 80 percent ideal body weight and manifestations said to be malnourished child looks thin," explained Aryono.
However, Aryono warned that the weight must be associated with age and height. For example, the daughter of 12 months weighing 7.2 kg and height 72 cm. While the average weight of girls aged 12 months of about 9.6 kg. So the child's weight is 75 percent of the weight average age. This means the child, including malnutrition. But, judging from his height then; 72 cm (height of children): 74 cm (height should be) x 100 percent, then the height is 98 percent of ideal height. This means that when viewed from a good height then the child including good nutrition. "His interpretation is the child experiencing acute malnutrition, because less weight to weight average age, but height is still good. But if height is then said to have participated hampered chronic malnutrition that usually reflects poor nutrition, which means that malnutrition is already underway in a long time, "explained Aryono.
NUTRITION FACTORS
When that happens is the skinny kid with a weight that is not up-up, of course, can be said to be healthy and could not. Therefore we must look for the cause, for non-nutritional factors or nutrients. Nutritional factors, eg, the mother felt was enough to give nutritious food intake. Both quantity and quality in accordance with a menu that contains balanced nutrition: carbohydrates, proteins, fats, vitamins and minerals. Having analyzed the intake of the diet was given quantity is still less than demand. And every month a child's weight should always be an increase. As a rough benchmark can be used as follows: children aged one year three times the weight of birth weight. 2 years is approximately 4 times the birth weight. So, if the baby is born with a weight of 3 kg is at the age of 1 year and weighing 9 kg at the age of 2 years to be 12 kg. More specifically, the first 3 months baby weighs between 600 g increase-1000 gr. So go up 150-250 grams per week. Then 3 months both rose about 600-700 grams per month. Three third month about 400-500 grams. Three fourth month of 300-400 grams. Over one year, roughly 1-3 years the increase is about 250 grams or a quarter pounds per month.
Well, if it turns out every month weight does not rise or rises but does not satisfy the nutrient input must be re-evaluated taking into account all physical activity. Is it enough to anticipate the excess activity. "But with a record of a healthy child or no disease. Because if its activity while the input of excess calories, or just barely enough, it is not enough calories stored to increase his weight."
Indeed there are certain periods in which the child is active, such as one year of age, children want to walk. In these children should be given extra calories. So if the skinny kid, but active and no underlying disease that the intake of food that must be analyzed.
For healthy children who eat too thin in terms of nothing in particular. The food remains with balanced nutrition according to age group only the amount of calories tailored according to age. Except for the sick child. For example, a child is sick then given a soft heat. If diarrhea were given an easily absorbed / digested.
DISEASE FACTORS
Meanwhile there is also a skinny kid who is not healthy. According Aryono, usually because there is an underlying illness. As a result the child stopped eating / anorexia. In Indonesia, some diseases that can cause the skinny kid would not eat due to, among others, infections such as lung infection (tuberculosis), urinary tract infections, parasitic infections and others. "During his illness was cured then it will still be thin, because the intake of children eating less because no appetite. With so her weight did not go up and up."
Usually skinny kid who is not healthy because there are diseases that melatarinya will look like a pale, lethargic, fever, no appetite and body weight was not ride-up. But when the disease is cured, automatically became the child's appetite improved. Thus the weight will increase.
NOT DERIVED
What is clear, skinny kid is not inherited, lo. In contrast to obese children; according to research results, if both parents obese then 70 percent of obese children at risk. If only one parent is obese then 40 percent of obese children at risk. Meanwhile, when both parents did not obese then 70-10 percent of obese children at risk.
It does not apply in children underweight. Unless the issue of height is influenced both parents. This height can create the appearance of the child appears thin or not. When both parents and children was high so high that look thin. But, it could be, lo, his parents but his short height. Now, if then his son was often sick, yes, so it looks thin. "
Likewise with birth weight. It is not that low birth weight and will make future child to be thin. Normal birth weight is usually about 2.5 - 4 kg. Speed of growth of the same growth curve fit. Meanwhile, the low birth weight are distinguished in two respects, namely because of the age of pregnancy is less / gestational age premature and therefore sufficient, such as 39 weeks but low fetal weight, eg 2 kg, it is said dismatur or experiencing intra-uterine growth retardation in the womb.
Well, babies are usually developmental dismatur weight will catch up. Because he's actually normal, but experience growth retardation in the womb. Precisely after the babies born this dismatur greedy and can achieve weight loss weight like a normal baby. While that was born prematurely, with very low birth weight, eg 1 to 1.5 kg of using different development curve. It could be any further weight gain may not like a normal child's weight.