A recent study found that about 14.4 million children in India are overweight or obese. This makes childhood obesity one of the leading health concerns for Indian parents. Research states that on average, children and teenagers who spend over seven hours a day browsing the internet or playing games on electronic gadgets are at greater risk of obesity. Smartphone, Tablets, Kindle   these keep your child occupied for quite some time, but too much screen time may infuse unhealthy habits in them, which persist even as they grow up. 

Obesity, Technology and Sedentary Behaviour 

Overexposure to gadgets goes hand-in-hand with reduced physical activity. As children spend most of their leisure time glued to Smartphone watching videos on YouTube, playing games online, they spend little or no time outside playing or running around and burning those excess calories. Over time, they are unable to cope with any outdoor activities/exercise. This eventually leads to significant weight gain.

Increased Snacking

Too much time spent on electronic gadgets may lead to mindless eating and increased snacking. Many times the commercials featured in between videos prompt your child to crave for foods that are low in nutrition, and high in sodium, added sugar and fat. This type of food marketing largely influences children s food preferences and in turn, affects their health.

How Overuse of Gadgets Interfere with Quality of Sleep?

Looking at your Smartphone just before going to bed will likely disrupt the quality of sleep long after you turn them off. Continuous exposure to gadgets not only causes digital fatigue in children but also exposes their eyes to Blue light. This light hampers the creation of  sleep hormone  in the body. As a result, you find it hard to sleep. Children and teenagers who do not get adequate sleep as is required for their age are at higher risk of developing obesity. 

Limit Your Child s Screen Time

Experts suggest adolescents and children spend no more than two hours on Tablets and Smartphone.

  Encourage your children to get off the couch and engage in some sort of exercise/physical activity 

  Focus on providing them with healthy snacks and food that will keep them fuller for a long time. Fruits and vegetables, whole grains, low-fat milk, high-fibre foods should definitely be on the list. Make sure they do not skip breakfast and meals. 

  Ensure that they restrain from using gadgets at least two hours before going to bed. Read them a book instead of handing them Kindle. The ill effects of gadget use should not be overlooked. Childhood obesity can lead to several health complications in adulthood, which is why it is imperative that you take adequate measures to ensure that your child maintains healthy body weight. 

Children Obesity & Gadget Use!

This is a very common condition seen in toddlers. When the legs are brought together then there is a gap at the level of the knee. It happens because of inward bowing of thigh bone or tibia. The deformity may appear to increase on standing.

Daily requirement of calcium

The optimal primary nutritional source during the first year of life is human milk. Premature infants have higher calcium requirements than full-term infants while in the nursery. These may be met by using human milk fortified with additional minerals or with specially designed formulas for premature infants. Around 6 months of age when weaning foods are started, food items rich in calcium should be added. Readymade formulas are fortified with calcium but one must remember that the bioavailability of calcium from human milk is greater than that from infant formulas or cow's milk. Hence breastfeeding should be encouraged. In children age 2-8 years the daily requirement is around 800 mg/d. In children 9- to 18-year-olds the daily requirement is 1,200-1,500 mg/day.

Some of the common items that are rich in calcium are.

Food Item	Quantity	Amount of Calcium in each serving
Milk	1 cup (240 ml)	300 mg
Cheddar cheese
1.5 oz (42 g)	300 mg
Spinach cooked	1/2 cup (90 g)	120 mg
Sardines or salmon with bones	20 Sardines (240 g)	50 mg
Sweet potatoes	1/2 cup (160 g)	44 mg
Vitamin D:

Babies younger than 1-year-old need 400 IU of vitamin D a day. Kids older than 1 year need 600 IU or more of vitamin D a day. Our bodies make vitamin D when our skin is exposed to the sun. The recommended exposure to sunlight is at least 30 min every day. There are various fortified food items that have vitamin D. Also medicines are available which can provide the daily requirement of Vitamin D

Physiological genu varus. In most of the toddlers, the legs are curved inwards. They should improve over a period of time. The legs should straighten by 2 yrs. The child should be investigated if the deformity is severe; the deformity is only in one leg, if the child complains of pain and if the child appears unusually short.

Bow Legs - Why Do Children Suffer From Them?

Children are highly at risk of developing a common cold. It has been said that 22 million school days are lost each year because of the common cold. This can easily be prevented by a number of simple measures. Here are the most common methods which people take to make sure that they do not catch the flu:

1. Make your child wash their hands
This is the most common reason for children getting the common cold. It is possible that whatever you touch may get infected with your germs and pass on to your children. This can happen even hours later. Therefore, it is crucial that you wash your hands as often as possible and if this is not possible, you should at least make your child use a hand sanitizer.

2. Do not sneeze into your hands
When you sneeze into your hands, the virus clings to your hands. Therefore, when you sneeze, try to sneeze into a tissue or at least into the inside of your elbow so that your child does not get a cold.

3. Make your child not touch your face
Colds can only enter your body through the eyes, nose and mouth. Tell your kids not to touch their faces so that they do not catch a virus.

4. Make your child do aerobic exercise
Aerobic exercise increases your heart rate and this means, that it also increases the ability of the body to kill viruses.

5. Give your child foods with phytochemicals
Green, red and yellow vegetable and fruits are very good at fighting off viruses. Eat them so that the natural virus fighting ability of the body is increased.

6. Do not allow your child to come near smoke
Smoking reduces the body's ability to fight off cold. This is why smokers get more severe and more frequent colds. It has been said that one cigarette can stop cilia from working for 30 to 40 minutes.

7. Relax 
There is also a lot of evidence that your immune system is stronger when you are not stressed out. Try to see that your child is not stressed from school or any other place which may cause them stress.

How to Prevent Common Cold in Children?

Scabies is a highly infectious disease, which is caused by very tiny wingless insects called the Human itch mite or scabies mite. The insect lays 1 to 3 eggs daily after burrowing into the skin. A small, almost invisible blister is formed on the area. You might also feel an urge to itch especially at night, which would likely cause a red rash to form on the scratched area. Sides of fingers, in between the fingers, the back of your hands, the wrists, elbow, and armpits are the common areas where scabies affect. It is generally spread when you come in close contact to any infected person or their belongings. Scabies can occur at any age, but is most common among children.

Treating scabies with homeopathy:

Homeopathy, due to its safe and natural medicines are the best alternative in treating scabies. It attacks the infection at the roots and does not let it reappear. Here given below are some of the best homeopathic remedies:

    Sulphur: If you are suffering from a recurrent or suppressed form of scabies, Sulphur is one of the best remedy for you. You might feel an intense urge to scratch the area, which worsens with when washed and exposed to heat. Your skin might be extremely sensitive to air, wind as well as washing.
    Causticum: If you have scabies in the folds of the skin and between the thighs, causticum works well for you. Intense itching, scratching and soreness are some of the symptoms you experience.
    Arsenic Album: The infection occurs in the bend of your knees and it could be dry as well as full of small pustules. You may experience itching and a burning sensation around the area. Application of cold water may also make you feel better. These symptoms are well treated with Arsenic Album.
    Sepia: It is one of the best homeopathic remedy if you have scabies, and scratching the area as much as it feels, would not give you any kind of relief. Your skin might turn pinkish and the condition worsens when exposed to open air. You may also feel better in a warm room.
    Psorinum: You can opt for this medicine if you have any past history of scabies. If your infection has not been properly cured, it can result into internal infection e.g., asthma, heart ailments etc. You might not want to stop itching until your skin starts bleeding. You may feel better if you lie down for some time.

How Best to Treat Scabies with Homeopathy

Coughing is a common problem of the respiratory tract and often indicates a deeper problem. It can be very irritating and can affect eating habits and socialization. A cough which persists for more than 4 weeks is believed to be chronic in nature. Tuberculosis (TB) is the most common cause of chronic cough in India. TB is an airborne bacterial infection caused by the organism - 'Mycobacterium tuberculosis', that primarily affects the lungs, although other organs and tissues may be involved. Cardinal features are: 

Chronic cough with or without sputum.
Fever more in the night time. 
Poor appetite. 
Unintentional weight loss. 
Read on to know about other common causes of chronic cough and how to manage them.

Allergies: People with allergies usually have a chronic cough, which gets aggravated when exposed to the allergens such as pollen or environmental dust. Staying away from allergen provides relief. Antihistamines are also useful, which most people detected with allergies keep in handy. Inhalers might be required, if there is associated congestion or shortness of breath.
Asthma: This is a very common chronic condition, caused by inflammation and swelling of the lungs, in addition to wheezing and shortness of breath. Asthma patients often suffer from a chronic cough. An asthma attack usually happens during the night or early morning, and is triggered by colds, cigarette smoke, air pollutants or allergens, which can even include certain foods. Most asthmatics usually carry their steroids, inhalers, and bronchodilators, as the onset of attack can be unpredictable.
Bronchitis: This condition of inflammation of the bronchial region is very common among smokers and among the elderly. There is excessive mucus accumulation, which the body tries to clear via coughing. The lungs are weakened and therefore, the coughing is painful.
Gastroesophageal reflux disease (GERD): This is a problem of the digestive system, but regurgitation of food into the airway induces cough. GERD is a chronic issue and so most people also end up with a chronic cough. It is worse with sitting up than with sitting down. Treatment includes H2 blockers to suppress acid production and dietary changes including small, frequent meals and avoiding spicy food items.
Upper airway cough syndrome: There could be multiple problems in the upper airway, which leads to a constant postnasal drip. Here, there is constant dripping of the sputum into the air passage, which can lead to a chronic cough whenever there is impaired air flow. This can be caused by various forms of chronic sinusitis and rhinitis. People diagnosed with this condition usually resort to antihistamines and decongestants for relief.
Other causes: There are a number of other causes as noted below. Smoking, tuberculosis, congestive heart failure, pertussis or whooping cough, foreign body in the airway, cancer in the airway passage, chronic aspiration of foods, etc. can all lead to chronic cough.
The key is to identify the reason that is causing the chronic cough. Most people who are diagnosed are educated to handle it and carry the required medications including steroids, bronchodilators, and inhalers.

Suffering from Chronic Cough - How to Manage it?

Sometimes children suffer from conditions where their feet may not be in proper shape or size, something that can affect their posture. Most of the times the disorders get corrected themselves as children grow up, but there can be situations where medical attention is required. These conditions can be normal variations in the anatomy as well which don't essentially require treatment. Some of the common orthopedic disorders found in children include:

1. Flatfeet

While most babies are born with flat feet which develop arches as they grow, in some case the arches remain underdeveloped even after they grow older. Their feet may turn inwards while they walk due to their flat nature. There is no inherent problem in this condition unless it becomes painful. Doctors may recommend special footwear with arches inserted for support to reduce the pain.

2. Toe Walking

Toe walking is not a disorder while your child is just learning to walk. Toddlers who continue to walk on their toes after the age of 3 may require medical attention. Toe walking on one leg or persistent toe walking can be due to other medical conditions like muscle weakness, cerebral palsy or autism. It is advisable to take your child to a therapist for casting the foot and ankle which can help stretch the muscles.

3. Pigeon Toes

In toeing or pigeon toeing is common among babies when they are first learning to walk. Sometimes children above 3 years walk with their toes inwards which can be due to femoral anteversion. This happens when upper part of the leg bends more than it naturally should, causing inward rotation of the feet. Specially designed shoes and braces can help to correct this condition. Usually, the condition corrects on its own with age and does not interfere with sport activities which involve running.

4. Knock-Knees

It is a common tendency among children aged between 3 and 6 to develop knock-knees (genu valgum), since their bodies go through natural shift in alignment. Usually, treatment is not required as the legs straighten out eventually. Knock knees on one side or persistent knock knees may require medical attention. Children with this disorder may suffer from pain hence in some cases surgery is recommended after the age of 10.


Common Orthopedic Disorders In Children

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