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Childhood obesity – a global tsunami or time bomb
The world has never been this heavy and from all indications we will grow heavier. Obesity cuts across all continents and all age groups. Surely childhood obesity cannot offer us any positive sides.
In a society where being overweight or obese is considered a mark of affluence and parents pride themselves in having babies who look like teddy-bears, it is not surprising that we are still silent at a time when the western world is paying the price for childhood obesity.
We constantly remind our children to wear seatbelts and also wash their hands with soap and water before eating but we hardly advise our little jewels that eating a healthy diet and getting regular exercise is the trump card to good health.
It is important to drum it home that obesity is a health risk that they need to avoid to ensure that they grow into healthy adults. Good health definitely makes life more enjoyable.
Remember an obese child is often prone to diseases that only a few years ago were the preserve of the elderly. Imagine developing high blood pressure, type II diabetes and high cholesterol before your 20th birthday.
This increases your risk of developing complications such as heart attacks, strokes, amputations and a whole lot in your forties when you are at the peak of your career. What a loss! There is still hope though. We can stop this canker if we start now.
What is the Cause of this trend?
This is partly due to the dramatic shift in children’s lifestyle. Children have become more sedentary, spending hours on end watching television, playing video games and surfing the internet. Contrast that with a decade or two ago when playing gutter-to-gutter with socks-ball was worth missing a meal or two.
The food they eat has not improved either and unhealthy snacks are readily available at home and in school. Few families are sitting together to enjoy a nutritious dinner. Children thrive on fast foods which is high in calories, sugar and bad fats and most of them do not have a regular eating schedule.
All these are a sure way to arrive in the land of obesity. It is unfortunate that many people consider these foods the in-thing and will always choose fried rice with questionable chicken over apem (plantain) and abom with fish.
Prevention is the best cure
As parents we are the best role models for our children so let us set the right examples. The best way to avoid a weight problem with your children is to start early with a healthy lifestyle.
Encourage good eating habits and exercise as part of a healthy lifestyle and adopt these habits yourself.
Tips to prevent childhood obesity
- Work together as a family
- Regular family meals improve children’s nutrition and encourages healthy eating habits and leads to a reduction in the risk of childhood obesity. I am assuming that as parents we will prepare healthy meals.
- Eating breakfast is a MUST
- Do not single out any family member, adopt a healthy lifestyle for all to follow
- Respect your child’s appetite; children do not have to eat everything on their plate.
- Limit high calorie foods such as sweet tasting biscuits and discourage snacks except when they are fruits.
- Avoid soft drinks such as coke, fanta etc
- Limit fast foods, pre-prepared foods and foods with added sugar.
- Encourage high intake of fibre, fruits and vegetables.
- Replace whole milk with low fat versions from age two.
- Identify risks and try to set realistic goals
- If children spend long hours watching television or playing on the computer, set a stricter limit and monitor it. Remove televisions from bedrooms and encourage children to spend time outdoors.
- Schools should encourage physical education instead of spending hours feeding information to children. Remember a sound mind in a sound body. As parents and guardians it is our duty to champion this during PTA meetings.
- Create a family exercise plan
- Exercise together as a family, it could even be dancing to music in the living room or taking a walk together outdoors.
- Reward good behaviour
- Give rewards for reaching goals but do not use food as a reward or bribe
- Seek help if needed
- Depending on the cause of the weight problem, some children may need behavioural therapy or other professional help to achieve a healthy weight. Seek help when you are not making any positive headway.
An obese child is no laughing matter, neither is it a reflection of the affluence of his or her parents. It is a time bomb waiting to explode. A real health hazard covered with fat. Take aggressive steps now to avoid it or reverse it.
AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)
Dr. Kojo Cobba Essel
Health Essentials Ltd (HE&W Group)
(dressel@healthessentialsgh.com)
*Dr. Essel is a Medical Doctor with a keen interest in Lifestyle Medicine, He holds an MBA and is an ISSA Specialist in Exercise Therapy, Fitness Nutrition and Corrective Exercise. He is the author of the award-winning book, ‘Unravelling The Essentials of Health & Wealth.’
Thought for the week – 1. “Theme for World Heart Day 2024 – Motivate Individuals to Look After Their HEART HEALTH.”
References
- If I had only a minute with the president – Dr Kojo Cobba Essel
- Health Tips from giantfoodstores.com
- Dr David Ludwig- Child Obesity Expert
Walk into any supermarket in Accra, Kumasi, or Tamale today, and you will see the modern Ghanaian diet packaged as ‘progress.’ You will see breakfast cereals with cartoon mascots, fruit drinks that are mostly sugar and colour, and snacks promising energy and happiness in bright fonts.
Even products loaded with salt and unhealthy fats often wear a health halo labeled as fortified or natural, while the real nutritional risk is hidden in tiny print on the back. This is not just a consumer inconvenience; it is a public health blind spot. Ghana is living through a silent surge of non-communicable diseases (NCDs) like hypertension, diabetes, and stroke.
These conditions quietly drain household income and steal productive years. According to the Ghana Health Service (GHS) and World Health Organisation (WHO) estimates, NCDs are now responsible for nearly 45 per cent of all deaths in Ghana.
We cannot build a healthy nation on a food environment designed to confuse people at the point of purchase. Ghana must mandate simple front-of-pack warning labels (FOPWL) on high-sugar, high-salt, and high-fat packaged foods because consumers deserve truth at a glance, and industry must be pushed to reformulate.
Why Back-of-Pack Labels Are Not Enough
In theory, consumers can read nutrition panels. In reality, most Ghanaians shop under pressure, limited time, rising prices, and children tugging at their sleeves. The back label is a relic that requires a high cognitive load to interpret—essentially, the seller knows what is inside, but the buyer cannot easily tell.
This ‘information asymmetry’ is not fair. It is not consumer choice when the information needed to choose well is deliberately difficult to find.
Simple warning labels like the black octagons used in the Chilean Model act as a ‘stop-and-think’ nudge. They do not ban products but they simply tell the truth so people can decide.
Reshaping Our Food Environment
A generation ago, Ghana’s meals were mostly home-prepared, like kenkey and banku with soups and stews. Today, ultra-processed foods have become the norm, especially in urban areas. Children are growing up with sugary drinks and salty snacks as everyday items, not occasional treats.
If Ghana is serious about prevention, we must act where decisions are made—thus, the shelf. Warning labels protect parents from sugar traps and pressure the market to improve. When warning labels are mandatory, manufacturers start to compete to make healthier recipes to avoid the stigma of the label.
Addressing the Pushback
Industry will argue that labels create fear or that education alone is enough. However, health education is slow; labels work immediately. While the informal street food sector is a challenge, regulating pre-packaged goods is the practical starting point because the supply chain is traceable. We cannot wait until the whole system is perfect; we must start where action is feasible.
A 2026 Implementation Roadmap for Ghana
To move from talk to action, Ghana needs this 5-step plan:
- Issue mandatory regulation: The Ministry of Health, Food and Drug Authority (FDA), and Ghana Standards Authority (GSA) must define the label format and nutrient thresholds for all pre-packaged foods.
- Simple, bold symbols: Use plain language and clear symbols, such as “HIGH IN SUGAR,” designed for busy families, not experts.
- Transparent thresholds: Adopt technically defensible standards adapted to the Ghanaian diet.
- Transition and enforce: Provide a 12–18 month period for manufacturers to reformulate, followed by firm enforcement at ports and retail centers.
- National literacy campaign: The Ghana Health Service must pair labels with public messages explaining why high salt or sugar increases disease risk.
Conclusion: Truth Is Not a Luxury
Prevention is cheaper than treatment. A warning label costs little compared to the price of dialysis, stroke rehabilitation, or lifelong diabetes complications. A black octagon on a box of biscuits is more than a label; it is a shield for the health of all Ghanaians. It is time to put the truth where we can see it, right on the front.
By Abigail Amoah Sarfo
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Natives of the Kenkey Kingdom were mad with joy. They were still recovering from the hangover of the kingdom’s loss of the African Cup when their spirits were rekindled. Their great warrior, Zoom Zoom, stormed Melbourne and made sure that every Australian refused food. And that was after he had drawn contour lines on the face of their idol, Jeff Fenech.
Not only did the terrible warrior transform Old Boy Jeff’s face into a contour map useful for geography lessons, but he also accomplished the feat of retaining the much-envied super-kenkeyweight title against all odds. The warrior had not been eating hot kenkey for nothing.
The Fight Against Fenech
When Jeff Fenech bit the dust in the eighth round, I was tempted to consider if Adanko Deka could not have faced him in any twelve-rounder, title or non-title bout. Adanko has improved tremendously, and soon he would be facing Pernell Whitaker.
Sincerely, I was pessimistic about Azumah’s man, who the last time took him through twelve grueling rounds of rough boxing. I expressed my fears to my colleague Christian Abbew, alias Gbonyo, who surprisingly had total confidence that the Australian brawler would fall, predictably in Round Five.
Gbonyo gave reasons for his contention, all of which I counteracted using the age factor. Fact is, I didn’t know that contrary to the laws of nature, Azumah was all the time growing younger.
When Fenech fell briefly in round one, I asked my brother whether it was the same Fenech that fought Azumah in Las Vegas. Sure, it was the same Fenech, all out to beat Azumah before his countrymen.
But the African Professor had no intention of making the Australian a hero. As he spun round the desperate Aussie, dancing and stinging out his jabs, it was not too long before I realized that the end was near.
The Eighth Round Showdown
Two minutes into the eighth round, the African ring-master proved to the whole world that he was a true son of Bukom. He himself was cornered, but like the tough nut he is, he managed to break free before overwhelming the panting Australian with several blows that made him crash headlong.
Moments after, the referee, expressing fatherly sympathy, stopped the fight to prevent an obituary. After the ordeal, Fenech’s fairly handsome face was full of newly constructed hills, valleys, ox-bow lakes—whatever. I noticed that his nose was very tired and had a miniature volcano sitting restlessly on it. Obviously, Jeff’s wife will have to nurse that nose back to its normal shape—but I’d advise her not to use iodine, otherwise her dear husband will wail like a banshee.
Reflections on Boxing
Because Mohammed Ali was the kind of boxer kids liked, many school-going kids often entertained the wish of becoming like him. I remember one day when I told my father I wanted to become a boxer, and he advised me to first complete my education to the highest level. Then, if I decided to become a boxer and was knocked out a couple of times, I’d fall back on my degrees and make a living.
Boxing used to be interesting when bouts were fought more with the mouth and tongue than with gloves. You had to brag well, psychologically belittling your opponent before beating him up physically. Mohammed Ali became a very successful pugilist because he also managed to become a poet. He often blew his horn across America, calling himself the “pretty boxer” and opponents like Joe Frazier “the gorilla.”
Ali made a living fighting hard fists like Joe Frazier, Ken Norton, Jerry Quarry, George Foreman, Leon Spinks, and Trevor Berbick. Twice he came back from retirement to fight just for money. It was Larry Holmes who finally pensioned him, and since then the great Ali has never been himself.
The Path Ahead for Azumah
When Azumah nailed Jeff Fenech on the cross and barked almost immediately that he was after the head of Pernell Whitaker, I was happy but concerned. I would have been happier if he had announced his resignation there and then—he would have been more of a hero. Beating Fenech in Australia is more newsworthy than facing Whitaker in the States.
With Whitaker, it might be a little difficult. The “Sweet Pea” is agile, has a crooked body like a snake with diarrhea, and stands awkwardly as a southpaw. He is known for having the fastest pair of fists and the rare ability to dodge punches no matter how close they may be.
Much as I do not doubt that Azumah can take his title, I also don’t want him to retire beaten. I want him to retire as a hero and live a fuller, healthy life.
As Azumah himself said after dishing Fenech, he is now a professor and has something to show for it. Like a true professor, I think it is time he resigned and took up training young talents who could draw inspiration from him and become like him in the future.
Closing Thoughts
I must say that although ageing boxers like Larry Holmes and George Foreman are making a name for themselves, boxing is not like the Civil Service, where you can even change your age and retire at 74. Zoom Zoom has delighted the hearts of the natives, and Sikaman will forever hold him in high esteem—but only when he retires as a hero.
This article was first published on Saturday, March 7, 1992.
