Obesity Top Concern for Kids

Source: http://www.connectwithkids.com/

“Do it as a family. Kick them off the couch, get your exercise, stock your house with all kinds of healthy things and try to establish good eating habits, good healthful behaviors.”

– Kathleen Zelman, American Dietetic Association

American kids are getting fatter.

Is it the food they eat? Fifteen-year-old Tony says his diet was definitely unhealthy. “Chips, popcorn, soda, you name it. If it was there, I’d eat it,” he says.

How much they eat? Eighteen-year-old Matt admits he used to go overboard. “I would eat whole bags of potato chips. … We’d have two-liter bottles of soda; I’d drink probably the whole two liters … in a night,” he says.

Is it lack of exercise? “It’s OK if we want to sit at home, and play video games, and eat all day, and do nothing. I mean, our society has kind of put us that way,” says Jonathan, 16.

Or too much stress? Pediatric dietician Marilyn Tanner says, “It’s very common for kids – and adults – to use food as sort of a coping mechanism.”

The answer? It is all of these.

And according to the C.S. Mott Children’s Hospital, for the first time this year, childhood obesity tops the list of concerns parents have for their children.

But how can parents turn the tide?

Kathleen Zelman of the American Dietetic Association says: “Do it as a family. Kick them off the couch, get your exercise, stock your house with all kinds of healthy things and try to establish good eating habits, good healthful behaviors.”

Brenda Johnson, mother of an overweight child agrees. “Then it becomes a part of your lifestyle, and that’s what we’re trying to do. We’re trying to change our lifestyle to not being sedentary, but being active and making better choices,” she says.

It isn’t easy. And television, cars and fast food don’t make it any easier, but making better choices means exercise and a healthy diet.

Fifteen-year-old Tony knows that it takes hard work to shed extra pounds. “I wish, wish, there was some kind of a magic pill you could take, but there isn’t. You just gotta struggle through it,” he says.

Tips for Parents

In the past 30 years, childhood obesity has doubled for children between the ages of 2 and 5 and tripled for 6- to-11-year-olds. More than 15 percent of children between 6 and 19 are considered obese. Countering that trend, child advocates say, will require nothing less than a multi-pronged national effort.

Today, less than 6 percent of high schools require juniors and seniors to take physical education. There is also an "enormous decrease" in the number of school playgrounds. And recess has disappeared in many elementary schools where principals, anxious about preparing students for high-stakes standardized tests, have deemed it "nonproductive."

Efforts are under way to reinstate physical education. Recommendations include a minimum of 150 minutes a week for elementary school students and 225 minutes for high school students.
The Council of Educational Facility Planners International dropped its recommendations calling for vast acreage for large school sites, which will give school districts more flexibility in locating schools on smaller sites in places accessible by walking and biking

By one estimate, 65 percent of students walked to school 30 years ago. Today only 10 percent do.

For more than 14 million children, accounting for 25 percent of students between kindergarten and 12th grade, no parent is home after school. The child must take care of himself or herself. Many receive strict instructions from parents: Lock the door and don't go outside. It's a recipe for inactivity and an opportunity to snack. Only 11 percent of students (6.5 million) attend after-school programs, where they are likely to get a nutritious snack and take part in fitness activities.

The reasons for childhood obesity are complex and cannot be pigeonholed in a single or few causes.

Among the reasons experts cite are:

Kids’ backpacks are too heavy for walking too school.
Children rely on school buses or family vehicles for daily transportation.
Parents are concerned for kids’ safety and no longer permit outside, unsupervised play.
More homework allows less time for play.
Many schools have stopped scheduling recess.
Toy vehicles of today are not kid-powered, but battery-powered.
Computer games stimulate sports, rather than kids actually playing the sport.
Kids often eat due to stress or boredom.

Although cafeteria menus are coming under fire, the problem goes beyond what children eat to include when they eat. Crowded schools must extend lunch hours to serve everyone. An early lunch hour may come when the kids aren't hungry, they may not eat a healthy meal, and then they'll snack later. With a late lunch hour, kids might snack first and not be hungry for a good lunch. Finally, students also have limited time to eat. We're trying to get them to eat healthier food, but that takes time to chew.

References
C.S. Mott Children’s Hospital
The Centers for Disease Control and Prevention
The Christian Science Monitor
KidsHealth
WebMD Health

Unpopular Girls Gain Weight by Connect with Kids

“There was nothing I could do about it and … as a result, when you feel that left out, you find comfort in other things. And I think one of the things I found comfort in is food.”

– Sarah, 14

Are girls bullied because they are overweight, or do they gain weight because they are bullied? The findings of a Harvard study may surprise you.

In the 4th grade, Sarah was bullied by several of her classmates.

“They just figured, ‘we’ll be cool,’ whatever cool is, and cool was not talking to me,” says Sarah, 14.

She felt hopeless and alone.

“There was nothing I could do about it and … as a result, when you feel that left out, you find comfort in other things. And I think one of the things I found comfort in is food,” says Sarah.

Researchers at the Harvard School of Public Health followed more than 4,000 girls for two years. They found that girls who ranked themselves at the bottom of the social ladder were 69 percent more likely to gain weight than girls who were perceived to have a higher social standing.

“That kind of chronic experience increases the risk of all kinds of unhealthy ways of coping with the negative experience,” says Dr. Randall Flanery, Ph.D., child clinical psychologist.

Unhealthy coping includes overeating.

“Pushing that emotion down with food … pushing that away from having to deal with it … and the comfort, the one thing that is a nice warm hug, is that food which calms them down and makes them feel like, ‘Okay, I’m alright,’” says Marilyn Tanner, pediatric dietician.

Sarah eventually did make friends at her school. What is her advice today for other kids?

“You have to tell someone because even if they don’t do anything about it, even if the situation isn’t helped, talking about it does wonders,” says Sarah.

Tips for Parents

Many people who use food as a way of dealing with emotions suffer from “binge-eating disorder.” Binge-eating disorder is characterized by recurrent overeating or binge-eating episodes during which a person feels a loss of control over his or her eating. (National Institute of Mental Health, NIMH)
Unlike bulimia, binge-eating episodes are not followed by purging, excessive exercise or fasting. As a result, people with binge-eating disorder often are overweight or obese. They also experience guilt, shame and/or distress about the binge-eating, which can lead to more binge-eating. (NIMH)

Obese people with binge-eating disorder often have coexisting psychological illnesses including anxiety, depression and personality disorders. In addition, links between obesity and cardiovascular disease and hypertension are well documented. (NIMH)
If you are overeating often, there are some things that might help you avoid doing so. For example, instead of eating when you're not hungry, find other ways to keep yourself busy, such as taking a walk or talking on the phone. Try not to snack while doing something else, such as watching TV or doing homework -- that's a set-up for overeating! (Nemours Foundation)
Know yourself and your reputation. Get in touch with your values, interests and beliefs. If you are encountering cliques and/or exclusion at school, it's a good opportunity to ask yourself what you and your true friends give each other. Do you want to be part of a group because you need to feel accepted or because you actually share their values? (Nemours Foundation)
Stay involved in activities that make you feel good about yourself. Keep your social circles open and diverse.
Speak out. If you feel your group of friends is turning into a clique, take a stand for your beliefs. Be prepared that the clique might go on without you (remember many girls feel threatened by someone else's strength). Have a mind of your own.
Be sensitive to others and don't go along with what you don't believe is right — even if others are doing it. You are the only one responsible for your behavior. True friends will respect your mind, your rights and your independent choices. (Nemours Foundation)

References

National Institute of Mental Health (NIMH)
Nemours Foundation

Small Changes Prevent Obesity by Connect with Kids

“As long as we concentrate on exercise, eating right, cutting out the sugar, I think we’ll be okay.”

– Tina Scott-Morgan, mother

For kids and adults, losing weight seems like an endless and insurmountable task: flavorless diet foods, gym memberships, hours of sweating and pain. But a new pediatric study reports that it really doesn’t have to be that hard.

To improve her daughter’s health and weight, Tina stopped buying carbonated drinks.

“We don’t drink sodas in this house,” says Tina Scott-Morgan, mother.

“They have too much sugar in them,” says her daughter, Marissa, 9.

Too much sugar and empty calories. According to a study in the journal, Pediatrics, children who walked an extra mile a day and cut out 100 calories daily showed a significant drop in their BMI (Body Mass Index) – an indicator used to determine healthy weight. One hundred calories equals one can of soda.

“When we cut that out and replaced it with water and milk, I could tell that there’s a significant difference in Marissa’s weight,” says Morgan.

“The fact is that you’re adding extra calories into your system that your body technically doesn’t need,” says Beth Passehl, Fit Kids coordinator, Children’s Healthcare of Atlanta.

Experts say it’s all about small changes.

“Cut back gradually, cut back by 10 percent each day, cut back by one serving a day, and you may find that starts to make a difference. It’s small gradual steps that lead to life-long habits,” says Passehl.

Step-by-step, Marissa is working her way to a healthier life.

“As long as we concentrate on exercise, eating right, cutting out the sugar, I think we’ll be okay,” says her mom.

Tips for Parents

Eating breakfast is important for weight management. Research shows most people who have lost more than 60 pounds and kept it off for six years do eat breakfast. (Dr. Luke Beno, pediatrician)

Make a rule that no one in the family can eat while watching television. It’s hard for kids to realize how much they are eating when they’re absorbed in a television program. (Dr. Luke Beno, pediatrician)

Find ways to get the entire family more active. Have everyone in the family wear a pedometer, and compete to see who can take the most steps during the day. If the child wins, reward him/her with a fun activity. If the child loses, assign him/her an active chore. (Dr. Luke Beno, pediatrician)


Do not make your family give up foods they love. Instead, find healthier ways to prepare these foods. For example, frozen French fries can be baked instead of fried. Cheesecake or macaroni and cheese can be made with a low-fat cheese. Take a cooking class to get your family excited about healthy recipes. (Dr. Luke Beno, pediatrician)

Teach kids to use portion control when eating out. Since most portions at restaurants are double what they should be, encourage kids to take half home, or to share with another person. (Dr. Lonny Horowitz, bariatric specialist)

Calories are calories. It doesn’t matter where they come from. Keep portion size in mind, regardless of whether you’re eating a salad or junk food. (Dr. Lonny Horowitz, bariatric specialist)

According to The American Heart Association (AHA), healthy physical activity is defined as regular participation in activities that increase your heart rate above its resting level. However, physical activity doesn’t have to be strenuous to be beneficial. An active child plays sports, participates in PE class, does household chores, spends time outdoors and regularly travels by foot or bicycle.

The AHA offers the following guidelines:

Encourage your kids to regularly walk, bike, play outside and interact with other children.


Allow no more than two hours per day for sedentary activities – TV, computers, video games.


Promote weekly participation in age-appropriate sports or sandlot games.


Ensure your child participates in a daily school PE class that includes at least 20 minutes of coordinated large-muscle exercise.

Make sure your child has access to school/community facilities that enable safe participation in physical activities.


Provide opportunities for physical activities that are fun, increase confidence and involve friends.
Organize regular family outings that involve walking, cycling, swimming or other recreational activities.


Be a positive role model for a physically active lifestyle.

References

Dr. Lonny Horowitz, bariatric specialist
The American Heart Association (AHA)