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)

Teen Pregnancy Rate Up: by Connect with Kids

“I knew a little bit about it just from health class, things like that, but nobody in my family had ever really talked to me about it.”

– Amber Schalk, 19

For the first time in 14 years, the number of babies born to teenage parents in the U.S. is up, according to the Centers for Disease Control and Prevention (CDC). What’s behind the increase?

Amber says she had to learn about sex on her own.

“I knew a little bit about it just from health class, things like that. But nobody in my family had ever really talked to me about it,” says Amber Schalk, 19.

Now, Amber is a 19-year-old mother of two.

“What book do you want to read?” Schalk asks her daughter.

“I wasn’t using any protection, because I guess I just thought I wouldn’t get pregnant. I don’t know why, but I did -- eventually it happened,” says Schalk.

According to the CDC, after a steady decline for more than a decade, the teen birth rate rose 3 percent from 2005 to 2006. Some experts fear that what parents and schools teach kids about sex is superficial or incomplete.

“We’re still grappling with the whole idea that somehow if you have knowledge that you’re going to act on it. That is totally wrong. Actually, the more knowledge you have, the less likely you are to engage in sex,” says Gail Wyatt, PhD, clinical psychologist.

She says teens are powerfully curious about sex. That’s why parents need to be open and honest.

“You don’t want to walk away and say, ‘that’s not a good question, I’m not going to talk to you,’ or, ‘you shouldn’t even be thinking about that.’ To shut a conversation down is probably about the worst thing that a parent can do, and to make the teen feel guilty for having asked the question,” says Wyatt.

“Kids wind up getting these answers, but they’re not going to get them from you. They learn to ask their friends,” says Dr. Mark Schuster, M.D., Ph.D., pediatrician.

Schalk says she loves her kids and yet, there is some regret.

“I wish somebody just would have talked to me. Sat down and talked to me about sex and things that were going to happen during my teenage years, but nobody did,” says Schalk.

Tips for Parents

If kids are left to their own devices, they may simply act on their hormones. If they understand their bodies and their hormones, chances are they won’t choose to be sexually active. (Gail Elizabeth Wyatt, Ph.D., clinical psychologist)

Just as we teach our children how to brush their teeth and take care of themselves, parents and educators need to teach children about reproductive health care. It’s a vital part of who we are as healthy human beings. (Michele Ozumba, Georgia Campaign for Adolescent Pregnancy Prevention)

It can be difficult for parents to talk to their teens about sex. One good way to start the conversation is to use teaching moments from television programs, news reports, DVDs, etc.

“One suggested way to open the conversation is to say, ‘Even though I don’t want you to be having sex now, I know that [some] kids do have sex in high school, and whether or not you’re going to, you’re going to have friends who have sex, or classmates, and I think we should talk about this.’” (Mark Schuster, M.D., Ph.D., pediatrician, researcher, author)

When your teens ask about sex, one of the worst things that a parent can do is to shut down a conversation, and make the teen feel guilty for having asked the question. Listen, try not to be judgmental, and provide age-appropriate information. (Gail Elizabeth Wyatt, Ph.D., clinical psychologist)

“Your child may be sitting at the dinner table pretending not to listen, but they’re absorbing every word. They’re very eager to hear what you have to say about this. Actually, when kids are asked who they want to learn about sex from, it’s their parents.” (Mark Schuster, M.D., Ph.D., pediatrician, researcher, author)

“Don’t just talk about sex, talk about love. Share with your kids what’s wonderful about love. Share how sex can fit into a loving, caring relationship. Kids should get all of that from their parents. They shouldn’t just get the part about how body parts fit together; they should get the whole emotional package from their parents.” (Mark Schuster, M.D., Ph.D., pediatrician, researcher, author)

Talking about sex shouldn’t just be a lecture. Listen to what your teen is saying and thinking. They are exposed to much more sexually explicit material than previous generations, and need to separate the truth from the fiction. (Michele Ozumba, Georgia Campaign for Adolescent Pregnancy Prevention)

References

Columbia University
Georgia Campaign for Adolescent Pregnancy Prevention
Guttmacher Institute

STD on the Rise by Connect with Kids

“It takes more than one conversation or one brochure. It takes a network of repeated messages -- from parents, from peer groups -- to encourage a sense that you as the individual are worth protecting.”–

Leola Reis, Planned Parenthood

According to the latest estimates from the Centers for Disease Control (CDC), in this New Year, 19 million people will become infected with a sexually transmitted disease (STD). Almost half of them will be teenagers, and the rate of infection is going up.

However, when you talk to teenagers, it seems as if most of them know how to avoid contracting an STD.

“By using protection during sex, and abstaining from sex, and mostly getting to know the person you are going to have sex with,” says Andy, 18.

“Stay a virgin,” says Ashley, 14.

“They get [an STD] because they’re careless. They don’t like to use condoms because they like the way it feels without one. That’s stupid,” says Marcus, 17.

According to the CDC, the rates of STDs are climbing. Both Gonorrhea and Chlamydia are up more than 5 percent since 2005. After 15 years of decline, Syphilis is up 14 percent, and 25 percent of teenage girls have Human Papillomavirus (HPV), according to the American Medical Association. Still, some teens remain complacent.

“What [teenagers] know as a statistic is not necessarily what changes their lifestyle or their behaviors,” says Wanda Wong, RN, public health nurse (PHN), county health services coordinator.

“They won’t stop having sex. If anything, they’ll hide whatever they have,” says Clinton, 20.

That’s why, experts say, parents need to repeat the message that STDs are serious. Some are incurable; some can result in cancer, infertility, even death. And all of them are preventable.

“It takes more than one conversation or one brochure. It takes a network of repeated messages -- from parents, from peer groups -- to encourage a sense that you as the individual are worth protecting,” says Leola Reis, Planned Parenthood.

“You don’t know where that person has been, what kind of people they’ve slept with. Better to be safe than sorry,” says Denelle, 20.

Tips for Parents

It's never too late to talk to your child about STDs. But the best time to start having these discussions is during the preteen or middle school years. (Nemours Foundation)

Questions are a good starting point for a discussion. When kids are curious, they're more open to hearing what their parents have to say. Another way to initiate a discussion is to use a media cue, such as a TV program or an article in the paper, and ask your child what he or she thinks about it. (Nemours Foundation)
Be informed. STDs can be a frightening and confusing subject, so it may help if you learn about STD transmission and prevention. You don't want to add any misinformation, and being familiar with the topic will make you feel more comfortable. (Nemours Foundation)

Ask your child what he or she already knows about STDs and what else your child would like to learn. Remember, though: Your child may already know a lot more than you realize, although much of that information could be incorrect. Parents need to provide accurate information so their kids can make the right decisions and protect themselves. (Nemours Foundation)

Explain that the only sure way to remain STD-free is to nothave sex or intimate contact with anyone outside of a committed, monogamous relationship, such as marriage. However, anyone who is having sex should always use a latex condom, preferably with a spermicidal foam, cream or jelly that contains nonoxynol-9. (Nemours Foundation)


References

Nemours Foundation

Risk Factors for Early Sex by Connect With Kids

“We’re concerned about their behavior, we certainly don’t want [young teens] to be sexually active … and yet they’re exploited daily by the things they see.”

– Gail Elizabeth Wyatt, Ph.D., clinical psychologist, UCLA professor

Most parents know that there are a number of factors that weigh into whether their child will have sex at a young age. But few parents may realize just how powerful those factors are. A new study sheds some light…

One reason young teens have sex is low self-esteem.

“They were using me. They were using me because I was easy. I was easy to get in bed,” says Katlyn, 16.

Another reason is the influence of the media.

“I think for some people they’ll just see it and they’ll just do it because it’s on TV and you know, it’s casual,” says Christina, 17.

Another factor is how close children are to their parents. According to a study from the University of Wisconsin, the more risk factors a child has, the more likely that child will have sex before age 15. These risk factors include watching excessive amounts of TV, having low self-esteem and feeling alienated from their parents. In fact, the study reports that just one of these risk factors – by itself -- increases the chances that a child will have early sex by almost 50 percent.

“We’re concerned about their behavior, we certainly don’t want [young teens] to be sexually active … and yet they’re exploited daily by the things they see, by the music they hear, by the clothes that they’re reinforced to wear. And they are very poorly guided by parents, by our society, their religions, and generally by everyone that they meet except each other,” says Gail Elizabeth Wyatt, Ph.D., clinical psychologist, UCLA professor.

Experts say the irony is that the greatest influence on a child’s decision to have sex is the opinion of his or her parents -- but that only works if the parents have expressed their views.

“Parents have 100 percent of the power, because most kids won’t admit that they listen to their parents, but what you say to them in an exchange of information is really what they need,” says Alduan Tartt, Ph.D., psychologist.

“I think other parents should quit being scared and just to talk to their kids about sex. Stop trying to sugarcoat everything, trying to make everything look pretty, just talk to your kid. Because if you don’t talk to them they are going to get lost,” says Tremain, 17.

Tips for Parents

Talking to your child about sex and sexually transmitted diseases (STDs) may not be something you look forward to, but it could be the most important step in protecting your child from risky sexual behavior. Studies show that teenagers who feel highly connected to their parents are far more likely to delay sexual activity than their peers. (The Centers for Disease Control and Prevention, CDC)

Start early – Research shows that younger children seek their parents’ advice more than adolescents, who tend to depend more on their friends and the media. Take advantage of the opportunity to talk with your young children about sexual health. (CDC)

Initiate conversations with your child – Don't wait for your children to ask you about sex, HIV or STDs. Although you may hope that your children will come to you with their questions and concerns, it may not happen. Use everyday opportunities to talk about issues related to sexual health. For example, news stories, music, television shows or movies are great conversation starters for bringing up health topics. (CDC)

Talk WITH your child, not AT your child – Make sure you listen to your children the way you want your children to listen to you. Try to ask questions that will encourage them to share specific information about feelings, decisions and actions. (CDC)

Communicate your values – In addition to talking to your children about the biological facts of sex, it's important that they also learn that sexual relationships involve emotions, caring and responsibility. (CDC)

References

The Centers for Disease Control and Prevention (CDC)

Challenging Dropouts by Connect with Kids

“Expectations are a very important tool in trying to improve performance. If you don’t set goals, you won’t feel bad, but neither will you achieve high goals.”

– Randall Flanery, Ph.D., psychologist

Nationally, 70 percent of students graduate on time with a high school diploma. That leaves 30 percent struggling to finish and often dropping out of school. Many school districts have found innovative ways to keep these kids in class.

Kids fall behind in school for lots of reasons.

“I was never paying attention in class because I was just distracted, hanging around with friends,” says Jose, 17.

“More than half the time I’d still be stuck, like ‘wait a minute, I still don’t’ understand this.’ And when I’d go home and do the homework I couldn’t do it because I couldn’t understand the material,” says Jennifer Smith, 18.

If they fall too far behind, some kids will just give up.

“I was just waiting to turn 16, get out of high school, and I don’t know from there,” says Jose.

A study from Columbia University has confirmed an idea that many school districts have been experimenting with for years: if you challenge potential dropouts with tougher class work, they’re not only more likely to graduate, but to go on to college as well. Experts say it’s all about setting expectations.

“Expectations are a very important tool in trying to improve performance. If you don’t set goals, you won’t feel bad, but neither will you achieve high goals,” says Randall Flanery, Ph.D., psychologist.

“It does not take a long time before these kids see they are making good grades, they’re going on college field trips. You see a lot of incentives there. They are doing fun things so it is okay to be smart. They have the potential and they just really need that boost,” says Barbara Smith, eastern division director, AVID Program.

Expectations and incentives give students who really want it a second chance.

“Now I’m actually trying to graduate, to go to college -- at least a technical school … and get a little degree in something,” says Jose.

“Just keep at it. Like the old saying, ‘If at first you don’t succeed, try, try again,’” says Smith.

Tips for Parents

Schools need to establish relationships with various health and social agencies in their communities so students with disciplinary problems who require assistance are readily referred and communication lines between these agencies and schools are established. (The American Academy of Pediatrics, AAP)

Students and their families should be encouraged by school staff members to access health care and social services.

A full assessment for social, medical, and mental health problems by a pediatrician (or other providers of care for children and youth) is recommended for all school-referred students who have been suspended or expelled. The evaluation should be designed to ascertain factors that may underlie the student’s behaviors and health risks and to provide a recommendation on how a child may better adapt to his or her school environment. (AAP)

Matters related to safety and supervision should be explored with parents whenever their child is barred from attending school. This includes but is not limited to screening parents by history for presence of household guns. (AAP)

Pediatricians should advocate to the local school district on behalf of the child so that he or she is reintroduced into a supportive and supervised school environment. (AAP)

References

The American Academy of Pediatrics (AAP)