Tag Archives: Childhood Obesity

Touro University and University of San Francisco study: Cutting sugar improves obese children’s health in 10 days

31 Oct

Patti Neighmond reported in the NPR story, It Takes More Than A Produce Aisle To Refresh A Food Desert http://www.npr.org/blogs/thesalt/2014/02/10/273046077/takes-more-than-a-produce-aisle-to-refresh-a-food-desert In other words, much of the obesity problem is due to personal life style choices and the question is whether government can or should regulate those choices. The issue is helping folk to want to make healthier food choices even on a food stamp budget. See, Cheap Eats: Cookbook Shows How To Eat Well On A Food Stamp Budget http://www.npr.org/blogs/thesalt/2014/08/01/337141837/cheap-eats-cookbook-shows-how-to-eat-well-on-a-food-stamp-budget A University of Buffalo study reported that what a baby eats depends on the social class of the mother.

Roberto A. Ferdman of the Washington Post wrote in the article, The stark difference between what poor babies and rich babies eat:

The difference between what the rich and poor eat in America begins long before a baby can walk, or even crawl.
A team of researchers at the University at Buffalo School of Medicine and Biomedical Sciences found considerable differences in the solid foods babies from different socioeconomic classes were being fed. Specifically, diets high in sugar and fat were found to be associated with less educated mothers and poorer households, while diets that more closely followed infant feeding guidelines were linked to higher education and bigger bank accounts.

“We found that differences in dietary habits start very early,” said Xiaozhong Wen, the study’s lead author.
The researchers used data from the Infant Feeding Practices study, an in depth look at baby eating habits, which tracked the diets of more than 1,500 infants up until age one, and documented which of 18 different food types—including breast milk, formula, cow’s milk, other milk (like soy milk), other dairy foods (like yogurt), other soy foods (like tofu), 100 percent fruit or vegetable juice, and sweet drinks, among others – their mothers fed them. Wen’s team at the University at Buffalo focused on what the infants ate over the course of a week at both 6- and 12-months old.

In many cases, infants were fed foods that would surprise even the least stringent of mothers. Candy, ice cream, soda, and french fries, for instance, were among the foods some of the babies were being fed. Researchers divided the 18 different food types into four distinct categories, two of which were ideal for infant consumption—”formula” and “infant guideline solids”—two of which were not—”high/sugar/fat/protein” and “high/regular cereal.” It became clear which babies tended to be fed appropriately, and which did not….
http://www.washingtonpost.com/blogs/wonkblog/wp/2014/11/04/the-stark-difference-between-what-poor-babies-and-rich-babies-eat/

Science Daily reported in What do American babies eat? A lot depends on Mom’s socioeconomic background:

Dietary patterns of babies vary according to the racial, ethnic and educational backgrounds of their mothers, pediatrics researchers have found. For example, babies whose diet included more breastfeeding and solid foods that adhere to infant guidelines from international and pediatric organizations were associated with higher household income — generally above $60,000 per year — and mothers with higher educational levels ranging from some college to post-graduate education. http://www.sciencedaily.com/releases/2014/10/141030133532.htm

Cutting sugar in a child’s diet is important to improving the child’s health.

Stephen Feller reported in Cutting sugar improves obese children’s health in 10 days:

Decreasing the amount of sugar in obese children’s diets reduced several metabolic diseases in a recent study in as little as 10 days, suggesting parents pay more attention to sugar intake than calories when making changes to their kids’ diets.
Metabolic syndrome is a group of diseases that occur together, including high blood pressure, high glucose, excess fat around the waist, and abnormal cholesterol levels, that can lead to heart disease, stroke and diabetes.

Fatty liver disease and type 2 diabetes, diseases associated with metabolic syndrome, are now also being found in children, researchers said, because of obesity and other conditions potentially caused by poor diets.
Researchers sought to find whether the cumulative results of metabolic disease could be blamed on obesity, calories or something else in the diet, finding that restricting sugar among children but maintaining their normal daily caloric intake reduced symptoms of metabolic disease and even resulted in weight loss….

The researchers worked with 44 children between the ages of 9 and 18, 27 were Hispanic and 16 were black, and all were obese and showed symptoms of metabolic syndrome. Participants were asked to consume a specific diet for nine days that maintained protein, fat, and carbohydrates but reduced dietary sugar from 28 percent of their diet to 10 percent.

The sugar taken out of the children’s diets was replaced with starches such as bagels, cereal and pasta, though they were still permitted to eat fruit. The researchers also note the diets were intentionally dominated with “kid food” — turkey hot dogs, potato chips and pizza — bought at local supermarkets.

Throughout the nine-day study, participants weighed themselves and underwent testing on day 0 and day 10, or before and after started the diet. Following the diet, researchers reported decreases in blood pressure, triglycerides, bad cholesterol, fasting glucose and insulin levels, and improvement in liver function.

Although some children also exhibited weight loss, on average 1 percent of body weight throughout the study, researchers increased caloric intake to maintain weight during the study….http://www.upi.com/Health_News/2015/10/27/Cutting-sugar-improves-obese-childrens-health-in-10-days/5161445946897/

Citation:

Isocaloric fructose restriction and metabolic improvement in children with obesity and metabolic syndrome

1. Robert H. Lustig1,*,
2. Kathleen Mulligan2,3,
3. Susan M. Noworolski4,
4. Viva W. Tai2,
5. Michael J. Wen2,
6. Ayca Erkin-Cakmak1,
7. Alejandro Gugliucci3 and
8. Jean-Marc Schwarz5

Article first published online: 26 OCT 2015
DOI: 10.1002/oby.21371
© 2015 The Obesity Society

Obesity

Early View (Online Version of Record published before inclusion in an issue)
How to CiteAuthor InformationPublication HistoryFunding Information
1. Funding agencies: NIH (R01DK089216), UCSF CTSI (NCATS-UL1-TR00004), and Touro University.
2. Disclosure: The authors declared no conflict of interest.
3. Author contributions: All authors had access to the study data and are responsible for the conclusions. Study concept and design: Lustig, Schwarz, Mulligan; acquisition, analysis, or interpretation of data: all authors; drafting of the manuscript: Lustig; critical revision of the manuscript for important intellectual content: all authors; statistical analysis: Erkin-Cakmak, Mulligan; obtained funding: Lustig, Schwarz, Noworolski, Gugliucci, Mulligan; administrative, technical, or material support: Lustig, Schwarz, Mulligan, Gugliucci, Tai, Wen; study supervision: Lustig, Schwarz, Mulligan.

Here is the press release from Touro University:

For Immediate Release

Contact: Andrea E. Garcia:
W: (707) 638-5272
C: (707) 704-6101
Contact: Jennifer O’Brien, Asst. Vice Chancellor/Public Affairs
W: (415) 502-6397
UC San Francisco

RELEASED JOINTLY BY UC SAN FRANCISCO AND TOURO UNIVERSITY

Obese Children’s Health Rapidly Improves with Sugar Reduction Unrelated to Calories
Study indicates that calories are not created equal; sugar and fructose are dangerous

(Vallejo, CA – October 27, 2015) – Reducing consumption of added sugar, even without reducing calories or losing weight, has the power to reverse a cluster of chronic metabolic diseases, including high cholesterol and blood pressure, in children in as little as 10 days, according to a study by researchers at Touro University California and UC San Francisco.
“I have never seen results as striking or significant in our human studies; after only nine days of fructose restriction, the results are dramatic and consistent from subject to subject,” said Jean-Marc Schwarz, PhD of the College of Osteopathic Medicine at Touro University California and senior author of the paper. “These findings support the idea that it is essential for parents to evaluate sugar intake and to be mindful of the health effects of what their children are consuming.”

Lead author Robert Lustig, MD, MSL, pediatric endocrinologist at UCSF Benioff Children’s Hospital San Francisco added, “This study definitively shows that sugar is metabolically harmful not because of its calories or its effects on weight; rather sugar is metabolically harmful because it’s sugar,” he said. “This internally controlled intervention study is a solid indication that sugar contributes to metabolic syndrome, and is the strongest evidence to date that the negative effects of sugar are not because of calories or obesity.”

The paper will appear online on October 27, and in the February 2016 issue of the journal Obesity.

Restricting Sugar Intake
Metabolic syndrome is a cluster of conditions — increased blood pressure, high blood glucose level, excess body fat around the waist, and abnormal cholesterol levels — that occur together and increase risk of heart disease, stroke, and diabetes.

Other diseases associated with metabolic syndrome, such as non-alcoholic fatty liver disease and type 2 diabetes, now occur in children — disorders previously unknown in the pediatric population.

Participants were identified through the Weight Assessment for Teen and Child Health Clinic (WATCH) at UCSF Benioff Children’s Hospital San Francisco, an interdisciplinary obesity clinic dedicated to targeting metabolic dysfunction rather than weight loss. Recruitment was limited to Latino and African-American youth because of their higher risk for certain conditions associated with metabolic syndrome, such as high blood pressure and type 2 diabetes.

In the study, 43 children between the ages of 9 and 18 who were obese and had at least one other chronic metabolic disorder, such as hypertension, high triglyceride levels or a marker of fatty liver, were given nine days of food, including all snacks and beverages, that restricted sugar but substituted starch to maintain the same fat, protein, carbohydrate, and calorie levels as their previously reported home diets. Baseline fasting blood levels, blood pressure, and glucose tolerance were assessed before the new menu plan was adopted. The study menu restricted added sugar (while allowing fruit), but substituted it by adding other carbohydrates such as bagels, cereal and pasta so that the children still consumed the same number of calories from carbohydrate as before, but total dietary sugar was reduced from 28 to 10 percent, and fructose from 12 to 4 percent of total calories, respectively. The food choices were designed to be “kid food” – turkey hot dogs, potato chips, and pizza all purchased at local supermarkets, instead of high sugar cereals, pastries, and sweetened yogurt.

Children were given a scale and told to weigh themselves every day, with the goal of weight stability, not weight loss. When weight loss did occur (a decrease of an average of 1 percent over the 10-day period but without change in body fat), they were given more of the low-sugar foods.

“When we took the sugar out, the kids started responding to their satiety cues,” said Schwarz. “They told us it felt like so much more food, even though they were consuming the same number of calories as before, just with significantly less sugar. Some said we were overwhelming them with food.”

Reducing Harmful Metabolic Effects of Obesity

After just 9 days on the sugar-restricted diet, virtually every aspect of the participants’ metabolic health improved, without change in weight. Diastolic blood pressure decreased by 5mm, triglycerides by 33 points, LDL-cholesterol (known as the “bad” cholesterol) by 10 points, and liver function tests improved. Fasting blood glucose went down by 5 points, and insulin levels were cut by one-third.

“All of the surrogate measures of metabolic health got better, just by substituting starch for sugar in their processed food — all without changing calories or weight or exercise,” said Lustig. “This study demonstrates that ‘a calorie is not a calorie.’ Where those calories come from determines where in the body they go. Sugar calories are the worst, because they turn to fat in the liver, driving insulin resistance, and driving risk for diabetes, heart, and liver disease. This has enormous implications for the food industry, chronic disease, and health care costs.”

Other authors of the study include Susan Noworolski, PhD, Viva Tai, RD, MPH, Michael Wen, MS and Ayca Erkin-Cakmak, MD, MPH of UCSF, Alejandro Gugliucci MD, PhD of Touro University and Kathleen Mulligan, PhD of UCSF and Touro University.

Funding was provided by the National Institutes of Health (NIH), UCSF Clinical Translational Science Institute (CTSI) and Touro University. None of the authors report any conflicts of interest.

About the Touro College and University System:
Touro University California is a Jewish nonprofit, independent graduate institution of higher learning founded in 1997 on three Judaic values: social justice, the pursuit of knowledge and service to humanity. The university, home to 1,400 students, has professional programs in osteopathic medicine, pharmacy, physician assistant studies, public health, nursing, and education. Faculty, staff and students have a powerful commitment to academic excellence, evidence-based professional practice, inter-professional collaboration, and active engagement with a global community. To learn more, visit http://www.tu.edu or call 707-638-5200.

About UCSF:
UC San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It includes top-ranked graduate schools of dentistry, medicine, nursing and pharmacy, a graduate division with nationally renowned programs in basic, biomedical, translational and population sciences, as well as a preeminent biomedical research enterprise and two top-ranked hospitals, UCSF Medical Center and UCSF Benioff Children’s Hospital San Francisco. Please visit http://www.ucsf.edu/news. http://tu.edu/aboutus/media/pressrelease/151027_sugarreduction.html

Video: Study finds child’s health dramatically improves by cutting out sugar
KRON-4
By Vince Cestone and Dan Kerman | October 27, 2015

Physicians agree that good eating habits are something that should start at an early age. But still, some people become obese while they are still children. But now, a new study finds a child’s health can dramatically improve simply by cutting out one type of food. Researchers at UCSF and Touro University put 43 obese kids on a diet for nine days. They didn’t cut calories or carbs….. http://kron4.com/2015/10/27/video-study-finds-childs-health-dramatically-improves-by-cutting-out-sugar/

Moi blogs about education issues so the reader could be perplexed sometimes because moi often writes about other things like nutrition, families, and personal responsibility issues. Why? The reader might ask? Children will have the most success in school if they are ready to learn. Ready to learn includes proper nutrition for a healthy body and the optimum situation for children is a healthy family. Many of society’s problems would be lessened if the goal was a healthy child in a healthy family.

Related:

Dr. Wilda Reviews Book: ‘Super Baby Food’ http://drwildareviews.wordpress.com/2013/09/11/dr-wilda-reviews-book-super-baby-food/

A healthy child in a healthy family who attends a healthy school in a healthy neighborhood ©

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©
http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©
http://drwildareviews.wordpress.com/

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https://drwilda.com/

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Johns Hopkins Bloomberg School of Public Health study: Children who take antibiotics gain weight faster

22 Oct

The goal of this society should be to raise healthy and happy children who will grow into concerned and involved adults who care about their fellow citizens and environment. In order to accomplish this goal, all children must receive a good basic education and in order to achieve that goal, children must arrive at school, ready to learn.

Science Daily reported in Children who take antibiotics gain weight faster than kids who don’t:

Kids who receive antibiotics throughout the course of their childhoods gain weight significantly faster than those who do not, according to new Johns Hopkins Bloomberg School of Public Health research.
The findings, published online Oct. 21 in the International Journal of Obesity, suggest that antibiotics may have a compounding effect throughout childhood on body mass index (BMI), a measure often used to determine whether someone is at a healthy weight.

“Your BMI may be forever altered by the antibiotics you take as a child,” says study leader Brian S. Schwartz, MD, MS, a professor in the Department of Environmental Health Sciences at the Bloomberg School. “Our data suggest that every time we give an antibiotic to kids they gain weight faster over time.”

For the study, Schwartz and his colleagues analyzed Geisinger Health System’s electronic health records on 163,820 children between three and 18 years old from Jan. 2001 to Feb. 2012. They examined body weight and height (which are used to determine BMI) and antibiotic use in the previous year as well as any earlier years for which Geisinger had records for the children.

At age 15, children who had taken antibiotics seven or more times during childhood weighed about three pounds more than those who received no antibiotics, they found. Approximately 21 percent of the kids in the study, or almost 30,000 children, had received seven or more prescriptions during childhood. Schwartz says that the weight gain among those frequently prescribed antibiotics is likely an underestimate since the children did not stay with Geisinger throughout childhood so their lifetime antibiotic histories, including antibiotic use outside the health system, would not have been recorded and because the effect of certain antibiotic types was even stronger than the overall average….

Scientists working with penicillin learned early on that its byproducts caused weight gain in animals. This led to the modern industrial farming techniques of including small quantities of antibiotics in daily animal feed to fatten up the animals in an accelerated time frame. So a connection with weight gain does make biological sense, Schwartz says.

In humans, meanwhile, there is growing evidence that antibiotics could lead to weight gain because of the effect that they have on what is known as the microbiota, or the microorganisms that inhabit the body. There are 10 times more bacterial cells in the human body than our own cells. Many of these bacteria do their work in the gastrointestinal tract, helping the body to digest food and absorb nutrients. Antibiotics kill off harmful bacteria but also those vital to gastrointestinal health. Research has shown that repeated antibiotics use can forever change the microbiota, altering the way it breaks down food and increasing the calories of nutrients absorbed. This, in turn, can increase weight gain.

Prior studies had suggested that use in the youngest children may cause weight gain, but this study shows that use at any age during childhood contributes to weight gain that accelerates with age…. http://www.sciencedaily.com/releases/2015/10/151021115217.htm

Citation:

Children who take antibiotics gain weight faster than kids who don’t
New study suggests that repeated antibiotic use could lead to higher BMI long term
Date: October 21, 2015

Source: Johns Hopkins University Bloomberg School of Public Health

Summary: Kids who receive antibiotics throughout the course of their childhoods gain weight significantly faster than those who do not, according to new research.
Journal Reference:

1. B S Schwartz, J Pollak, L Bailey-Davis, A G Hirsch, S E Cosgrove, C Nau, A M Kress, T A Glass, K Bandeen-Roche. Antibiotic use and childhood body mass index trajectory. International Journal of Obesity, 2015; DOI: 10.1038/ijo.2015.218

Here is the press release from Johns Hopkins:

October 21, 2015

Children Who Take Antibiotics Gain Weight Faster Than Kids Who Don’t

New study suggests that repeated antibiotic use could lead to higher BMI long term
Kids who receive antibiotics throughout the course of their childhoods gain weight significantly faster than those who do not, according to new Johns Hopkins Bloomberg School of Public Health research.

The findings, published online Oct. 21 in the International Journal of Obesity, suggest that antibiotics may have a compounding effect throughout childhood on body mass index (BMI), a measure often used to determine whether someone is at a healthy weight.

“Your BMI may be forever altered by the antibiotics you take as a child,” says study leader Brian S. Schwartz, MD, MS, a professor in the Department of Environmental Health Sciences at the Bloomberg School. “Our data suggest that every time we give an antibiotic to kids they gain weight faster over time.”

For the study, Schwartz and his colleagues analyzed Geisinger Health System’s electronic health records on 163,820 children between three and 18 years old from January 2001 to February 2012. They examined body weight and height (which are used to determine BMI) and antibiotic use in the previous year as well as any earlier years for which Geisinger had records for the children.

At age 15, children who had taken antibiotics seven or more times during childhood weighed about three pounds more than those who received no antibiotics, they found. Approximately 21 percent of the kids in the study, or almost 30,000 children, had received seven or more prescriptions during childhood. Schwartz says that the weight gain among those frequently prescribed antibiotics is likely an underestimate since the children did not stay with Geisinger throughout childhood so their lifetime antibiotic histories, including antibiotic use outside the health system, would not have been recorded and because the effect of certain antibiotic types was even stronger than the overall average.

“While the magnitude of the weight increase attributable to antibiotics may be modest by the end of childhood, our finding that the effects are cumulative raises the possibility that these effects continue and are compounded into adulthood,” he says.

Scientists working with penicillin learned early on that its byproducts caused weight gain in animals. This led to the modern industrial farming techniques of including small quantities of antibiotics in daily animal feed to fatten up the animals in an accelerated time frame. So a connection with weight gain does make biological sense, Schwartz says.

In humans, meanwhile, there is growing evidence that antibiotics could lead to weight gain because of the effect that they have on what is known as the microbiota, or the microorganisms that inhabit the body. There are 10 times more bacterial cells in the human body than our own cells. Many of these bacteria do their work in the gastrointestinal tract, helping the body to digest food and absorb nutrients. Antibiotics kill off harmful bacteria but also those vital to gastrointestinal health. Research has shown that repeated antibiotics use can forever change the microbiota, altering the way it breaks down food and increasing the calories of nutrients absorbed. This, in turn, can increase weight gain.

Prior studies had suggested that use in the youngest children may cause weight gain, but this study shows that use at any age during childhood contributes to weight gain that accelerates with age.

Schwartz says he thinks that physicians are becoming more judicious in their antibiotic prescribing, but it can be a difficult task. Often parents demand antibiotics for apparent cold viruses and other ailments that will not be helped by them. There have long been concerns that excessive antibiotic use is leading to bacterial strains that are becoming resistant to these potentially lifesaving drugs. But this study suggests that antibiotics can have long-term effects in individual children, he says.

“Systemic antibiotics should be avoided except when strongly indicated,” Schwartz says. “From everything we are learning, it is more important than ever for physicians to be the gatekeepers and keep their young patients from getting drugs that not only won’t help them but may hurt them in the long run.”

“Antibiotic Use and Childhood Body Mass Index Trajectory” was written by Brian S. Schwartz, MD, MS; Jonathan Pollak, MPP; Lisa Bailey-David, DEd, RD; Annemarie Hirsch, PhD, MPH; Sara Cosgrove, MD, MS; Claudia Nau, PhD; Amii M. Kress, PhD, MPH; Thomas A. Glass, PhD; and Karen Bandeen-Roche, PhD.

The study was supported by a grant from the National Institutes of Health’s Eunice Kennedy Shriver National Institute of Child Health & Human Development (U54 HD-070725) and the Global Obesity Prevention Center at the Johns Hopkins Bloomberg School of Public Health.
# # #

Media contacts for the Johns Hopkins Bloomberg School of Public Health: Stephanie Desmon at 410-955-7619 or sdesmon1@jhu.edu and Barbara Benham at 410-614-6029 or bbenham1@jhu.edu.
http://www.jhsph.edu/news/news-releases/2015/children-who-take-antibiotics-gain-weight-faster-than-kids-who-dont.t.html

The issue of childhood obesity is complicated and there are probably many factors. If a child’s family does not model healthy eating habits, it probably will be difficult to change the food preferences of the child. Our goal as a society should be:

A healthy child in a healthy family who attends a healthy school in a healthy neighborhood ©

Related:

Louisiana study: Fit children score higher on standardized tests
https://drwilda.wordpress.com/2012/05/08/louisiana-study-fit-children-score-higher-on-standardized-tests/

School dinner programs: Trying to reduce the number of hungry children
https://drwilda.wordpress.com/2012/01/28/school-dinner-programs-trying-to-reduce-the-number-of-hungry-children/

Children, body image, bullying, and eating disorders
https://drwilda.wordpress.com/2012/01/09/children-body-image-bullying-and-eating-disorders/

The Healthy Schools Coalition fights for school-based efforts to combat obesity
yhttps://drwilda.wordpress.com/2012/05/12/the-healthy-schools-coalition-fights-for-school-based-efforts-to-combat-obesity/

Seattle Research Institute study about outside play
https://drwilda.wordpress.com/tag/childrens-physical-activity/

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©
http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©
http://drwildareviews.wordpress.com/

Dr. Wilda ©
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University of California San Diego School of Medicine study: Parents inaccurately judge when their child is obese

27 Jul

The “Weight of the Nation” conference focused on the public health aspects of obesity. Obesity is an important issue for schools because many children are obese and aside from health risks, these children are often targets for bullying. In Childhood obesity: Recess is being cut in low-income schools moi said:
The goal of this society should be to raise healthy and happy children who will grow into concerned and involved adults who care about their fellow citizens and environment. In order to accomplish this goal, all children must receive a good basic education and in order to achieve that goal, children must arrive at school, ready to learn. There is an epidemic of childhood obesity and obesity is often prevalent among poor children. The American Heart Association has some great information about Physical Activity and Children http://www.heart.org/HEARTORG/GettingHealthy/Physical-Activity-and-Children_UCM_304053_Article.jsp#.TummU1bfW-c

Science Daily reported in the article, Parents rank their obese children as ‘very healthy’:

A University of California, San Diego School of Medicine-led study suggests that parents of obese children often do not recognize the potentially serious health consequences of childhood weight gain or the importance of daily physical activity in helping their child reach a healthy weight. The study is published online in the Journal of the Academy of Nutrition and Dietetics.
“Parents have a hard time changing their child’s dietary and physical activity behaviors,” said lead author Kyung Rhee, MD, and an assistant adjunct professor in the Department of Pediatrics. “Our study tells us what factors may be associated with a parent’s motivation to help their child become more healthy.”
The study is based on a survey of 202 parents whose children were enrolled in an obesity clinic at the Hasbro Children’s Hospital in Providence, Rhode Island in 2008 and 2009. The survey probed parents’ readiness to take actionable steps to improve their child’s eating habits and physical activity levels. The children ranged in age from 5 to 20 years old, with an average age of 13.8 years. More than two-thirds were female, and almost all (94 percent) were clinically classified as obese.
Although most of the children had been referred to the obesity clinic by a primary care provider and had metabolic markers of obesity, 31.4 percent of parents perceived their child’s health as excellent or very good and 28 percent did not perceive their child’s weight as a health concern.
Parents indicated a greater interest in helping their child eat a healthy diet than encouraging the pediatrician-recommended hour of daily physical activity….
http://www.sciencedaily.com/releases/2014/07/140721142129.htm

Citation:

Parents rank their obese children as ‘very healthy’
Date: July 21, 2014

Source: University of California, San Diego Health Sciences
Summary:
Parents of obese children often do not recognize the potentially serious health consequences of childhood weight gain or the importance of daily physical activity in helping their child reach a healthy weight, a study shows. “Parents have a hard time changing their child’s dietary and physical activity behaviors,” said the study’s lead author. “Our study tells us what factors may be associated with a parent’s motivation to help their child become more healthy.”
Here is the press release from the University of California San Diego School of Medicine:
News Release
Date: July 21, 2014
Parents Rank Their Obese Children as “Very Healthy”
A University of California, San Diego School of Medicine-led study suggests that parents of obese children often do not recognize the potentially serious health consequences of childhood weight gain or the importance of daily physical activity in helping their child reach a healthy weight.
The study is published online in the Journal of the Academy of Nutrition and Dietetics.
“Parents have a hard time changing their child’s dietary and physical activity behaviors,” said lead author Kyung Rhee, MD, and an assistant adjunct professor in the Department of Pediatrics. “Our study tells us what factors may be associated with a parent’s motivation to help their child become more healthy.”
The study is based on a survey of 202 parents whose children were enrolled in an obesity clinic at the Hasbro Children’s Hospital in Providence, Rhode Island in 2008 and 2009. The survey probed parents’ readiness to take actionable steps to improve their child’s eating habits and physical activity levels. The children ranged in age from 5 to 20 years old, with an average age of 13.8 years. More than two-thirds were female, and almost all (94 percent) were clinically classified as obese.
Although most of the children had been referred to the obesity clinic by a primary care provider and had metabolic markers of obesity, 31.4 percent of parents perceived their child’s health as excellent or very good and 28 percent did not perceive their child’s weight as a health concern.
Parents indicated a greater interest in helping their child eat a healthy diet than encouraging the pediatrician-recommended hour of daily physical activity.
Specifically, 61.4 percent of parents reported that they were improving their child’s eating habits (less junk food, more fruits and vegetables) while only 41.1 percent said they were increasing their child’s involvement in active play, sports, dancing or even walking. Both diet and exercise are considered keys to good health, and a growing body of evidence suggests that these health habits are formed early in life.
Parents who had talked with their primary care physician about healthy eating strategies were more likely to be in the “action stage of change” with their child’s diet. By contrast, parents who viewed their own battle with weight as a health concern were less likely to be addressing their child’s eating habits.
The researchers said education, income and race/ethnicity had no statistically significant bearing on a parent’s likelihood of making dietary changes for their child.
In terms of physical activity, researchers do not know why parents appear to underemphasize its role in good health, but the finding is consistent with other recent studies that suggest America’s youth are largely out-of-shape and sedentary, replacing playtime with “screen time.”
Experts say one strategy to counteract the trend may be to intervene early. Parents with children 14 or older were much less likely to be successful in helping their child develop a physical dimension to their life than parents of younger children.
Poverty may also play a role in how much children move on a daily basis, as parents with annual incomes of less than $40,000 were also less likely to be actively engaged in ensuring their child got regular exercise.
Co-authors include Rebecca McEachern and Elissa Jelalian of Brown University.
Funding for the study came, in part, from the Hasbro Children’s Hospital Research Award and the Eunice Kennedy Shriver National Institute of Child Health and Human Development (grant K23HD057299).
# # #
Media contacts: Scott LaFee or Christina Johnson, 619-543-6163, slafee@ucsd.edu

Physically fit children are not only healthier, but are better able to perform in school.

Related:

Louisiana study: Fit children score higher on standardized tests
https://drwilda.wordpress.com/2012/05/08/louisiana-study-fit-children-score-higher-on-standardized-tests/

School dinner programs: Trying to reduce the number of hungry children
https://drwilda.wordpress.com/2012/01/28/school-dinner-programs-trying-to-reduce-the-number-of-hungry-children/

Children, body image, bullying, and eating disorders
https://drwilda.wordpress.com/2012/01/09/children-body-image-bullying-and-eating-disorders/

The Healthy Schools Coalition fights for school-based efforts to combat obesity
yhttps://drwilda.wordpress.com/2012/05/12/the-healthy-schools-coalition-fights-for-school-based-efforts-to-combat-obesity/

Seattle Research Institute study about outside play
https://drwilda.wordpress.com/tag/childrens-physical-activity/

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©
http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©
http://drwildareviews.wordpress.com/

Dr. Wilda ©
https://drwilda.com/

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University of Strathclyde study: Obese children get lower grades

13 Mar

The media presents an unrealistic image of perfection for women and girls. What they don’t disclose is for many of the “super” models their only job and requirement is the maintenance of their appearance. Their income depends on looks and what they are not able to enhance with plastic surgery and personal trainers, then that cellulite can be photoshopped or airbrushed away. That is the reality. Kid’s Health has some good information about Body Image http://kidshealth.org/teen/your_mind/body_image/body_image.html

Huffington Post reported in the article, Children Diet To Keep Off Pounds And Ward Off Bullying, Survey Says:

A recent survey of 1,500 of children between ages 7 and 18 revealed that young teens diet and worry about their weight.
About 44 percent of children between the ages of 11 and 13 say they’ve been bullied because of their weight, and more than 40 percent of kids younger than 10 admitted they were concerned about packing on the pounds, with nearly one-fourth reporting having been on a diet in the last year, according to the Press Association….
Last year, 13-year-old Nicolette Taylor resorted to plastic surgery to escape harassment and name-calling, particularly on social networking sites such as Facebook.
“All my friends could see [my nose], all my new friends, and I didn’t want them saying things,” Taylor told Nightline about her decision to get a nose job. “Gossip goes around, and it really hurts.”
Other teens have felt suicide was their only way to escape daily scrutiny about their appearance or sexuality.
Although adolescents get picked on for a variety of reasons, weight is the top reason children are bullied at school, Yahoo! Shine reports.
And according to Rebecca Puhl, Director of Research at the Rudd Center for Food Policy at Yale University, a new ad campaign in Georgia is only “perpetua[ting] negative stereotypes.”
The ads, which aim to curb childhood obesity rates, feature photos of overweight children accompanied by text, such as “WARNING: It’s hard to be a little girl if you’re not.” http://www.huffingtonpost.com/2012/01/05/children-diet-bullying_n_1186422.html?ref=email_share

It is situations like this which cause unhealthy eating habits and disorders like anorexia and bulimia.

Linda Poon of NPR reported in the story, Obesity Linked To Lower Grades Among Teen Girls:

Since the 1990s, the U.K has seen childhood obesity rates grow at an alarming rate, says John Reilly, specialist in the prevention of childhood obesity at the University of Strathclyde, and the study’s lead author. Today, nearly a quarter of children in U.K. are obese by the time they reach 12. Increasingly, researchers in both the U.S. and the U.K. have been interested in how obesity might affect students’ academic achievement, but Reilly says few studies have examined the same students over several years, or been able tease out obesity’s effects from the influence of social factors, such as socioeconomic status.
The current study analyzed data from nearly 6,000 adolescent students in the U.K., comparing their body mass index from ages 11 to 16 with how well they performed in standardized tests during those years. About 71 percent of the students surveyed were of a “healthy weight” at the start, the researchers said, and about 15 percent were obese. The academic exams, which tested the students’ English, math and science abilities, were given three times — at ages 11, 13 and 16. After adjusting for factors like socioeconomic status, IQ and menstruation cycles, the researchers found that, on average, girls who were obese at age 11 performed worse at age 11, 13 and 16 than girls deemed to have a healthy weight. Being obese at 11, the scientists found, was enough “to lower average attainment to a grade D instead of a grade C,” by age 16…. Though the study followed British teens, Reilly says the findings are likely also applicable to students in the United States, where the proportion of children between the ages 12 and 19 who are obese grew from 5 percent in 1980 to nearly 21 percent by 2012.
“The similarities between the environment, the culture, [and] school systems between the U.S. and the U.K. are more similar than may be obvious,” Reilly says….
http://www.npr.org/blogs/health/2014/03/11/289070502/obesity-linked-to-lower-grades-among-teen-girls?
utm_medium=Email&utm_source=share&utm_campaign=storyshare

See also, Obesity associated with lower academic attainment in teenage girls, says new study http://www.sciencedaily.com/releases/2014/03/140311100604.htm

Citation:

Journal Reference:
1.J N Booth, P D Tomporowski, J M E Boyle, A R Ness, C Joinson, S D Leary, J J Reilly. Obesity impairs academic attainment in adolescence: findings from ALSPAC, a UK cohort. International Journal of Obesity, 2014; DOI: 10.1038/ijo.2014.40

Here is the news release from the Universities of Strathclyde, Dundee, Georgia and Bristol

News Releases
main content
Obesity associated with lower academic attainment in teenage girls, says new study
Obesity in adolescent girls is associated with lower academic attainment levels throughout their teenage years, a new study has shown.
The research conducted by the Universities of Strathclyde, Dundee, Georgia and Bristol is the most comprehensive study yet carried out into the association between obesity and academic attainment in adolescence. The results are published in the International Journal of Obesity.
The results showed that girls who were obese, as measured by BMI (body mass index) at age 11 had lower academic attainment at 11, 13 and 16 years when compared to those of a healthy weight. The study took into account possible mediating factors but found that these did not affect the overall results.
Attainment in the core subjects of English, Maths and Science for obese girls was lower by an amount equivalent to a D instead of a C, which was the average in the sample.
Associations between obesity and academic attainment were less clear in boys.
University of Strathclyde Professor of Physical Activity and Public Health Science, John Reilly – the Principal Investigator of the study – said: “Further work is needed to understand why obesity is negatively related to academic attainment, but it is clear that teenagers, parents, and policymakers in education and public health should be aware of the lifelong educational and economic impact of obesity.”
Dr Josie Booth, of the School of Psychology at the University of Dundee, said: “There is a clear pattern which shows that girls who are in the obese range are performing more poorly than their counterparts in the healthy weight range throughout their teenage years.”
The study examined data from almost 6000 children from the Avon Longitudinal Study of Parents and Children (ALSPAC), including academic attainment assessed by national tests at 11, 13 and 16 years and weight status. 71.4% were healthy weight (1935 male, 2325 female), 13.3% overweight (372 male, 420 female) and 15.3% obese (448 male, 466 female).
The researchers took into account potentially distorting factors such as socio-economic deprivation, mental health, IQ and age of menarche (onset of the menstrual cycle) but found these did not change the relationship between obesity and academic attainment.
This study was funded through a BUPA Foundation grant to the University of Strathclyde. ALSPAC receives core support from the Medical Research Council, the Wellcome Trust and the University of Bristol.
11 March 2014
Web MD has some excellent information about Anorexia
Anorexia nervosa, commonly referred to simply as anorexia, is one type of eating disorder. More importantly, it is also a psychological disorder. Anorexia is a condition that goes beyond concern about obesity or out-of-control dieting. A person with anorexia often initially begins dieting to lose weight. Over time, the weight loss becomes a sign of mastery and control. The drive to become thinner is actually secondary to concerns about control and/or fears relating to one’s body. The individual continues the ongoing cycle of restrictive eating, often accompanied by other behaviors such as excessive exercising or the overuse of diet pills to induce loss of appetite, and/or diuretics, laxatives, or enemas in order to reduce body weight, often to a point close to starvation in order to feel a sense of control over his or her body. This cycle becomes an obsession and, in this way, is similar to an addiction.
Who is at risk for anorexia nervosa?
Approximately 95% of those affected by anorexia are female, most often teenage girls, but males can develop the disorder as well. While anorexia typically begins to manifest itself during early adolescence, it is also seen in young children and adults. In the U.S. and other countries with high economic status, it is estimated that about one out of every 100 adolescent girls has the disorder. Caucasians are more often affected than people of other racial backgrounds, and anorexia is more common in middle and upper socioeconomic groups. According to the U.S. National Institute of Mental Health (NIMH), other statistics about this disorder include the fact that an estimated 0.5%-3.7% of women will suffer from this disorder at some point in their lives. About 0.3% of men are thought to develop anorexia in their lifetimes
Many experts consider people for whom thinness is especially desirable, or a professional requirement (such as athletes, models, dancers, and actors), to be at risk for eating disorders such as anorexia nervosa. Health-care professionals are usually encouraged to present the facts about the dangers of anorexia through education of their patients and of the general public as a means of preventing this and other eating disorders.
What causes anorexia nervosa?
At this time, no definite cause of anorexia nervosa has been determined. However, research within the medical and psychological fields continues to explore possible causes.
Studies suggest that a genetic (inherited) component may play a more significant role in determining a person’s susceptibility to anorexia than was previously thought. Researchers are currently attempting to identify the particular gene or genes that might affect a person’s tendency to develop this disorder, and preliminary studies suggest that a gene located at chromosome 1p seems to be involved in determining a person’s susceptibility to anorexia nervosa.
Other evidence had pinpointed a dysfunction in the part of the brain, the hypothalamus (which regulates certain metabolic processes), as contributing to the development of anorexia. Other studies have suggested that imbalances in neurotransmitter (brain chemicals involved in signaling and regulatory processes) levels in the brain may occur in people suffering from anorexia. http://www.onhealth.com/anorexia_nervosa/article.htm

Beautiful people come in all colors, shapes, and sizes. The key is to be healthy and to live a healthy lifestyle

Related:

Helping Girls With Body Image http://www.webmd.com/beauty/style/helping-girls-with-body-image

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In the rush to produce geniuses, are we forgetting the value of play

10 Mar

Children are not “mini mes” or short adults. They are children and they should have time to play, to dream, and to use their imagination. Dan Childs of ABC News reports in the story, Recess ‘Crucial’ for Kids, Pediatricians’ Group Says:

The statement by the American Academy of Pediatrics is the latest salvo in the long-running debate over how much of a young child’s time at school should be devoted to academics — and how much should go to free, unstructured playtime.
The authors of the policy statement write that the AAP “believes that recess is a crucial and necessary component of a child’s development and, as such, it should not be withheld for punitive or academic reasons.”
“The AAP has, in recent years, tried to focus the attention of parents, school officials and policymakers on the fact that kids are losing their free play,” said the AAP’s Dr. Robert Murray, one of the lead authors of the statement. “We are overstructuring their day. … They lose that creative free play, which we think is so important.”
The statement, which cites two decades worth of scientific evidence, points to the various benefits of recess. While physical activity is among these, so too are some less obvious boons such as cognitive benefits, better attention during class, and enhanced social and emotional development. http://abcnews.go.com/Health/recess-crucial-kids-aap-policy-statement/story?id=18083935#.UOZ606zIlIq

The goal of this society should be to raise healthy and happy children who will grow into concerned and involved adults who care about their fellow citizens and environment. In order to accomplish this goal, all children must receive a good basic education and in order to achieve that goal, children must arrive at school, ready to learn.

Debbie Rhea wrote the thoughtful Education Week commentary, Give Students Time to Play:

It seems counterintuitive to think that less classroom time and more outdoor play would lead to a better education for kids. After all, what many in our country, including most recently New Jersey Gov. Chris Christie, have prescribed are longer days in the classroom. But longer days on task don’t equate to better results. Instead, they translate into more burnout, lower test scores, and more of the same. All work and no play really does make dull boys and girls.
For years, educators have tried different strategies of more testing and of more time on task to reverse these trends, but they have proved to be unsuccessful. The answer is not additional in-class sitting time. What kids need is time to move and have unstructured play.
On a recent sabbatical, I spent six weeks in Finland studying how that country practices education. Reading, science, and math are important in the Finnish education system, but so are social studies, physical education, arts, music, foreign languages, and a number of practical skills. The school day in Finland looks much different from the school day in the United States.
“We should not sacrifice recess time for classroom time, and neither should be used to discipline students.”
In the United States, for example, a 1st grader attends school 35 hours a week, seven hours a day. In Finland, a 1st grader spends 22.5 hours a week in school, or 4.5 hours a day. Three hours each day are spent on content in the classroom, and another 1.5 hours are spent on recess or “unstructured outdoor play.” Some elementary schools in the United States do not have recess time built into their schedules, let alone outdoor recess.
Kids are built to move. Having more time for unstructured outdoor play is like handing them a reset button. It not only helps to break up their day, but it also allows them to blow off steam, while giving them an opportunity to move and redirect their energy to something more meaningful once they return to the classroom.
When a human sits for longer than about 20 minutes, the physiology of the brain and body changes. Gravity begins to pool blood into the hamstrings, robbing the brain of needed oxygen and glucose, or brain fuel. The brain essentially just falls asleep when we sit for too long. Moving and being active stimulates the neurons that fire in the brain. When you are sitting, those neurons don’t fire.
Getting students out of their chairs and moving outdoors is essential. A 2008 study published in JAMA Opthamology found that 42 percent of people in the United States between the ages of 12 and 54 are nearsighted. But 40 years ago, that number was only 25 percent, a change that can’t be explained by heredity. Time indoors can weaken our vision, especially if we are staring at computer screens and not looking away for long periods of time. Additional studies have also shown that when people have inadequate daylight exposure at work, particularly in areas that have poor indoor lighting, it can disrupt their circadian rhythms—the cycle that allows for healthy sleep. When these rhythms are thrown off, it can have a negative impact on academic performance.
I’m such a believer in more unstructured outdoor play and recess throughout the day that I’ve launched a pilot program called Project ISIS—Innovating Strategies, Inspiring Students—that is being implemented in two Texas private schools, with an additional three public elementary schools in that state coming on board by the fall. While the program doesn’t reduce the number of hours spent at school, it does build in more outside recess time. Students get two 15-minute unstructured outdoor-play breaks in the morning (one is right before lunch, the other is a full lunch with a short recess afterward), and then two more 15-minute recess breaks in the afternoon. These schools will continue to have physical education as a content area.
We should not sacrifice recess time for classroom time, and neither should be used to discipline students. The more movement children have throughout the day, the better they will be with attentional focus, behavioral issues, and academic performance…. http://www.edweek.org/ew/articles/2014/02/26/22rhea.h33.html?tkn=VRYFMBKESIDvZIGHetFWpKk1lBN%2FPqxFrjSh&intc=es

We must not so over-schedule children that they have no time to play and to dream. Our goal as a society should be:

A healthy child in a healthy family who attends a healthy school in a healthy neighborhood ©

Related:

The ‘whole child’ approach to education
https://drwilda.wordpress.com/2012/02/10/the-whole-child-approach-to-education/

Childhood obesity: Recess is being cut in low-income schools
https://drwilda.com/2011/12/15/childhood-obesity-recess-is-being-cut-in-low-income-schools/

Louisiana study: Fit children score higher on standardized tests
https://drwilda.com/2012/05/08/louisiana-study-fit-children-score-higher-on-standardized-tests/

Seattle Research Institute study about outside play
https://drwilda.wordpress.com/tag/childrens-physical-activity/

Where information leads to Hope. © Dr. Wilda.com

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U.S. Department of Agriculture ‘School Wellness’ guidelines

1 Mar

Moi has been following the school vending machine issue for a while. In Government is trying to control the vending machine choices of children, moi wrote:
The goal of this society should be to raise healthy and happy children who will grow into concerned and involved adults who care about their fellow citizens and environment. In order to accomplish this goal, all children must receive a good basic education and in order to achieve that goal, children must arrive at school, ready to learn. Ron Nixon reports in the New York Times article, New Guidelines Planned on School Vending Machines about the attempt to legislate healthier eating habits. http://www.nytimes.com/2012/02/21/us/politics/new-rules-planned-on-school-vending-machines.html?_r=1&hpw
There are studies about the effect of vending machine snacking and childhood obesity.

Katy Waldman wrote the Slate article, Do Vending Machines Affect Student Obesity?

Despite all the recent handwringing (even pearl clutching) over junk food in schools, a study out this month in the quarterly Sociology of Education found no link between student obesity rates and the school-wide sale of candy, chips, or sugary soda. The finding undermines efforts by policy makers to trim kids’ waistlines by banning snacks from the classroom. And it must taste odd to the many doctors and scientists who see vending machines as accessories in the childhood obesity epidemic.
The study followed 19,450 fifth graders of both sexes for four years. At the beginning, 59 percent of the students went to schools that sold “competitive foods”—that is, non-cafeteria fare not reimbursable through federal meal programs. CFs tend to have higher sugar or fat content and lower nutritional value (think the indulgences at the top of the food pyramid, like Coke and Oreos). By the time the students reached eighth grade, 86 percent of them attended schools that sold competitive foods. The researchers, led by Pennsylvania State University’s Jennifer Van Hook, then compared body mass indexes from the 19,450 students, including those who’d spent all four years in junk food-free environments, those who’d left such schools for vending machine-friendly ones, those who’d transferred from vending machine-friendly schools to junk food-free schools, and those who enjoyed access to vending machines for all four years. Regardless of which data sets they contrasted, the researchers were unable to find any sort of connection between obesity and the availability of “unhealthy” snacks in school. In other words, children who could theoretically grab a Snickers bar after class every day for four years were, on average, no heavier than those who couldn’t.
While Van Hook speculated to the New York Times that the findings reflect our tendency to “establish food preferences… early in life,” she also noted in her paper that middle schoolers’ regimented schedules could prevent them from doing much unsupervised eating. (I guess that means that the students didn’t have time to utilize the junk food options they had, which is an issue for another day). In any case, the takeaway is clear. You can’t solve childhood obesity by outlawing vending machines. The obesity epidemic (if it is one) depends on a complex interplay of genetic, environmental, and behavioral factors. Maybe a full-court press of school regulations plus zoning laws that encourage supermarkets to come to poor neighborhoods plus government subsidies for fruits and veggies plus crackdowns on fast food advertising plus fifty other adjustments would begin to make a dent in the problem. (Maybe a saner cultural attitude towards food, weight, and looks in general would also help). http://www.slate.com/blogs/xx_factor/2012/01/24/junk_food_in_school_do_vending_machines_make_kids_fat_.html

https://drwilda.wordpress.com/2012/02/20/government-is-trying-to-control-the-vending-machine-choices-of-children/
The U.S. Department of Agriculture (USDA) has been studying the issue of snacks in schools.

Maria Godoy of NPR reported in the article, New Rules Would Curb How Kids Are Sold Junk Food At School:

If you want to teach kids to adopt healthier eating habits, it’s probably unwise to give them coupons for fast food chains at school.
And those advertisements for sugary sodas on the gymnasium scoreboard? Seems like another mixed message schools are sending kids.
That’s why the White House and U.S. Department of Agriculture proposed new school wellness guidelines Tuesday aimed at cracking down on the widespread marketing of less-than-nutritious foods to kids on campus during the school day. Even though 90 percent of school districts are now meeting the overhauled nutrition standards for school lunches, students are still being flooded with advertising for junk food in schools, according to first lady Michelle Obama.
“The idea here is simple: Our classrooms should be healthy places where kids aren’t bombarded with ads for junk food,” said Obama, who joined USDA Secretary Tom Vilsack to announce the guidelines. “Because when parents are working hard to teach their kids healthy habits at home, their work shouldn’t be undone by unhealthy messages at school,” she added in a statement….
Meanwhile, nearly two-thirds of elementary-school kids receive coupons for fast food at school through programs such as Pizza Hut’s Book It! Program, which uses pizza as a reading incentive, according to a study published last month in JAMA Pediatrics.
The proposed rules would limit such exposure by allowing only ads and marketing in schools for foods that meet the Smart Snacks in Schools nutrition guidelines. Those standards, which are set to go in effect in the 2014-2015 school year, stem from the 2010 Healthy Hunger-Free Kids Act. They aim to boost the healthfulness of foods sold through vending machines, snack bars and a la carte in cafeterias.
Under the stricter guidelines, vending machines branded with images of Coke or Pepsi’s sugar-sweetened sodas would no longer be allowed in schools. Same goes for branding for sugary drinks and snacks on posters and cups.
The snack rules set limits for how much fat, sugar and sodium snacks can contain. But they only apply during the school day. So foods sold at after-school games, for instance, are exempt.
http://www.npr.org/blogs/thesalt/2014/02/25/282507974/new-rules-would-curb-how-kids-are-sold-junk-food-at-school?utm_medium=Email&utm_source=share&utm_campaign=
https://s3.amazonaws.com/public-inspection.federalregister.gov/2014-04100.pdf

Here is the press release from the USDA:

Team Nutrition
Local School Wellness Policy
Last Modified: 02/27/2014
Each local educational agency that participates in the National School Lunch Program or other federal Child Nutrition programs is required by federal law to establish a local school wellness policy for all schools under its jurisdiction.
Local wellness policies are an important tool for parents, local educational agencies (LEAs) and school districts in promoting student wellness, preventing and reducing childhood obesity, and providing assurance that school meal nutrition guidelines meet the minimum federal school meal standards.
Wellness Policy – Helpful Links
Proposed Rule
http://www.fns.usda.gov/school-meals/local-school-wellness-policy

Requirements http://www.fns.usda.gov/tn/local-school-wellness-policy-requirements

Technical Assistance
http://www.fns.usda.gov/tn/local-school-wellness-policy-workgroup-and-guidance

Local Process http://www.fns.usda.gov/tn/local-process-how-develop-implement-and-evaluate-wellness-policy

Tools & Resources http://www.fns.usda.gov/tn/implementation-tools-and-resources
Monitoring http://www.fns.usda.gov/tn/local-school-wellness-policy-administrative-review-process

Funding a Wellness Policy
http://www.fns.usda.gov/tn/funding-local-school-wellness-policy

Background
Congress recognizes that schools play a critical role in promoting student health, preventing childhood obesity, and combating problems associated with poor nutrition and physical inactivity. In 2004, Congress passed the Child Nutrition and Special Supplemental Nutrition Program for Women, Infants and Children (WIC) Reauthorization Act (Sec. 204 of Public Law 108-205). This act required by law that all LEAs participating in the National School Lunch Program or other child nutrition programs create local school wellness policies by School Year 2006. The legislation places the responsibility of developing a wellness policy at the local level so the individual needs of each LEA can be addressed.
In 2010, Congress passed the Healthy, Hunger-Free Kids Act of 2010 (Sec. 204 of Public Law 111-296), and added new provisions for local school wellness policies related to implementation, evaluation, and publicly reporting on progress of local school wellness policies.
On February 26, the proposed rule for wellness policies was published in the Federal Register. Read more about it and comment before the public comment period closes on April 28, 2014.
Implementation Timeline
 As of School Year 2006-2007, all districts were required to establish a local school wellness policy.
 For School Year 2013-2014, LEAs are encouraged to continue reviewing and assessing their local wellness policies and implementing the new requirements. State agencies will be selecting between two options for the Administrative Review, and LEAs will be held accountable for local school wellness policy implementation, assessment, and public updates.
This portion of our site will continue to be updated to reflect the requirements of the 2010 law.

The issue of childhood obesity is complicated and there are probably many factors. If a child’s family does not model healthy eating habits, it probably will be difficult to change the food preferences of the child. Our goal as a society should be:

A healthy child in a healthy family who attends a healthy school in a healthy neighborhood ©

Related:

University of Illinois Chicago study: Laws reducing availability of snacks are decreasing childhood obesity https://drwilda.com/2012/08/13/university-of-illinois-chicago-study-laws-reducing-availability-of-snacks-are-decreasing-childhood-obesity/

New emphasis on obesity: Possible unintended consequences, eating disorders
https://drwilda.wordpress.com/2012/01/29/new-emphasis-on-obesity-possible-unintended-consequences-eating-disorders/

Childhood obesity: Recess is being cut in low-income schools
https://drwilda.wordpress.com/2011/12/15/childhood-obesity-recess-is-being-cut-in-low-income-schools/

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©
http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©
http://drwildareviews.wordpress.com/

Dr. Wilda ©
https://drwilda.com/

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Dr. Wilda Reviews book: Super Baby Foods

11 Sep

Moi received a complimentary signed copy of Super Baby Food by Ruth Yaron. Here are the book details:

Product Details

Author: Ruth Yaron

ISBN-13: 9780965260329

Publisher: F. J. Roberts Publishing

Publication date: 9/9/2013

Edition description: Updated

Edition number: 3

Here is a bit about Ruth Yaron from WebMD:

Ruth Yaron

Ruth Yaron is married with three children and lives near the Pocono Mountains in Pennsylvania. When her twins were born 18 years ago, they were ten weeks premature and very sick. This is what prompted years of research on pediatric nutrition. When her third son was born in 1994, she was able to quit her job as a professor at a local university and become a stay-at-home mom. During the next two years, she wrote the Super Baby Food Book, which became a best seller and is still the best-selling book on the subject of feeding babies solid foods.

http://www.webmd.com/ruth-yaron

So, why would anyone need to buy Super Baby Food?

Let’s start with demographics. Infoplease provides the following statistics about mothers in the U.S.:

Mothers by the Numbers

Info about mothers from the Census Bureau

How Many Mothers
4.1 million
Number of women between the ages of 15 and 50 who gave birth in the past 12 months.

53%
Percentage of 15- to 44-year-old women who were mothers in 2010.

81%
Percentage of women who had become mothers by age 40 to 44 as of 2010. In 1976, 90 percent of women in that age group had given birth.

2,449
The total fertility rate or estimated number of total births per 1,000 women in Utah in 2010 (based on current birth rates by age), which led the nation. At the other end of the spectrum is Rhode Island, with a total fertility rate of 1,630.5 births per 1,000 women.

20%
Percentage of all women age 15 to 44 who have had two children. About 47 percent had no children, 17 percent had one, 10 percent had three and about 5 percent had four or more.

89.7%
Percentage of all children who lived with their biological mothers in 2012. About 1.2 percent of all children lived with a stepmother.

Recent Births
3.954 million
Number of births registered in the United States in 2011. Of this number, 329,797 were to teens 15 to 19 and 7,651 to women age 45 to 49.

25.4
Average age of women in 2010 when they gave birth for the first time, up from 25.2 years in 2009. The increase in the mean age from 2009 to 2010 reflects, in part, the relatively large decline in births to women under age 25.

29.2%
The percentage of mothers who had given birth in the past 12 months who had a bachelor’s degree or higher and 84 percent of mothers have at least a high school diploma.

Jacob and Sophia
The most popular baby names for boys and girls, respectively, in 2011.

Stay-at-Home Moms
5 million
Number of stay-at-home moms in 2012 — statistically unchanged from 2009, 2010 and 2011– down from 5.3 million in 2008. In 2012, 24 percent of married-couple family groups with children under 15 had a stay-at-home mother, up from 21 percent in 2000. In 2007, before the recession, stay-at-home mothers were found in 24 percent of married-couple family groups with children under 15, not statistically different from the percentage in 2012.

$236,500; 321,200; and 93,600
Median home value of owner-occupied units in Currituck, Dare and Hyde counties, respectively.

Compared with other moms, stay-at-home moms in 2007 were more likely:

Younger (44 percent were under age 35, compared with 38 percent of mothers in the labor force).
Hispanic (27 percent, compared with 16 percent of mothers in the labor force).
Foreign-born (34 percent, compared with 19 percent of mothers in the labor force).
Living with a child under age 5 (57 percent, compared with 43 percent of mothers in the labor force).
Without a high school diploma (19 percent versus 8 percent of mothers in the labor force).
Employed Moms
827,907
Number of child care centers across the country in 2010. These included 75,695 child day care services employing 859,416 workers and another 752,212 self-employed people or other businesses without paid employees. Many mothers turn to these centers to help juggle motherhood and careers.

62.1%
Percentage of women age 16 to 50 who had a birth in the past 12 months who were in the labor force.

Single Moms
10.3 million
The number of single mothers living with children younger than 18 in 2012, up from 3.4 million in 1970.

5.9 million
Number of custodial mothers who were owed child support in 2009.

36%
Percentage of births in the past 12 months that were to women age 15 to 50 who were unmarried (including divorced, widowed and never married women).

In 2011, 407,873 mothers who had a birth in the past 12 months were living with a cohabiting partner.

Mothers by the Numbers | Infoplease.com http://www.infoplease.com/spot/momcensus1.html#.UjC465J3Q5o.email#ixzz2ecJAMeon

Moi is not slighting dads, but mothers are the primary caretakers. We should all support dads, grandparents and those who are caretakers and have custody of children. One way of giving support is by sharing knowledge about what is healthy for children.

This is what Yaron says about Super Baby Food at her site:

Completely revised and updated edition: Coming September 2013!
Discover why Super Baby Food, with over half a million copies sold is the most complete and thoroughly researched infant nutrition resource available for feeding your baby the healthy, organic and money-saving way. Author Ruth Yaron, nationally recognized authority and media veteran shares her sound meticulous research to bring parents:

The most up-to-date, medically, nutritionally sound information on what to feed babies and toddlers at specific ages and how to prepare and store it safely.
Handy, alphabetical lists of fruits and vegetables with cooking instructions plus easy baby food storage and freezer tips.
Money-saving, easy recipes to enhance baby’s development through toddlerhood and beyond! See a sample of baby puree recipes and baby food recipes excerpted from the book right here!
Ideas for simply adding nutrition to an everyday meal by adding Healthy Extras like kelp, tahini, and nutritional yeast (among others) so that every bites counts.
Complete list of resources and tips to find organic foods and connect with others online in the Super Baby Food Community.
Excited to get started making your own nutritious baby food with a complete baby food system that is easy to use? Join parents around the world who have used Super Baby Food to feed their Super Baby. Sneak a peek preview inside the pages of the of Super Baby Food.

Enjoy this video of Ruth Yaron on the Martha Stewart Show: http://www.youtube.com/watch?v=s89EJO2dQNM

http://www.superbabyfood.com/

Moi gets approached to do reviews on all types of products. Although, she will review adult themed products, her focus is family friendly. Super Baby Foods is a system of support for families, especially during those crucial first years. The U.S. has a child obesity problem. According to the Centers for Disease Control, Child Obesity facts;

Childhood obesity has more than doubled in children and tripled in adolescents in the past 30 years.1, 2

The percentage of children aged 6–11 years in the United States who were obese increased from 7% in 1980 to nearly 18% in 2010. Similarly, the percentage of adolescents aged 12–19 years who were obese increased from 5% to 18% over the same period.1, 2

In 2010, more than one third of children and adolescents were overweight or obese.1

Overweight is defined as having excess body weight for a particular height from fat, muscle, bone, water, or a combination of these factors.3 Obesity is defined as having excess body fat.4

Overweight and obesity are the result of “caloric imbalance”—too few calories expended for the amount of calories consumed—and are affected by various genetic, behavioral, and environmental factors.5,6

http://www.cdc.gov/healthyyouth/obesity/facts.htm

Super Baby Foods is a complete system to help parents make healthy choices for their children.

Yaron does not want to substitute her advice for the advice of your pediatrician regarding the needs a specific child and she makes this clear in the Disclaimer. Still, she states that her goal is “This book is designed to provide information on the care and feeding of babies and toddlers.” The book not only meets that goal but provides great recipes, a check list for the tools needed to prepare, store, and choose healthy foods for your child. The foundation of the book is “The Super Baby Food System” which she describes at pp. 5 – 10. Yaron makes the argument that home prepared organic food is better for children in the section where she answers myths about commercial baby food at page four:

The food that you make at home from fresh whole vegetables and fruits is nutritionally superior to any jarred commercial variety on your grocer’s shelf.

The book is well organized and easy to understand. The intended audience is anyone who has responsibility for caring for a baby or toddler. The recipes are clear and the “Super Baby Food System” is clearly explained along with the reasons why the system is a healthier choice for your child. This book can be classified as either an owner’s manual or toolkit for feeding your child.

This is a highly recommend from Dr. Wilda. If you are going to a baby shower or know parents with young children, you should give them this book. It is never too early to make healthy choices.

Where information leads to Hope. © Dr. Wilda.com

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U.S.D.A. has new rules for snacks in school vending machines

7 Jul

Moi has been following the school vending machine issue for awhile. In Government is trying to control the vending machine choices of children, moi wrote:
The goal of this society should be to raise healthy and happy children who will grow into concerned and involved adults who care about their fellow citizens and environment. In order to accomplish this goal, all children must receive a good basic education and in order to achieve that goal, children must arrive at school, ready to learn. Ron Nixon reports in the New York Times article, New Guidelines Planned on School Vending Machines about the attempt to legislate healthier eating habits. http://www.nytimes.com/2012/02/21/us/politics/new-rules-planned-on-school-vending-machines.html?_r=1&hpw
There have been studies about the effect of vending machine snacking and childhood obesity.
Katy Waldman wrote the Slate article, Do Vending Machines Affect Student Obesity?

Despite all the recent handwringing (even pearl clutching) over junk food in schools, a study out this month in the quarterly Sociology of Education found no link between student obesity rates and the school-wide sale of candy, chips, or sugary soda. The finding undermines efforts by policy makers to trim kids’ waistlines by banning snacks from the classroom. And it must taste odd to the many doctors and scientists who see vending machines as accessories in the childhood obesity epidemic.  
The study followed 19,450 fifth graders of both sexes for four years. At the beginning, 59 percent of the students went to schools that sold “competitive foods”—that is, non-cafeteria fare not reimbursable through federal meal programs. CFs tend to have higher sugar or fat content and lower nutritional value (think the indulgences at the top of the food pyramid, like Coke and Oreos). By the time the students reached eighth grade, 86 percent of them attended schools that sold competitive foods. The researchers, led by Pennsylvania State University’s Jennifer Van Hook, then compared body mass indexes from the 19,450 students, including those who’d spent all four years in junk food-free environments, those who’d left such schools for vending machine-friendly ones, those who’d transferred from vending machine-friendly schools to junk food-free schools, and those who enjoyed access to vending machines for all four years. Regardless of which data sets they contrasted, the researchers were unable to find any sort of connection between obesity and the availability of “unhealthy” snacks in school. In other words, children who could theoretically grab a Snickers bar after class every day for four years were, on average, no heavier than those who couldn’t.
While Van Hook speculated to the New York Times that the findings reflect our tendency to “establish food preferences… early in life,” she also noted in her paper that middle schoolers’ regimented schedules could prevent them from doing much unsupervised eating. (I guess that means that the students didn’t have time to utilize the junk food options they had, which is an issue for another day). In any case, the takeaway is clear. You can’t solve childhood obesity by outlawing vending machines. The obesity epidemic (if it is one) depends on a complex interplay of genetic, environmental, and behavioral factors. Maybe a full-court press of school regulations plus zoning laws that encourage supermarkets to come to poor neighborhoods plus government subsidies for fruits and veggies plus crackdowns on fast food advertising plus fifty other adjustments would begin to make a dent in the problem. (Maybe a saner cultural attitude towards food, weight, and looks in general would also help). http://www.slate.com/blogs/xx_factor/2012/01/24/junk_food_in_school_do_vending_machines_make_kids_fat_.html

https://drwilda.wordpress.com/2012/02/20/government-is-trying-to-control-the-vending-machine-choices-of-children/
See, Rising Childhood Obesity and Vending Machines http://www.medicaladvices.net/Child_Health/rising-childhood-obesity-and-vending-machines-a14.html
Nirvi Shah writes in the Education Week article, Rules for School Vending Machines, Snacks Unveiled:

Long-awaited rules that regulate the fat, salt, sugar, and calories in snacks and vending machine foods sold in schools were finally released by the U.S. Department of Agriculture today.
The rules take effect during the 2014-15 school year. Nutrition advocates have been pressing the USDA to issue the rules this month. Any later, and they wouldn’t have taken effect until the 2015-16 school year.
The new rules are the first update to school snack regulations since the 1970s. The existing rules only limited “foods of minimal nutritional value,” which didn’t keep candy bars, snack cakes, and sugary, vitamin-fortified sports drinks, from being regulated, said Margo Wootan, director of nutrition policy at the Center for Science in the Public Interest.
Despite some high hopes for the rules, which come on the heels of strict rules for school lunches, they won’t completely wipe out sodas, chips, or sweets from schools. But they will make a dent.
“Millions of students currently have widespread access to snacks and beverages that are high in sugar, fat, and salt, but limited access to nutritious options such as fruits and vegetables in school stores, snack bars, and vending machines,” said Jessica Donze Black, director of the Kids’ Safe and Healthful Foods Project. “With many students consuming up to half of their daily calories at school, these new standards represent the kind of positive change we need to help reduce obesity rates among children and teens.”
Many of the rules are adapted from those that were originally proposed by the agency, which received about 250,000 comments.
What happens if schools don’t comply? Agriculture Secretary Tom Vilsack said he hopes schools do, though there aren’t explicit penalties if they don’t, unlike rules for the school lunch and breakfast programs. http://blogs.edweek.org/edweek/rulesforengagement/2013/06/rules_for_school_vending_machines_snacks_unveiled.html?intc=es

Here is the press release for the “Smart Snacks in Schools” rule:

News Release
 
Release No. 0134.13
Contact:
USDA Office of Communications (202) 720-4623

Printable version
Email this page

 
Agriculture Secretary Vilsack Highlights New “Smart Snacks in School” Standards; Will Ensure School Vending Machines, Snack Bars Include Healthy Choices

 
WASHINGTON, June 27, 2013 – Agriculture Secretary Tom Vilsack today announced that under USDA’s new ” Smart Snacks in School” nutrition standards, America’s students will be offered healthier food options during the school day.
“Nothing is more important than the health and well-being of our children,” said Secretary Vilsack. “Parents and schools work hard to give our youngsters the opportunity to grow up healthy and strong, and providing healthy options throughout school cafeterias, vending machines, and snack bars will support their great efforts.”
The Healthy, Hunger-Free Kids Act of 2010 requires USDA to establish nutrition standards for all foods sold in schools — beyond the federally-supported meals programs. The “Smart Snacks in School” nutrition standards, to be published this week in the Federal Register, reflect USDA’s thoughtful consideration and response to the nearly 250,000 comments received on the proposal earlier this year.
“Smart Snacks in School” carefully balances science-based nutrition guidelines with practical and flexible solutions to promote healthier eating on campus, drawing on recommendations from the Institute of Medicine and existing voluntary standards already implemented by thousands of schools around the country, as well as healthy food and beverage offerings already available in the marketplace.
Highlights of the “Smart Snacks in School” nutrition standards include:
More of the foods we should encourage. Like the new school meals, the standards require healthier foods, more whole grains, low fat dairy, fruits, vegetables and leaner protein.
Less of the foods we should avoid. Food items are lower in fat, sugar, and sodium and provide more of the nutrients kids need.
Targeted standards. Allowing variation by age group for factors such as portion size and caffeine content.
Flexibility for important traditions. Preserving the ability for parents to send their kids to school with homemade lunches or treats for activities such as birthday parties, holidays, and other celebrations; and allowing schools to continue traditions like fundraisers and bake sales.
Ample time for implementation. Schools and food and beverage companies will have an entire school year to make the necessary changes, and USDA will offer training and technical assistance every step of the way.
Reasonable limitations on when and where the standards apply. Ensuring that standards only affect foods that are sold on school campus during the school day. Foods sold at afterschool sporting events or other activities will not be subject to these requirements.
Flexibility for state and local communities. Allowing significant local and regional autonomy by only establishing minimum requirements for schools. States and schools that have stronger standards than what is being proposed will be able to maintain their own policies.
USDA is focused on improving childhood nutrition and empowering families to make healthier food choices by providing science-based information and advice, while expanding the availability of healthy food.
America’s students now have healthier and more nutritious school meals due to improved nutrition standards implemented as a result of the historic Healthy, Hunger-Free Kids Act of 2010.
USDA’s MyPlate symbol and the resources at ChooseMyPlate.gov provide quick, easy reference tools for parents, teachers, healthcare professionals and communities.
USDA launched a new $5 million Farm to School grant program in 2012 to increase the amount of healthy, local food in schools.
USDA awarded $5.2 million in grants to provide training and technical assistance for child nutrition foodservice professionals and support stronger school nutrition education programs.
Collectively these policies and actions will help combat child hunger and obesity and improve the health and nutrition of the nation’s children; a top priority for the Obama Administration. The interim final rule announced today is an important component of First Lady Michelle Obama’s Let’s Move! initiative to combat the challenge of childhood obesity.
#
Additional materials available:
High-resolution version info-graphic
Questions & Answers
TV Feature
Interim Final Rule
For more information on Smart Snacks in School, please visit http://www.usda.gov/healthierschoolday
USDA is an equal opportunity provider, employer and lender. To file a complaint of discrimination, write: USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call (800) 795-3272 (voice), or (202) 720-6382 (TDD).

The issue of childhood obesity is complicated and there are probably many factors. If a child’s family does not model healthy eating habits, it probably will be difficult to change the food preferences of the child. Our goal as a society should be:

A healthy child in a healthy family who attends a healthy school in a healthy neighborhood ©

Related:
University of Illinois Chicago study: Laws reducing availability of snacks are decreasing childhood obesity https://drwilda.com/2012/08/13/university-of-illinois-chicago-study-laws-reducing-availability-of-snacks-are-decreasing-childhood-obesity/
New emphasis on obesity: Possible unintended consequences, eating disorders https://drwilda.wordpress.com/2012/01/29/new-emphasis-on-obesity-possible-unintended-consequences-eating-disorders/
Childhood obesity: Recess is being cut in low-income schools https://drwilda.wordpress.com/2011/12/15/childhood-obesity-recess-is-being-cut-in-low-income-schools/
Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART© http://drwildaoldfart.wordpress.com/
Dr. Wilda Reviews © http://drwildareviews.wordpress.com/
Dr. Wilda © https://drwilda.com/

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Study: Parental education reduces childhood obesity, but more physical activity may be needed

9 Mar

Moi wrote in Childhood obesity: Recess is being cut in low-income schools:

The goal of this society should be to raise healthy and happy children who will grow into concerned and involved adults who care about their fellow citizens and environment. In order to accomplish this goal, all children must receive a good basic education and in order to achieve that goal, children must arrive at school, ready to learn. There is an epidemic of childhood obesity and obesity is often prevalent among poor children. The American Heart Association has some great information about Physical Activity and Children                                                                                                                               http://www.heart.org/HEARTORG/GettingHealthy/Physical-Activity-and-Children_UCM_304053_Article.jsp#.TummU1bfW-c

Unfortunately, many low-income children are having access to physical activities at school reduced because of the current recession.

Sandy Slater is reporting in the Education Nation article, Low-Income Schools Are Less Likely to Have Daily Recess

Here’s what we know:

• Children aged six to 17 should get at least one hour of daily physical activity, yet less than half of kids aged six to 11 get that much exercise. And as kids get older, they’re even less active.

• The National Association of Sport and Physical Education (NASPE) recommends that elementary school students get an average of 50 minutes of activity each school day – at least 150 minutes of PE per week and 20 minutes of daily recess.

• Kids who are more active perform better academically.

As a researcher and a parent, I’m very interested in improving our understanding of how school policies and practices impact kids’ opportunities to be active at school. My colleagues and I recently conducted a study to examine the impact of state laws and school district policies on PE and recess in public elementary schools across the country.

During the 2006 to 2007 and 2008 to 2009 school years, we received surveys from 1,761 school principals in 47 states. We found:

• On average, less than one in five schools offered 150 minutes of PE per week.

• Schools in states with policies that encouraged daily recess were more likely to offer third grade students the recommended 20 minutes of recess daily.

• Schools serving more children at highest risk for obesity (i.e. black and Latino children and those from lower-income families) were less likely to have daily recess than were schools serving predominantly white students and higher-income students.

• Schools that offered 150 minutes of weekly PE were less likely also to offer 20 minutes of daily recess, and vice versa. This suggests that schools are substituting one opportunity for another instead of providing the recommended amount of both.

• Schools with a longer day were more likely to meet the national recommendations for both PE and recess.                               http://www.educationnation.com/index.cfm?objectid=ACF23D1E-229A-11E1-A9BF000C296BA163&aka=0

The gap between the wealthiest and the majority is society is also showing up in education opportunities and access to basic health care. https://drwilda.wordpress.com/2011/12/15/childhood-obesity-recess-is-being-cut-in-low-income-schools/   Just how important physical activity is was hinted at in the study, A Parent-Focused Intervention to Reduce Infant Obesity Risk Behaviors: A Randomized Trial.

Tara Healy writes in the Daily RX article, Exploring Parent Education to Reduce Obesity:

Child obesity happens for many different reasons. These include TV time, diet, physical activity, genetics and other issues. Changing some of these may help reduce risk of obesity.

A recent study sought to find out whether special parenting classes might help reduce risk factors for obesity in babies.

The researchers found the children of parents who took the classes did drink fewer juices and soft drinks. They also ate fewer sweet snacks and watched less TV.

However, about a year later, the babies’ weight and level of physical activity was not any different than that of children of parents who did not have the classes.

The experiment appeared to reduce some of the behaviors related to obesity but not others….

The researchers included 542 parents and their babies, at an average age of 4 months, in the study.

During a 15-month period, half the parents were given six 2-hour sessions with dietitians, and the other half were sent six newsletters in the mail.

The dietitian sessions focused on teaching parents information and skills related to feeding, diet, physical activity and television viewing for infants. The newsletters sent to the other group dealt with issues unrelated to obesity or obesity factors.

The researchers collected information from the parents when the children were 4 months old, 9 months old and 20 months old. They gathered information about the children’s diet based on what had been eaten in the past 24 hours and the children’s physical activity based on activity monitors the children wore.

The researchers also gathered information from the parents on their children’s television viewing time and the kids’ body mass index scores (BMI). BMI is a ratio of a child’s height and weight used to determine if they are a healthy weight.

When the kids were 9 months old, the researchers found that the children of parents in the dietitian group drank fewer fruit juices and soft drinks and were generally about half as likely to have these drinks at all as compared to the children of parents in the newsletter group

By the end of the study, when the kids were 20 months old, the children of parents in the dietitian group ate about 4 fewer grams of sweet snacks daily and watched about 16 minutes less of TV each day, compared to the other group of children.

Overall, however, there was not much differences among the children in both groups when it came to the amount of fruits, vegetables, non-sweet snacks or water the children consumed. There was also no difference among the kids in either group in terms of physical activity and BMI.

Therefore, the intervention appeared to decrease the amount of TV children watched and the amount of sweet snacks they had. However, it didn’t affect how much exercise they got or their weight.

The researchers said it’s possible that the intervention (the dietitian sessions) needs to be designed differently to focus more on physical activity.

Still, more television time, more sweet snacks and more sweet drinks are all associated with a higher risk of obesity among children. These factors were lower in the group who attended the meetings.   http://www.dailyrx.com/reducing-child-obesity-risk-factors-may-be-possible-specialized-parenting-classes

Citation:

A Parent-Focused Intervention to Reduce Infant Obesity Risk Behaviors: A Randomized Trial

  1. 1.     Karen J. Campbell, PhDa,
  2. 2.     Sandrine Lioret, PhDa,
  3. 3.     Sarah A. McNaughton, PhDa,
  4. 4.     David A. Crawford, PhDa,
  5. 5.     Jo Salmon, PhDa,
  6. 6.     Kylie Ball, PhDa,
  7. 7.     Zoe McCallum, PhDb,
  8. 8.     Bibi E. Gerner, MPHc,
  9. 9.     Alison C. Spence, PhDa,
  10. 10.  Adrian J. Cameron, PhDa,
  11. 11.  Jill A. Hnatiuk, MSca,
  12. 12.  Obioha C. Ukoumunne, PhDd,
  13. 13.  Lisa Gold, PhDe,
  14. 14.  Gavin Abbott, PhDa, and
  15. 15.  Kylie D. Hesketh, PhDa

+ Author Affiliations

  1. 1.     aCentre for Physical Activity and Nutrition Research, and
  2. 2.     eDeakin Health Economics, Deakin University, Burwood, Australia;
  3. 3.     bDepartment of Paediatrics, The University of Melbourne, Melbourne, Australia;
  4. 4.     cCentre for Community Child Health, Royal Children’s Hospital, Parkville, Australia; and
  5. 5.     dPenninsula Collaboration for Leadership in Applied Health Research and Care, Peninsula College of Medicine and Dentistry, University of Exeter, Exeter, United Kingdom

Abstract

OBJECTIVE: To assess the effectiveness of a parent-focused intervention on infants’ obesity-risk behaviors and BMI.

METHODS: This cluster randomized controlled trial recruited 542 parents and their infants (mean age 3.8 months at baseline) from 62 first-time parent groups. Parents were offered six 2-hour dietitian-delivered sessions over 15 months focusing on parental knowledge, skills, and social support around infant feeding, diet, physical activity, and television viewing. Control group parents received 6 newsletters on nonobesity-focused themes; all parents received usual care from child health nurses. The primary outcomes of interest were child diet (3 × 24-hour diet recalls), child physical activity (accelerometry), and child TV viewing (parent report). Secondary outcomes included BMI z-scores (measured). Data were collected when children were 4, 9, and 20 months of age.

RESULTS: Unadjusted analyses showed that, compared with controls, intervention group children consumed fewer grams of noncore drinks (mean difference = –4.45; 95% confidence interval [CI]: –7.92 to –0.99; P = .01) and were less likely to consume any noncore drinks (odds ratio = 0.48; 95% CI: 0.24 to 0.95; P = .034) midintervention (mean age 9 months). At intervention conclusion (mean age 19.8 months), intervention group children consumed fewer grams of sweet snacks (mean difference = –3.69; 95% CI: –6.41 to –0.96; P = .008) and viewed fewer daily minutes of television (mean difference = –15.97: 95% CI: –25.97 to –5.96; P = .002). There was little statistical evidence of differences in fruit, vegetable, savory snack, or water consumption or in BMI z-scores or physical activity.

CONCLUSIONS: This intervention resulted in reductions in sweet snack consumption and television viewing in 20-month-old children.

  1. 1.    Published online March 4, 2013

    (doi: 10.1542/peds.2012-2576)

  2. » Abstract
  3. Full Text (PDF)

http://pediatrics.aappublications.org/content/early/2013/02/26/peds.2012-2576

Physically fit children are not only healthier, but are better able to perform in school.

Related:

Louisiana study: Fit children score higher on standardized tests    https://drwilda.wordpress.com/2012/05/08/louisiana-study-fit-children-score-higher-on-standardized-tests/

School dinner programs: Trying to reduce the number of hungry children https://drwilda.wordpress.com/2012/01/28/school-dinner-programs-trying-to-reduce-the-number-of-hungry-children/

Children, body image, bullying, and eating disorders https://drwilda.wordpress.com/2012/01/09/children-body-image-bullying-and-eating-disorders/

The Healthy Schools Coalition fights for school-based efforts to combat obesity https://drwilda.wordpress.com/2012/05/12/the-healthy-schools-coalition-fights-for-school-based-efforts-to-combat-obesity/

Seattle Research Institute study about outside play         https://drwilda.wordpress.com/tag/childrens-physical-activity/

Where information leads to Hope. ©                 Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

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http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©                                                                                        

http://drwildareviews.wordpress.com/

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American Academy of Pediatrics policy statement: Recess is important for children

3 Jan

Children are not “mini mes” or short adults. They are children and they should have time to play, to dream, and to use their imagination. Dan Childs of ABC News reports in the story, Recess ‘Crucial’ for Kids, Pediatricians’ Group Says:

The statement by the American Academy of Pediatrics is the latest salvo in the long-running debate over how much of a young child’s time at school should be devoted to academics — and how much should go to free, unstructured playtime.

The authors of the policy statement write that the AAP “believes that recess is a crucial and necessary component of a child’s development and, as such, it should not be withheld for punitive or academic reasons.”

“The AAP has, in recent years, tried to focus the attention of parents, school officials and policymakers on the fact that kids are losing their free play,” said the AAP’s Dr. Robert Murray, one of the lead authors of the statement. “We are overstructuring their day. … They lose that creative free play, which we think is so important.”

The statement, which cites two decades worth of scientific evidence, points to the various benefits of recess. While physical activity is among these, so too are some less obvious boons such as cognitive benefits, better attention during class, and enhanced social and emotional development. http://abcnews.go.com/Health/recess-crucial-kids-aap-policy-statement/story?id=18083935#.UOZ606zIlIq

Citation:

Policy Statement

The Crucial Role of Recess in School

  1. COUNCIL ON SCHOOL HEALTH

Abstract

Recess is at the heart of a vigorous debate over the role of schools in promoting the optimal development of the whole child. A growing trend toward reallocating time in school to accentuate the more academic subjects has put this important facet of a child’s school day at risk. Recess serves as a necessary break from the rigors of concentrated, academic challenges in the classroom. But equally important is the fact that safe and well-supervised recess offers cognitive, social, emotional, and physical benefits that may not be fully appreciated when a decision is made to diminish it. Recess is unique from, and a complement to, physical education—not a substitute for it. The American Academy of Pediatrics believes that recess is a crucial and necessary component of a child’s development and, as such, it should not be withheld for punitive or academic reasons.

Published online December 31, 2012 Pediatrics Vol. 131 No. 1 January 1, 2013
pp. 183 -188
(doi: 10.1542/peds.2012-2993)

  1. » Abstract

  2. Full Text

  3. Full Text (PDF)

The goal of this society should be to raise healthy and happy children who will grow into concerned and involved adults who care about their fellow citizens and environment.

Related:

Childhood obesity: Recess is being cut in low-income schools https://drwilda.com/2011/12/15/childhood-obesity-recess-is-being-cut-in-low-income-schools/

Louisiana study: Fit children score higher on standardized tests https://drwilda.com/2012/05/08/louisiana-study-fit-children-score-higher-on-standardized-tests/

Seattle Research Institute study about outside play https://drwilda.wordpress.com/tag/childrens-physical-activity/

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Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

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Dr. Wilda Reviews ©                                                http://drwildareviews.wordpress.com/

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