Tag Archives: health

The 04/03/13 Joy Jar

2 Apr

Moi wears socks all winter to keep her feet warm. So, moi’s feet look like crab feet and need a pedicure. But, she was looking at her feet and admiring her toes. Actually, even without a pedicure they are attractive and moi is thankful that she has them. Today’s deposit into the ‘Joy Jar are moi’s toes.

 

 

“Behind everyone who behaves as if he were superior to others, we can suspect a feeling of inferiority which calls for very special efforts of concealment. It is as if a man feared that he was too small and walked on his toes to make himself seem tall”

Alfred Adler

 

 

 

“People never add to their stature by treading on others’ toes”

Unknown

 

 

 

Fake friends are a vital piece of life. They keep you on your toes and teach you to never take the real ones for granted.

Ayjee Grogan

 

 

 

May your time be filled with relaxing sunsets, cool drinks and sand between your toes.

Unknown

 

 

 

“The human foot is a masterpiece of engineering and a work of art.”

Leonardo da Vinci

 

 

“What a wonderful beautiful thing, to wiggle your toes.”

Dalton Trumbo

 

 

I once tried standing up on my toes to see far out in the distance, but I found that I could see much farther by climbing to a high place.
Xun Zi

 

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There are too few counselors in schools

24 Mar

Many children arrive at school with mental health and social issues. In School psychologists are needed to treat troubled children:

Mark Phillips, professor emeritus of secondary education at San Francisco State University wrote the article, School psychologists: Shortage amid increased need which discusses the need for psychological support in schools.

The adolescent suicide rate continues to rise, with each suicide a dramatic reminder that the lives of a significant number of adolescents are filled with anxiety and stress. Most schools have more than a handful of kids wrestling with significant emotional problems, and schools at all levels face an ongoing challenge related to school violence and bullying, both physical and emotional.

Yet in many schools there is inadequate professional psychological support for students.

Although statistics indicate that there is a significant variation from state to state (between 2005- and 2011 the ratio of students per school psychologist in New Mexico increased by 180%, while in the same period the ratio decreased in Utah by 34%), the overall ratio is 457:1. That is almost twice that recommended by the National Association of School Psychologists (NASP).

THE NASP noted a shortage of almost 9,000 school psychologists in 2010 and projected a cumulative shortage of close to 15,000 by 2020. Mental Health America estimates that only 1 in 5 children in need of mental health services actually receive the needed services. These gross statistics also omit the special need of under funded schools and the increased roles school psychologists are being asked to play….

Even with the psychological services that should be provided and often aren’t, schools can’t fully prevent suicides, acts of violence, bullying, or the daily stresses that weigh on kids shoulders. The malaise runs deeper and broader.

Still schools need more resources than they receive in order to provide more programs that actively identify and counsel those kids that need help. At the very least, they need to alleviate some of the stress these kids are experiencing and to help improve the quality of their daily lives. http://www.washingtonpost.com/blogs/answer-sheet/post/school-psychologists-shortage-amid-increased-need/2012/02/26/gIQAU7psdR_blog.html

It is important to deal with the psychological needs of children because untreated depression can lead to suicide. https://drwilda.com/2012/02/27/school-psychologists-are-needed-to-treat-troubled-children/ In addition to psychological programs, schools can offer other resources to help students succeed in school and in life.    https://drwilda.com/2012/10/30/helping-troubled-children-the-reconnecting-youth-program/

Valerie Strauss writes in the Washington Post article, How big is the school counselor shortage? Big:

The American School Counselor Association recommends  a ratio of 250 students to each counselor. But in the latest statistics available from around the country (the 20010-2011 school year), the average ratio is one counselor for every 471 students. That means that for the 49,484,181 public school students, there were 105,079 counselors — a sharp rise from the year before, when there were 459 students to every counselor.

What’s more, some states have a far bigger divide:

*In California, it is 1,016 students for every counselor
*Arizona, 861-1
*Minnesota, 782-1
*Utah, 726-1
*Michigan, 706-1

The states with the lowest ratios:

*Wyoming: 200-1
*Vermont: 235-1
*New Hampshire: 236-1
*Hawaii: 284-1
*Montana: 310-1

In the greater Washington area:
*Washington D.C.: 274-1
*Virginia: 315-1
*Maryland: 357-1

A 2010 study,  which was the first nationally representative study of the provision, financing, and impact of school-site mental health services for young children, shows why this matters so much. It concludes that at least one in five young children in the United States has some mental disorder. But many states don’t require public elementary schools to hire mental health professionals, and, as we’ve seen, many states don’t even have enough counselors who might be able to flag problems with children….  http://www.washingtonpost.com/blogs/answer-sheet/wp/2013/03/20/how-big-is-the-school-counselor-shortage-big/

It is important to deal with the psychological needs of children because untreated depression can lead to suicide.

Why Do Teens Attempt Suicide? 

The American Academy of Adolescent Psychiatry has some excellent suicide resources 

Suicides among young people continue to be a serious problem. Each year in the U.S., thousands of teenagers commit suicide. Suicide is the third leading cause of death for 15-to-24-year-olds, and the sixth leading cause of death for 5-to-14-year-olds.

Teenagers experience strong feelings of stress, confusion, self-doubt, pressure to succeed, financial uncertainty, and other fears while growing up. For some teenagers, divorce, the formation of a new family with step-parents and step-siblings, or moving to a new community can be very unsettling and can intensify self-doubts. For some teens, suicide may appear to be a solution to their problems and stress.  

Sometimes, people see suicide as an answer to their problems. All of us must stress that suicide is always the WRONG answer to what in all likelihood is a transitory situation.                                          https://drwilda.com/2012/02/27/school-psychologists-are-needed-to-treat-troubled-children/

Related:

Schools have to deal with depressed and troubled children https://drwilda.wordpress.com/2011/11/15/schools-have-to-deal-with-depressed-and-troubled-children/

School psychologists are needed to treat troubled children https://drwilda.wordpress.com/2012/02/27/school-psychologists-are-needed-to-treat-troubled-children/

Battling teen addiction: ‘Recovery high schools’  https://drwilda.wordpress.com/2012/07/08/battling-teen-addiction-recovery-high-schools/

Resources:

  1. About.Com’s Depression In Young Children
  2. Psych Central’s Depression In Young Children
  3. Psychiatric News’ Study Helps Pinpoint Children With Depression
  4. Family Doctor’s What Is Depression?
  5. WebMD’s Depression In Children
  6. Healthline’s Is Your Child Depressed?
  7. Medicine.Net’s Depression In Children

If you or your child needs help for depression or another illness, then go to a reputable medical provider. There is nothing wrong with taking the steps necessary to get well.

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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American Academy of Neurology study: Doctors cautioned against using drugs to treat children

19 Mar

Moi wrote in More children now on antipsychotics drugs:

Duff Wilson chronicles one family’s harrowing ordeal as they sought first, an accurate diagnosis and then appropriate treatment for their child. In the New York Times article, Child’s Ordeal Shows the Risk of Psychosis Drugs For The Young Wilson reports about the Warren family. Judy Lightfoot has a very informative article at Crosscut, We’re Doing Experiments On Poor Children whose are prescribed antipsychotic drugs more often. Pamela Paul has a fascinating article in the New York Times about preschoolers and depression. In the article, Can Preschoolers Be Depressed? Paul does a great job of describing what depression looks like in small children and reporting about nascent research efforts by various universities.                                                                                   https://drwilda.com/2012/08/10/more-children-now-on-antipsychotics-drugs/

“The American Academy of Neurology (AAN), the world’s largest professional association of neurologists, is releasing a position paper on how the practice of prescribing drugs to boost cognitive function, or memory and thinking abilities, in healthy children and teens is misguided.”

Genevra Pittman of Reuters writes in the article, Be cautious of mind-altering drugs for kids: doctors:

Focusing on stimulants typically used to treat attention deficit hyperactivity disorder, or ADHD, researchers said the number of diagnoses and prescriptions have risen dramatically over the past two decades.

Young people with the disorder clearly benefit from treatment, lead author Dr. William Graf emphasized, but the medicines are increasingly being used by healthy youth who believe they will enhance their concentration and performance in school.

According to the National Institute on Drug Abuse, 1.7 percent of eighth graders and 7.6 percent of 12th graders have used Adderall, a stimulant, for nonmedical reasons.

Some of those misused medicines are bought on the street or from peers with prescriptions; others may be obtained legally from doctors.

“What we’re saying is that because of the volume of drugs and the incredible increase… the possibility of overdiagnosis and overtreatment is clearly there,” said Graf, from Yale University in New Haven, Connecticut.

In their statement, published in the journal Neurology, he and his colleagues say doctors should not give prescriptions to teens who ask for medication to enhance concentration against their parents’ advice.

Prescribing attention- or mood-enhancing drugs to healthy kids and teens in general cannot be justified, for both legal and developmental reasons, Graf and his co-authors conclude.

http://www.reuters.com/article/2013/03/13/us-medications-kids-idUSBRE92C17H20130313

Here is the press release from the American Academy of Neurology:

FOR IMMEDIATE RELEASE, MARCH 13, 2013

AAN: Doctors Caution Against Prescribing Attention-Boosting Drugs for Healthy Kids

Share:

MINNEAPOLIS – The American Academy of Neurology (AAN), the world’s largest professional association of neurologists, is releasing a position paper on how the practice of prescribing drugs to boost cognitive function, or memory and thinking abilities, in healthy children and teens is misguided. The statement is published in the March 13, 2013, online issue of Neurology, the medical journal of the American Academy of Neurology.

This growing trend, in which teens use “study drugs” before tests and parents request ADHD drugs for kids who don’t meet the criteria for the disorder, has made headlines recently in the United States. The Academy has spent the past several years analyzing all of the available research and ethical issues to develop this official position paper.

“Doctors caring for children and teens have a professional obligation to always protect the best interests of the child, to protect vulnerable populations, and prevent the misuse of medication,” said author William Graf, MD, of Yale University in New Haven, Conn., and a member of the American Academy of Neurology. “The practice of prescribing these drugs, called neuroenhancements, for healthy students is not justifiable.”

The statement provides evidence that points to dozens of ethical, legal, social and developmental reasons why prescribing mind-enhancing drugs, such as those for ADHD, for healthy people is viewed differently in children and adolescents than it would be in functional, independent adults with full decision-making capacities. The Academy has a separate position statement that addresses the use of neuroenhancements in adults.

The article notes many reasons against prescribing neuroenhancement including: the child’s best interest; the long-term health and safety of neuroenhancements, which has not been studied in children; kids and teens may lack complete decision-making capacities while their cognitive skills, emotional abilities and mature judgments are still developing; maintaining doctor-patient trust; and the risks of over-medication and dependency.

“The physician should talk to the child about the request, as it may reflect other medical, social or psychological motivations such as anxiety, depression or insomnia. There are alternatives to neuroenhancements available, including maintaining good sleep, nutrition, study habits and exercise regimens,” said Graf.

The statement had no industry sponsors.

View the full statement at: http://neurology.org/lookup/doi/10.1212/WNL.0b013e318289703b. View the AAN’s full statement on neuroenhancements and adults at: http://www.neurology.org/content/early/2009/09/23/WNL.0b013e3181beecfe.full.pdf

The American Academy of Neurology, an association of more than 25,000 neurologists and neuroscience professionals, is dedicated to promoting the highest quality patient-centered neurologic care. A neurologist is a doctor with specialized training in diagnosing, treating and managing disorders of the brain and nervous system such as Alzheimer’s disease, stroke, migraine, multiple sclerosis, brain injury, Parkinson’s disease and epilepsy. For more information about the American Academy of Neurology, visit http://www.aan.com or find us on Facebook, Twitter, Google+ and YouTube.

Parents must be advocates for their children. If the first medical opinion does not seem right, get a second or even a third opinion.

Related:

Schools have to deal with depressed and troubled children https://drwilda.wordpress.com/2011/11/15/schools-have-to-deal-with-depressed-and-troubled-children/

School psychologists are needed to treat troubled children https://drwilda.wordpress.com/2012/02/27/school-psychologists-are-needed-to-treat-troubled-children/

Battling teen addiction: ‘Recovery high schools’ https://drwilda.wordpress.com/2012/07/08/battling-teen-addiction-recovery-high-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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Is Aspartame in milk given to children a good idea?

12 Mar

Moi wrote in New emphasis on obesity: Possible unintended consequences, eating disorders:

The C.S. Mott Children’s Hospital is reporting in the study, School Obesity Programs May Promote Worrisome Eating Behaviors and Physical Activity in Children:

Report Highlights

82% of parents report at least one school-based intervention aimed at preventing childhood obesity within their children’s schools.

30% of parents of children age 6-14 report worrisome eating behaviors and physical activity in their children.

7% of parents say that their children have been made to feel bad at school about what or how much they were eating.

B.A. Birch reports about the Mott study in the Education News article, Report: School Food Programs Could Trigger Eating Disorders:

David Rosen, a professor of Pediatrics and Psychiatry at the University of Michigan, said:

“We have to be really careful that we’re not putting things out there, particularly to younger kids, that might be misinterpreted, not be given appropriate supervision, and being done in ways that kids can, or some kids, can go off in dangerous directions and have bad outcomes.”

Rosen believes it is important that parents talk to their children about what they’re being told at the schools and to keep an eye out for worrying behavior.

“Parents need to know what’s going on in school. They need to be able to talk with their kids about the information they’re getting in schools, be attentive to any changes they’re seeing in their kids, particularly if those behaviors seem to persist or seem to be getting worse.

“We think the parents ought to be talking to schools about this kind of education.”

The schools must also take responsibility, says Rosen. Officials should pay attention to the outcomes of their programs. http://www.educationnews.org/k-12-schools/report-school-food-programs-could-trigger-eating-disorders/

The key is moderation in both eating habits and exercise. The latest battle in the obesity fight in the school lunch program centers on adding Aspartame to milk consumed by children.

Allison Aubrey reports in the NPR article, Can Milk Sweetened With Aspartame Still Be Called Milk?

The dairy industry has a problem. Despite studies demonstrating milk’s nutritional benefits, people are drinking less and less of it.

Even children are increasingly opting for water or other low-cal options — including diet soda and artificially sweetened sports drinks.

So how can milk — especially school kids’ favorite, chocolate milk — compete in the low-cal arena? The dairy industry has a strategy: Swap the sugar that’s added to flavored milks for a zero-calorie sweetener such as aspartame (or other options such as plant-based stevia).

Now, in order to pull this off, the dairy industry has some regulatory hoops to jump through. Currently, if dairy producers want to add an artificial or no-cal sweetener, the resulting beverage is no longer allowed to be called milk (it wouldn’t meet the FDA’s technical definition of milk).

So the dairy industry is petitioning the Food and Drug Administration to change the standard of what qualifies as milk. The industry wants the iconic MILK label to remain on the front of the package, without any mention of the reduced calories — or the added artificial sweeteners (at least, not on the front label). And the FDA has opened up this petition for public comment.

“Kids don’t like the term ‘low-calorie,’ ” says Greg Miller of the National Dairy Council. “It’s a turnoff.”

Some school districts have banned flavored milk because of the high-calorie content. And some studies suggest that when you take chocolate milk out of schools, consumption of milk declines. During a phone interview, Miller told The Salt that the industry’s petition is aimed at offering school districts a lower-calorie milk option that kids will actually want to drink.

Miller says the petition does not seek to change existing regulations that require added sweeteners (such as aspartame or stevia) to be named in the list of ingredients — usually found on the back of a container.

“We are not trying to be sneaky,” Miller says.

But so far, lots of folks seem skeptical of the plan.

More than 90,000 people have joined a new online petition organized by SumOfUs.org, a consumer advocacy group, opposing the dairy industry’s petition.

And nutrition experts are weighing in, too, including Barry Popkin of the University of North Carolina at Chapel Hill, who has studied the links between sugary drinks and obesity. If the goal is to reduce the amount of calories that kids get from sweetened beverages, then removing sugar from flavored milk is one option, he says.

“If the option is flavored (milk) with diet (sweetener) vs. regular sugar, then diet (sweetener) is favored,” he wrote to us in an email.

But he says there’s no evidence that kids need flavored milk, such as chocolate milk. “It has not been shown to increase milk intake,” he says. The dairy industry disagrees.

And the dairy industry’s petition is also facing opposition from school food advocates.

“I think it’s unconscionable,” says school chef Ann Cooper, who’s been working to reform the way kids eat at school. She argues that parents and students will have a hard time discerning what’s in the milk. http://www.npr.org/blogs/thesalt/2013/03/06/173618723/can-milk-sweetened-with-aspartame-still-be-called-milk

The effects of Aspartame on children has been studied.

For a concise description of Aspartame’s effects on children, see Cydney Walker’s Livestrong article, The Effects of Aspartame on Kids:

Aspartame is an artificial sweetener that has been implicated in causing health problems since its use in processed foods and medications. It is made from two naturally occuring amino acids, L-phenylalanine and L-aspartic acid; when combined, it provides a sweetness that is 200 times greater than regular sugar, as stated by Aspartame Information Center. Testing was performed on the sweetener and the Food and Drug Administration provided the sweetener with the title of GRAS, generally recognized as safe.

Agression

The Aspartame Information Center states to date, no studies have shown conclusive evidence that aspartame causes aggressive behavior in children. Dr. Paul, a pediatrician, states that in small amounts found in medication, aspartame is safe for children. Drinking diet drinks is not considered safe as the amount of aspartame consumed by a small child is twice the recommended amount.

Brain Tumors

Aspartame has been stated to cause brain tumors in monkeys used to test the safety of the artificial sweetener. Osteopathic physician Dr. Mercola states that long-term use of phenylalanine products increases byproduct of diketopiperazine. This chemical is made by your body when metabolizing aspartame into the respective amino acids and formaldehyde. Diketopiperazine is a cause for concern because this chemical is implicated in causing brain tumors, especially when consumed from liquid products. Liquids that contain aspartame that are stored for long periods can have an increase in diketopiperazine levels. James Gurney, a researcher investigating brain tumor incidence, states brain tumors in both children and adults have increased since the release of aspartame in the 1980s, but concludes after review of multiple studies that the occurrence of brain tumors caused by aspartame is unlikely. When consumed in moderation, aspartame doesn’t pose a threat to the development of brain tumors in children.

Nerve Cell Death

Excitotoxins are chemicals that stimulate your nerve cells to fire continuously, and can cause premature death. Aspartic acid found in aspartame turns into a nerve cell stimulator with glutamic acid that is circulating around the blood. According to Dr. Mercola, 75 percent of the neurons are killed before chronic disease is noticed and diagnosed. This is critical for children because the blood brain barrier that usually protects an adult brain from exocitoxins is not developed enough in children. Higher levels of glutamate and aspartic acid in children’s brains could lead to heightened brain activity in children, thus causing behavioral problems.

Depression

Phenylalanine is the other component of aspartame that may predispose children to mood disorders. Phenylalanine accumulates in the blood of persons without phenylketonuria, which is a genetic disorder where phenylalaine isn’t broken down and collects in the brain. According to Dr. Mercola, phenylalanine, when combined with carbohydrates, can increases the blood and brain levels of the amino acid in persons without phenylketonuria. Increased phenylalanine levels interupt serotonin levels, causing depression.

For reliable and official information about aspartame www.Aspartame.net

http://www.livestrong.com/article/343251-the-effects-of-aspartame-on-kids/

Resources:

Aspartame withdrawal and side effects explained – Here’s how to protect yourself
http://www.naturalnews.com/035126_aspartame_side_effects_withdrawal.html#ixzz2NJ1PaBZ4

The History of Aspartame http://leda.law.harvard.edu/leda/data/244/Nill,_Ashley_-_The_History_of_Aspartame.html

Clearly the scope of the science is outside moi’s expertise, but she has a strong caution against allowing this additive to milk consumed by children. There are some big $$$ interests and those who want children to consume HEALTHY FOOD will have to remain vigilant.

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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The 03/10/13 Joy Jar

9 Mar

Moi is a very busy person like many. Often, she feel like a little gerbil running in the gerbil cage. Because she is a ‘bus chick,’ she walks a great deal which is a good thing. Eating on the run and sometimes eating foods which are not the most nutritious prompted moi to take vitamins. Today’s deposit into the ‘Joy Jar’ are vitamins.

 

 

Faith and prayer are the vitamins of the soul; man cannot live in health without them.
Mahalia Jackson

 

 

All those vitamins aren’t to keep death at bay, they’re to keep deterioration at bay.
Jeanne Moreau

 

 

Living one day at a time, with a fresh baked cookie. Okay. And with a coffee. And maybe some chocolate. But I promise to take my vitamins.

Unknown

 

 

“Whole grains help digestion, and vitamins should prevent sickness.”

Xu Yalin

 

 

“Always Remember to take your Vitamins: Take your Vitamin A for ACTION, Vitamin B for Belief, Vitamin C for Confidence ,Vitamin D for Discipline, Vitamin E for Enthusiasm!”                                                                                        

Pablo Valle

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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/

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Can’t yoga be watered down like Christmas was? Is there a ‘happy holidays’ yoga?

24 Feb

Here’s today’s COMMENT FROM AN OLD FART: Remember when the forces of secularism pushed the “Happy Holidays” maximum because no one should be offended by the expression of “Merry Christmas.” The forces of tolerance and celebrate diversity did not want YOUR religion forced on ME. So much for that “celebrate diversity” thing. Let’s fast forward to the yoga movement and the attempt to spread love, joy, and flexible limbs into the education setting.

Marty Graham of Reuters reports in the article, Parents sue school for teaching yoga to children:

SAN DIEGO—The parents of two California grade school students have sued to block the teaching of yoga classes they complain promote eastern religions, saying children who exercise their choice to opt out of the popular program face bullying and teasing.

The Encinitas Unified School District, near San Diego, began the program in September to teach Ashtanga yoga as part of the district’s physical education program — and school officials insist the program does not teach any religion.

Lawyers for the parents challenging the yoga program disagreed.

“As a First Amendment lawyer, I wouldn’t go after an exercise program. I don’t go after people for stretching,” said lawyer Dean Broyles, who heads the National Center on Law and Policy, which filed the suit on Wednesday in a San Diego court.

“But Ashtanga yoga is a religious-based yoga, and if we are separating church and state, we can’t pick and choose religious favourites,” he said.

The lawsuit is the latest twist in a broader national clash over the separation of religion from public education that has seen spirited debate on issues ranging from the permissibility of student-led prayer to whether science instructors can teach alternatives to evolution.

The lawsuit, which does not seek any monetary damages, objects to eight-limbed tree posters they say are derived from Hindu beliefs, the Namaste greeting and several of the yoga poses that they say represent the worship of Hindu deities.

According to the suit, a $533,000 grant from the Jois Foundation, which supports yoga in schools, allowed the school district to assign 60 minutes of the 100 minutes of physical education required each week to Ashtanga yoga, taught in the schools by Jois-certified teachers.

Broyles said that while children are allowed to opt out of the yoga program, they are not given other exercise options.

“The kids who are opting out are getting teased and bullied,” he said. “We have one little girl whose classmates told her her parents are stupid because she opted out. That’s not supposed to happen in our schools….” http://www.thestar.com/news/world/2013/02/22/parents_sue_school_for_teaching_yoga_to_children.html

See, Promoting Hinduism? Parents Demand Removal Of School Yoga Class http://www.npr.org/2013/01/09/168613461/promoting-hinduism-parents-demand-removal-of-school-yoga-class

The Free Dictionary summarizes yoga:

Yoga

Definition

The term yoga comes from a Sanskrit word which means yoke or union. Traditionally, yoga is a method joining the individual self with the Divine, Universal Spirit, or Cosmic Consciousness. Physical and mental exercises are designed to help achieve this goal, also called self-transcendence or enlightenment. On the physical level, yoga postures, called asanas, are designed to tone, strengthen, and align the body. These postures are performed to make the spine supple and healthy and to promote blood flow to all the organs, glands, and tissues, keeping all the bodily systems healthy. On the mental level, yoga uses breathing techniques (pranayama) and meditation (dyana) to quiet, clarify, and discipline the mind. However, experts are quick to point out that yoga is not a religion, but a way of living with health and peace of mind as its aims.                                   http://medical-dictionary.thefreedictionary.com/Ashtanga+Yoga

The problem for many Christians and particularly Christian parents is NOT that kids don’t need exercise, they do. The problem is the spiritual aspects which emphasize the “Divine.” That is not what Christians believe.  The majority of Christians believe in the Trinity. Guess what, the FIRST AMENDMENT protects those beliefs.

So, what is a “celebrate diversity,” we are soooo tolerant, and hip to boot school district supposed to do when confronted with the “yoga conundrum?” Well, bucky, one waters down the concept as with “happy holidays’ and the new name is ” yocise,” the divine becomes your healthy life. “Yocise” focuses on YOU and fits with the culture’s philosophy of ME and we are no more tolerant with “yocise” than we were with “happy holidays.” “Celebrate diversity.”

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If kids must watch television, parents must be selective about programs children watch

20 Feb

Moi said this in Play is as important for children as technology:

Let’s make this short and sweet. Park your kid in front of the television and you will probably be raising an overweight idiot. Tara Parker-Pope has a great post at the New York Times blog. In the post, TV For Toddlers Linked With Later Problems Parker-Pope reports:

Toddlers who watch a lot of television were more likely to experience a range of problems by the fourth grade, including lower grades, poorer health and more problems with school bullies, a new study reports.

The study of more than 1,300 Canadian schoolchildren tracked the amount of television children were watching at the ages of about 2 and 5. The researchers then followed up on the children in fourth grade to assess academic performance, social issues and general health.

On average, the schoolchildren were watching about nine hours of television each week as toddlers. The total jumped to about 15 hours as they approached 5 years of age. The average level of television viewing shown in the study falls within recommended guidelines. However, 11 percent of the toddlers were exceeding two hours a day of television viewing.

For those children, each hour of extra TV exposure in early childhood was associated with a range of issues by the fourth grade, according to the report published in the May issue of The Archives of Pediatrics and Adolescent Medicine. Compared with children who watched less television, those with more TV exposure participated less in class and had lower math grades. They suffered about 10 percent more bullying by classmates and were less likely to be physically active on weekends. They consumed about 10 percent more soft drinks and snacks and had body mass index scores that were about 5 percent higher than their peers.

Well duh, people. You probably already knew this. Guess why you have feet attached to your legs? So, you and the kids can walk around the neighborhood and the park. Better yet, why don’t you encourage your children to play.https://drwilda.com/2012/09/16/play-is-as-important-for-children-as-technology/

Seattle Children’s Hospital reports on a television study in the article, For children’s behavior, TV content as important as quantity:

Children imitate what they see on the screen, both good and bad behavior. This effect of television and video programming can be applied to positively impact children’s behavior according to a study published online in Pediatrics on Feb. 18. The study, “Modifying media content for preschool children: A randomized controlled trial,” was led by Dimitri Christakis, MD, MPH, director of the Center for Child Health, Behavior and Development at Seattle Children’s Research Institute.

Media diet study

Researchers in Seattle studied 565 families with children aged three to five years who spent at least some time watching TV or video content each week. Half of the families were randomly assigned to a “media diet” intervention while the other half, “the control group,” received a nutritional diet intervention designed to promote healthier eating habits. “For the media diet, we coached families on how to substitute prosocial and educational programs for violent ones,” said Christakis.

What is prosocial content?

Prosocial programming encourages children to be kind and to share, and portrays adults as dependable.

The intervention addressed all screen time (TV, DVDs and videos, computer, video games, handheld devices, etc.), but the primary focus was on TV and videos because this accounts for the vast majority of screen time in preschool-aged children.

How families followed a media diet

Families in both groups kept media diaries and provided details on the amount of time spent watching TV, videos and other types of screen time. The research team distributed monthly program guides and a sample DVD of prosocial content that would appeal to boys, girls and diverse populations. Families were also steered to Common Sense Media, which provides ratings for family movies, TV shows, websites and video games.

The intervention did not attempt to reduce the number of hours of screen time for the children, but it did encourage a positive media diet and co-viewing with parents. A case manager followed up with families regularly for 12 months. At six months and 12 months, the children in the media diet intervention group were spending significantly less time on violent programming than they did at the start of the study, compared to the control group.

Both the intervention and control groups increased viewing time slightly during the study, but the control group increased its minutes of violent content, while the intervention group increased its minutes of prosocial and educational content.

At six months, the children in the intervention group demonstrated significantly less aggression and more prosocial behavior compared to the control group, and the effect lasted throughout the 12 months. Christakis and team concluded that such an intervention can positively impact child behavior.

Content as important as quantity

“We often focus on how much kids watch and don’t focus enough on what they watch,” Christakis said. “While too many children watch too much TV, this study shows that content is as important as quantity.  It isn’t just about turning off the TV, it’s about changing the channel.”

Christakis said the public health description for a media diet is that it’s a harm reduction approach, similar to a needle exchange, condom distribution or a methadone clinic for heroin addicts. “The media diet reduces the risks associated with TV,” he said.

What about parents who didn’t take part in the study? “Parents could absolutely implement the media diet on their own,” said Christakis.

Implement a media diet in your home: Dr. Christakis’ tips for parents

• Keep a media diary to make sure you’re aware of the TV and movies your child is watching
• Choose less violent and more prosocial content for your kids to watch, via sites like Common Sense Media
• Watch TV and movies with your children, so that you’re more aware of the content

Resources:

Promoting health early child development: An update and research agenda from the Christakis Lab, January 2013
New study links violent videos to sleep problems in preschool children, August 2012, Pediatrics
Infant brains more engaged when playing with interactive toys: Study, July 2012, Journal of Pediatrics
Powerpuff Girls vs. Mister Rogers’ Neighborhood: Media impact on early childhood development, January 2012, TEDxRainier http://pulse.seattlechildrens.org/for-childrens-behavior-tv-content-as-important-as-quantity/

See, Study: Changing the Channel Could Lessen Bad Influence of TV http://www.educationnews.org/parenting/study-changing-the-channel-could-lessen-bad-influence-of-tv/

Citation:

Modifying Media Content for Preschool Children: A Randomized Controlled Trial

  1. Dimitri A. Christakis, MD, MPHa,b,
  2. Michelle M. Garrison, PhDa,c,
  3. Todd Herrenkohl, PhDd,
  4. Kevin Haggerty, MSWd,
  5. Frederick P. Rivara, MD, MPHa,b,
  6. Chuan Zhou, PhDa,b, and
  7. Kimberly Liekweg, BAa

+ Author Affiliations

  1. aCenter for Child Health, Behavior, and Development, Seattle Children’s Research Institute, Seattle, Washington; and
  2. Departments of bPediatrics and
  3. cHealth Services, and
  4. dSchool of Social Work, University of Washington, Seattle, Washington

Abstract

BACKGROUND: Although previous studies have revealed that preschool-aged children imitate both aggression and prosocial behaviors on screen, there have been few population-based studies designed to reduce aggression in preschool-aged children by modifying what they watch.

METHODS: We devised a media diet intervention wherein parents were assisted in substituting high quality prosocial and educational programming for aggression-laden programming without trying to reduce total screen time. We conducted a randomized controlled trial of 565 parents of preschool-aged children ages 3 to 5 years recruited from community pediatric practices. Outcomes were derived from the Social Competence and Behavior Evaluation at 6 and 12 months.

RESULTS: At 6 months, the overall mean Social Competence and Behavior Evaluation score was 2.11 points better (95% confidence interval [CI]: 0.78–3.44) in the intervention group as compared with the controls, and similar effects were observed for the externalizing subscale (0.68 [95% CI: 0.06–1.30]) and the social competence subscale (1.04 [95% CI: 0.34–1.74]). The effect for the internalizing subscale was in a positive direction but was not statistically significant (0.42 [95% CI: −0.14 to 0.99]). Although the effect sizes did not noticeably decay at 12 months, the effect on the externalizing subscale was no longer statistically significant (P = .05). In a stratified analysis of the effect on the overall scores, low-income boys appeared to derive the greatest benefit (6.48 [95% CI: 1.60–11.37]).

CONCLUSIONS: An intervention to reduce exposure to screen violence and increase exposure to prosocial programming can positively impact child behavior.

Published online February 18, 2013

(doi: 10.1542/peds.2012-1493)

  1. » Abstract

  2. Full Text (PDF)

In Television cannot substitute for quality childcare, moi wrote:

Sarah D. Sparks reports in the Education Week article, Is Television the New Secondhand Smoke?

Prior research suggests background television can have a “chronic disruptive impact on very young children’s behavior.” Studies have linked background television to less focused play among toddlers, poorer parent-child interaction, and interference with older students’ ability to do homework.

“For every minute of television to which children are directly exposed, there are an
additional 3 minutes of indirect exposure, making background exposure a much greater
proportion of time in a young child’s day,” the study noted.

“Considering the accumulating evidence regarding the impact that background television exposure has on young children, we were rather floored about the sheer scale of children’s exposure with just under 4 hours of exposure each day,” Lapierre said in a statement on the study. Lapierre and his fellow researchers recommended that parents, teachers and early childcare providers turn off televisions when no one is watching a particular program and that parents prevent children from keeping a television in their rooms.

It’s easy to think about this as just one more alarm about how our modern media environment is ruining our kids. Yet the more interesting take-away from this field of research is how critical it is for children to learn actively and socially. Children learn from adults speaking to, with and around them, and from actively engaging with their world.

Anything that limits or distracts from that active interaction can be a problem, but not an insurmountable one. For example, researchers at the University of Washington’s Learning in Formal and Informal Environments, or LIFE, Center, is doing some fascinating work on the potential benefits of interactive media. There’s also been some interesting work on using video conferencing to read with children. http://blogs.edweek.org/edweek/inside-school-research/2012/04/is_television_the_new_secondha.html?intc=es

If watching television is not an appropriate activity for toddlers, then what are appropriate activities? The University of Illinois Extension has a good list of Age-Based Activities For Toddlers

See, How to Have a Happier, Healthier, Smarter Baby

Parents must interact with their children and read to them. Television is not a parental substitute. https://drwilda.com/2012/04/23/television-cannot-substitute-for-quality-childcare/

Related:

Study: Children subject to four hours background television daily                                                                              https://drwilda.com/2012/10/02/study-children-subject-to-fours-background-television-daily/

Common Sense Media report: Media choices at home affect school performance                                                               https://drwilda.com/2012/11/01/common-sense-media-report-media-choices-at-home-affect-school-performance/

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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The 02/16/13 Joy Jar

15 Feb

Moi is basically a ‘bus chick’ and rides the bus everywhere. Moi also does a fair amount of walking to get around as well. Today, was one of those glorious late winter days when the sun came out and warmed everything. Running endless errands and walking to and fro was effortless. Ideas flowed as well. Today’s deposit into the ‘Joy Jar’ is walking for the pure joy of walking.

As people are walking all the time, in the same spot, a path appears.
John Locke

It is no use walking anywhere to preach unless our walking is our preaching.
Francis of Assisi

Walking is the best possible exercise. Habituate yourself to walk very fast.
Thomas Jefferson

If you are a writer you locate yourself behind a wall of silence and no matter what you are doing, driving a car or walking or doing housework you can still be writing, because you have that space.
Joyce Carol Oates

We all want progress, but if you’re on the wrong road, progress means doing an about-turn and walking back to the right road; in that case, the man who turns back soonest is the most progressive.
C. S. Lewis

All truly great thoughts are conceived by walking.
Friedrich Nietzsche

Walking is man’s best medicine.
Hippocrates

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Journal of American Medical Association study: Folic acid may reduce autism risk

12 Feb

Moi has written several blog posts about autism. In University of Connecticut study: Some children with autism may be ‘cured’ with intense early therapy:

In order for children with autism to reach their full potential there must be early diagnosis and treatment.

Autism Speaks reports about a University of Connecticut study in the post, Study Confirms “Optimal Outcomes”:

Some children diagnosed with autism in early childhood reach “optimal outcomes” with levels of function similar to their typical peers. The findings appear today in the Journal of Child Psychology and Psychiatry.

“Although the diagnosis of autism is not usually lost over time, the findings suggest that there is a very wide range of possible outcomes,” says Thomas Insel, M.D., director of the National Institutes of Mental Health (NIMH). “For an individual child, the outcome may be knowable only with time and after some years of intervention.”

This week’s report is the first in a series of autism studies on optimal outcomes, sponsored by the NIMH. They follow up on earlier reports that a small group of children appear to “lose” their autism diagnosis over time. Some experts have questioned the accuracy of these children’s initial diagnoses. Others argued that simply being able to function in a mainstream classroom doesn’t mean that these children don’t quietly struggle with autism-related disabilities. http://www.autismspeaks.org/science/science-news/study-confirms-%E2%80%9Coptimal-outcomes%E2%80%9D

https://drwilda.com/2013/01/19/university-of-connecticut-study-some-children-with-autism-may-be-cured-with-intense-early-therapy/

The Journal of the American Medical Association (JAMA) is reporting in a new study that folic acid use during pregnancy may reduce autism risk.

Steven Reinberg, Health Day Reporter for WebMD reports in Folic Acid in Pregnancy May Lower Autism Risk:

A new study suggests that women who start taking folic acid supplements either before or early in their pregnancy may reduce their child’s risk of developing autism.

“The study does not prove that folic acid supplements can prevent childhood autism. But it does provide an indication that folic acid might be preventive,” said study lead author Dr. Pal Suren, from the division of epidemiology at the Norwegian Institute of Public Health in Oslo.

“The findings also provide a rationale for further investigations of possible causes, as well as investigations of whether folic acid is associated with a reduced risk of other brain disorders in children,” he said.

Taking folic acid supplements during pregnancy is already known to prevent birth defects such as spina bifida, which affects the spine, and anencephaly, which causes part of the brain to be missing.

Alycia Halladay, senior director of environmental and clinical sciences at Autism Speaks, said that “parents always wonder what they can do to reduce the risk [of autism], and this [folic acid] is a very inexpensive item that mothers can do both before pregnancy and very early in their pregnancy.”

As to why folic acid may be beneficial, Halladay speculated that the nutrient might blunt a genetic risk for autism or boost other processes during pregnancy that are protective.

Another expert, Dr. Roberto Tuchman, director of the Autism and Neurodevelopment Program at Miami Children’s Hospital’s Dan Marino Center, said, “This study suggests that in some kids autism spectrum disorders may be preventable. As a clinician who works with autism spectrum disorders it is exciting that we can look at potentially preventable factors in autism. This is really encouraging.”

Still, Tuchman cautioned that the study findings are very preliminary, and it isn’t possible to tell which autism spectrum disorders, if any, folic acid may prevent. http://www.webmd.com/brain/autism/news/20130212/folic-acid-in-pregnancy-may-lower-autism-risk

Citation:

February 13, 2013, Vol 309, No. 6 >

Original Contribution | February 13, 2013

Association Between Maternal Use of Folic Acid Supplements and Risk of Autism Spectrum Disorders in Children FREE

Pål Surén, MD, MPH; Christine Roth, MSc; Michaeline Bresnahan, PhD; Margaretha Haugen, PhD; Mady Hornig, MD; Deborah Hirtz, MD; Kari Kveim Lie, MD; W. Ian Lipkin, MD; Per Magnus, MD, PhD; Ted Reichborn-Kjennerud, MD, PhD; Synnve Schjølberg, MSc; George Davey Smith, MD, DSc; Anne-Siri Øyen, PhD; Ezra Susser, MD, DrPH; Camilla Stoltenberg, MD, PhD

JAMA. 2013;309(6):570-577. doi:10.1001/jama.2012.155925.

Text Size: A A A

Article

Figures

Tables

References

Importance  Prenatal folic acid supplements reduce the risk of neural tube defects in children, but it has not been determined whether they protect against other neurodevelopmental disorders.

Objective  To examine the association between maternal use of prenatal folic acid supplements and subsequent risk of autism spectrum disorders (ASDs) (autistic disorder, Asperger syndrome, pervasive developmental disorder–not otherwise specified [PDD-NOS]) in children.

Design, Setting, and Patients  The study sample of 85 176 children was derived from the population-based, prospective Norwegian Mother and Child Cohort Study (MoBa). The children were born in 2002-2008; by the end of follow-up on March 31, 2012, the age range was 3.3 through 10.2 years (mean, 6.4 years). The exposure of primary interest was use of folic acid from 4 weeks before to 8 weeks after the start of pregnancy, defined as the first day of the last menstrual period before conception. Relative risks of ASDs were estimated by odds ratios (ORs) with 95% CIs in a logistic regression analysis. Analyses were adjusted for maternal education level, year of birth, and parity.

Main Outcome Measure  Specialist-confirmed diagnosis of ASDs.

Results  At the end of follow-up, 270 children in the study sample had been diagnosed with ASDs: 114 with autistic disorder, 56 with Asperger syndrome, and 100 with PDD-NOS. In children whose mothers took folic acid, 0.10% (64/61 042) had autistic disorder, compared with 0.21% (50/24 134) in those unexposed to folic acid. The adjusted OR for autistic disorder in children of folic acid users was 0.61 (95% CI, 0.41-0.90). No association was found with Asperger syndrome or PDD-NOS, but power was limited. Similar analyses for prenatal fish oil supplements showed no such association with autistic disorder, even though fish oil use was associated with the same maternal characteristics as folic acid use.

Conclusions and Relevance  Use of prenatal folic acid supplements around the time of conception was associated with a lower risk of autistic disorder in the MoBa cohort. Although these findings cannot establish causality, they do support prenatal folic acid supplementation. http://jama.jamanetwork.com/article.aspx?articleid=1570279

One of the implications of this study is the necessity that women receive adequate prenatal care and women really should have pre-pregnancy counseling and care.

United Health Foundation reports Prenatal Care (1990 – 2011): Percentage of pregnant women receiving adequate prenatal care, as defined by Kessner Index:

Prenatal care is a critical component of health care for pregnant women and a key step towards having a healthy pregnancy and baby. Early prenatal care is especially important because many important developments take place during the first trimester, screenings can identify babies or mothers at risk for complications and health care providers can educate and prepare mothers for pregnancy.  Women who receive prenatal care have consistently shown better outcomes than those who did not receive prenatal care[1]. Mothers who do not receive any prenatal care are three times more likely to deliver a low birth weight baby than mothers who received prenatal care, and infant mortality is five times higher[2].  Early prenatal care also allows health care providers to identify and address health conditions and behaviors that may reduce the likelihood of a healthy birth, such as smoking and drug and alcohol abuse.                                           http://www.americashealthrankings.org/All/PrenatalCare/2012

Given this recent study it is imperative that ALL women receive prenatal care particularly poor and those women at risk of difficult pregnancies.

Related:

Autism and children of color                                                https://drwilda.com/tag/children-of-color-with-autism/

Archives of Pediatrics and Adolescent Medicine study: Kids with autism more likely to be bullied                                   https://drwilda.com/2012/09/06/archives-of-pediatrics-and-adolescent-medicine-study-kids-with-autism-more-likely-to-be-bullied/

Father’s age may be linked to Autism and Schizophrenia https://drwilda.com/2012/08/26/fathers-age-may-be-linked-to-autism-and-schizophrenia/

Chelation treatment for autism might be harmful  https://drwilda.com/2012/12/02/chelation-treatment-for-autism-might-be-harmful/

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