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How Parents can
Change the Pattern of Childhood
           Obesity
        by Terri Richards, RN, BSN
Introduction
Just “google” childhood obesity and 1.3 million results pop up. According to the Centers
for Disease Control and Prevention, 16 percent (over 9 million)children ages 6-19 years
old are overweight or obese—a number that has tripled since 1980.(1) Youfa Wang, an
assistant professor in the Bloomberg School's Department of International Health states,
"If the rate of obesity and overweight continues at this pace, by 2015, 75 percent of
adults and nearly 24 percent of U.S. children and adolescents will be overweight or
obese."(2) This is a staggering statistic. We already know that children who are
overweight face serious physical and emotional issues. How can we prevent this
doomsday prediction for our future generation? The information in this eBook will
guide you and your family to living a more healthy lifestyle and avoid becoming a
statistic.
There is one way to change the pattern of childhood obesity that stands out among all
the rest. It is a lifestyle change. Sound simple? It is not. It is a multifaceted ideal that
includes: healthy eating, exercise, psychological support and consistency. It requires the
family to change habits, sometimes very deep-seated habits. Parent modeling is the only
way the lifestyle change can happen. It has to be a family decision or it will not work.

We all know that healthy eating is important. Choosing healthy foods is not easy. But it
is possible with the proper information and the inner strength to stick to it. You, as the
parent, are the gatekeeper of your food pantry. No one is making you buy that 2 liter
bottle of soda. Whether you buy it because of habit, emotional reasons or price, none of
them are important enough to risk your family's health. There are healthy alternatives.
First, you have to learn how to read nutrition labels. It is not hard. You can do this! Here
is a great site to help you. Search for “Buy Better Groceries” on google. Click on the site
under Washington Post. Another tip is not to take the children grocery shopping, it can
lead to impulse buying and non-healthy choices. If you have to take them, be firm that
you are only buying from the list. Maybe let them pick out some fruit. Remember you
are the gatekeeper!

Second, make a menu each week using healthy choices and shop for your food ahead of
time. Stick to your menu! Let your child help choose a healthy recipe you both find
online. There are tons! It doesn't have to be tofu, there are very tasty dishes out there that
are healthy. You can even let older children help prepare the meal or younger children,
with your assistance. Don't be discouraged if your child does not like certain foods at
first. In many cases, it can take several times for them to eat something new. If no one in
the family likes it, then perhaps you need a new recipe. Make sure your child eats
breakfast everyday. Skipping breakfast can leave your child hungry, tired, and looking
for less healthy foods later in the day.(3) Monitoring healthy lunches while at school can
be challenging but not impossible. Packing your child his/her lunch and monitoring what
they eat for school lunch will help. At my son's school, we pay for his lunch online and
are able to monitor his choices because the school posts each item and the breakdown of
the cost. He also knows he can only have pizza once a week. The rest of the week he has
to make healthy choices that we have discussed with him.

Next, start to replace those high fat, high sugar food and drink items with healthier
choices. For example, instead of soda, choose real fruit juices and buy low-fat or 2%
milk. Frozen juices are cheaper than prepackaged ones. Cut way back on cookies, candy,
chips and non-healthy snack foods. You don't have to overly restrict sweets or treats.
Eating fast food once in awhile is okay too. When you do, help your child to make
healthy choices. Perhaps ordering the chocolate milk instead of the soda and apples
instead of french fries. Please praise them when they do. Children love to be praised by
their parents and it reinforces that behavior.
Most importantly, do not use food as a punishment or reward. Children can quickly start
to associate food with things other than hunger. This is a behavior that is very difficult to
reverse once it is learned. As I am sure many adults can relate to. On a more serious
note, it can also lead to serious disorders such as anorexia or bulimia. Teaching your
child about proper nutrition will last them a lifetime. It is what they will teach their
children, your grandchildren and so on. Make some goals for you and your family to
achieve. For example, in one month we will completely change the way we shop and
choose healthy foods. Make the goals realistic and achievable. Weight loss should come
gradually. Never start your child on a diet without first consulting with your family
physician.

Eating healthy must always accompany physical activity in order to lose weight. Getting
your child to change their behavior to become more active can be difficult. However,
there are ways to accomplish this. Younger children are easier to engage in activity if
prompted by the parent. However, older children today spend way too much time
watching tv, playing video games, texting and talking on the phone. This sedentary
behavior must be limited to two hours per day. The National Institute of Diabetes and
Digestive and Kidney Disease(NIDDK) has a great website with information on how to
help your overweight child. It is recommended that kids need about 60 minutes of
physical activity a day, but this does not have to happen all at once. Several short 10 or
even 5 minute periods of activity throughout the day are just as good. If your children
are not used to being active, encourage them to start with what they can do and build up
to 60 minutes a day.(4) Some of the activities can include: bike riding, swimming, roller
skating, bouncing a ball, dancing, climbing on the jungle gym, playing catch, hopscotch
or jumping rope. There are many more physical activities. Out of ideas? There are
hundreds of ideas on the internet.

Taking the time to do any of these activities with your child will show them that you are
also committed to living a healthy lifestyle. It is also time you can spend communicating
with your child and offering love and support. Sometimes we get so busy with our daily
lives that we often don't spend enough time with our children. This is a great way to
spend time with them and get your exercise. It also reduces stress. Thinking about
buying your child a video game system? Choosing a system that is interactive and
includes baseball, skateboarding, snowboarding or other physical sports can get you and
your child off the couch. Encourage them to get up and move around when watching tv
or playing video games. Discourage snacking or at the very least, provide a healthy
snack when watching tv. Be creative in finding physical activity to do as a family. For
teens, shopping at the mall is always fun. Think about all the calories you will burn
walking around!
Then there is the emotional side of being overweight or obese. It is well known that
these children feel rejected, have low self-esteem, are teased or bullied by other children
or become bullies themselves. A study by Rebecca M. Puhl of Yale’s Rudd Center for
Food Policy and Obesity states, “The quality of life for kids who are obese is
comparable to the quality of life of kids who have cancer. These kids are facing stigma
from everywhere they look in society, whether it’s media, school or at home.” She also
states that parents may take out their frustration, anger and guilt on their overweight
child by adopting stigmatizing attitudes and behavior, such as making critical and
negative comments toward their child.(5) It is important that the child feel loved and
accepted unconditionally. He or she should not be made to feel guilty or feel any less
than anyone else in this world. As a parent, you can praise them often when they make
good choices. Praise them when they do good in school or do a good deed. Praise builds
self-esteem, negativity breaks it down.

There are other ways to support your child while they are converting to a healthy
lifestyle and starting to lose weight. Dr. Michele Borba says to hide the scale. A study of
more than 2000 teens, who weighed themselves frequently, found that instead of losing
weight, they gained nearly twice as much as those kids who didn't weigh in. As your
child begins to lose weight, their clothes will not fit anymore. That is real tangible
evidence that progress is being made. What an exciting day that will be! Dr. Borba also
notes, "Don't nag your child about their weight and don't compare your child to other
children."(6) Again, the psychological issues of being overweight and the negative
responses to the child can cause severe emotional scars. Love and encouragement are
most important. Does that mean that your child is perfect? No, no one is perfect. We all
make mistakes and your child needs to know that. There will be some bad choices. Help
your child learn from their mistakes and start anew. Ask them how they could have made
a better choice and move on. If it is you that makes a bad choice, discuss it with your
child and explain to them how you could have made a better choice. Then start making
better choices. They will learn from you as well.

When behaviors change, lifestyles change. Eating healthy, exercising and good strong
positive encouragement are the keys to making a lifestyle change. The alternative is a
lifetime of struggling with being overweight or obese, health problems, depression and
low self-esteem. Diabetes, heart disease, vascular disorders and cancer are just some of
the common diseases attributed to obesity. You want to be here for your family. In
addition, no one wants to leave that legacy for their child or grandchildren. Everyone has
the ability to change the course of their life and that of their children. If you are still not
sure, search the internet for success stories. They are everywhere! Real people are doing
this everyday. Take it a step at a time and be patient. You are stronger than you think!

            Copyright © R and R Associates, 2010, All rights reserved worldwide. No part of this eBook may be copied or sold.
Bibliography

1. www.cdc.gov/obesity/index.html

2. www.jhu.edu/~gazette/2007/23jul07/23obesity
3. win.niddk.nih.gov/publications/over_child
4. win.niddk.nih.gov/publications/over_child
5. today.msnbc.msn.com/id/19725025/ns/health-kids_and_parenting/
6. micheleborba.ivillage.com/parenting/archives/2009/05/10-tips-to-help-your-
   overweight child

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Childhood obesity e book

  • 1. How Parents can Change the Pattern of Childhood Obesity by Terri Richards, RN, BSN
  • 2. Introduction Just “google” childhood obesity and 1.3 million results pop up. According to the Centers for Disease Control and Prevention, 16 percent (over 9 million)children ages 6-19 years old are overweight or obese—a number that has tripled since 1980.(1) Youfa Wang, an assistant professor in the Bloomberg School's Department of International Health states, "If the rate of obesity and overweight continues at this pace, by 2015, 75 percent of adults and nearly 24 percent of U.S. children and adolescents will be overweight or obese."(2) This is a staggering statistic. We already know that children who are overweight face serious physical and emotional issues. How can we prevent this doomsday prediction for our future generation? The information in this eBook will guide you and your family to living a more healthy lifestyle and avoid becoming a statistic.
  • 3. There is one way to change the pattern of childhood obesity that stands out among all the rest. It is a lifestyle change. Sound simple? It is not. It is a multifaceted ideal that includes: healthy eating, exercise, psychological support and consistency. It requires the family to change habits, sometimes very deep-seated habits. Parent modeling is the only way the lifestyle change can happen. It has to be a family decision or it will not work. We all know that healthy eating is important. Choosing healthy foods is not easy. But it is possible with the proper information and the inner strength to stick to it. You, as the parent, are the gatekeeper of your food pantry. No one is making you buy that 2 liter bottle of soda. Whether you buy it because of habit, emotional reasons or price, none of them are important enough to risk your family's health. There are healthy alternatives. First, you have to learn how to read nutrition labels. It is not hard. You can do this! Here is a great site to help you. Search for “Buy Better Groceries” on google. Click on the site under Washington Post. Another tip is not to take the children grocery shopping, it can lead to impulse buying and non-healthy choices. If you have to take them, be firm that you are only buying from the list. Maybe let them pick out some fruit. Remember you are the gatekeeper! Second, make a menu each week using healthy choices and shop for your food ahead of time. Stick to your menu! Let your child help choose a healthy recipe you both find online. There are tons! It doesn't have to be tofu, there are very tasty dishes out there that are healthy. You can even let older children help prepare the meal or younger children, with your assistance. Don't be discouraged if your child does not like certain foods at first. In many cases, it can take several times for them to eat something new. If no one in the family likes it, then perhaps you need a new recipe. Make sure your child eats breakfast everyday. Skipping breakfast can leave your child hungry, tired, and looking for less healthy foods later in the day.(3) Monitoring healthy lunches while at school can be challenging but not impossible. Packing your child his/her lunch and monitoring what they eat for school lunch will help. At my son's school, we pay for his lunch online and are able to monitor his choices because the school posts each item and the breakdown of the cost. He also knows he can only have pizza once a week. The rest of the week he has to make healthy choices that we have discussed with him. Next, start to replace those high fat, high sugar food and drink items with healthier choices. For example, instead of soda, choose real fruit juices and buy low-fat or 2% milk. Frozen juices are cheaper than prepackaged ones. Cut way back on cookies, candy, chips and non-healthy snack foods. You don't have to overly restrict sweets or treats. Eating fast food once in awhile is okay too. When you do, help your child to make healthy choices. Perhaps ordering the chocolate milk instead of the soda and apples instead of french fries. Please praise them when they do. Children love to be praised by their parents and it reinforces that behavior.
  • 4. Most importantly, do not use food as a punishment or reward. Children can quickly start to associate food with things other than hunger. This is a behavior that is very difficult to reverse once it is learned. As I am sure many adults can relate to. On a more serious note, it can also lead to serious disorders such as anorexia or bulimia. Teaching your child about proper nutrition will last them a lifetime. It is what they will teach their children, your grandchildren and so on. Make some goals for you and your family to achieve. For example, in one month we will completely change the way we shop and choose healthy foods. Make the goals realistic and achievable. Weight loss should come gradually. Never start your child on a diet without first consulting with your family physician. Eating healthy must always accompany physical activity in order to lose weight. Getting your child to change their behavior to become more active can be difficult. However, there are ways to accomplish this. Younger children are easier to engage in activity if prompted by the parent. However, older children today spend way too much time watching tv, playing video games, texting and talking on the phone. This sedentary behavior must be limited to two hours per day. The National Institute of Diabetes and Digestive and Kidney Disease(NIDDK) has a great website with information on how to help your overweight child. It is recommended that kids need about 60 minutes of physical activity a day, but this does not have to happen all at once. Several short 10 or even 5 minute periods of activity throughout the day are just as good. If your children are not used to being active, encourage them to start with what they can do and build up to 60 minutes a day.(4) Some of the activities can include: bike riding, swimming, roller skating, bouncing a ball, dancing, climbing on the jungle gym, playing catch, hopscotch or jumping rope. There are many more physical activities. Out of ideas? There are hundreds of ideas on the internet. Taking the time to do any of these activities with your child will show them that you are also committed to living a healthy lifestyle. It is also time you can spend communicating with your child and offering love and support. Sometimes we get so busy with our daily lives that we often don't spend enough time with our children. This is a great way to spend time with them and get your exercise. It also reduces stress. Thinking about buying your child a video game system? Choosing a system that is interactive and includes baseball, skateboarding, snowboarding or other physical sports can get you and your child off the couch. Encourage them to get up and move around when watching tv or playing video games. Discourage snacking or at the very least, provide a healthy snack when watching tv. Be creative in finding physical activity to do as a family. For teens, shopping at the mall is always fun. Think about all the calories you will burn walking around!
  • 5. Then there is the emotional side of being overweight or obese. It is well known that these children feel rejected, have low self-esteem, are teased or bullied by other children or become bullies themselves. A study by Rebecca M. Puhl of Yale’s Rudd Center for Food Policy and Obesity states, “The quality of life for kids who are obese is comparable to the quality of life of kids who have cancer. These kids are facing stigma from everywhere they look in society, whether it’s media, school or at home.” She also states that parents may take out their frustration, anger and guilt on their overweight child by adopting stigmatizing attitudes and behavior, such as making critical and negative comments toward their child.(5) It is important that the child feel loved and accepted unconditionally. He or she should not be made to feel guilty or feel any less than anyone else in this world. As a parent, you can praise them often when they make good choices. Praise them when they do good in school or do a good deed. Praise builds self-esteem, negativity breaks it down. There are other ways to support your child while they are converting to a healthy lifestyle and starting to lose weight. Dr. Michele Borba says to hide the scale. A study of more than 2000 teens, who weighed themselves frequently, found that instead of losing weight, they gained nearly twice as much as those kids who didn't weigh in. As your child begins to lose weight, their clothes will not fit anymore. That is real tangible evidence that progress is being made. What an exciting day that will be! Dr. Borba also notes, "Don't nag your child about their weight and don't compare your child to other children."(6) Again, the psychological issues of being overweight and the negative responses to the child can cause severe emotional scars. Love and encouragement are most important. Does that mean that your child is perfect? No, no one is perfect. We all make mistakes and your child needs to know that. There will be some bad choices. Help your child learn from their mistakes and start anew. Ask them how they could have made a better choice and move on. If it is you that makes a bad choice, discuss it with your child and explain to them how you could have made a better choice. Then start making better choices. They will learn from you as well. When behaviors change, lifestyles change. Eating healthy, exercising and good strong positive encouragement are the keys to making a lifestyle change. The alternative is a lifetime of struggling with being overweight or obese, health problems, depression and low self-esteem. Diabetes, heart disease, vascular disorders and cancer are just some of the common diseases attributed to obesity. You want to be here for your family. In addition, no one wants to leave that legacy for their child or grandchildren. Everyone has the ability to change the course of their life and that of their children. If you are still not sure, search the internet for success stories. They are everywhere! Real people are doing this everyday. Take it a step at a time and be patient. You are stronger than you think! Copyright © R and R Associates, 2010, All rights reserved worldwide. No part of this eBook may be copied or sold.
  • 6. Bibliography 1. www.cdc.gov/obesity/index.html 2. www.jhu.edu/~gazette/2007/23jul07/23obesity 3. win.niddk.nih.gov/publications/over_child 4. win.niddk.nih.gov/publications/over_child 5. today.msnbc.msn.com/id/19725025/ns/health-kids_and_parenting/ 6. micheleborba.ivillage.com/parenting/archives/2009/05/10-tips-to-help-your- overweight child