Get involved,
Participate in Physical Activity: Households where parents seldom engage in
physical activity, negatively affect the frequency of childhood obesity.
Erkelenz et al, (2014) found a reduction in obesity rates when the mothers of
obese children where actively involved in their child’s physical activity, with
greater benefits obtained when both parents were involved leading healthy,
active lifestyles.
Limit Screen
Time: Van Biljon and Longhurst (2012), showed a positive correlation between
exergaming and weight loss in adolescents. Getting children and adolescents
involved in any, physical activity is beneficial. The only concern is if screen
time becomes more of a sedentary style of “gaming” where there is no physical
exertion at all. A study evaluating possible correlations between electronic
use and obesity were conducted by Wethington, Pan, and Sherry (2013). Findings
indicated that 20.8% to 26.1 percent of children aged 6 to 17-year-olds had
excessive screen time which contributed to an increase in study population BMI.
(Wethington, Pan, & Sherry, 2013).
Parents, Pack
your child’s lunch: There is evidence to suggest that parents can help to
reduce obesity or the risk of obesity by packing their child's lunch for
school, and avoiding the inclusion of processed foods in their child's diet.
 |
| Source: Valentine's lunchbox ideas for the family (2015) |
Bray et al. (2004)
explored the relationship between the obesity epidemic and intake of high
fructose corn syrup (HFCS) in sweetened beverages. When this article was published,
HFCS represented over 40% of caloric sweeteners added to foods and beverages.
The consumption of HFCS increased over 1000% between 1970 and 1990, and the
increasing obesity problem paralleled this increase.
 |
| Source: Bray, Nielsen, & Popkin (2004) |
References
Bray, G. A.,
Nielsen, S. J., & Popkin, B. M. (2004). Consumption of high-fructose corn
syrup in beverages may play a role in the epidemic of obesity. American Journal of Clinical Nutrition, 79(4),
537 – 543.
Erkelenz, N.,
Kobel, S., Kettner, S., Drenowatz, C., & Steinacker, J. M. (2014). Parental
Activity as Influence on Children`s BMI Percentiles and Physical Activity. Journal of Sports Science & Medicine, 13(3),
645-650.
Van biljon, a.,
& longhurst, g. K. (2012). The influence of exergaming on the functional
fitness in overweight and obese children. African
Journal for Physical, Health Education, Recreation & Dance, 18(4),
984-991.
Wethington, H.,
Pan, L., & Sherry, B. (2013). The Association of Screen Time, Television in
the Bedroom, and Obesity Among School-Aged Youth: 2007 National Survey of
Children's Health. Journal of School
Health, 83(8), 573-581.
Thank you for including a good section for parents. I have always found that 5210 works really well to help parents manage daily - even tweens/teens can follow this simple formula:
ReplyDelete5 fruits and vegetables a day
2 hours screen/butt time (sedentary activities)
1 hour active movement
0 sugar beverages
Ronda,
DeleteYes I do agree with you however when I am seeing a patient with an obese child the parents laugh and presume I am kindling when I say " leave the bug mac alone for while" I often get a response that it is cheaper,easier and the kids like it….I have been successful in eliminating sugar sodas from my clinic though -- one victory at a time!
I like the 5-2-1-0 approach. It is a great starting point for parents with children of any age. The only trouble is that many families do not have access to affordable fruit and vegetables. We are all aware of the high cost to quality produce, and if it’s not “good” children will not consume it. Worse, if it leaves a “bad taste in their mouths” they may be turned off to the prospect of future consumption (no pun intended). It is a very good goal to shoot for and I am all for eliminating sugar beverages. As we have shown in our blog, there is a direct correlation with sweeteners like high fructose corn syrup and obesity (Bray et al., 2014).
DeleteReferences
Bray, G. A., Nielsen, S. J., & Popkin, B. M. (2004). Consumption of high-fructose corn syrup in beverages may play a role in the epidemic of obesity. American Journal of Clinical Nutrition, 79(4), 537 – 543.
Obesity and adolescents
ReplyDeleteThe management of adolescents that are obese requires a special skill. Many health providers remain ill prepared to address the not only medical but also psychosocial needs of these children and of this ever increasing special population. There remains several barriers to correcting this problem one of which is health provider education. According to Story et al., (2002) where they designed a study to evaluate attitudes among health professionals, identify their training, perceived barriers, skill level and education on the management of this special population. Story et al. (2002) created national needs assessment consisting of a mailed questionnaire which was conducted using a random sample of health care professionals.
Results indicated an agreement that childhood obesity was a condition that needed medical care. The greatest barrier was the lack of parent support and lack of services. In addition, another barrier was insufficient training and poor cultural competence by providers to address the needs of the children. In addition, poor nutrition and limited physical activities only made the problem worse . The study found that behavior management was one of the best tools used to assist children. Secondly the re-education of parents was another and must be part of the medical visit specifically how to address family conflicts. Finally it was concluded that these topics are seldom presented in undergraduate or many health providers ( RN, NP, PA, etc) training programs. A specific recommendation was made to programs to train medical providers in counseling techniques to reduce variability among training program, develop a consistent training for all and to keep aware of the secondary fall out i.e. depression, feeling of being a failure and self deprivation of the obese adolescents.
As you mentioned in your blog there remains much to do in order to change the outcomes. Health disparity with SPanish populations requires the translation of all interventions into Spanish, Vietnamese, Russian, etc for parents as well. I enjoyed your presentation it was excellent. Thank you.
Reference:
Story,M.T.,Neumark-Stzainer, D.R., Sherwood, N.E., Holt, K., Sofka,D., Trowbridge, F.L., Barlow, S.E. (2002).Management of child and adolescent obesity: attitudes, barriers, skills, and training needs among health care professionals. Pediatric.110.(1)
I enjoyed reading your contribution to the blog. You succinctly articulated the numerous variables facing providers, parents, and communities battling childhood obesity. Story (1999) found in the United States obesity rates were higher in Hispanic and African American youth, stating this issue can be remedied with early detection and implementation of activities promoting a healthy lifestyle. Story (1999) also reported if behavior modification along with routine exercise are implemented early in child development, benefits of weight control and pleasure for lifelong physical activity can be achieved. These types of interventions can be easily implemented through school designed programs at a far reduced cost compared to clinical interventions, reaching a larger underserved audience (Story, 1999). I am inclined to agree with the findings of the author. Thank you for the kind words regarding the group presentation.
DeleteReference
Story, M. (1999). School-based approaches for preventing and treating obesity. International Journal of Obesity, 23(2), 43-51. http://dx.doi.org/10.1038/sj/ijo/0800859
why thank you David I enjoyed digging a little deeper and finding that this is a huge problem where many parents feel not empowered. I would hope that we develop alternate unified forms of attack and not just rely on parent intervention. I am sure you see that patients can easily become overalled and challenged from many avenues.
DeleteThis comment has been removed by the author.
ReplyDelete
ReplyDeleteI do not have any children but find it concerning that many of the food choices offered to children on menus are not nutritious. For instance, when going out for dinner, they offer hot dogs, pizza, cheeseburger, and fried chicken fingers. Why are these the only options on the menu for children to consume? They also label many foods as "kid food", like corndogs and chicken nuggets and make the boxes enticing for children when with their parents at the grocery store. Why is this? There are so many websites, including PediaSure (2015), recommending whole grains, fruits, and vegetables, however the recommendations do not transition in everyday life. I think the issue of childhood obesity is a large topic, and you guys did a great job of explaining and expanding upon it!
PediaSure. (2015). The facts about fiber for kids. Retrieved from http://pediasure.com/kid-nutrition/fiber-for-kids?utm_source=bing&utm_medium=cpc&utm_term=child%20foods&utm_content=food%20groups_exact&utm_campaign=nonbrand_childrens%20health_exact
If you don’t act soon, how will you feel a year from now? What about 5 years from now?
ReplyDeleteWill you suffer with obesity, high cholesterol, or low self-esteem?
Take the first step to claim the body and the confidence you’ve deserved for a long
Time but just didn’t know how to get.
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