Obesity in children - a growing problem
The first problem with obesity in children is that it's harder to pinpoint than in adults (anything over a Body Mass Index of 25). Growth spurts and different rates of development have to be considered, so it's left to the GP to rely on their instinct to judge whether a child is obese.
What are the causes?
It's true that genetics can cause obesity in some children - those with parents, brothers or sisters who are overweight may be at an increased risk of becoming overweight themselves. However, not all children with a family history of obesity will be overweight - proving that genetics only increase the likelihood of weight problems. But for the majority of children, a combination of diet, environment and lifestyle is to blame.
As a nation, we are eating fewer calories than ever but doing less exercise - and watching TV makes children so relaxed that they actually use less energy than the basic metabolic rate! When you look at our children's lifestyle today, it's not hard to see where else the problems lie - we drive them to school (because of safety fears); ready-to-eat snacks are a big part of their diet, and video games and the Internetencourage laziness and inactivity.
Health risks
The biggest health worry for overweight children is heart disease, caused by high cholesterol and high blood pressure. And if the problem isn't tackled early, the risks are carried into adulthood. Obesity is also closely linked with diabetes. In the UK, cases of Type 2 diabetes - where the body is unable to use the insulin it produces, causing high levels of blood sugar - have started to appear in overweight children, and these numbers are likely to increase. Tragically for these children, they will have the disease for life. Breathing problems or asthma are also higher in overweight children, and the risk that they will develop various orthopaedic (bone-related) problems - like hip and knee joint changes.
Weight management
It's not always easy to admit that your child is seriously overweight if you have a problem yourself. But it's important to be honest - talk things through with your doctor, who will be able to help you to tackle the problem. But here are some ideas you can try out yourself:
• Never place children on a restrictive diet to lose weight - unless your doctor thinks there is a medical reason to do so - as limiting what a child eats may be harmful to their health and interfere with their normal growth and development. It's more important to concentrate on healthy eating with reduced calorific intake - the main aim for an obese child should be weight maintenance, rather than weight-loss.
• Set realistic targets for your child - if adults find it hard to stick to too many rules, think about how tricky a child will find it!
• If the whole family could do with tackling their weight, don't make dramatic, sweeping changes to mealtimes. Building up lots of small changes will do the trick.
• Switch off the TV or computer, get out there and exercise!
Let your child know that they are loved and appreciated whatever their weight. The most important thing is that a child should be made to feel secure - they need support, acceptance and encouragement. Focus on your child's health and positive qualities, not your child's weight. Try not to make your child feel different. And watch out for the tell-tale signs of bullying - often a very sad side-effect of the problem.
sehatbare
Sunday, September 12, 2010
Binging
Binging
Binging, or binge-eating disorder, is one of the three most common eating disorders, but it is often the least understood. Many people think that the binge-eater should simply exercise self-control. Others don't recognize the bingeing as a real problem. But, it is a problem that is just as dangerous and just as difficult to deal with as the restrictive eating disorders (anorexia and bulimia) -- perhaps more so, as food cannot be "cut out" of one's life the way other addictions can.
What Is Binge-Eating?
Binging is eating large amounts of food in a relatively short period of time, in quantities beyond what a normal person would eat in the same amount of time. Some binges may result in the consumption of more than 3,000 calories in a single incident. Most binge-eaters hide their binging because they are terribly ashamed of their "lack of control." Binge-eaters do not purge in the same ways as bulimics, nor do they usually engage in excessive exercise or other compensatory behaviours.
Is It Dangerous?
Binge-eating is just as damaging to physical and psychological health as the restrictive eating disorders, but its effects on the body are generally the opposite of the other eating disorders: the victim struggles with obesity, hypertension, high lipid levels, and even diabetes. The obesity linked to binge-eating can also lead to arthritis and other similar joint problems. Digestive problems are not uncommon among binge-eaters, as they may over-fill their stomach cavity repeatedly, which can contribute to gastro-esophageal reflux disease (GERD) and other internal disorders.
What Are the Symptoms?
If you or someone you know has several of the following symptoms, it's possible that binge-eating is the culprit. Symptoms include:
Frequently eating abnormally large amounts of food in a very short amount of time
Eating very quickly, and almost without conscious thought
Eating past the point of satiation to discomfort
Feeling disgusted with his/her lack of self-control, especially after a binge
Hiding eating behaviours and avoiding social eating situations
Leading a sedentary lifestyle
What Causes It?
Like the other eating disorders, binging is not truly about the food. Food is simply a means of exercising control or attaining comfort. Many binge-eaters were deprived or abused as children, and turned to food as a source of comfort. Some are perfectionists who reason that if they can't diet long enough to get to their desired weight, why bother restricting themselves in any way. Other binge-eaters do not deal well with stressors like relationship problems, financial problems, or career difficulties, so they turn to food to drown out the unhappiness that these stressors bring.
How Is It Treated?
Binge-eating is treated with psychotherapy and medical nutrition interventions designed to improve body perception, inculcate healthy eating habits, encourage healthful means of dealing with stress, and teach more effective strategies for managing relationships. Family therapy can also be useful, especially when the binge-eater is a child or adolescent, or when abuse or neglect are contributors to the problem. Occasionally, antidepressants may be recommended as an adjunct to the other therapies.
Stress - Overeating - Obesity
• Love for food leads to overeating, which in turn leads to obesity.
• "Stress on a daily basis can lead to overeating and consequently obesity. If, following stress, we consume larger and less frequent meals, the condition s are favorable for weight gain -especially in the abdomen."
(Study by experts at University of Cincinnati College of Medicine)
• Students are at the maximum risk of binging under stress.
• "Stress on a daily basis can lead to overeating and consequently obesity. If, following stress, we consume larger and less frequent meals, the condition s are favorable for weight gain -especially in the abdomen."
(Study by experts at University of Cincinnati College of Medicine)
• Students are at the maximum risk of binging under stress.
Saturday, September 11, 2010
Childhood Obesity and Overweight Kids
Childhood obesity: a growing problem
Over the past 30 years, the number of kids with weight problems has increased at an alarming rate. Today, 1 out of 3 children and teens in the U.S. are overweight or obese. Those extra pounds put kids at risk for developing serious health problems, including diabetes, heart disease, and asthma. Childhood obesity also takes an emotional toll. Overweight and obese children often have trouble keeping up with other kids and joining in sports and activities. Other kids may tease and exclude them, leading to low self-esteem, negative body image, and even depression.
If you’re the parent of an overweight child, these facts may sound scary and discouraging. But here’s the good news: you can make a huge difference in your child’s life and health. With support, encouragement, and positive role modeling, you can help your child reach and maintain a healthy weight.
Causes of childhood obesity and overweight
Understanding how children become obese or overweight in the first place is an important step toward breaking the cycle. Most cases of childhood obesity are caused by eating too much and exercising too little. Children need enough food to support healthy growth and development. But when they take in more calories than they burn throughout the day, the result is weight gain.
Many factors contribute to this growing imbalance between calories in and calories out:
• Busy families are cooking less and eating out more.
• Easy access to cheap, high-calorie fast food and junk food.
• Food portions are bigger than they used to be, both in restaurants and at home.
• Kids spend less time actively playing outside, and more time watching TV, playing video games, and sitting at the computer.
• Many schools are eliminating or cutting back their physical education programs.
Fighting childhood obesity tip #1: Get the whole family involved
Healthy habits start at home. The best way to fight and prevent childhood obesity and weight problems is to get the whole family on a healthier track. Making better food choices and becoming more active will benefit everyone, regardless of weight. And with the whole family involved, it will be much easier for your overweight child to make lasting changes.
Leading by example
The most effective way to influence your child is by your own healthy example. If your children see you eating your vegetables, being active, and limiting your TV time, there’s a good chance that they will do the same. These habits will also have the happy side effect of helping you maintain a healthy weight.
• What you eat: Tell your child what healthy thing you are eating, while you are eating it. You might say, “I’m eating broccoli with garlic sauce. Want a bite?”
• When you cook: Cook healthfully in front of your children. Better yet, give them an age-appropriate job. Tell them about what you are making and why it’s good for your body.
• How you move: Exercise in some way, every day. Be authentic—do things you enjoy. Tell your kids what you’re doing, and invite them to join you.
• Your free time: Avoid the television or too much computer time. Kids are much less likely to turn screens on if they are off and you are doing something they can get involved in.
Fighting childhood obesity tip #2: Encourage healthy eating habits
Begin eating right today, as a family. Remember the importance of role modeling: there should be emphasis on what you do so that your child can follow. It is crucial to get the whole family in on the idea of eating healthfully at home and away.
Making healthier food choices
Helping your child beat obesity begins with helping him or her forge a healthy relationship with food. You may need to make major changes to your eating lifestyle.
• Eat the rainbow. Serve and encourage consumption of a wide variety of fruits and vegetables. This should include red (beets, tomatoes), orange (carrots, squash), yellow (potatoes, bananas), green (lettuce, broccoli) and so on—just like eating a rainbow.
• Make breakfast a priority. Children who eat breakfast are less likely to be overweight or obese than those who skip the first meal of the day. Focus on healthy choices like oatmeal, fresh fruit, whole grain cereal, and low-fat milk.
• Cut back on fat. Your child does need some fat to maintain good health, but these fats should come from sources of polyunsaturated and monounsaturated fatty acids, such as fish, nuts and vegetable oils. Cut way back on fast food, junk food, and sweets.
• Schedule regular meal times. The majority of children like routine. If your kids know they will only get food at certain times, they will be more likely to eat what they get when they get it.
• Limit dining out. If you must eat out, avoid fast food and make the healthy, conscious choices you are trying to make at home.
Childhood obesity tip#3: Be smart about snacks and sweets
Your home is where your child most likely eats the majority of his or her meals and snacks, so it is vital that your kitchen is stocked with healthy choices and treats.
• Don’t ban sweets entirely. Having a no sweets rule is an invitation for cravings and overindulging when given the chance.
• Limit juice and soda. Soft drinks are loaded with sugar—“empty” calories that don’t do anything healthy for your child’s growing body. Many juices aren’t any better nutritionally. Even 100% fruit juice with no sugar added should be limited to a small glass a day.
• Keep snacks small. Don’t turn snacks into a meal. Limit them to 100 to 150 calories.
• Focus on fruit. Keep a bowl of fruit out for your children to snack on. Offer fruit as a sweet treat. Kid-friendly favorites include frozen juice bars, fruit smoothies, frozen bananas dipped in chocolate and nuts, strawberries and a dollop of whipped cream, and sliced apples and peanut butter.
Childhood obesity tip#4: Watch portion sizes
How do you ensure your children eat the right amount of healthful food? How much is too much? Portion distortion is widespread, so you will need strategies to retrain you and your family’s appetites and avoid oversized servings when eating out.
• Learn what a regular portion size looks like. The portion sizes that you and your family are used to eating may be equal to two or three true servings. Limit portions to the size of your fist.
• Read food labels. Information about serving size and calories can be found on the backs of packaging. You may be surprised at how small the recommended portions are or how many calories are in the dish.
• Use smaller dishes. Portions will look bigger and you’ll eat less when you use small bowls or plates.
• Dish up in the kitchen. To minimize the temptation of second and third helpings, serve food on individual plates, instead of putting the serving dishes on the table.
• Divide food from large packages into smaller containers. The larger the package, the more people tend to eat without realizing it.
• Downsize orders. When eating out, share an entrĂ©e with your child or order an appetizer instead. Order half-orders or a medium size instead of a large.
Fighting childhood obesity tip #5: Get your kid moving
Children who sit too much and move too little are at the highest risk for becoming overweight. Kids need an hour of exercise daily for optimum health. This may seem like a lot, but exercise doesn’t have to happen in a gym or all at once. Instead, try to incorporate movement into your family’s regular routine.
Exercise ideas for kids
It used to be commonplace to find children running around and playing in the streets of their neighborhoods, naturally expending energy and getting exercise. In today’s world, that’s not always an option. If you’re not comfortable letting your children roam free, you still have options for boosting their activity level.
• Play active indoor games. Put the remote away and organize some active indoor games. You can play tag (perhaps crawling tag, so that you keep messes to a minimum), hide-and-seek, or Simon Says (think jumping jacks and stretches).
• Get outside with your child. Take a walk together, bike around the neighborhood, explore a local park, visit a playground, or play in the yard. If it makes sense for your neighborhood and schedule, walk to and from activities and school.
• Do chores together. Perhaps it’s not your child’s first choice, but doing household chores is a very effective way to get exercise. Mopping, sweeping, taking out trash, dusting or vacuuming burns a surprising number of calories.
• Enroll children in after school sports or other activities. If your budget allows, sign children up to play a sport or get involved in an activity where they are physically active. The local YMCA, YWCA, or Boys’ and Girls’ Club are safe places for children to exercise and play.
• Sign up for a 5 or 10K “race” with your child. Sometimes having a goal in mind can motivate even the most reluctant exercisers. Find a kid-friendly walk/run “race” in your area and tell your child you’ll be “training” for it together. Be sure to celebrate when you accomplish this feat.
Fighting childhood obesity tip #6: Reduce screen time
The more time your children spend watching TV, playing video games, or using the computer, the less time they’ll spend on active pastimes. Limits on television and computer time lead directly to your child spending more time being physically active. Remember how important it is for you to be a positive role model—yes, you may have to cut down on your own viewing habits—and have a good attitude about the change.
• Limit daily screen time. Studies show a link between screen time and obesity, so set limits on your child’s TV-watching, gaming, and web surfing. Experts recommend no more than two hours per day.
• Stop eating in front of the TV. Limit your child’s calorie intake by limiting time spent eating in front of the tube. Tell your child that, starting now, your family does all their eating at the table.
• Pick a different reward or punishment. Instead of rewarding your child with more time in front of the television or computer, promise something different, such as an outing or an activity of their choice.
Fighting childhood obesity tip #7: Get involved
You can make a huge impact on your children’s health by being involved with the details of their lives.
• Talk to your children. Ask them about the school day, every day. Listen to their concerns and take action if there is something they need.
• Be in touch with teachers. Speak to your child’s teachers, especially P.E. instructors, either in person or on the phone.
• Defy busy schedules. You may feel like neither you nor your child has time for long chats about the day. This may be the toughest lifestyle change to make, due to busy schedules, but it can be done. If you need to, treat getting involved like another appointment or meeting in your day.
• Spend time with your children. You don’t have to spend all your time having heart-to-hearts. Playing, reading, cooking, or any other activity, when done together, can supply your child with the self-esteem boost he or she may need to make positive changes.
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