New Obesity Weapon: Kids Teaching Kids

MedlinePlus, a service of the U.S. National Library of Medicine National Institutes of Health published the following press release on their site regarding  study findings that support kids teaching kids when it comes to fighting obesity.

MONDAY, Feb. 10, 2014 (HealthDay News) — When older kids teach younger kids about nutrition and the benefits of exercise, the little ones seem to lose weight and gain knowledge about healthy living, Canadian researchers report.kids

Such a program — called Healthy Buddies — was tested in Manitoba elementary schools. It helped heavy kids lose an average of half an inch off their waist and increased their knowledge of diet and exercise, the researchers said.

“Engaging older kids in delivering health messages to younger peers is an effective method for preventing weight gain, improving knowledge of healthy living and increasing self-esteem,” said lead researcher Jonathan McGavock, an assistant professor at the University of Manitoba.

“The effects of this peer mentoring model of healthy living promotion is particularly effective for overweight children,” McGavock said. This approach — detailed online in the Feb. 10 issue of the journal JAMA Pediatrics — could help curb the obesity epidemic among young children in North America, he said. The percentage of U.S. children aged 6 to 11 considered obese increased from 7 percent in 1980 to nearly 18 percent in 2010, according to the U.S. Centers for Disease Control and Prevention.

McGavock said younger children see older children as role models, which is why their advice is taken more seriously than when the same message is delivered by adults. “Younger children likely pay more attention to messages or cues from older peers,” he said. “Therefore, proper role modeling of healthy behaviors should be a key objective of elementary schools.”

Dr. David Katz, director of the Yale University Prevention Research Center in New Haven, Conn., said he wasn’t surprised by the findings. “In my many interactions with parents regarding the importance of good nutrition in childhood, one of the more frequent protests over the years has been peer pressure,” Katz said. “Parents, it seems, often feel powerless to overcome the negative influence of peers eating badly.”

But Katz, a father of five, said he has seen the upside of peer pressure. “My wife and I have shared our devotion to healthy living with our children, and they have made it their own,” he said. “They, in turn, have helped pay it forward, influencing their peers favorably.”This paper illustrates the opportunity to convert negative peer pressure into a positive peer influence,” Katz said.

“We can teach healthy living skills to older kids and they, of course, benefit,” he said. “They can then help pass these skills along to younger kids, and both groups benefit some more. This paper highlights an important opportunity we have only begun to leverage — peer pressure, for good.”

Healthy Buddies has lessons that focus on physical activity, healthy eating, self-esteem and body image. The instruction is given by 9- to 12-year-olds to 6- to 8-year-olds.

In this study, 19 schools were randomly assigned to use the Healthy Buddies curriculum or their regular instruction during the 2009-’10 school year. Over the course of the school year, the researchers looked at changes in waist size and body-mass index (BMI), as well as physical activity, heart fitness, self-image and knowledge about healthy living and diet.

They found that the waist size of children in the Healthy Buddies program dropped an average of half an inch compared with children in the regular curriculum. There was no difference in BMI — a measurement of fat based on height and weight — between the groups.

Based on responses to questionnaires, knowledge about healthy living, self-image and diet increased among kids in the Healthy Buddies program, compared with other children, the researchers said. No differences, however, were seen between the groups in terms of physical activity (steps taken per day) or heart and lung fitness, the researchers said.

This suggests that the reduction in waist size seen among the Healthy Buddies participants is attributable to dietary changes, the researchers said.

SOURCES: Jonathan McGavock, Ph.D., assistant professor, University of Manitoba, Winnipeg, Canada; David Katz, M.D., M.P.H., director, Yale University Prevention Research Center, New Haven, Conn.; Feb. 10, 2014, JAMA Pediatrics, online

 

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Results of Bullying During P.E.Classes

 Brigham Young University issued a press release on January 16, 2014  bullyingsharing findings of a new study documenting that children who were the object of bullying during P.E. class or other physical activities were less likely to participate in physical activity one year later.

Study findings indicated that overweight or obese children who experienced teasing during physical activity had a lower perceived health-related quality of life (referring to physical, social, academic and emotional functioning) one year later. Even children with a healthy weight who were subjected to bullying during physical activity tended to exercise less often one year later. Many previous studies have already correlated bullying with decreased physical activity among kids who are obese or overweight, but it was surprising to find that the correlation didn’t end there.

“Our finding that this applies to normal-weight kids also was novel,” said Chad Jensen, a psychology professor at BYU and lead author on the study published in the Journal of Pediatric Psychology.

This study looked at associations between bullying, physical activity and quality of life over time, following up with the same participants after a full year.

The participants in this study were 4th and 5th grade students from six different elementary schools in the Midwest. Participants completed three surveys at the beginning of the study and then completed the same three surveys again one year later.

The first survey asked questions about problems with health and activities, emotional well-being, getting along with classmates and academic abilities. The second survey assessed teasing experiences during physical activity. The third survey asked specific situational questions to determine whether the student had been bullied during physical activity and the emotional effect it had. The questions explored experiences such as:

  • Being made fun of when playing sports or exercising.
  • Not being chosen to be on a sports team or other children looking or acting upset when the child was placed on the team.
  • Being called insulting names when playing sports or exercising.

Study results showed a decrease in physical activity of healthy-weight students who are bullied, and a decrease in health-related quality of life for students who were overweight or obese who reported teasing in the first survey.

“Overweight kids who were teased reported poorer functional ability across domains (physical, social, academic and physical),” said Jensen. “If we can help them to have a better perception of their physical and social skills, then physical activity may increase and health-related quality is likely to improve.”

While most schools participate in comprehensive anti-bullying programs, Jensen recommends implementing policies that discourage peer victimization based on physical abilities.

“We hope our study will raise awareness that educators should consider bullying prevention during physical education and free play (recess) when kids may be discouraged from being physically active because of teasing experiences,” Jensen said.

 

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From Those in the Know about Childhood Obesity

obesityThis post is about the long-lasting effects of childhood obesity.

The first of two reports is from MedlinePlus,  a service of the U.S. Library of Medicine NIH National Institutes of Health. The second report is from HealthDay News, which recently was posted on Womenshealth.gov., Dept of Health and Human Services.

MedlinePlus Report: As reported by Dr. Cindy Haines of HealthDay TV on Childhood Obesity and Adult Hypertension

Being a heavy child may have long lasting impact. In fact, new research suggests it may quadruple your risk for high blood pressure as an adult.

Starting back in 1986, researchers in Indiana began tracking the growth and blood pressure of over 1,100 healthy adolescents. Over the 27 years, they were able to accumulate a vast amount of data. 6% of normal weight children had high blood pressure as adults. While 14% of overweight children developed high blood pressure. But the big news was the 26% of obese children ending up with high blood pressure as adults.

The researchers believe these findings add more evidence that being overweight or obese in childhood is a true public health threat.

Highlights of HealthDay News Report on Childhood Obesity and Adolescent Eating Disorders:

Obese children and teens who lose weight are in danger of developing eating disorders — including anorexia and bulimia.

These problems may not be diagnosed quickly, because parents and doctors “think it’s a good thing that these teens have lost so much weight,” said lead researcher Leslie Sim, an assistant professor of psychology and an eating disorders expert at the Mayo Clinic Children’s Center in Rochester, Minn.

“We started to see kids coming into our clinic with severe eating disorders such as anorexia nervosa, where you lose a lot of weight and restrict your eating, and these kids actually started out as obese,” she said.

“They lost way too much weight and became preoccupied with their eating,” Sim said. “Every thought and behavior really surrounded eating.”

“We think obese kids are at risk for eating disorders because they are getting a lot of media messages that they are not healthy and that there is something wrong with them and they need to change their ways,” Sim said. “And because they are teens, they do extreme things. Weight loss is not that typical for adolescents,” Sim said. “I think parents should be concerned with any weight loss,” she added.

“When parents see their children losing weight, they should ask about their eating habits and whether they are skipping meals or avoiding friends, as these may be signs of an eating disorder,”  Sim said. “At least 6 percent of teens suffer from eating disorders.”

“The study highlighted many important messages, ” said Dr. David Katz, director of Yale University’s Prevention Research Center. “Obesity itself is a risk factor for eating disorders. This link is well established for binge-eating disorder, where obesity is potentially both cause and effect.”

“Effective treatment of obesity cannot simply be about weight loss — it must be about the pursuit of health,” Katz said. “An emphasis on healthful behaviors is a tonic against both obesity and eating disorders. By placing an emphasis on diet and activity patterns for health and by focusing on strategies that are family based, we can address risk factors for both eating disorders and obesity.”

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Parents Underestimate the Calories in Fast Food Meals

At a recent meeting of the Obesity Society Jason Block, MD, of Harvard Medical School and fellow researchers reported that parents often underestimate the calories their school-age kids are consuming when they eat large meals at fast food restaurants.

caloriesAccording to the study, the average meal purchased  in four New England cities contained 733 calories, and 21% contained more than 1,000 calories, But the parents estimated an average of only 562 calories per meal, with 72% underestimating the actual content. “There was an association between larger meals and larger underestimations, which may hold some promise for menu labeling,” Dr. Block said. He noted that the Affordable Care Act (ACA) mandates that restaurants with 20 or more locations nationwide post calorie information on their menus.

The researchers found that only 15% of parents saw nutritional information in the restaurants and fewer still (4%) used that information when ordering. “So they may not use it even if it’s more accessible,” Block stated.

Last year at the society’s annual meeting, Dr Block reported that 80% of adolescents in Boston, Springfield, Mass., Providence, R.I., and Hartford, Conn., underestimated the amount of calories their fast food meals contained and 86% did not notice any nutritional information in the restaurants.

In the current study, Block and his colleagues visited 10 restaurants in each of the four cities… three McDonald’s, three Burger King, two Subway, one KFC, and one Wendy’s. Each restaurant was visited six times at dinnertime.

Those participating in the study included parents or legal guardians of children and teens, ages 3 to 15 (mean age 7.9). The analysis included 330 families, representing 45% of those who were approached.

Most of the children (57%) were overweight or obese. The sample was ethnically diverse — 33% black, 30% Hispanic, 19% white, 3% Asian, and 15% other or multiracial.

The researchers collected receipts when the parents left the restaurants and administered a short survey about the calorie content of the meal and awareness and use of the nutritional information. The actual calorie content of the meals was calculated using the receipts and information on the restaurants’ websites.

Many of the parents purchased large meals for their children and most underestimated the calorie content. Nearly one-quarter (24%) underestimated the calorie count by at least 500.

Those who underestimated the daily requirement tended to also underestimate the calories in a meal, a finding that “supports an anchoring statement on menus,” Block said. The federal regulations require that, in addition to calorie information, menus must include an anchoring statement describing the typical daily calorie requirement.

The study was funded by the National Heart, Lung, and Blood Institute and by a Robert Wood Johnson Foundation Health and Society Scholars Seed Grant.

Source: The Obesity Society

 

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Childhood Obesity Awareness Month

The U.S. Department of Health and Human Services, HHS, wants all Americans to know about programs and resources to help children and parents curb obesity  including the President’s Council on Fitness, Sports and Nutrition, the Centers for Disease Control and Prevention, and the National Institutes of Health’s We Can!! (Ways to Enhance Children’s Activity & Nutrition)® program.

Through public-private partnerships, safe places to play and nutritious food options are being made available in neighborhoods and schools across America. Exciting new programs include the Partnership for a Healthier America and Olympic Team USA’s commitment to provide 1.7 million kids the opportunity to participate in free and low cost physical activity programs offered by the United States Olympic Committee (USOC), USOC National Governing Bodies for sport, and others over the next year.

The U.S. Department of Agriculture recently released a new farm to school grant program designed to educate children about food sources, and increase the availability of locally sourced foods in schools.

obesityOver the past 30 years, the childhood obesity rate in America has almost tripled. According to the Centers for Disease Control,CDC, in 2010, approximately 17 percent of children and adolescents aged 2-19 years were already obese. Children and teenagers who are obese are more likely to become obese adults. Overweight and obese youth are at greater risk of developing serious adult health problems such as heart disease, type 2 diabetes, stroke, certain types of cancer, and osteoarthritis.

That is why HHS, with the President’s Council, supports First Lady Michelle Obama’s goal to end childhood obesity within a generation through her Let’s Move! program. Everyone has a role to play – parents and caregivers, school teachers and administrators, community leaders, local elected officials, after school programmers, and health care providers.

According to the 2008 Physical Activity Guidelines for Americans, children and adolescents aged 6–17 years should spend 60 minutes or more being physical active each day.

The Dietary Guidelines for Americans, 2010, released by HHS and USDA, provide nutritional guidance for Americans to promote good health, reduce the risk of chronic diseases, and reduce the prevalence of overweight and obesity. The guidelines recommend balancing calories with physical activity, and encourage Americans to consume more healthy foods like vegetables, fruits, whole grains, fat-free and low-fat dairy products, and seafood, and to consume less sodium, saturated and trans fats, added sugars, and refined grains.

To learn more about National Childhood Obesity Awareness Month or for tips on how to help your kids lead healthy lifestyle visit http://www.fitness.gov

 

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