If you are the parent or grandparent of a preschooler you’ve got to be thinking no way does my preschooler need structured exercise!

But…the Centers for Disease Control and Prevention asks us to consider the rise in overweight children between the ages of two and five years of age. In the late 1970s, about 5% of children between 2 and 5 years old were overweight. Just recently that figure reached nearly 14%,

The National Association for Sport and Physical Education(NASPE) suggests that preschoolers (ages 3 to 5) spend at least 60 minutes a day in total on structured physical exercise that help a preschooler develop motor skills. Children need daily practice to develop motor skills. Preschoolers need an additional 60 minutes on unstructured physical activities. They should not be engaging in more than 60 minutes at a time in sedentary activities unless they are asleep.

The guidelines for toddlers, 12 to 36 months old, are similar with the exception of structured physical activity adding up to 30 minutes a day rather than 60 minutes.

Parents and grandparents make the best teachers of physical exercise and activities. Try playing the following games to make sure your preschooler or toddle meets his or her daily requirements for physical activities:

• Any kind of tag game
• Catch with balls that are the proper size and weight for size and age
• Water activities such as swimming, water exercises and games
• Riding a tricycle or a scooter
• Crawling activities
• Doing jumping jacks
• Music games and dancing to music
• Playground jungle gym

NASPE offers a  word of caution… it is best to make these daily activities fun or, as our preschoolers get older structured physical activities may become a turnoff.

Another reason to make structured physical activities fun is they are competing with hand-held devices for many a preschooler’s attention.  The problem is hand-held devices and computers are sedentary activities.

Bedtime is a battle of the wills for many parents of toddlers.

Does this sound like a familiar scenario? You read your child a story, kiss her good night and put her to bed after a long day. You’re looking forward to some time to relax or finish evening chores — but instead, you spend the next several hours answering your child’s calls, putting her back to bed and spending time in her room. By the time she falls asleep, the only thing you feel like doing is falling into bed yourself.

Most young children see bedtime as a time to establish their independence. This puts eager-to-please parents who have trouble laying down the law in a difficult situation. In addition to a need for independence, toddlers’ sleep can be disrupted by the increase in cognitive, motor and social skills that comes with their age. Some toddlers also experience nighttime awakenings, nightmares and nighttime fears that make them apprehensive about going to bed.

Despite all these barriers to a good night’s sleep for your toddler, there should be no room for negotiation between parent and child when it comes to bedtime. According to the National Sleep Foundation, toddlers need 12 to 14 hours of sleep each day. Insufficient sleep can have a negative effect on a child’s development, emotions, behavior and immunity, and may even contribute to obesity later in life.

Instead of being held prisoner to their toddler’s bedtime issues, parents should follow these tips for a peaceful bedtime routine:

Maintain a consistent bedtime schedule. Help your child establish a regular sleep pattern by putting him to bed and getting him up at the same time each day and even on weekends. Help your child begin to wind down at least an hour before bedtime by encouraging quieter activities and limiting use of television and the computer.

Create a relaxing bedtime routine. The transition from activity to sleep can be eased with bedtime rituals that help your child relax. Many parents find that a warm bath, quiet conversation about the day and reading a story all send a clear signal that it’s time to go to bed.

Limit your returns. It’s important for your toddler to learn how to fall asleep alone. If your toddler gets up after you say good night, return her to her bed. Let her know that you’ll come back once or twice to check in, but don’t fall victim to being called back several times.

Encourage use of a comfort object. Favorite blankets and stuffed animals are time-honored comfort objects for children. Help your child cope with separation by encouraging attachment to a favorite object that he or she can take to bed.

Bedtime is one of the most important times to remember that you are the parent. Avoid engaging in power struggles, and stand your ground if your toddler pleads and whines. Instead, comfort your child if he has fears or nightmares, assuring him that everyone sleeps at night and that you’ll be nearby in case he needs you.

When toddlers learn to fall asleep on their own, they are better at getting back to sleep when they awaken in the middle of the night. It may not be easy, but helping your toddler master the skill of falling asleep will help ensure that he or she gets a good night’s sleep throughout childhood.

Today’s article is written by Mandy Fricke. Ms. Fricke is the community manager for Georgetown University in Washington D.C. Nursing@Georgetown, a Master in Nursing program, as well as acontributor to the Nursing License Map. In her spare time, she enjoys traveling, reading, and yoga.

Dear Parents,

In the following video, the Food and Drug Administration strongly encourages parents and all caregivers to lock up medications to keep young children as well as teens safe.

Please watch this video and, if you do not already keep your medications under lock and key, please…start today.

All the best,

Jean