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Family matters in fight against childhood obesity


by
Emily Self
Dietetic Intern
According to the 2007-2008 National Health and Nutrition Examination Survey (NHANES), the childhood obesity rate has reached an estimated 17 percent of children ages 2 to 17, an increase of 4 percent since 2000. percent of children ages 2 to 17, an increase of 4 percent since 2000. It can be hard for parents to know what to do amidst the growing media and medical concern over this epidemic, but research shows there are tips that can help.

On Nov. 9, the American Dietetic Association released the 2010 Family Nutrition and Physical Sctivity Survey in which 1,193
pairs of children and parents were asked about family influence, nutrition knowledge, eating behaviors, and physical activity. Since 2003, the number of family meals eaten at home has increased from 52 percent to 73 percent, a significant and positive change.

The survey also shows that while parents and children know what not to eat, less than 25 percent could correctly identify the foods they shol dbe eatin gthe most. When asked which food group should be consumed in the highest amount, less then 25 perent of families could correctly identify whole grains as the answer.

Clearly there is room for improvement.

Research shows that the way parents feed their children has a greater impact on the fat mass of a child than actual dietary fat intake. Parental attempts at encouraging or discouraging the intake of certain foods may actually have a negative effect on the child’s eating behavior.

From infancy, children are remarkably adept at controlling their overall energy intake from day to day. Many studies show that by encouraging a child to eat, setting the “clean-your-plate” standard, or restricting intake (how much, how often, or what a child eats), may actually interfere with the child’s internal hunger cues. Perhaps one of the most shocking predictors of increased fat-mass and body mass index, or BMI, in children, especially girls, is increased television viewing.
BMI is a ratio of height to weight and is used as a measurement of obesity in children and adults. The American Dietetic Association found that approximately one-fourth of children eat while watching TV. A study conducted by Francis, Lee and Birch shows that “in families where neither parent was overweight, television viewing was the only significant predictor of girls’ increase in BMI.”

What does this mean for your dinner table?
  • Turn off the television.
  • Children love to be given the power of decision- making. Take your child to the grocery store and let him or her pick out a new fruit or vegetable to try “for fun.”
  • Talk with your children about healthy foods away from the dinner table. Let them know that all foods can fit into a healthy diet in moderation. 
  • Take note of your own actions, preferences, body image, and eating behaviors.
  • Keep meal times positive, but do not use rewards for proper eating behavior. Do not force-feed a child who refuses to eat. Wait until the next meal or snack time to offer another healthy option.

 


Friday, Dec. 10, 2010



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