Jamie Wallach, M.D.
Kris von Almen, Ph.D.

The Role of the Parent

TIP OF THE WEEK:  More on the importance of the “parent” role in your child’s health

I know I seem like a one-track broken record on this topic, but I continue to validate my sense of this vital piece.  My current reading has brought me to the book Generation Extra Large:  Rescuing Our Children from the Epidemic of Obesity by Lisa Tartamella, Elaine Herscher, and Chris Woolston.  Mentioned in this book is a landmark study in 1990 in the Journal of the American Medical Association that looked at three different educational programs for overweight children, but only one involved both parents and children.  Ten years later, in the group that took a family approach to the problem, the proportion of children who were overweight had dropped eight percent.  In contrast, the rates of obesity had climbed significantly in the other two groups.

I don’t think this study is any surprise to any of you reading this newsletter.  We know from experience that parents have more control over a child’s weight than anyone else, and that includes doctors, nutritionists, friends at school, and even the child themselves.  No matter how deeply a child cares, they can not get anywhere without the support of the people who buy the groceries, make the dinners, and set the rules.  Even in the face of all the unhealthy influences in the world, parents have an astonishing power to shape their kids’ eating habits.  We can have many new fast food restaurants popping up on every corner, billions of dollars spent on advertising, and toys offered with every meal, but it is still the parent who ultimately decides what to put in the refrigerator or on the dinner table.  We often blame the environment as a major player in the current child obesity epidemic, and parents are still a major part of any child’s environment.

Another significant study done published in 2004 by Moira Golan, PhD, a senior teacher in the School of Nutritional Sciences at the Hebrew University of Jerusalem reinforced the belief that parents hold the key to healthy childhood weight and habits.  The study involved sixty overweight children ages seven through twelve.  Half of the kids attended thirty intensive sessions where they learned about diet and exercise.  The second half stayed home while their parents went to fourteen classes where they learned how to encourage children to eat well and stay active.  Both groups of kids slimmed down after one year, but the kids who stayed home while their parents went to class lost significantly more weight.  Interestingly, after three years, the kids who had attended the thirty educational sessions were more overweight than before, while the kids who stayed home had moved even closer to their ideal weight.  Golan was able to show that parents who are committed to creating a healthy home environment can help their children achieve the healthy habits necessary to be and stay a healthy weight.  What she found was that the kids who attended the thirty educational sessions knew enough about exercise and nutrition to write a book, but she learned from talking to them that “they were dieting all the time”.  They would deny themselves fatty food or sweet treats for a while, but eventually they let down their guard and ate more than they had before.  The kids in the group that had stayed home rarely felt the need to “binge” at all because they were not denying themselves anything.  They were just eating what was around the house and going with the flow.  A “flow” that led them to a slimmer, healthier life.

BayAreaCTK is adapted from Committed to Kids developed at Louisiana State University by our esteemed Dr. Kris and Melinda Sothern.  This was one of the first programs to enlist the support of parents and siblings from the very beginning.  The parent’s example and dedication are often the critical link to being successful in a program like BayAreaCTK.  Melinda Sothern states that many parents feel terrible guilt, and blame themselves because they think they have “allowed” their child to become overweight.  She says that parents who blame themselves need to be reminded that” it is not your fault, but it is your responsibility to do whatever you can to make things better…the cards dealt in life are stacked against them, and nothing in society is going to help parents who are trying to help kids lose weight.  Everything in society is designed to make kids fatter”.

So, my message is obvious.  We can’t be successful in what we are trying to do for our kids without the parents buy in and commitment for their own selves also.  We are here to help you, both child and parent, to learn new ways of supporting and nourishing, without nagging and criticizing.  As many of us know, this is a very fine line for some and it (thankfully) never has to be done perfectly!!

In A Flash

Spend more time at the supermarket than you have to? Follow these five simple tips to finish your grocery shopping in 30 minutes flat.

Shop During Off-Peak Hours:

Don't compete with all those primetime shoppers or wait in the checkout line for 20 minutes. Shopping during the quietest hours of the day can get you in and out of the supermarket in minutes.

Shop Alone:

Shop by yourself in order to keep distractions at bay.. .you'll stay focused and have better success at shopping in 30 minutes or less.

Create a Supermarket Shopping List:

How often have you gone to the market only to realize you forgot the milk or the eggs? Without an organized shopping list, it's impossible to remember everything you need. To streamline your weekly trip to the grocery store, say goodbye to all those little scraps of note paper and instead, go armed with an organized shopping list.

Keep Your Pantry in Tip-Top Shape:

A pantry stocked with must-have staples like canned and frozen vegetables, jarred pasta sauce, canned beans, salsa, pre-shredded cheese and other shortcut ingredients can prevent return trips to the supermarket and cut down on the number of items you need to purchase each week. A well-stocked pantry is a real time saver.

Plan Meals Ahead:

Why think about "what's for dinner" when you're standing in the frozen food aisle? Knowing ahead of time what you'll be preparing for dinner each week can help you craft a focused shopping list, keeping your shopping trips short and to the point. Site: Mealmakeoverrnoms.com

 

 

 

Picky Eater Pointers

Having a picky or finicky eater in your family can be a challenge, but with our clever strategies, your picky eater may soon become adventurous at the table. Here are some things you can try at home:

Tempt the Senses: The first step to getting to try a new food is to persuade them to take that very first bite. Children and adults eat with their eyes so it's important to make the food look appetizing. With an array of colors and shapes, the meal becomes a delicious alternative to the colored chicken nuggets and potato puffs that some children might be accustomed to eating. It's equally important to make the food taste good. One way to do that is to lightly season your food with salt (we prefer the flavor and lower sodium content of kosher salt), herbs, and spices and to use a moderate amount of the right kinds of fats (extra virgin olive oil, canola oil, and sesame oil) to enhance the flavor.

Be a Good Role Model: If the old saying, "do as I say, not as I do," applies to mealtime at your house, chances are your children will quickly catch on. If you grimace at the sight of peas or proclaim your objection to oatmeal every time it's served, you really can't expect your children to try, let alone eat them. Since youngsters learn how to walk, talk, and eat a varied diet by imitating what they see, parents and caregivers can set a good example by healthy food choices.

Try New Foods Over and Over and Over Again: Research shows it can take 10 to 20 tastes over the course of many meals before a child eventually learns to actually like a new food. The more often the food is offered, the better the odds that your child will taste it and add it to his or her list of favorite foods. There are dozens of fruits and vegetables to choose from so if you fail with one, move on to the next (just don't forget to come back to those old "castoffs" later).

Offer the 3 Cs: Choice, Creativity and Compromise: Kids are control freaks. That's why it's critical to present them with plenty of choices. For example, rather than tell your children they "have to eat some fruit with dinner," consider a more positive approach by giving them a choice between two different fruits. "Do you want watermelon or grapes-or both?" Given the choice, they'll probably pick at least one. The same goes for vegetables. "Do you want broccoli or carrots tonight?" Trust us; it works most of the time!

It's also important to be creative. You can even make up fun and silly names for foods. Telling your five-year old that, "this broc rocks" may get her to try broccoli. Hey, it's worth a try.

The last of the 3 Cs is compromise. It's unrealistic to expect any child, teen or toddler, to eat A-plus meals seven nights a week. Come to think of it, it's unrealistic to expect adults to eat this way either. If, for instance, the children have been begging for hot dogs all week, there's no reason to deny them. While we don't advocate hot dogs as everyday fare, a nitrite-free, all-natural hot dog is certainly a fine choice once in a while. And if the children want chips on the side, don't feel guilty if you end up doling out a handful or two. To round out the hot dogs and chips, however, consider some crunchy baby carrots and sliced strawberries or mango as well. Everyone wins.

 

 

 

 

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