The next time your child asks for a super-sized meal or a bigger order of fries, you may want to think twice. Today’s kids tend to eat more — and be less active — than previous generations. This is due in large part to oversized fast-food portions, increasing amounts of TV watching, the popularity of video games and computers, and cutbacks in physical education programs in schools.
According to the U.S. Surgeon General, the number of overweight children has increased by more than 50 percent over the last two decades. Area physicians are seeing the trend in their practices.
“One out of every four kids I see shows signs of early obesity,” says Elba-Julie Quinones, MD, a pediatrician on staff at Swedish Covenant Hospital. “It's an increasing concern.”
It was once thought that overweight children were not at risk for adult diseases long associated with obesity. In truth, “many overweight children already have risk factors for heart disease,” says Dr. Quinones, including high blood pressure or high cholesterol.
Twenty years ago, Type 2 diabetes was almost unknown among children. Today, the American Diabetes Association says one-third or more of all new cases of diabetes among children are Type 2. Children who get little exercise, are overweight and have a family history of diabetes are most at risk. Overweight kids are also more prone to joint problems, limited mobility and poor self-esteem.
How Parents and Others Can Help
Parents are on the front lines in the battle against childhood obesity. “Parents must be involved,” says Dr. Quinones. “It can be difficult because people are so busy these days. We tend to have multiple caregivers for our children, and it can be hard to maintain control of what kids are eating and doing.”
According to Dr. Quinones, the goal for parents and caregivers should not be to force kids to diet, but to make sure they learn to make healthier food choices and to stay active. Here are some tips to help you guide children to healthy habits.
Get Busy
Encourage your kids to get up and get moving! Regular physical activity, such as walking, biking, swimming or dancing, is not only effective but fun for kids. Take turns choosing activities so everyone feels involved, and limit the time kids spend watching TV or playing video games.
Make Healthy Food Choices
Serve meals that emphasize whole-grain products, vegetables and fruits. Foods that are high in fat and sugars should be used sparingly. Cut fat by serving low-fat or non-fat dairy products, poultry without the skin and leaner cuts of meats. Allow desserts and candy only in moderation. Have a variety of fruits and vegetables available for snacks and quick meals.
Eat As a Family
Have meals together as a family as often as possible. Encourage kids to eat slowly and not “gulp” meals. Let them take part in shopping for and preparing meals. Don't let then have meals or snacks in front of the TV. And avoid using desserts as a punishment or reward, as that can lead kids to think that sweets are more desirable than healthier foods.
Be a Role Model
Set a good example and be supportive of your children, whatever their weight. Talk to your family doctor about the kinds of diet and exercise that are right for your family. Remember, teaching a child the basics of a healthy lifestyle is a gift that will help him or her avoid the pitfalls of obesity for a lifetime.