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CHILDREN'S
HEALTH ARTICLES YOU'VE GOT TO READ! |
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Children Need More Play! |
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We know that
active play improves school performance, concentration, mood
and behavior. We know that obesity in children is skyrocketing.
HHS Secretary Tommy G. Thompsons report, "Physical
Activity Fundamental to Preventing Disease," estimates that
more than a quarter of a million Americans die each year as a
result of a sedentary lifestyle. Current recommendations for
children are clear: an average of at least 60 minutes of moderate
to vigorous physical activity (MVPA) per day. How much do children
actually play at school? The National Institute of Child Health
and Human Development (NICHD) has monitored 3rd graders at 10
different study sites across the U.S. The astonishing results,
published in the February 2003 issue of the Archives of Pediatrics
and Adolescent Medicine, should be a call to action. Children
averaged only 25 minutes per week of MVPA at school -- compared
to a total of at least 420 minutes per week that children need.
We need to change our schools! In the meantime, one of our most
important jobs as parents is to get our kids moving. Active play
is fun. It's also fundamental to healthy minds and bodies. |
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By: Alan
Greene MD FAAP |
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Physical Activity Guidelines
for Babies through Teens |
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Whether your
child is a baby or a teen, now is the best time to be sure that
active, physical play is a part of her life for at least 30 minutes
every day. Childhood obesity in the US has doubled in the last
20 years. February 2002 guidelines released by the National Association
for Sport and Physical Education draw on evidence of benefit
from over 40 scientific studies to urge those caring for children
to be mindful each day of encouraging movement and motor skills.
Boring calisthenics are not what the doctor orders. Instead,
look for anything fun that gets kids walking, running, rolling,
balancing, jumping, kicking, throwing, or dancing. If they're
too young for these, engage them in tummy-time or playing with
a rattle. One of our important tasks as parents is to teach a
lifelong habit of active fun. |
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By: Alan
Greene MD FAAP |
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Video Games and Obesity,
Best Evidence Yet That Electronic Game Use is Associated with
Childhood Obesity |
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PHILADELPHIA,
Pa. - A new study adds to the evidence that sedentary behaviors
are linked to childhood obesity and sheds light on the world-wide
dimension of the problem. In a study published in the June issue
of the journal Obesity Research, researchers from The Children's
Hospital of Philadelphia and the University Hospital Zurich present
a strong association between playing electronic video games and
childhood obesity in school-aged Swiss children. The researchers
also found that obesity was associated with television watching,
paternal smoking and mother's working outside the home.
"The
goal of this study was to identify environmental and behavioral
factors, in particular type and duration of sedentary activities,
associated with obesity in children living in Switzerland,"
said Nicholas Stettler, M.D., M.S.C.E., a pediatric nutrition
specialist at The Children's Hospital of Philadelphia and primary
investigator of this study. "To our knowledge this study
provides the strongest evidence for an independent association
between time spent playing electronic games and childhood obesity.
Our findings suggest that the use of electronic games should
be limited to prevent childhood obesity."
The research
team measured 872 children in first, second, and third grades
enrolled in 10 schools in northeastern Switzerland. A physician
and medical assistant administered questionnaires to the children.
Questions assessed age, sex, nationality, number of siblings,
smoking status of parents, television programs regularly watched,
amount of time playing electronic games, breakfast consumption,
watching television during meals and snacking while watching
television. Teachers estimated the amount of physical activity.
The researchers defined obesity using both skinfold thickness
and body mass index (BMI) to provide a more direct assessment
of overweight and overfat status.
In this study,
children of foreign nationality living in Switzerland were about
twice as likely to be obese as Swiss children. Non-Swiss children
watched more television and had less physical activity, suggesting
that the disparity in obesity prevalence between Swiss and foreign
children may be partially amenable to culturally sensitive interventions.
Obesity was
independently associated with the time spent playing electronic
games and the time spent watching television and was inversely
associated with physical activity. The association of obesity
with television use and lack of physical activity confirms results
from other populations and points to potential strategies for
obesity prevention.
"Evidence-based
prevention of childhood obesity requires the identification of
modifiable risk factors," said Dr. Stettler. "Because
obesity is difficult to treat once it has been established, obesity
prevention during childhood is an essential component of the
efforts to combat this global epidemic and further research on
obesity prevention is necessary." |
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By: Dr.
Stettler's co-authors were Theo M. Signer, M.D. and Paolo N.
Suter, M.D., M.Ph., of the Medical Policlinic, Department of
Medicine, University Hospital Zurich, Switzerland. |
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Exercise Guidelines
Out of Touch? |
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Experts agree
that this is the most sedentary generation of children in history.
Computers, television, and video games combine to decrease children's
activity. Current guidelines for activity levels were designed
for adults -- another case of 'one-size-does-not-fit-all'. The
CDC and the American College of Sports Medicine call for all
Americans to get 30 minutes of moderate physical activity daily.
A study in the September 2001 online issue of Pediatrics used
heart monitors to actually measure the activity levels of 1900
representative children ages 3 to 17. They averaged 30 minutes
daily of high intensity exercise plus another 60 minutes of moderate
exercise daily -- more than 3 times the recommended levels --
in a generation of children growing more obese each year. I believe
that children thrive with more activity than the levels suggest,
probably about 2 hours of moderate to high-intensity activity
daily. They're designed with energy to burn for a reason! |
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By: Alan
Greene MD FAAP |
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Tele-tubbies: Too Much
TV Linked To Childhood Obesity - British researchers have some
advice for reducing the risk of childhood obesity: Turn off the
tube. |
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As published
in the British Medical Journal by researchers of Glasgow University,
eight factors that increase the chance of obesity by age seven
were detailed.
The study
included over 8000 seven-year-olds whose height, weight, and
body mass index (BMI) were measured. Then researchers looked
for common factors among the overweight children.
The researchers
said the findings supported the theory that early childhood environment
has an impact on later childhood obesity.
They also
emphasized the importance of sleep and physical activity.
"Duration
of night-time sleep may alter later risk of obesity through growth
hormone secretion, or because sleep reduces the child's exposure
to factors in the environment that promote obesity, such as food
intake in the evening," the researchers said.
It was also
suggested that increased physical activity during the day would
promote longer sleeping at night |
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By: Jason Lee Miller
- Staff Writer |
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