Posts Tagged ‘diet for kids’
Monday, August 16th, 2010
A new study from the journal Pediatrics finds that girls are beginning to develop breasts at the early age of 7 or 8. These results support the findings of a 1997 study that noted puberty beginning in girls at the age of 7 or 8. But why are our children starting puberty so much earlier? Evidence indicates that the increasing rates of obesity play a major role.
According to current medical understanding, puberty normally begins in girls between ages 8 and 12 and in boys between ages 9 and 14. Historically, “precocious puberty” (early-onset puberty) has been defined as before the age of 8 for a girl and before the age of 9 for a boy. The beginning of puberty is marked by penile enlargement or pubic hair growth for boys and breast bud formation and pubic hair growth for girls. If a child shows such signs of puberty before this age, she is sent to a pediatric endocrinologist for a full workup.
Why does obesity lead to early-onset puberty? Adipose (fat) tissue is metabolically active; fat tissue produces estrogen. The more fat tissue a child has, the more estrogen she is exposed to. It is generally accepted that overweight kids begin puberty earlier for this reason.
The presence of increased amounts of environment chemicals that mimic the effects of the sex hormones may also speed up the onset of puberty. To date, there is no evidence to prove that assumption. Dr. Frank M. Biro, the author of this new study, believes environmental chemicals are playing a role and will begin studying girls’ hormone levels and lab tests measuring their exposures to various chemicals. More research needs to be done before we can conclusively state that these chemicals are affecting our children.
Early-onset puberty can lead to medical problems. Girls who begin menstruating early have a slightly increased risk of breast cancer than other girls; such girls have a longer lifetime exposure to estrogen and progesterone, which can increase the growth of certain tumors. While this study looked at breast growth and not menstruation, breast growth is also a sign of hormone exposure and likely also indicates an increased risk of cancer.
Kids with early-onset puberty also suffer from short stature. While they initially appear taller than their peers, their growth plates close early, preventing the attainment of normal height. The child who was the tallest in her class soon becomes shorter than her friends.
Girls with early puberty are also more likely to have polycystic ovarian syndrome (PCOS). PCOS is a hormone disorder that begins in puberty and causes infertility, acne, and other endocrine abnormalities.
The onset of puberty differs among races. African American and Hispanic children often begin puberty earlier than kids of other races, even when weight is taken into account. This differential was confirmed in the current study. While all kids seemed to enter puberty earlier, African American and Hispanic children began the earliest.
Not all doctors agree with the results of this study. Dr. Catherine Gordon, a pediatric endocrinologist and specialist in adolescent medicine at Children’s Hospital Boston, said that so far, most evidence showed that neither breast development nor menstrual age had changed for white girls of normal weight. Yet according to Dr. Biro, “our analysis shows clearly that the white participants entered puberty earlier than we anticipated.”
The new study included 1,239 girls ages 6 to 8 who were recruited from schools and examined at one of three sites: the Mount Sinai School of Medicine in Manhattan, Cincinnati Children’s Hospital or Kaiser Permanente Northern California/University of California, San Francisco. The group was roughly 30 percent each white, black and Hispanic, and about 5 percent Asian.
At 7 years, 10.4 percent of white, 23.4 percent of black and 14.9 percent of Hispanic girls had enough breast development to be considered at the onset of puberty.
At age 8, the figures were 18.3 percent in whites, 42.9 percent in blacks and 30.9 percent in Hispanics. The percentages for blacks and whites were even higher than those found by the 1997 study that was one of the first to suggest that puberty was occurring earlier in girls.
The question remains, when should doctors refer a child for a precocious puberty workup? Some endocrinologists worry that if we accept puberty beginning at age 7 or 8 we would overlook serious medical problems, like endocrine diseases and tumors. On the other hand, if this earlier puberty is the new norm, why should we frighten families and waste valuable time and money on unnecessary tests? At this time, current practice does warrant a workup for any girl who shows signs of puberty before age 8.
It is clear that early-onset puberty is just one more effect of the child obesity epidemic. It is imperative that we help our overweight children attain a healthy weight as soon as possible. Parents are urged to get help for their overweight kids as soon as they begin to show signs of abnormal weight gain.
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Tags: breast development, Child Obesity, diet for kids, early puberty, healthy eating for kids, new study on puberty, nutrition for kids, overweight child, precocious puberty, puberty Posted in weight loss | No Comments »
Tuesday, June 29th, 2010
Summer is finally here and it’s time to hit the beach. But summer doesn’t give us the right to eat poorly. It’s important to stay healthy all year round. Relaxing at the beach is a great way to spend the day, but make sure you bring some healthy treats to share.
Before you set out for a day at the beach, it’s always smart to plan ahead and pack some yummy food to bring along. Instead of bringing junk food, this year try something new and healthy. I love to freeze different foods the night before my beach escape. Frozen fruits, like grapes and blueberries, are especially refreshing in the heat, taste great, and provide you with healthy nutrients. Freezing yogurt the night before can also make for a great beach snack. By the time you’re ready to eat, the yogurt won’t be frozen but will be nice and cold. You can also bring along some granola or make your own trail mix. These snacks provide energy and can be added to the yogurt and fruit to make your own parfait. Try to avoid salty foods though, like salted pretzels or salted nuts. It’s important to stay hydrated and keep your energy level up when spending the day in the sun. Salty foods will do just the opposite by dehydrating you. Foods like fruit and veggies are high in water content which will provide you with a little extra hydration. Making sure you have lots of water is extremely important as well. For those who don’t love to drink plain water, bring along some flavor packets to keep everyone happy. Drinking is the key to making it through a day at the beach and in the sun.
Plan on eating a meal at the beach? Don’t spend all your money on greasy cheeseburgers and pizza; instead, bring a healthy lunch that everyone will enjoy. Reduced fat peanut butter and cut up apple pieces on a whole-wheat sandwich will be popular, especially with the kids. Besides being easy to prepare, the peanut butter will provide some protein and the apples will add some extra water content. To make the sandwich even more enticing for the kids, try putting the peanut butter and apples in small whole-wheat tortillas to make eating more fun. It tastes extra-yummy when the peanut butter melts in the sun and gets all gooey. Don’t forget extra napkins! Feel free to add some of that granola or some banana. Making a normal sandwich into a wrap not only makes eating more exciting but also makes them cleaner; wraps are easier to hold so you don’t have to worry about your sandwich contents falling into the sand.
If your kids insist on eating at the snack bar, let them choose between a grilled chicken sandwich and grilled chicken fingers. Most snack bars will be happy to substitute grilled chicken for the fried chicken on the kids’ menu. Forego the fries and get baked potato chips instead. If your kids are clamoring for the ice cream truck, have them choose ices over ice cream for a lot less fat.
With all these healthy choices, everyone will be satisfied and you are guaranteed to enjoy a great day at the beach. Your friends and family with thank you, as will your body. And don’t forget the sunscreen.
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Tags: Child Obesity, diet for kids, healthy eating for kids, nutrition for kids, overweight child Posted in weight loss | 1 Comment »
Friday, February 19th, 2010

Play dates are a great way for your child to interact with other children, learn to share, build social skills, and most of all, have fun! But what happens when your overweight child comes home to tell you about the fried Oreos or fast food snack he consumed at his friend’s house?
It is clear that parents often have different styles and ideas concerning food. But there are ways to ensure your child’s play date doesn’t turn into a day of indulgence.
Here are some helpful hints to having peace-of-mind during play dates.
1) Have an open conversation with your child. Discuss the food options he may encounter and help him come up with healthy alternatives. When served an unhealthy treat, teach him to respectfully say, “No thank you. May I have an apple or some almonds instead?” He doesn’t need to tell his friends why he is choosing a healthier food. If they ask, he can simply say, “I like this better.” End of discussion.
2) Talk to the other parents. You don’t need to go into details but you can mention that your family is trying to eat healthy and avoid junk food and super-sized portions. By saying your family and not your son, you switch the emphasis from your son’s weight to your entire family’s health.
3) Give some examples of the types of (easy) snacks that you prefer. Some parents may not know which snacks are healthy or may simply be unable to come up with healthy ideas. Choose items that most people have in their kitchens. You may mention apples or apple slices with peanut butter, bananas, low-fat yogurt, raw veggies, reduced-calorie bread with turkey slices, baked potato chips, and low-fat cheese sticks. You may find these parents stocking up on these healthy snacks once they see your child eating them. Everybody’s home may wind up healthier!
4) Ask the parents to serve your child water instead of juice or soda.
5) If your child is embarrassed to have you speak to his friend’s mother, simply send your child to the play date with a healthy snack from home. If your child feels comfortable bringing his own snack, prepare a snack ahead of time so he can enjoy a healthy option without having to explain himself. He can simply say, “I am just a picky eater so I brought my own.”
6) Lead by example: When you are hosting play dates, have a variety of foods for kids to try. Prepare healthy foods you know your children love and create a friendly environment for their friends to discover new foods.
For example, if you know your child loves red peppers, slice up a few and notice what happens. Other children will become curious and may end up loving red peppers too. When kids see a friend eating something and loving it, most often they will try it with on open mind, no force necessary! They will probably go home and ask Mom to buy their new favorite food… red peppers!
7) Encourage active play dates to decrease the amount of sedentary time children have throughout the day. Weather permitting, try to get the kids outside with suggestions such as playing tag, bike riding, shooting hoops or any running-type sport, like soccer. If it is winter time, try inside games like twister, Wii sport or Wii Fit to keep kids moving. Sometimes kids just need a little prodding to move away from the TV and towards something active.
Most of all, be open and honest with other parents. Explain that this is something you are struggling with in your own house and that you would appreciate any help on this matter. You may be surprised to learn that you are not the only family on the block with the exact same issues!
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Tags: child diet, child nutrition, Child Obesity, diet for kids, kid diet, lets move, letsmove, michelle obama Posted in weight loss | No Comments »
Saturday, February 13th, 2010

First there was the airbrushing of babies in magazines and now parents are starving newborns so they don’t become “fat babies”. What is this country coming to?
We all know that being overweight is unhealthy and can put a person at risk for medical illness. Being too thin, however, is also not healthy and often not attainable. Most of us were not meant to be a size zero. And those who do manage to starve themselves to this size, wind up regaining the weight. Yes, there are some people who are naturally skinny and they can be healthy. But most people really have to work to get (and stay) at that size, often using unhealthy methods. Society’s obsession with emaciation is leading to many adverse side effects.
Consider the case pending against Brittainy and Samuel Labberton for attempting to starve their newborn daughter to the point of clinical emaciation. They were much more concerned about the child’s looks than the child’s health! When the baby gained some (much-needed) weight during a hospitalization, Brittainy complained “’Oh my God, she’s fat’ and ‘I have a fat baby,’” according to Senior Deputy Prosecutor Carol Spoor. The baby’s dad was not better. He complained to detectives that his 9-month old daughter had “gained so much weight that now she is fat,” according to court documents. In fact, during a visitation after she was taken to a foster home, they gave the infant a bottle filled with a laxative to help remove some of the weight gained since the child’s removal from the house.
I see more subtle cases of this in my office, on a regular basis. I have seen mothers bring in normal-weight teen girls, complaining that they are too heavy. One mom even forced her daughter to drop her jeans so I could see “how disgusting her huge thighs are”. These moms are never pleased when I refuse to treat their daughters and instead I tell them that they are “healthy and beautiful.” Can you imagine what this does to a young girl’s self-image? My job is to help overweight kids get to a normal body weight, not to help young girls starve themselves to live up to some unrealistic expectation from their mothers!
The truth is that babies, children, and even adults NEED to have some body fat! The human brain is not fully developed at birth; during the first years of life, fat is used to nourish the brain and allow for proper development. Kids are supposed to have fat on their bodies, as well. Unlike adults, children are still growing and need sufficient calories and nutrients to do so. Even adults need some fat on their bodies. We were not meant to be stick-thin. A person considered “normal-weight” by the medical community would be considered enormous by Hollywood standards. Admiring pin-thin models and celebrities only leads our children to have more self-doubts and lower self-esteem. Instead of focusing on getting skinny, we should discuss getting healthy. There is a happy medium.
Children who feel accepted by their parents are more likely to feel secure, do better in school, and simply be happier. As parents, we must do all we can to nurture a positive sense of self in our children. Let’s stop obsessing about cellulite and a few extra pounds and instead focus on keeping weight in a healthy range, not too heavy and not too skinny. As my mom always says, “Everything in Moderation!”
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Monday, January 4th, 2010
Welcome Year 2010! Let this be a year for being fit, having fun, spending time with family, and making healthy choices. Here are some tips and daily reminders for starting off the New Year right.
Tip 1: Do not let last year discourage you!
Let last year’s bumps in the road be a stepping stone for this year’s improvements. Focus on how you and your family can improve the food choices you make each day. For example, when you’re dining out, help each other choose healthier options from the menu. Encourage your family members to avoid the bread and butter before the meal is served and avoid heavy dressings and sauces that often contain hundreds of extra “hidden” calories. Remember to help each other out while dining out and also while at home. Everybody needs a support system.
Tip 2: Be smart! Do not let the mish mash of words advertised on food packages trick you.
Phrases such as “whole grain”, “no artificial flavors and colors added”, and “fortified with vitamins” do not necessarily indicate healthy and nutritious food options. Instead of trusting a food’s advertisements, check out its nutrition label. It would be helpful to compare two similar products and their calorie counts, grams of carbohydrate, and sugar content per serving. Remember, nutrition labels never lie!
Number 3: Have the whole family get involved and plan ahead.
Make a New Year’s Resolution to plan ahead. Set aside one half hour each night during the week, possibly right after dinner, to sit with your kids and plan the next day’s meals. First, plan a healthy and balanced meal for breakfast (aim to include at least one serving of fruit). A smoothie made with low-fat yogurt and varied fruit is a simple way to sneak much-needed fruit and dairy into breakfast. Yum!! Each week, one family member can be in charge of picking the smoothie flavors for the week. During this time you should also help each other pack lunch boxes for the following day. Planning ahead will give you and your family time to think clearly through each meal, becoming aware of your options and choices. Rushed choices are generally not the most nutritious. Planning ahead can lead to a much healthier diet!
Number 4: Be smart about food shopping.
First, remember to bring your list and if you usually do not bring one, start one! It is easy to get distracted with all of the advertisements on food packages. Sticking to your shopping list will help you avoid purchasing unnecessary and unhealthy items. Secondly, it is a good idea to have a snack before going food shopping. This will help you focus on the health value of what you are buying and not on what looks good for a snack at the moment. Hungry shoppers always buy more food! Snacking beforehand will also help you avoid “free samples” that add plenty of extra calories. Recently, even non-food stores have added snack sections offering sugary sodas, candy, and salty snacks to distracted and hungry customers. Therefore, it is a good idea to have a snack prior to leaving the house.
Number 5: Educate your children.
Lastly, it is important to talk to your kids and teach them how to make healthy choices. The best way to do this is to keep them involved. Instead of simply banning unhealthy foods from the house, explain to them why it is important to eat a healthy diet. Educate them by explaining that eating healthy at a young age leads to a healthy heart and body and will keep them feeling great for life! Explain the importance of eating a variety of different foods each day. You should also explain the importance of each food group. By researching and learning about healthy choices and diets together, you and your children can start off the New Year on the right food and create a live-able, easy, and fun pattern of eating.
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