family fitness: elaine harrington, md
TRANSCRIPT
Family FitnessFamily Fitness
Elaine Harrington, MD
Pediatrician, Via Christi Clinic
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Objectives
To appreciate the importance of being healthy
To understand risk factors and complications of excess weight
To learn healthy lifestyle changes for maintaining healthy weight and wellness
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What is the problem?What is the problem?
Obesity has tripled in the last 30 years Increase from 7% to 20% obesity in
6 to 11-year-olds Adult complications filtering into childhood
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Fat factsFat facts
Children eat nearly twice as many calories (770) at Children eat nearly twice as many calories (770) at restaurants as they do during a meal at home (420)restaurants as they do during a meal at home (420)
An increase of 100 calories per day will result in a An increase of 100 calories per day will result in a 10-lb weight gain per year10-lb weight gain per year
One extra serving of chips per day can result in a 13-One extra serving of chips per day can result in a 13-lb weight gain per yearlb weight gain per year
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% Childhood Obesity
0
5
10
15
20
25
Decades 1970 to 2010
per
cen
tag
e o
f ch
ildre
n
2 to 5
6 to 11
12 to 19
FactsFacts
Childhood ObesityPercent of obese children from 1970 to 2010
Ages
KkHHHHHHHHHHHHHHH
70s 80s 90s ’00s 10s
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What Causes Obesity?What Causes Obesity?
Multifactorial Genetics Prenatal environment Lifestyle factors Parental influence/role modeling Activity levels
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Contributing factorsContributing factors
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Risks and complicationsRisks and complications
Increased heart disease Increased blood pressure Type 2 diabetes Breathing problems Difficulty sleeping Emotional issues Orthopedic problems Respiratory problems
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Weight mattersWeight matters
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SolutionsSolutions
Increase Awareness Activity Family meal times Fruits and vegetables Healthy role models
Decrease Portion size Screen time Food as a reward Sedentary time
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New day – New gameNew day – New game
Any day is
a chance to get
together and
create something
FUN
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Activities and exerciseActivities and exercise
Find activities kids enjoy — Find activities kids enjoy — not prescribed daily exercise not prescribed daily exercise minutes or forced group minutes or forced group sportssports
Work up to 60 minutes per day of “huff and puff”
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Walk whenever possibleWalk whenever possible
Whenever possible, walk instead of drive Walk your children to school Take a family walk after dinner Go for a half-hour walk instead of
watching TV Park further from the store entrance Make a Saturday morning walk a family
habit Walk briskly in the mall Take the dog on longer walks
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Around your homeAround your home
Garden or make home repairs Do yard work
Get your children to help rake, weed, or plant flowers
Work around the house Have children help with chores
Wash the car by hand Use a snow shovel instead of a snow blower Do sit-ups in front of the TV
Have a sit-up competition with your kids during commercials
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Move more togetherMove more together
Join an exercise group Enroll your children in community sports or
lessons Pace the sidelines at kids' athletic events Dance to music… with your kids Swim with your kids Buy a set of hand weights and play a round of
Simon Says with your kids — you do it with the weights, they do it without
Train together for a charity walk or run
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Healthy and active classroom partiesHealthy and active classroom parties
Eat better: Water or flavored water
(calorie-free) Low-fat or fat-free milk Fresh fruit assortment Fruit and cheese kabobs Vegetable trays Cheese cubes, string cheese Pretzels Low-fat popcorn Graham crackers Animal crackers Angel food cake – plain or topped
with fruit Low-fat pudding, yogurt or parfaits Trail/cereal mixes or bars
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Move more at schoolMove more at school
Go for a class walk or hike Turn on some music and dance! Play a game of kickball Do thematic crafts – painting
pumpkins, creating valentine mailboxes, etc.
Party games always a hit! Have a scavenger hunt for
school supplies in the classroom or on a playground
Play an exercise or yoga DVD
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Be active togetherBe active together
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““It’s just a little treat!”It’s just a little treat!”
We all do it!When have you
used foodas a
reward?
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Food as rewards Food as rewards
“It’s just a little treat!” Here are better reward options:
Reward charts/stickers Chips/points system Trips to park, walks, activities, games Free chore pass Friends over Later bedtime
Non-food rewards are limited only byNon-food rewards are limited only byIMAGINATION, TIME and RESOURCESIMAGINATION, TIME and RESOURCES
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Family mealtimesFamily mealtimes
A simple family habit = impressive benefits for kids
Laughing Talking Listening Sharing Caring
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Benefits of family meals togetherBenefits of family meals together
Family togetherness Better nutrition Weight concerns
addressed Higher IQ Communication More school success Fewer behavior issues
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Portion controlPortion control
“I don’t understand doc. He only eats the same as the rest of the family.”
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Portion size is importantPortion size is important
“Relax. This is low-fat ice cream.”
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Portion guidelinesPortion guidelines
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ExamplesOne serving
equalsThat's about the
size of
Bread1 oze (1 small slice, 1/2 bagel, 1/2 bun)
Index card
Cooked Grains1/2 cup cooked oats, rice, pasta
Billiard ball
Dry cereal1/2 cup flakes, puffed rice, shredded wheat
Billiard ball
Examples One serving equalsThat's about the
size of
Raw fruit1/2 cup raw, canned, frozen fruit
Billiard ball
Dried fruit1/4 cup raisins, prunes, apricots
An egg
Juice6 oz 100% fruit or vegetable juice
Hockey puck
Raw vegetables1 cup leafy greens, baby carrots
Baseball
Cooked vegetables1/2 cup cooked broccoli, potatoes
Billiard ball
Grains: Aim for 6-11 servings daily Choose whole grains
whenever possible
Serving sizesServing sizes
Fruits and vegetables: Aim for 5-9 servings daily Choose fresh produce
whenever possible.
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SummarySummary
Take baby steps: Play together Eat together Think portion size Decrease screen time Non food rewards
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