Healthy isn?t something you are or aren?t. It?s a hundred little things: eating a banana, walking in the park, putting a bandage on a boo-boo, playing tag, reading up on ways to keep you and your family well and safe. It?s a balance between living well and taking care, and you can start right where you are.
A blog by Christina Elston
Healthy isn't something you are or aren't. It's a hundred little things: eating a banana, walking in the park, putting a bandage on a boo-boo, playing tag, reading up on ways to keep you and your family well and safe. It's a balance between living well and taking care, and you can start right where you are.


Posts Tagged ‘physical activity’

Many Obese Children With Asthma Held Back By Weight, Not Breath

Wednesday, May 9th, 2012

Two current health crises in children – asthma and obesity – often strike together. And among kids dealing with both, lack of physical activity frequently comes in to create a “perfect storm” that hits health hard.

Looking at one of these kids, it is easy to imagine a sequence of events:

1. The child is diagnosed with asthma.

2. Asthma impairs the child’s ability to exercise.

3. The child gains weight.

But if a child’s asthma is well controlled, this doesn’t have to be the case. That is the message from new research out of The Children’s Hospital at Montefiore and Albert Einstein College of Medicine in New York.

Pediatric pulmonologist Deepa Rastogi, M.D., and colleagues found that when obese children with asthma were asked to walk for six minutes, it was their obesity – not their lung function – that held them back.

Researchers looked at 140 children, among them obese children with and without asthma, and normal-weight children with and without asthma. All children in the study with asthma had their disease under good control, meaning they had not needed prednisone, a medication used to treat an exacerbation, in at least three months. Researchers tested each child’s lung function and measured the distance they could walk in six minutes.

For children who were not obese, both asthmatic and non-asthmatic, their distance was linked to their lung function. The lower their lung function, the less ground they could cover.

But for obese children, their distance was linked to their BMI (a measure of weight compared to height). Whether or not they had asthma, the higher their BMI, the shorter the distance they could walk.

“If you have well-controlled asthma, then your exercise limitation may not be your asthma, it may be your body weight,” says Rastogi.

She explains that parents often discourage children with asthma from being active because they are afraid of bringing on attacks. “By the time they are in school they become programmed that they have asthma and they can’t exercise, and by then we have missed the opportunity to teach parents about keeping their children active with appropriate use of controller medications,” Rastogi says. Instead, the focus should be on keeping kids as active as they can be while maintaining good control of asthma.

Her message to parents is to partner with their healthcare provider to get their child’s asthma under control. “That’s the first step, always,” she says. “Then, with good control, encourage activity. If it appears that your child is limited in their exercise ability, talk to your health care provider to investigate further into the cause for the limited ability.”

Her study was published in March in the journal Pediatric Pulmonology.

Getting Kids Active Is a Matter of Choice

Wednesday, April 25th, 2012

If you want your kids to be physically active, make sure they have lots of active toys and games to choose from. That’s the take-home message from recent research published by University at Buffalo experts.

Working with 8-12-year-olds, a team led by James Roemmich of the university’s school of medicine first looked at whether giving children more toy choices increased their physical play. They found that if there was just one toy to play with, boys played actively 1.3 times longer than girls. But given a choice of active toys – mini hockey, bean bag toss plus tic-tac-toe, mini indoor basketball and jump rope – girls increased their physical play nearly 200 percent.

Physical play for boys increased as well, but by just 42 percent, possibly because girls enjoy the mental challenge of evaluating the toys and choosing which to play with more than boys do. Having a choice of toys increased exercise intensity for both groups.

Next, the researchers looked at whether the exergames motivated kids to increase play time. They did, but Roemmich points out that while kids played Wii basketball twice as long as actual basketball, they expend only half the energy on the Wii.

He advises parents to find three to five active games and toys their children enjoy, and make them easily accessible at home. Exergames are best when they replace watching TV or playing other types of video games, rather than taking the place of other physical activities. Away from home, parents should look for a variety of activities – dance, zoomba, sports or martial arts – and find fitness or youth centers that promote choice by including a variety of programming with membership, rather than charging extra.

His studies were funded by the National Institutes of Health. The first was published in the Journal of Science and Medicine in Sports, and the second in the International Journal of Behavioral Nutrition and Physical Activity.

Can the Neighborhood Make Kids Fat?

Thursday, April 12th, 2012

With nearly 18 percent of school-aged children and adolescents in the U.S. now classified as obese, health experts and organizations have increasingly been pointing to nurture, rather than nature, as a possible culprit. Specifically, they’ve been looking at where kids live for clues about why they’re getting fatter. And a study out this week suggests they’re right.

Researchers have found that children living in walkable neighborhoods with plenty of parks (with high-quality play equipment), lots of grocery stores and few fast-food outlets are almost 60 percent less likely to be obese than those living in areas without these perks.

A team from the Seattle Children’s Research Institute evaluated the nutrition and physical activity environments of neighborhoods in King County in Seattle, Washington, and San Diego County, California from 2007 to 2009. They then assessed the weight of 730 children ages 6-11, plus one parent for each, living in those neighborhoods.

They found that 16 percent of children living in the poorest nutrition and activity neighborhoods were obese – a figure in line with the national average – but just 8 percent of kids in active neighborhoods with access to healthier foods were obese.

“People think of childhood obesity and immediately think about an individual’s physical activity and nutrition behaviors, but they do not necessarily equate obesity with where people live,” says lead study author Brian Saelens, Ph.D. “Everyone from parents to policymakers should pay more attention to zip codes because they could have a big impact on weight.”

The study appeared April 10 in the American Journal of Preventive Medicine.

“Active” Video Games Not a Cure-All For Inactive Kids

Monday, February 27th, 2012

Bringing home a shiny new Wii Fit or Dance DanceRevolution game for your kids won’t make their days any more active than if you’d brought them Mario Kart. That’s the finding of a study published today (Feb. 27) in the journal Pediatrics.

Previous research has shown that children in laboratory studies using “active” games – games that require players to move their whole bodies, rather than just buttons or triggers on a controller – can get the equivalent of moderate or sometimes even vigorous physical activity. But Tom Baranowski, Ph.D., a professor of behavioral nutrition at Baylor College of Medicine in Houston, wanted to test the games under “real world” conditions, to see if receiving a new active game made kids move more at home.

Baranowski’s team selected 87 children ages 9-12 who did not already have a Wii console at home, and had Body Mass Index (BMI) high enough to put them at risk for obesity as adults. Age 10 has been pegged by experts as a critical window for increasing physical activity, because that’s the age where an obese child’s risk of carrying their weight problems into adulthood skyrockets.

Researchers gave all of the participating families Wii game consoles and necessary extras such as mats, controllers and balance boards. Half of the children were then allowed to choose an active game (Active Life-Extreme Challenge, EA Sports Active, Dance DanceRevolution-Hottest Party 3, Wii Fit Plus or Wii Sports), while half got to choose an inactive game (Disney Sing It-Pop Hits, Madden NFL 10, Mario Kart Wii, New Super Mario Bros. Wii or super Mario Galaxy). After six weeks, all the children were allowed to choose another game from the same group.

Activity levels for all children were monitored during the 12 weeks they had their games using an accelerometer, a device that’s worn to measure acceleration and exertion. Researchers found that the children using the active games were no more physically active during the study than those using inactive games.

“We were quite surprised,” says Baranowski. “We expected that we would detect a modest increase in physical activity during week one [among kids with the active games], which would be lost by week six, and detect another smaller increase in physical activity at week seven (after just having received their second active video game) which would also die out by week 12.”

Baranowski and his team theorize that children receiving the active video games either didn’t play them very intensely, or they offset activity from the games by choosing to be less active at other times of the day. “I would bet a little bit of both,” he says. “We have qualitative data that indicated the kids did play the games and enjoyed them, but obviously they didn’t play them intensely enough.” He explains that without actual instruction to play the games at a certain intensity level, or for a certain amount of time each day, kids didn’t get enough physical activity from the games to make a difference.

But he also notes something about the make-up of active games that could be getting in the way of extended play. “By themselves these active video games have little to no story,” he says. “Wrapping a story around these games also holds promise,” as a way to hold kids’ attention for longer periods. A colleague is working on research to test that idea.

Meanwhile, don’t count on a game to give your kids the exercise they need. “You need to do more than just purchase and provide your child an active video game,” says Baranowski, who suggests playing the game with your child on a regular basis (even daily), adding other activities like a nightly walk to the family calendar, or getting your child involved in sports teams at school or in your community.

A Healthy Turnaround – For You and the Kids

Thursday, February 23rd, 2012

The volume of statistics about childhood obesity has exploded along with America’s waistlines. Around 20% of kids ages 6-11 are now obese, putting them at risk for type 2 diabetes, hypertension and heart disease and a host of other health problems. And the chorus of experts raising the alarm about this situation keeps coming back to the same root cause – our diets.

“The American eating style is basically upside down from what it should be,” says Jennifer Nelson, R.D., Associate Medical Editor of The Mayo Clinic Diabetes Diet (Good Books, November 2011). We eat too many fat-filled and cholesterol-laden animal products, and too little fruit, vegetables and whole grains.

Clearly, change is in order, and Nelson wants to start with our view of the word “diet.” “The origin of the word is much broader than the restriction of food,” she explains. The word comes to us from the Greek “diaita,” which means “lifestyle,” or, as Nelson puts it, “what gives you life, enjoyment, vitality.”

In their new book, she and other weight-loss experts at the Mayo Clinic suggest lifestyle changes that can help families do an about-face weight-wise, stave off diabetes and other health problems, and maybe pump up their “enjoyment and vitality” quotient.

The Most Important Meal

The book isn’t specifically targeted at children – especially the portion sizes and eating plan specifics – but Nelson says the habits suggested and types of foods recommended are all healthy and all appropriate for anyone, including kids.

Starting every day with a healthy breakfast is the first habit they suggest for all families. And every day the plan calls for four or more servings of vegetables, three or more servings of fruits, and whole grains whenever possible. Healthy fats like olive oil, vegetable oil and nuts are also encouraged.

Not encouraged are sugar (except what’s found naturally in fruit), outsize portions of meat (the size of a deck of playing cards or bar of soap is enough at mealtime), and full-fat dairy.

Moving toward a diet based on energy density – which means eating foods that are higher in nutrients, fiber and volume so that you have “the biggest bang for your bite,” will help everyone in the family maintain or achieve a healthy weight without feeling deprived.

Adults are advised to snack only on fruits and vegetables, but Nelson says kids shouldn’t adhere to this rule. “Their energy needs are different,” she explains, adding that children filling up on plant-based foods at mealtime will not get enough energy to sustain themselves without substantial snacks, so you can add whole grains and even some nonfat dairy to their between-meals fare.

The ideal is to eat as many natural, whole foods as possible, and stay away from heavily processed foods as much as you can. As a “bonus” habit, consider keeping a food diary.

Keep On Moving

Mayo Clinic experts advise that everyone in the family walk or exercise for at least 30 minutes per day, and that 60 minutes or more is a good goal to work toward. Eating in front of the TV is a definite no-no, and it’s best to balance “screen time” with equal amounts of physical activity.

This can be easier if you do it as a family. Consider heading out the door together to walk the dog or play a game, Nelson suggests. You’re setting an example that could lead to healthier lives for your children. “Mom and Dad are kind of the gatekeepers of a lot of practices, and over time, those practices do become habits,” Nelson says. Eventually those habits impact – for better or worse – children’s health. Turning your own health around is great. “If you pass those habits along to your children, that’s even better,” she says.

A Healthy Inheritance

And because genetic predisposition to diabetes (even type 2) tends to run in families, she Nelson it is essential to address these issues across generations. If a child has a weight problem, “chances are, Mom and Dad are struggling with some nutrition issues, too,” Nelson says.

Rather than being overwhelmed by trying to make a complete lifestyle turnaround at once, Nelson suggests making just one healthy change at a time. “Over time, the cumulative effect will make a big difference,” she explains. “Also, find a way to make these lifestyle changes enjoyable. If you and your family don’t enjoy the food you eat or the activities you do, you are less likely to stick with it. So find foods that your family will enjoy, and find activities that you’ll enjoy, too!”

Despite the dire statistics about the state of America’s weight, Nelson says she is hopeful because many important efforts, such as Michelle Obama’s Get Moving campaign, are beginning to align in an attempt to address the epidemic of childhood inactivity and obesity. “It’s a very tough problem that we’re facing,” she says, “but it takes just one person at a time making a choice to change, and sharing that with their family.”

And that change is about so much more than just putting down the cookies and chips. The idea is to change your family environment and lifestyle so that you can be the best you can be, and be in better balance. “The family unit is at many people’s core,” Nelson says. “What better way of recreating your lifestyle than doing this as a family unit?”

Teens Skip Soda When Calories = Running

Tuesday, December 20th, 2011

Teens told it will take an hour to run off the calories from a sugary soda will often drink water instead, says a new study from Johns Hopkins University. Researchers from the university’s Bloomberg School of Public Health went to four corner stores in low-income neighborhoods in Baltimore, Md. where tweens and teens were likely to stop.

They collected data on what types of beverages teens purchased when signs in the store contained the following information.

• “Did you know that a bottle of soda or fruit juice has about 250 calories?”

• “Did you know that a bottle of soda or fruit juice has about 10 percent of your daily calories?”

• “Did you know that working off a bottle of soda or fruit juice takes about 50 minutes of running?”

After looking at 1,600 beverage purchases, they found that when the signs were posted, teens were 40 percent less likely to choose juice or soda than when there were no signs about calorie content in the store. And when signs contained information about the physical activity required to work off calories from the sugary drink, juice and soda purchases dropped by 50 percent.

The study appeared Dec. 15 in the American Journal of Public Health.

Interested in finding out how long it might take to work off some of your favorite treats? Check out this “Exercise Counts” tool from the American Cancer Society.

Two-and-a-half For Your Heart

Monday, August 1st, 2011

pic-feetwalkingThe latest word from experts is that 2 ½ hours per week of moderate physical activity – especially if you’re a woman – can lower your risk of heart disease by 14 percent. Move more, and you can protect that all-important muscle even more.

And moving less is better than nothing.

This study, conducted by the Harvard School of Public Health, is the first to suggest just how much physical activity people might need to get to boost heart health. Researchers looked at 33 studies of physical activity and heart disease to reach this conclusion.

Even people who got below U.S. physical activity guidelines of 150 minutes per week had lower risk of coronary heart disease than those who didn’t move at all. The study appeared Aug. 1 in Circulation, Journal of the American Heart Association.

If you’re interested in starting a walking program, check out startwalkingnow.org. You can find a walking path, list your favorite path, share and upload photos of favorite paths, or track your calories, steps taken and routes walked. You can even take a quiz to get a personalized walking plan, created by the American Council on Exercise and the American Heart Association.

And because all get-moving sites should be mobile, they even offer a free Walking Paths App. Round up the family and get your heart on the right path!

Break The Sitting Habit

Friday, September 25th, 2009

sitting-habitBeing overweight is a simple equation: eating more calories than you burn. And when you hear that more than 20% of California children ages 6-19 are overweight, it’s easy to blame the calories. Steven Blair, past president of the American College of Sports Medicine and a professor of public health at the University of South Carolina, doesn’t.

“I don’t believe there are any compelling data that it’s due to the calorie intake side of the equation,” Blair says. Instead, his theory is that everyday activity has just gotten too easy, with electric car windows, television remote control, self-propelled lawn mowers and vacuum cleaners, and no-bucket mops. “We’ve engineered energy expenditure out of daily life,” Blair says.

Couple these labor savers with the increasingly attractive screens on our televisions, computers, video games and phones, and there’s not much reason to move. How do you break your family’s sitting habit? Blair, co-author of Active Living Every Day (Human Kinetics, 2001), has a plan. Click here to break your sitting habit!

Get Those Preschoolers Moving!

Wednesday, July 29th, 2009

hulaTen minutes of extra exercise per day at age 5 adds up to one-third of a pound less fat at ages 8 and 11. What’s more, every hour kids spend couch-potato style during the day means it takes them three minutes longer to fall asleep – and poor sleep patterns have been linked with increased risk for obesity.

University of Iowa researchers reporting in this month’s American Journal of Preventive Medicine tested 333 kids ages 5, 8 and 11, and found that those who were most active at 5 had less fat by ages 8 and 11, even if they were less active later. And a study out July 24 in the online edition of Archives of Disease in Childhood looked at more than 500 7-year-olds and found that the more vigorous activity they did during the day, the faster they fell asleep at night.

How do you hit that 60 minutes of daily physical activity that the CDC recommends? Health professor Kathleen Janz, lead author of the University of Iowa study, says parents should avoid letting kids stay sedentary for more than an hour at a time, insist schools provide morning and afternoon recess, and get kids outdoors as much as possible.

Learn about the University of Iowa study … 

Learn more about CDC guidelines …