Showing posts with label parent. Show all posts
Showing posts with label parent. Show all posts

Tuesday, September 20, 2016

Sitting is The New Smoking: Get Up Off Your Seat!

By: Jenn Ripepi, MD, Choosy Pediatrician


You may have heard that "sitting is the new smoking" in the last few years. What is meant by this is that sitting for long periods is bad for our health in many ways. We are meant to move and do it frequently. So what does this mean for our children and their futures?

Sitting decreases our need to breathe deeply, to have our muscles contract and demand increased blood flow. That is the opposite of aerobic exercise. Aerobic exercise is the kind that improves your blood flow and helps to prevent plugged arteries. When we walk, run, swim, and bike or do other activities which get us to breathe harder and our hearts to pump faster, it helps to keep our arteries clear. When we sit we are not using our muscles and letting our blood vessels keep opened up as much as when we move. Over time, that that adds up.

Sit Up Straight


Teaching children to have good posture is important, especially in the pre-school years. Children grow at a rapid pace during their first four years of life and there is an increase in postural responses. It then regresses until adult postural reflexes are reached sometime between 7-10 years of age. So as professionals see it, the most “training”, or using correct sitting/standing positions in static posture and its dynamic reflexes occurs during the early pre-school years of life.

Our overall posture is affected by sitting for long periods. We tend to let our heads drop and that in turn leads our shoulders to hunch forward and our lower backs to curve forward. Our core muscles in our abdomen and lower back get weak. We end up with lower back problems and the whole host of other spinal problems like headaches. For our children who have developing skeletons this is a stress that may force their posture to be permanently impacted. That leads me to the next point.

Build Strong Bones


Strong bones are built not just from calcium and phosphorus but by being used. We have learned from the astronauts in space for long periods that their bone mass decreases when they are out of Earth's gravity. That led others to look at what happens here on the Earth's surface in a number of situations. People have more bone mass when they are physically working against gravity in what we refer to as weight-bearing exercise. That means walking, running, jumping, climbing---moving your body against the Earth's gravitational pull. If children are not moving, they are not building the strong bones to carry them through their lifetimes.


Muscles Matter


Muscles are meant to be used! Our bodies have been built for walking, running, climbing and jumping. If we don't use our muscles, they tend to become weak. Weak muscles can be built up but it takes a lot more work to build strong muscles when someone has not been used to using them. Ask anyone who has gone through physical therapy after an injury and a period of rest. They likely will tell you it was difficult to get started but got easier as their therapy progressed.

Get Moving!


You wouldn’t believe how often I heard in my practice as a pediatrician that kids are tired all the time! Then I'd ask what they "did" all day and they'd answer that they spent most of their time sitting! Not really "doing" anything! They were bored! Our minds need physical as well as mental stimulation. 

A few years ago I read a study about recess in schools and children's performance. Children who had recess with active free play did better in afternoon classes and with their behaviors than children who did not have that opportunity. Children are in classrooms for hours and are kept sitting for that time. They sit on the bus. They sit to do homework. Then many sit in front of a television or video games or other device when they get home. And don’t forget, when they are sitting, they should be at least practicing proper posture or they may have issues down the road.

What Can We Do As Child Advocates?


It is important to help young children learn that when their heart beats faster because they are moving, it is actually healthy and good for them. Help them identify if their heart is "resting," happy, or very happy based on sensing their heart rate. Continue to reinforce the idea of happy, healthy hearts for the entire family. Make everyone’s hearts happy in your family and engage in active movement together. 

At home, keep active not only to help your children but to help yourself. Less screen time and more active time as a family. If you and your children are watching a television show or engaging in technology of some kid, have frequent movement breaks to encourage blood flow and muscle use. 

Music is also a great tool to get our hearts beating. There are many different types of music that enable children to expand upon their listening horizons, imaginations and movements. Allow your children to listen to a variety of music and dance and sing along with them.


When you are on the go, free play outside stimulates big movements and strength and allows children to explore their surroundings. The fresh air and open spaces allow those big, deep breaths we need to keep up with our bodies' demand for oxygen. 

When children are required to sit in school, ask the teachers how they build movement into their lessons. Ask how recess is spent during inclement weather and advocate for active play indoors in a large open space when possible, if the students cannot go outside frequently. (You may be able to let the educators know that they'll have more alert and better behaved children when they allow recess.) 

Try to observe how long children sit when you are with them. A little activity break during homework time can help their concentration. Additionally, try to avoid the command to sit still except when it is really needed (like mealtimes, religious services, haircuts, etc). As we as a society begin to relearn that we are meant to move frequently, we can let our children lead us naturally in movement. All we have to do is follow their lead!

How do you help your children stay active and moving, rather than sitting all day? 


About the Author: I have been a pediatrician for over 25 years. My husband and I have been privileged to raise 4 bright and healthy children. I have tried to gather wisdom from the families I have been blessed to meet during my journey. I believe in practical and flexible parenting to help raise healthy adults. I love to garden, hike, travel and cook and I am looking forward to hearing from Choosy followers.

Tuesday, July 21, 2015

Health Needs a Hero!

By: Dr. Linda Carson

When I was growing up, a sailor with big arms and a gruff voice had an influential message about getting strong by eating spinach. Popeye was so influential that he increased the sale of spinach by 33% in the 1950’s. I understand that there is an effort under way right now to bring him back for a new generation of children, but this time without his habit of smoking a pipe! A new Popeye and other children's characters with health messages are desperately needed in our country and around the world.

Currently, American children see an estimated $1.6 billion a year worth of food and beverage marketing, and many of those ads are foods that are high in calories and sugar, but low in nutrition. Some of our cereals and other processed foods in a box are so depleted that they have to be “fortified” and even then, the nutritional value is extremely compromised. For some products, there is not much nutritional difference between the contents in the box and the cardboard the box is made from.

Until food and beverage companies are using children’s characters to market only healthy products, it is up to each family and the other significant influencers to share and repeat consistent health messaging with children and families. The research (samples noted below) confirms that children’s characters are profoundly influential, whether positive or negative.

And a very positive thing that the family and/or preschool teacher can do is take advantage of what we know from research---create or introduce a familiar character to help deliver messages about healthy nutrition, physical activities that help make your body healthy, and appropriate dental health behaviors. Plus, having a character as an influential “assistant” helps with the consistency factor that we humans have trouble with at times.

I have spent my career promoting healthy choices, and advocating for parents as the best play partners ever. After teaching in public school enough years to appreciate the needs and barriers of that context, I spent the next 30 years teaching University students who wanted to be teachers. While methods of delivering the content has changed over the years, one thing has remained constant---the need is great for dedicated, well prepared teachers who collaborate and engage with parents on the profoundly important task of getting young children ready to make responsible decisions about learning and life.

In recent years I have had the privilege of developing resources for parents and teachers who are laying the foundation for healthy decision-making by children and entire families. Long before Popeye was given a do-over, we introduced CHOOSY as a health hero for this generation of young children. Choosy’s name stands for Choose Healthy Options Often and Start Young.

If you want to use Choosy as a health hero in your home or classroom, see www.choosykids.com for examples of unique, easy to use resources, especially children’s music that contains health messages. There is such a thing as stuck song syndrome that can work like reminders. If children (and adults) can’t get that song out of their heads, health messaging is working!

Bottom line: If a character promotes it, whether in a story book, on a window cling, or in music, a young child is likely to be influenced by the character’s preferences! What a concept and what a big help to busy Mom’s and Dad's.

**Research examples supporting the influence of children’s characters on health 
  choices and preferences:
Kotler, et al Journal of Health Communication (2012); 
Roberto, et al Pediatrics (2010); 
Lanigan, J.D. Child: Care, Health and Development (2010) 

About the Author: Linda Carson, Ed. D, is the founder and CEO of Choosy Kids, LLC, and the Ware Distinguished Professor Emerita at West Virginia University. An award winning, nationally recognized expert, Dr. Carson has devoted her career to promoting healthy preferences for young children and the adults who make decisions on their behalf. Click here to learn more about Linda.

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