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Diet and Lifestyle Changes Begin at Home

Diet and Lifestyle Changes Begin at Home

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Diet and Lifestyle Changes Begin at Home

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  1. Diet and Lifestyle Changes Begin at Home Family based change Cara Karner MS, RD, LD, CDE Catherine Robinson MS, RD, LD, CDE

  2. Table of Contents • Statistics on Weight Increases in Children • Key Components for Weight Loss • Family based changes • Behavior Modification • Healthy Eating • Increased Activity • Summary

  3. Prevalence of Obesity in U.S. Children 2-19 Years of age

  4. Family Based Change

  5. Stages of Change • Pre-contemplation • Contemplation • Preparation • Action • Maintenance

  6. Lack of Role Models- Parents & Professionals • “Do as I say, not as I do. The new epidemic of Childhood obesity.” • “Children need models rather than critics.” • Joseph Joubert, French essayist (1752-1824) McCrindle BW. Can Fam Physician. 2006 Mar;52:284-5, 292-3.

  7. Role Modeling • Families that play together stay together. • Reserve at least ½ day of each weekend for family physical fitness • Parents don’t have to be thin, but they must set a good example: • Participating in family activities • Reducing TV viewing • Create an environment for active play both inside and outside the home. Southern et al, Trim Kids, Harper Collins, 2001

  8. ObesogenicFamilies • A study examined the self-reported physical activity and dietary intake patterns of parents and changes in weight status (BMI and skin folds) over 2 years in offspring. • Girls (ages 5-7)with parents of high caloric intake and low activity levels (obesogenic) had significantly greater increases in weight status. • Family environment may explain increased weight status in children over and above genetic susceptibility. Davison and Birch, Int’l J Ob 2002

  9. Obesogenic Families Cntd • A 4 year follow up study of the previous slide found: • The girls (now ages 9-11)of the obesogenic families had higher • BMI’s, • percent body fat • diets higher in fat • higher TV viewing levels Than daughter’s of non-obesogenic families Note: results were independent of parent’s BMI Krahnstoever, Francis, et el Obes Res. 2005 Nov;13(11):1980-90

  10. Parental restriction of highly palatable food Using food as a reward Parental concern/ criticism of child’s weight Parental control of child intake Parental pressure/ encouragement to eat Parenting Influences University of California, Berkeley Center for Weight and Health

  11. To bring up a child in the way he should go, travel that way yourself once in a while.  ~Josh Billings

  12. Behavior Modification

  13. For all Children: • Early interventions are critical • Physical activity is important, but is not enough • Environmental changes are needed to foster healthy choices Center for Weight and Health University of California, Berkeley

  14. What is Behavior Modification? • Using proven techniques to improve behavior (positive/negative reinforcement) • Changing diet for the whole family • Changing exercise for the whole family • Decrease screen time • The recommendation is less than 2 hours of screen time per day

  15. Healthy Eating A Brief Summary

  16. Research confirms that there is an optimal diet for prevention of pediatric overweight • Moderate calorie intake by watching portion sizes and selecting foods low in energy density • Limit fat intake, especially saturated fat • Choose foods high in fiber • Eat lots of fruits and vegetables • Limit and choose carefully: fast/restaurant food • Drink low fat milk and water; avoid sweetened beverages • Eat breakfast University of California, Berkeley Center for Weight and Health

  17. Increased Activity Have Fun!

  18. What Ever Happened To? • Riding your bike to school • Recess at School • Meals with your family around the table • Raking Leaves • Using the Stairs • Playing outside until dinner • Getting up to change the channel • Getting out to raise the garage door

  19. Summary • Recording Behaviors • Activity • Healthy Eating • Behavior Modification • Family Based Change The above are proven ways to help fight against obesity

  20. For More Information • Contact our Member education department for a one on one appointment with a Dietitian (386) 676-7133 • Other Resources •

  21. “Just because you can’t do everything, it’s no excuse to do nothing.”~Jacqueline Domac, Health teacher, Los Angeles