Archive for the 'Weight loss' Category

Is Child Obesity Abuse?

Tuesday, December 6th, 2011

Is it OK for the State to take a child into custody for being obese? Medical neglect is the stated cause but with obesity rates having tripled in the last 30 years, is it fair to single one family out? 44% of kids are overweight or obese by the time they are 8 to 10 yrs old so where are we going to put all these kids? A 10 yr old in Cleveland was taken from his family for weighing 220 or a BMI of 60 and many are questioning if the state has overstepped its boundary. I think the real question is what is the solution for the 44%? Foster care does not seem to be it.

Did the child have a medical condition that caused the State to take him?

The boy had been monitored for 20 months after being hospitalized with sleep apnea. He needed a CPAP machine to help him sleep at night. Obesity does cause hypertension, high cholesterol, diabetes, joint pain, liver disease, and psychological stress in children but he was only known to have sleep apnea. His family did attend a free nutrition class and tried to make lifestyle changes.  While he initially lost weight, he gained it back within the year.  The State intervened because they felt that it was a last resort and the boy was at high risk of death before the age of 18 from his obesity. There is a court hearing on December 10th that may return him to his home. He has lost 10 lbs since he was placed in foster care in October but neighbors argue the weight loss may be from the stress of separation from his family.

Does removing children from the home for obesity have a proven track record?

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Thinner Thanksgiving Tips

Tuesday, November 22nd, 2011

Thanksgiving is only a few days away and for many the beginning of the “eating season.” I made a conscious decision not to wait until January 1st to make healthy choices but begin today so that I don’t start 2012 with extra 1-7 holiday pounds.

 Dr. Deb’s Thin Thanksgiving Tips.

1.Burn Before & After

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College: Avoiding the Freshman 15 and other College Temptations

Wednesday, August 17th, 2011

Kids are headed for college this week and while my last blog discussed the nuts and bolts health tips for BACK TO SCHOOL like vaccines and hygiene, this week I want to talk about what parents are really worried about: How will my child handle the smorgasbord of temptations without rules or limitations?

Here are Dr. Deb’s 5 College Health Tips.

1. Avoid the Freshman 15

Students often gain weight the first 2 years of college and most of it occurs during the first trimester of freshman year, but weight gain is not inevitable. It only takes an extra 150-175 calories a day to gain that weight so making a small change like cutting the midnight snack or drinking water instead of pop can mean the difference between weight gain or staying the same.

Critical to avoiding the weight gain, as well as stress relief, is REGULAR EXERCISE!

Don’t skip meals and be aware that everyone has a different metabolism. Avoid the mob mentality. Just because your skinny friend is chowing down on French fries and fast food after a night of drinking doesn’t mean you won’t gain weight if you do too. She may have a hidden eating disorder that is quite common on college campuses. Click her for more information on Eating disorders.

 

2. GET SOME ZZSs

Sleep is critical for all but especially dealing with the stress of college.  Try to get on a regular sleep schedule and avoid all nighters. You need at least 4 hours of sleep to perform well on a test but 7-9 regular hours is best for your health as well as your grades. Lack of sleep also contributes to that freshman 15 as hunger chemicals are released in times of low sleep. Stay away from energy drinks and avoid caffeine in the evening as it can take 8 hours to wear off.

3. Stress Relief

Depression and other mental illness usually start between ages 15 though the 20s. The stress of school and being away from home can trigger depression in children especially with a family history. Talk to your kids about warning signs and make sure they know where to get help. Regular sleep, a healthy diet and exercise are critical to keep all children feeling their best. Encourage joining a club to build social support, as college life can be very overwhelming.

Talk about warning signs and have them see a professional if the have:

Extreme mood swings

Feelings of sadness or hopelessness

A loss of interest in things they once loved

Loss of appetite or binging

Significant changes in sleep patterns.

 

4. Sex and Safety

College is different because they have not grown up with these kids or know their families so a healthy amount of caution is necessary. Don’t allow boys you just met to “walk you home” because predators come in all shapes. Almost every campus has a college escort service so make sure your kids know about it.

Sexual expectations may also be different in college and make sure they do not put themselves in situations they may not be used to. Have them discuss at the beginning of a date, what if any sexual expectations either of them have. Talk to them about keeping themselves safe as they are in a high-risk group for sexually transmitted diseases and what they would do if something they had not planned for were to happen like emergency contraception.

Take this Sexual Assertiveness Quiz and read about date rape prevention.

Avoiding or limiting alcohol is critical for college health and safety. 1/3 of college students abuse alcohol, which contributes to the 3 most common causes of death in teenagers, accidental injury, homicides and suicides. Alcohol also plays a role in most sexual transgressions and sexual assaults.

 

5. Set them Free

Don’t be a helicopter parent and try to micromanage every grade or class. College is the time for kids to learn to be an adult and if you don’t want them back at home after graduation then have fight their own battles. Set limits on texts or phone calls to what is reasonable for you both.

Kick Ball games may be replaced by beer pong but arming your kids with the information and confidence is the best way to keep them healthy and safe at college.

Happy New School Year!

Dr. Deb

 

 

“Livable” New Year Resolution Tips

Wednesday, January 5th, 2011

I am not sure how I feel about New Year Resolutions. Too many times in my life I was starting that Monday diet that I followed “perfectly”…. until I didn’t. Then it was as if the floodgates opened and I made up for all the time that I felt deprived.

Perhaps that is why 80% of people that made resolutions for 2011 will break them, and most don’t make it through the end of January.  With almost 2 out of 3 people in my city overweight and 26% smoking, people do need to make some healthy changes, especially after the holidays.  Here are my “livable” New Year’s Resolution Tips that will help you to make long lasting lifestyle change.

Dr. Deb’s “Livable” Resolution Tips

1. Break It Down

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Attack Kid Fat

Wednesday, March 24th, 2010

Well I got a girl named Boney Maroni
& She’s as Skinny as a Stick of Macaroni!

Hard to believe but that was the song that my Dad sang to me when I was a child. That quickly changed with puberty and estrogen transformed my body from straight to curvy then quite round. Common wisdom at the time was starvation diets from the Scarsdale to fasting liquid protein. Those helped me to lose weight quickly, only to pack it back on plus more until I ballooned to over 200 lbs.

We’ve learned a lot about healthy ways to lose weight but our society has abandoned many healthy habits that kept us thin to begin with. More than 30% of children in the United States are now overweight or obese.

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