About Maggie

I am a nurse and a mother of two. I am also the founder of Nourish Interactive. I am very concerned about the health and well being of our children. I started the Nourishing Thoughts Blog so that I could help parents keep up on the latest trends in children's nutrition and exercise.

I know that much like reading and writing is the foundation for learning, nutrition is the foundation for healthy children. But with so many new studies, products and trends constantly being reported it is hard to keep up. I just want to make it a little easier for parents by doing some of the legwork and providing you with up to date information.


Archive for the ‘Childhood obesity’ Category

New studies link overweight children to older hearts

Wednesday, December 3rd, 2008

At the American Heart Association some new studies were reported on but not released yet.

  • One study has found that kids who are obese are showing signs of heart disease.  We know that young children who are overweight or obese may have high cholesterol levels.  But in this study, it found that kids as young as 10 had the arteries of a 45 year old.  How scary is that!?  This study was done on 70 children so more data is needed
  • Another study found a correlation that overweight kids and an enlarged left atrium (the heart’s main pumping chamber).  Enlarged left atrium is a risk factor for stroke and other heart conditions.
  • A third study reported at the AHA conference showed that overweight children may have an impariment in the heart’s ability to relax between beats.  This is comparable to arterial stiffness of a 30-40 year old.

I share with you these studies because the data is piling up on how really, really serious the lifelong effects of being overweight or obese as a child can be.  We are talking about serious quality of life changes for our children.But we can do something about it.  We can make a difference by starting to change the child’s habits now, and it starts with the whole family making a family commitment towards health.  Don’t single out the child to make changes, the whole family needs to work together, afterall, where did they learn their habits from?

  • Don’t change everything all at once.
  • Just take one goal at a time.
  • Use our free agreements to sit down and discuss the family goals and all sign and commit to working on that one healthy habit change
  • Use our free tracking sheets to track it.  Our sheets are colorful and fun and appealing to children.
  • Reward and celebrate small successes
  • And yes, you know what I am going to say,  Be patient and keep it fun!
  • Remember, every small change adds up to making a healthier child

Share/Save/Bookmark

Children’s health -Where does your state rank in childhood obesity?

Wednesday, December 3rd, 2008

We have heard and will continue to hear concerning news about childhood obesity.  Do you know where your state ranks?I share this with you because kids need our help.  They need our guidance and modeling for healthier living.  Most of these overweight children will carry that added weight into adulthood.I left these in alphabetical order so you could find your state easily.  Here are the childhood obesity rates by state for kids 10 to 17 years old. If we look at Alabama, 16.7% of all children are overweight or obese.  (Remember that when we were children the rate was 5% or less) This is based on 2004 data:

  • Alabama  16.70%         Alaska  11.10%  
  • Arizona  12.20% Arkansas  16.40%  

  •  California  13.20%   Colorado  9.90%
  • Connecticut  12.30%   Delaware  14.80%
  •  District of Columbia   22.80%    Florida  14.40% 
    Georgia  16.40%  Hawaii   13.30%

  •   Idaho  10.10% Illinois   15.80%  
  • Indiana   15.60%     Iowa   12.50%

  • Kansas   14.00%   Kentucky  20.60%  
  • Louisiana  17.20% Maine   12.70%

  •  Maryland  13.30%   Massachusetts  13.60%
  • Michigan  14.50%   Minnesota  10.10%  

  • Mississippi  17.80% Missouri   15.60%
  •   Montana  11.10%   Nebraska  11.90%

  • Nevada     12.40%   New Hampshire   12.90%
  •  New Jersey  13.70% New Mexico  16.80%  

  • New York  15.30%   North Carolina   19.30%
  • North Dakota   12.10%   Ohio   14.20%

  • Oklahoma   15.40% Oregon   14.10%
  •  Pennsylvania    13.30%  Rhode Island   11.90%

  • South Carolina   18.90%   South Dakota    12.10%
  •   Tennessee   20.00% Texas   19.10%

  •   Utah    8.50%    Vermont   11.30%
  • Virginia   13.80%   Washington 10.80%

  •  West Virginia   20.90% Wisconsin   13.50%
  •  Wyoming   8.70%
    Resources:
     BMI Calculator Tool- Check your child’s Body Mass Index (BMI)
    Family Nutrition Tools and Tips - Free Interactive nutrition Tools
    Online nutrition games for kids- Nourish Interactive’s nutrition games.

    Share/Save/Bookmark

    National Diabetes Day focuses on children

    Friday, November 14th, 2008

    Today is National Diabetes Day.  We are reminded that thousands of children across the globe are inflicted with this chronic disease.

    The World Diabetes Day campaign in 2007 and 2008 aims to:

    1. Increase the number of children supported by the International Diabetes Federation’s Life for a Child Program
    2. Raise awareness of the warning signs of diabetes
    3. Encourage initiatives to reduce diabetic ketoacidosis (DKA) and distribute materials to support these initiatives
    4. Promote healthy lifestyles to help prevent type 2 diabetes in children

    Although we do not know the exact cause of diabetes, it appears that genetics, inactivity and obesity play a role.  That is why it is so important and so necessary that we teach our children at a young age the value of healthy living.  It’s very concerning because we are seeing a growing number of children and teens have the more common form of diabetes, type 2, which used to be called adult-onset diabetes because it did not occur in children.

    I can tell you that as an ICU nurse I cared for countless patients who suffered from diabetes.  The longer they had diabetes, the greater the chance they would have a serious complication.

    Prevalence of Diagnosed and Undiagnosed Diabetes in the United States, All Ages, 2007

    • Total: 23.6 million people—7.8 percent of the population—have diabetes.
    • Diagnosed: 17.9 million people
    • Undiagnosed: 5.7 million people

    If you would like to read more about World Diabetes Organization, click here

    Another good resource is American Diabetic Association.

    Share/Save/Bookmark

    Healthy Family Tips- Green Get Your Kids Active!

    Wednesday, November 12th, 2008

     A new study to be featured in the December 2008 American Journal of Preventative Medicine found that the higher the greenness (meaning grass, trees and vegetation) the lower the body mass index (BMI) was in children.  Children may be more active with this larger open spaces versus being confined to streets or sidewalks.The positive health effects of the green landscapes include

    • improved cogntive functioning
    • reduced attention deficit

    We can’t change where we live but I think the message is;  kids need space to run around and be active.Maybe the very act of being in nature stimulates kids to play.  Not sure, but get those kids to the park and play frisbee, tag, blindman’s bluff, whatever your favorite family games are!  Have some fun!

    Share/Save/Bookmark

    Some Scarrrry Facts About Halloween, Kids Halloween Candy, Nutrition and Sugar Facts

    Wednesday, October 29th, 2008

    According to the US Census Bureau, the Average American eats 25 pounds of candy every year with a large portion of that eaten during Halloween time.

    If your child eats 12 treats that is about equal to 30 packets of sugar. Now, who would give their child 30 packets of sugar. It adds up quickly, all that sugar hidden in a small piece of candy.

    Approximately 2 teaspoons of sugar in each:

    • Goobers
    • Twix
    • Almond Joy
    • Approximately 2.5 teaspoons of sugar in each:
    • Snickers
    • Reese’s peanut butter cup
    • Raisenettes
    • Kit Kat
    • Nestles Butterfinger
    • Tropical Dots

    Approximately 2.75 teaspoons of sugar in each:

    • 3 Musketeers
    • 100 Grand

    Approximately 3 teaspoons of sugar in each:

    • Milky Way
    • O’Henry
    • Junior Mints

    Don’t be tricked by that treat! A good rule is to limit the treats to no more than five treats.

    Share/Save/Bookmark

    Family nutrition tips- avoid the top 10 mistakes parents make

    Wednesday, October 8th, 2008

    I know, it’s hard to be a parent. I made many of the mistakes listed below and I am a nurse. But hey, no handbook so we do the best we can. I share this with you not to emphasize what we as parents do “wrong”. But rather, to debunk many of the myths we have in our mind about nutrition. Dr. Joanna Dolgoff , does a good job of providing guidance and answering the WHY IS THIS NOT A GOOD OPTION during an abc interview. I like that. I learned a few things.

    Okay, here goes….(drumroll please)

    TOP TEN PARENT MISTAKES:

    1) Parents panic if children do not eat three meals a day. Many parents of toddlers consider their children “picky eaters” because they seem to eat very little, especially at mealtimes. But most toddlers do not eat three meals a day- usually they eat one “good” meal and then pick the rest of the day.

    2) Parents overestimate how much their children should be eating at each meal. According to the American Academy of Pediatrics, a good guideline is that a toddler portion size should equal about a quarter of an adult portion size.

    3) Parents give up too easily when a child resists a healthy food. Infants and children are often resistant to new foods and will grimace when first introduced to something new. Keep offering the same foods repeatedly and the child is likely to accept them. Studies indicate that it often takes 5-10 experiences with a food before some children will accept them. Children are programmed to like sugary, high fat foods but often must be TAUGHT to like healthy foods. So don’t give up too early.

    4) Parents model unhealthy eating habits. It is important to be consistent and “practice what you preach”. You cannot constantly eat chips and then expect your child not to. This goes for Dad and for any siblings, regardless of their weight. The entire family needs to practice healthy eating habits. Everybody’s health will benefit from a healthy diet and nobody should be eating chips and cupcakes on a regular basis.

    5) Parents often rely on “fast” foods and typical toddler meals just to get their child to eat. Parents often fall into the trap of always serving chicken nuggets, pizza, and French fries because they know their child will eat them. Do not take the easy way out. Insist that your children learn to eat healthier fare.

    6) Parents keep junk food in the house. If a food is in the house, children will eat it. Clear your house of junk food and offer only healthy options. Then, let your child choose whatever they want to eat (from the available choices). There is no need to have chips and candy in the house; these foods should be special treats.

    7) Parents allow children to decide what they want to eat. A child can decide when to eat but the parent decides what the child eats. Parents must not allow children to make the rules. A child will not become ill if he/she misses a meal or two. If your child refuses to eat the healthy food that you serve, you should wrap it up and wait. Sooner or later he/she will be hungry and will eat it. Make it clear that your child does not make the rules- you do! Just make sure to pick a healthy food that your child usually enjoys.

    8) Parents allow children to eat in front of the TV. Children eat many more calories when they are distracted by the television. Ideally, meals should be a time for the family to relax and enjoy. Turn the TV off, clear away all the toys and books, and sit at a table (not in front of the TV). Encourage family conversation.

    9) Parents are not fully aware of what their children are eating each day. There was a time when families sat down to eat a home-cooked meal every night. Nowadays, both parents often work and everybody is rushing from activity to activity. Sometimes, children are left to prepare their own meals. Very few children will make healthy choices when left to their own devices. It is crucial that somebody is monitoring what the children are eating.

    10) Parents encourage their children to drink juice. As a pediatrician, I am constantly asked at what age a child should be introduced to juice. I tell parents that a child should be introduced to juice in the same way he/she is introduced to chocolate- as late as possible, in small doses, and as a treat- not a diet staple. It is a very common misconception that juice is healthy. It is not. Juice is loaded with calories and sugar. It usually has some vitamin C- but children do not lack vitamin C- they get sufficient amounts from other foods. Juice is certainly not as healthy as a piece of fruit. It is much higher in sugar and not a good source of fiber. Drinking too much juice may induce a child to develop a preference for sweet drinks. The American Academy of Pediatrics recommends less than 6 oz of juice a day for children under 6 and 12 oz of juice a day for children age 7-18.

    Share/Save/Bookmark

    Can reading help tweens lose weight?

    Monday, October 6th, 2008

    A study was done in Duke University.

    The study had overweight girls,  ages 9 to 13  to read a novel called Lake Rescue.  This book was written to promote healthy lifestyle, deal with overweight issues and provide positive messages.  Six months later,  the 31 girls who read the novel had a significant decrease in their BMI scores (-.71%) when compared to a control group of 14 girls who hadn’t (+.05%),.

    To find out what your child’s BMI score is, click here.

    Now granted it was a small sample size but never the less, I think the over riding messages are clear.

    We have to find creative ways to promote healthy living.

    We have to look for different ways for children to learn about the importance of healthy living in a way that is meaningful to them.

    • reading about kids who are making healthy lifestyle changes
    • playing nutrition oriented video games
    • watching cartoons that provide positive healthy messages
    • nutrition oriented or healthy lifestyle toys
    • involving children in the meal planning and cooking

    These are just some creative, fun ways that parents can use other venues to promote healthier lifestyle choices.

    What we don’t want to do is single out an overweight child, nag about their food choices or scold them.  Instead we need to focus on positive messages and using games, books and other activities as a  way to support the message,  “healthy living is necessary and it’s fun”

    If you have a great idea or technique that has worked with your child, please share it.  It is by all of us working together that we will begin to make a difference!

    Share/Save/Bookmark

    Celebrate “Walk to School” Day

    Friday, October 3rd, 2008

    October 8th is the national Walk to School Day.  The goal is to promote family fitness by encouraging safe walking and/or riding a bicycle to school year round.

    Here is a CDC fact:  Only 15% of students walk to school.  40 years ago 42% walked to school.

    We have to improve our family health through more exercise and healthy eating.   This is a good way to start incorporating more activity in your child’s habits.  Another good benefit is some gas savings and of course it is environment friendly!

    You can register your school’s event or sign up to a resource person for your state.  Register for 2008, http://www.walktoschool-usa.org/

    Share/Save/Bookmark

    Desperate Housewives tackle childhood obesity

    Monday, September 29th, 2008

    Kudos to Desperate Housewives for introducing a storyline about the struggles of having an overweight child.

    It really showed in one episode something that parents across America, and globally are facing, childhood obesity.

    Surprising, they hit a lot of key challenges face:

    • A parent’s denial that their child is overweight is not uncommon.
    • How to handle the situation sensitively so that the child does not develop body image issues.
    • Conflicts between parents on how to address the issue
    • The resistance to discuss health with their child
    • attempts to trick the child into exercising and the child’s rebellion
    • shopping for the overweight child
    • parent’s feelings of concern and doubt
    • hearing other parents’ comments about their child
    • a parents need to protect their child

    Lots of real life struggles.  But one thing that I really loved, was how the father, Carlos, tried to get his child to eat vegetables by drowning it with fattening cheese sauce.  Essentially, taking away all the health benefits.  We laugh, but….

    Changing a child’s diet first starts with family changes.  The focus should not be on the child, but on the family.  We need to emphasize the importance of healthy living not weight and clothing size.  And honest discussion as a family to agree and set goals for healthy STEP changes.  Not dramatic life changes that will make it hard to succeed.  But step changes, one step at a time.

    We have healthy nutrition goal worksheets (we call them family agreements) and tracking sheets to help you work on one healthy change at a time.

    Keep it simple, be patient and stay positive.  If this becomes a negative experience for your child then they will begin to associate “healthy” with “NO fun”.  And let’s not forget, the kids are hearing all about how much fun it is to eat the high sugary, fatty foods.  We have to fight fire with fire or maybe I should say FUN with FUN.

    We have to make nutrition and exercise fun to learn about.  That starts with a positive attitude and family creativity.

    Share/Save/Bookmark

    Is the ban on soda in schools helping kids?

    Wednesday, September 24th, 2008

    Okay, the ban on soda in elementary schools is growing. There are now several states that don’t allow it in their vending machines nor as a classroom treat. California is one of those states. This week there has been buzz, speculation if this will really make a difference given a study that has just come out.

    The study indicated that limiting availability of soft drinks at school is associated with a 4% decrease in the rate of any consumption overall.

    I am seeing headlines: Very little impact seen…

    I ask you, isn’t any decrease in kids’ overall consumption a good sign. We can’t expect the school to be the one and only driving factor. It is going to take a “village”. (Always wanted to use that line). It is going to take changes in school and at home. It is going to take positive messaging about the importance of nutrition through nutrition education. And, it is going to take time.

    Let’s face it. We did not get here in a few years. This has been decades in the making and it is going to take time to change our habits as a society. But every change that a child makes is a step towards a healthier child.

    So I say, the heck with all the negative press. We are starting to see a change in some children and that is a good start!

    What do you think?

    Share/Save/Bookmark