Transcript Guides for Family Based Change

Diet and Lifestyle Changes
Begin at Home
Family based change
Cara Karner MS, RD, LD, CDE
Catherine Robinson MS, RD, LD, CDE
Table of Contents
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Statistics on Weight Increases in Children
Key Components for Weight Loss
Family based changes
Behavior Modification
Healthy Eating
Increased Activity
Summary
Prevalence of Obesity in U.S.
Children 2-19 Years of age
Family Based Change
Stages of Change
• Pre-contemplation
• Contemplation
• Preparation
• Action
• Maintenance
Lack of Role ModelsParents & 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 (17521824)
McCrindle BW. Can Fam Physician. 2006 Mar;52:284-5, 292-3.
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
Obesogenic Families
• 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
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
Parenting Influences
• Parental restriction of
highly palatable food
• Parental control of
child intake
• Using food as a
reward
• Parental pressure/
encouragement to eat
• Parental concern/
criticism of child’s
weight
University of California, Berkeley
Center for Weight and Health
To bring up a child in the way he
should go, travel that way yourself
once in a while. ~Josh Billings
Behavior Modification
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
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
Healthy Eating
A Brief Summary
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
University of California, Berkeley
• Eat breakfast
Center for Weight and Health
Increased Activity
Have Fun!
What Ever Happened To?
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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
Summary
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Recording Behaviors
Activity
Healthy Eating
Behavior Modification
Family Based Change
The above are proven ways to help fight
against obesity
For More Information
• Contact our Member education
department for a one on one appointment
with a Dietitian (386) 676-7133
• Other Resources
– http://www.mayoclinic.com/print/childhoodobesity/FL00058/METHOD=print
“Just because
you can’t do
everything, it’s
no excuse to do
nothing.”
~Jacqueline Domac, Health teacher,
Los Angeles