Extra Weight Heavy Burden on Kids' Feet

I wasn’t exactly the thinnest kid when I was little—growing up in an Italian family comes with that liability. “Gerry eat’a more! You’a so skinny.” And according to Reuters, extra pounds in childhood can take a heavy toll feet. Anne Harding reports:
As few as 15 to 20 extra pounds can contribute to flattening of the arches and inflammation of the growth plate in the heel, according to Haycock, who says he used to only see this type of foot pain in very active children, but is seeing it increasingly in overweight kids.


It's difficult to determine whether children are obese because they have foot problems in the first place, which make it painful for them to be active, or whether the obesity is causing the changes in foot structure, Dr. Darryl Haycock, a foot and ankle surgeon in private practice in Lima, Ohio added.

Your Child is Obese

More proof that the global obesity epidemic is on everybody’s mind. Reuters reports that primary schools in the United Kingdom should starting informing parents if their children are overweight. What’s worse? Being chubby or getting a D in chemistry. While you mull that over, check out the report:
Information on four and 11-year-olds has already been gathered as part of the department's weighing and measuring program begun last summer…


… The committee called for a multi-pronged approach to tackling obesity, which would include the government departments of Health, Education and Skills, and Culture, Media and Sport.

Families would be persuaded to change their behavior and encouraged to adopt healthy eating and to take up sports and activities.

Nutritional Wisdom: Feeding Kids Right

Dr. Fuhrman’s radio show Nutritional Wisdom airs live Wednesdays at 11am EST with an encore presentation Thursdays at 3pm EST on VoiceAmerica. Here’s a peek at this week’s episode:

Learning more about optimal childhood nutrition is a must if you want your child to maximize their intelligence, have better success in school, and dramatically reduce the risk of allergies and autoimmune disease. Dr. Fuhrman will share tips and recipes from his book, Disease-Proof Your Child. Also, meet with parents that have turned their family’s bad eating habits around thanks to a dose of Nutritional Wisdom.

Check out the Nutritional Wisdom category for previous episodes.

Pediatric Grand Rounds - January 13, 2007

Report: Cold Medicine and Babies Don't Mix

An infant with the sniffles might keep you up at night, but according to a new study giving them a shot of cold medicine can be a dangerous quick-fix. In fact, government research shows it could be deadly. Amanda Gardner of HealthDay News reports:
"Cold and cough medications, especially medications containing pseudoephedrine [a nasal decongestant], have never been shown to have any beneficial effect on children less than 2 years of age, yet they clearly can have significant harmful effects," said Dr. Michael Marcus, director of pediatric pulmonology, allergy and immunology at the Maimonides Infants & Children's Hospital in New York City.


"There are no studies to support the use of cold medicine in infants," said Dr. Gwen Wurm, director of community pediatrics at the University of Miami Miller School of Medicine. "The thing to keep in mind is that colds go away. Kids might benefit from a humidifier by the bed and saline nose drops, but this kind of loving care is all most kids need."
Remind me to thank my father for not giving me cold medicine when I was a baby—although I’m not sure putting a close pin on my nose was great parenting either.

Health Points: Tuesday

According to the report of the study published in the Journal of Pediatrics, overweight rates increased through adolescence from 7 to 10 percent in the Caucasian girls and from 17 to 24 percent in African American girls. Girls were 1.6 times more likely to become overweight between 9 and 12 years of age than in later adolescence.
She said she’d skip the wine but would take the cheese. Then she grabbed a handful of cheese cubes off the food platter and stuffed them into her mouth. After she swallowed, she looked at me, smiled, and said she wanted to die if she couldn't eat what she wanted. I called the doctor and my patient was treated for a sharp rise in her blood pressure.
The problem was the letter Karlind discovered, tucked inside her report card, saying that she had a body mass index in the 80th percentile. The first grader did not know what “index” or “percentile” meant, or that children scoring in the 5th through 85th percentiles are considered normal, while those scoring higher are at risk of being or already overweight.
My best advice is to keep the food that you want on hand and keep the types you don't out of the house. Start your children with healthy eating habits as soon as possible. Read labels and make informed choices.
The effects of the green-tea drinks go beyond those of caffeine-laden zero-calorie sodas, the manufacturers of Celsius and Enviga say. An antioxidant found in green tea — epigallocatechin gallate, or EGCG — significantly increases metabolism, they say, which boosts the body's ability to burn fat.
Soft drink consumption:
  • All Americans: 6.4% of total caloric intake.
  • Teenage boys: 10%
  • Teenage girls: 9%
  • Will an online fitness tracker help people get people exercising? The American Heart Association sure hopes so. More from Jamie Stengle of the Associated Press:
The group hopes its new free Start! program will inspire Americans to follow through on those resolutions to get in shape. With its online fitness and nutrition tracker, participants can enter what they eat each day and how much exercise they get, then get a summary of calories in and calories out.
  • Ever heard of the Swine Flu? Sounds like something you order at a bar. Aetiology enlightens us:
The main swine viruses circulating are of serotypes H1N1, H3N2, and H1N2. (The news report doesn't identify the serotype this person was infected with). Some of these viruses are combinations of human, swine, and avian influenza viruses, and swine have previously been implicated in the generation of pandemic influenza viruses due to their ability to serve as a "mixing vessel" for avian and human-type influenza viruses. And since they're so closely related to humans (well, much more closely related than, say, birds, anyway), there is concern that a swine virus (or an avian virus that becomes adapted to mammals by infecting a pig) could enter the human population and wreak havoc. So, in a nutshell, that's one reason why we're so interested in swine influenza, even though "bird flu" has recently been so dominant in the news. And though this news report shows a fairly simple scenario so far, it raises a lot of unanswered questions.

Feed Your Family Right

Want your kids to eat healthier? Is hubby downing too many nachos and not enough veggies? Wife hooked on bonbons and chocolate? Need a solution? Well according to Dr. Fuhrman, healthy eating should be for the whole family. That way everyone eats better. From Disease-Proof Your Child:
Parents are entrusted with the responsibility of securing the selection of healthy foods for the family and preparing the food in a way that makes it desirable. Children are responsible for deciding how much they eat. If they are in an environmental of healthful foods they will have no problem regulating variety and timing. They can choose what they eat, when they eat, and if they will eat. Don’t use food as a reward or punishment. Don’t offer a treat because the child was good or ate well. Offer healthy treats as part of the normal well-balanced diet.


No rules only for children. If the parents are not willing to follow the rules set for the house, they should not be imposed on the children. Don’t argue about what your children should and shouldn’t be eating; discuss this in private. As parents, we must be consistent, but not perfect. Likewise, it is okay for the children to be consistent, but not perfect either. For example, if the parents decide that an unhealthy food or a restaurant meal is acceptable for the children once per week, then that goes for the adults, too. Setting an example supported by both parents is the most important and most effective way for your children to develop a healthy attitude toward food.
Lead by example sure seems like a good idea. Especially when you consider what might happen if you slack off on family nutrition. For starters, according to HealthDay News filling baby’s sippy cup with sugary drinks is a one way street to cavity town:
"Sippy cups were created to help children transition from a bottle to drinking from a regular cup, but they're too often used for convenience because they reduce spills. When kids sip sugared beverages for extended periods, they are exposed to a higher risk of (tooth) decay," Dr. Philip H. Hunke, AAPD president, said in a prepared statement.


Between 1988-1994 and 1999-2002, there was a 15.2 percent increase in cavities among kids aged 2 to 5 in the United States, according to the U.S. Centers for Disease Control and Prevention.
If pricey cavities aren’t enough to get your family on the healthy eating bandwagon, what about this report claiming adults living with children consume more fat. More from the AFP:
The University of Iowa and University of Michigan health system study found that adults living with children ate an extra 4.9 grams of fat daily, including 1.7 grams of saturated fat. Adults living with children also were found to be more likely to eat high-fat foods and snacks.


"Adults with children in the home ate more of those snacks and other foods that we considered convenience foods," said Helena Laroche, a researcher at the University of Iowa.
I don’t know about you, but establishing a healthy family diet seems like the way to go.