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Promotting and serve more vegetables, fruits, whole-grain foods, fat-free or low-fat dairy, and a variety of protein foods. Be sure to offer a variety of healthy foods from different food groups at each meal. You can be a role model for your child by eating healthy yourself.
Plus, a healthy diet can help protect you from heart disease, type 2 diabetes, and some types of cancer. Get the facts about eating healthy. Need help paying for food? There are programs that can help you pay for healthy food for your family.
Enjoy the healthy meals you plan and cook together as a family. When families eat together, children eat more vegetables and fruits and fewer foods with added sugars. Let children help get ready for dinner time by setting the table.
Make sure you know how much sleep your child needs:. Consider keeping electronic devices — like TVs, computers, and smart phones — out of the bedroom. Get more tips on healthy sleep habits. This information on childhood obesity is adapted from materials from the National Heart, Lung and Blood Institute; the Office of the Surgeon General; and the Centers for Disease Control and Prevention.
Reviewed by: Division of Nutrition, Physical Activity, and Obesity National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention. Linking to a non-federal website does not constitute an endorsement by ODPHP or any of its employees of the sponsors or the information and products presented on the website.
Department of Health and Human Services Office of Disease Prevention and Health Promotion. MyHealthfinder Health Conditions Obesity Help Your Child Stay at a Healthy Weight. Health Conditions Help Your Child Stay at a Healthy Weight. The Basics Take Action. The Basics Overview Help your child — and your whole family — eat healthy and stay physically active.
What can I do to help my child stay at a healthy weight? Two of the best ways to help your child stay at a healthy weight are to: Help your child and family eat healthier foods Be more physically active as a family You are a role model.
Share these websites with your kids. These kid-friendly websites can help children learn about healthy habits. MyPlate for Kids Nutrition. Health Effects Why is it important for my child to stay at a healthy weight? Being overweight or having obesity can lead to serious problems, like: Asthma Type 2 diabetes Sleep problems Heart disease Bone and joint problems Being overweight or having obesity as a child is also linked to: Anxiety and depression Low self-esteem Getting bullied Learn more about health problems and childhood obesity.
Measuring BMI How do I know if my child is at a healthy weight? What if my child is overweight or has obesity? You can also check out these resources to learn how to cut down on: Added sugars [PDF - KB] Saturated fat [PDF - 1.
Take Action. Take Action See a Doctor Ask the doctor to screen your child for obesity. What about cost? To learn more, check out these resources: Free preventive care for children covered by the Affordable Care Act How the Affordable Care Act protects you Understanding your health insurance and how to use it [PDF - KB].
Physical Activity Make sure your child gets at least 60 minutes 1 hour of physical activity every day. Be sure your child is doing different types of activity, including: Aerobic activitieslike running, skipping, or dancing Muscle-strengthening activitieslike climbing playground equipment or trees Bone-strengthening activitieslike jumping rope or playing basketball Find out more about physical activity for kids.
Get active as a family. To help the whole family get more physical activity, you can: Let children choose family activities Try walking the dog or biking to the library together Dance while dinner's in the oven Post a family activity calendar on your refrigerator Find a park to explore near your home Get more ideas on how to increase your kids' daily activity.
Screen Time Keep screen time to 2 hours or less a day for kids age 2 and older. Healthy Meals Shop, cook, and plan for healthy meals together. You can also use this tool to see if you qualify for WIC. SNAP Supplemental Nutrition Assistance Program — a government program that can help families with lower incomes buy food.
You can also use this tool to see if you qualify for SNAP. Sit at the table and eat together as a family. Sleep Make sure your child gets enough sleep. The Basics. Reviewer Information This information on childhood obesity is adapted from materials from the National Heart, Lung and Blood Institute; the Office of the Surgeon General; and the Centers for Disease Control and Prevention.
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: Promoting healthy weight| Maintaining a Healthy Weight | Both LHDs gave ethics approval for the study. Ann Nutr Metab. Ask about the confidence level in a way that encourages the patient to talk about his or her strengths, not his or her barriers. BMC Public Health. A good approach is simply to ask and use the answers to help understand what is on the patient's mind. Linking to a non-federal website does not constitute an endorsement by ODPHP or any of its employees of the sponsors or the information and products presented on the website. Skip to content Obesity Prevention Source. |
| Article Sections | If there are too many topics to cover within the allotted time, tell the patient and negotiate what will be addressed today and what should wait. Screen time can include time spent using computers or smartphones, watching TV, or playing video games. Not really hungry? Healthy weight loss isn't just about a "diet" or "program". Figure 2. Department of Health Sciences, Liverpool Hope University, Hope Park, Taggert Avenue, Liverpool, UK. Provided by the Springer Nature SharedIt content-sharing initiative. |
| More Information | Healthy People focuses on helping people eat healthy and get enough physical activity to reach and maintain a healthy weight. Obesity is linked to many serious health problems, including type 2 diabetes, heart disease, stroke, and some types of cancer. Culturally appropriate programs and policies that help people eat nutritious foods within their calorie needs can reduce overweight and obesity. Public health interventions that make it easier for people to be more physically active can also help them maintain a healthy weight. Learn more about objective types. The following is a sample of objectives related to this topic. Some objectives may include population data. Hales, C. National Center for Health Statistics Data Brief. pdf [PDF - KB]. Lauby-Secretan B. Body Fatness and Cancer — Viewpoint of the IARC Working Group. New England Journal of Medicine, 8 , — DOI: Department of Health and Human Services. Managing Overweight and Obesity in Adults. Similar findings have been reported by others [ 68 — 70 ] but these may be moderated to an extent by sex [ 69 ]. The evidence supporting inverse relationships between LPA and body size related outcomes is however equivocal with other authors reporting no associations [ 71 , 72 ]. Nevertheless, the role of LPA in health risk reduction may be growing more prominent [ 73 ]. Recent commentary on this topic in adults highlights that reductions in mortality risk begin with increases in activity beyond baseline i. The contention is that LPA is beneficial to health when sedentary behaviours are replaced by LPA, and MPA and VPA are constant [ 74 ], and therefore total energy expenditure is increased [ 66 ]. As MPA and VPA were relatively unchanged the positive effects on LPA and sedentary time support the notion that LPA is of value in the context of total energy expenditure. Furthermore, LPA may be more important for the least active children, such as girls and the OW group. It is perhaps significant that sub-sample analyses demonstrated greatest effects in these groups in relation to BMI girls and waist circumference OW. No intervention effects were observed for MPA and VPA. It is likely that relying solely on a curricular intervention to illicit significant change in these relatively higher PA intensities was insufficient. to increase MPA and VPA [ 11 , 75 ]. For example, in Australia the FitFun intervention which included modifications to the recess environment and prescribed family engagement activities to complement the curriculum intervention component, reported improvements in BMI, BMI z-score, and PA [ 76 ]. In CHANGE! Although the Intervention children recorded less sedentary time than the Comparison group at follow up, at post-intervention they did over 28 minutes more. It is possible that the children did not act upon the intervention messages regarding sedentary behaviours, or that the messages were not sufficiently emphasised either in the lesson plans or in the lesson delivery. While plausible, this explanation is limited though by the absence of lesson observations or teacher evaluations. No intervention effects were observed for the selected day food intake outcomes. The relatively short duration of the CHANGE! intervention and the dichotomous response structure of the previous day food intake measure offer some explanation why this was the case. Moreover, high baseline values observed for these outcomes suggests a ceiling effect may have been evident whereby it was not possible to detect children with significantly better or worse food intakes than others. This phenomenon is not uncommon when assessing behavioural outcomes in school-based interventions [ 13 ]. Sub-group analyses highlighted how intervention effects for BMI were significantly greater in girls than in boys. These findings endorse the contention that gender is a significant moderator of school-based energy balance behaviour interventions, which appear to typically work better for girls than boys [ 54 ]. A significant intervention effect on waist circumference was evident for all Intervention children, but was stronger in OW children compared to NW children at post-intervention. This demonstrates that not only was the CHANGE! intervention effective for children across the weight status spectrum, but that it was particularly effective for those who were initially overweight or obese, and who therefore were at greatest potential risks of poor health. In developed countries prevalence of overweight and obesity is highest in children from low SES families [ 58 — 60 ], and there is evidence that low SES children are more likely to have poorer diets [ 77 — 79 ]. We observed that children in the high SES intervention group were much more likely to eat breakfast than those the low SES group. Breakfast is advocated as an important element of a healthy lifestyle for young people that is associated with reduced body weight and other positive health outcomes [ 44 , 80 ]. The limited evidence investigating the influence of SES on the effectiveness of school-based interventions to promote healthy weight is equivocal, possibly because studies have employed different measures of SES [ 81 ], which may be independently associated with body size outcomes [ 82 ]. By focusing on the promotion of healthy weight rather than weight loss per se, a favourable response was observed in the OW group. De-emphasising body weight but reinforcing and promoting healthy lifestyle behaviours related to energy balance may encourage more sustained changes in behaviour which can facilitate positive changes in body size [ 83 ]. This study demonstrated positive effects on body size outcomes and has several strengths. Randomisation occurred at the school level so as to reduce the risk of contamination to Comparison group children, and this cluster-randomised design was accounted for in the analyses. Through regular family-focused homework tasks the children and their parents were provided with opportunities to learn together, thus messages about PA and healthy eating were promoted beyond the school environment and into the wider family unit. Furthermore, integration of the intervention with the existing curriculum and delivery by class teachers was a sustainable approach, that was undertaken at minimal financial cost. The low cost and simplicity of the intervention would make it easy to adopt and implement in others schools elsewhere in the UK. The lack of an objective measure of food intake was a limitation of the study. The previous day food intake survey did not give a picture of dietary behaviours over a typical week. For these reasons we were unable to confidently explain the positive effects on body size. Although teachers in the Intervention schools received training in use of the curriculum resource and homework tasks, there was no on-going record of lesson delivery or evaluation. Teachers provided feedback at the end of the study, but any inconsistencies in lesson delivery that occurred during the 20 week intervention period could not be addressed at the time, which increased the risk of intervention infidelity. Although the intervention training and curriculum resources were applicable to all Year 6 primary school teachers it is acknowledged that schools and individual teachers may have approached teaching the lessons in different ways, and this could have influenced the study results. Furthermore, although Comparison schools did not teach a specific unit of PSHE focused on healthy eating and PA, concepts related to these areas may have been touched on informally during other lessons such as science, food technology, and physical education. We do not believe that this would have impacted in a meaningful way on the eating and PA behaviours of the Comparison group, but acknowledge that this was not controlled. These points therefore should be taken into account when considering the generalisability of the findings. The higher levels of PA observed among the Intervention children at baseline suggest that the study design was a limitation, whereby the schools were allocated to Intervention or Comparison conditions prior to baseline data collection. An alternative approach is to randomise schools to conditions following initial comparisons of baseline data, but this was not possible due to the need to schedule Intervention teacher training combined with the number of weeks required for the intervention in relation to the available weeks across the school year. Furthermore, human resource constraints prohibited blinding of the research team to allocation of schools to the Intervention and Comparison conditions, and subsequent data analysis. Unlike some school-based interventions this study included a follow-up phase after the intervention lessons had ended. The duration of this though was limited to 10 weeks and therefore it could only be recognised as a short term period when intervention effects are likely to be stronger. To impact health, behaviour change needs to be sustained in the medium term i. This pragmatic evaluation assessed the effectiveness of the CHANGE! school-based curriculum intervention resulted in significant effects on waist circumference, BMI z-scores, and LPA. The study findings add further support for the effectiveness of combined school-based physical activity and nutrition interventions. Further work is required to test intervention fidelity and the sustained effectiveness of this approach in the medium and long term. Freedman DS, Mei Z, Srinivasan SR, Berenson GS, Dietz WH: Cardiovascular risk factors and excess adiposity among overweight children and adolescents: the bogalusa heart study. J Pediatr. Article PubMed Google Scholar. Boddy LM, Hackett AF, Stratton G: Changes in fitness, body mass index and obesity in 9—10 year olds. J Hum Nutr Diet. Article CAS PubMed Google Scholar. Rokholm B, Baker JL, Sorensen TI: The levelling off of the obesity epidemic since the year - a review of evidence and perspectives. Obes Rev. Ped Exerc Sci. Google Scholar. 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Eloranta AM, Lindi V, Schwab U, Kiiskinen S, Kalinkin M, Lakka HM, Lakka TA: Dietary factors and their associations with socioeconomic background in finnish girls and boys 6—8 years of age: the PANIC study. Eur J Clin Nutr. Albertson AM, Thompson D, Franko DL, Kleinman RE, Barton BA, Crockett SJ: Consumption of breakfast cereal is associated with positive health outcomes: evidence from the national heart, lung, and blood institute growth and health study. Nutr Res. Gorely T, Nevill ME, Morris JS, Stensel DJ, Nevill AM: Effect of a school based intervention to promote healthy lifestyles in 7—11 year old children. Janssen I, Boyce WF, Simpson K, Pickett W: Influence of individual- and area-level measures of socioeconomic status on obesity, unhealthy eating, and physical inactivity in canadian adolescents. Bacon L, Aphramor L: Weight science: evaluating the evidence for a paradigm shift. Nutr J. Download references. The authors acknowledge the participation and help of the teachers and children involved in the study, and Helen Roberts and Alex Jones at Wigan Council. This work was carried out at Liverpool John Moores University at the Research Institute for Sport and Exercise Sciences and the Faculty of Education, Community, and Leisure. GS and KAM are now based at the University of Swansea, and RG is now based at Liverpool Hope University. Physical Activity Exchange, Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, 62, Great Crosshall Street, Liverpool, UK. Faculty of Education, Community, and Leisure, Liverpool John Moores University, IM Marsh Campus, Barkhill Road, Liverpool, UK. Department of Health Sciences, Liverpool Hope University, Hope Park, Taggert Avenue, Liverpool, UK. Research Centre for Sports and Exercise Sciences, College of Engineering, University of Swansea, Swansea, UK. School of Sports Science, Exercise and Health, University of Western Australia, Perth, Australia. You can also search for this author in PubMed Google Scholar. Correspondence to Stuart J Fairclough. SJF and LMB conceived and designed the study, assisted with data collection, undertook the analysis, and wrote the manuscript. IGD and AFH designed the study and commented on drafts of the manuscript. KAM, RG, and GW undertook data collection and commented on drafts of the manuscript. GS commented on drafts of the manuscript. EvS advised on the analyses and commented on drafts of the manuscript. All authors read and approved the final manuscript. This article is published under license to BioMed Central Ltd. Reprints and permissions. Fairclough, S. et al. Promoting healthy weight in primary school children through physical activity and nutrition education: a pragmatic evaluation of the CHANGE! randomised intervention study. BMC Public Health 13 , Download citation. Received : 20 March Accepted : 28 June Published : 02 July |
| Support The Nutrition Source | How to balance the Body image diversity you consume with the calories your body uses; also includes ewight video. They can also help if Promoting healthy weight have questions Prmoting making a healthy living change. Aeight, the Promoting healthy weight reported Promoting healthy weight Pomoting growth monitoring for children aged over weigbt years, Deight discussing options for active play and limited screen time for young children, may be explained by nurses who spend the majority of their time working with infants aged under 2 years. Article PubMed PubMed Central Google Scholar Mackintosh K, Knowles Z, Ridgers ND, Fairclough SJ: Using formative research to develop CHANGE! J Paediatr Child Health. Although nurses frequently weighed and measured children, they did not always use growth charts to identify those at risk of becoming overweight or obese. Body size and fat distribution as predictors of coronary heart disease among middle-aged and older US men. |
| Overweight and Obesity | A more comprehensive treatment Promkting will Promoting healthy weight discussed Promoting healthy weight the diagnosis is confirmed. Arch Pediatr Adolesc Med. Article CAS Healhhy Google Scholar Wsight N, Weihgt PJ, Lubans DR: Improving the Promoting healthy weight and Lentils for improved digestion activity eeight of primary school children: results of the FitFun group randomized controlled trial. PubMed PubMed Central Google Scholar Gallegos D, Vicca N, Streiner S. Open-ended questions : Encourage the patient to think out loud. Factors contributing to early breast-feeding cessation among Chinese mothers: an exploratory study. Stratton G, Canoy D, Boddy LM, Taylor SR, Hackett AF, Buchan IE: Cardiorespiratory fitness and body mass index of year-old english children: a serial cross-sectional study from to |
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