Simple kid-friendly training in good nutrition
got 8- to 10-year-olds to eat healthier for three
years, although snacks, desserts and pizza still
make up an astonishing third of the youngsters'
diets, researchers reported.
It's the biggest study ever to track the impact
of childhood nutrition education, and it backs a
major new government campaign that aims to keep
preteens from getting fat by using some of the same
tactics through training programs and real-world
tips directed at their parents.
"It suggests that kids who learn to eat healthy
during their adolescence will continue to eat healthy,"
said Dr. Elizabeth Nabel, chief of the National
Heart, Lung and Blood Institute, which sponsored
the research and on Wednesday begins the "We Can!"
program to spread the results.
One key: Don't forbid the foods that children find
yummy, but teach balance that there are "go
foods" for every day, "slow foods" for a few times
a week, and "whoa foods" to eat only once in a while.
For example, eating a healthy breakfast is important
for staying fit. Unsweetened whole-grain cereal,
like oatmeal, is a go-food choice. Prefer waffles
or pancakes? Those are "slow foods," perhaps for
the weekend. Croissants, doughnuts or sweetened
breakfast cereals are whoa foods, maybe for a holiday
or vacation treat.
Getting grade-school children in the habit of drinking
lowfat milk instead of whole milk, eating an apple
a day, or choosing carrot sticks or raisins as an
after-school snack makes them more likely to continue
those habits when they're old enough to choose foods
on their own, said Northwestern University dietitian
Linda Van Horn, who led the new study.
But children must have access to tasty, healthy
choices, stressed Van Horn: If only hot dogs are
served at the baseball game, that's what they'll
eat. Noses turn up when the only choice at the school
lunch program is mushy beans.
Already, the nation has 9 million children ages
6 to 16 who are overweight, according to federal
health officials. Overweight children usually grow
into overweight adults, at increased risk of heart
disease, diabetes, asthma and other disorders
not to mention the turmoil of being teased and left
out of sports and other fun activities.
The new study tracked 595 children, half of whom
had received, with their parents, special education
on how to make healthier food choices. Three years
later, the kids who had attended the nutrition classes
were eating more "go" foods than their peers in
every food group except fruit, Van Horn reports
in the June issue of the journal Pediatrics. They
also ate fewer "whoa" foods with one exception:
pizza. And for desserts, they were more likely to
pick lower-fat options like frozen yogurt.
Still, neither group ate enough fruits or vegetables,
and the high amount of daily snacking and pizza
was stunning, said Van Horn.
Now the $2.6 million "We Can!" campaign aims
to extend those food lessons and tips on
fitting in more physical activity to all
8- to 13-year-olds.
It's a two-pronged program. First, more than 35
communities so far have signed up to offer youth
and parent education materials, or to offer hands-on
activities such as summer camps that teach nutrition
and afterschool programs that promise healthy snacks.
Second, a government Web site aimed at parents
http://wecan.nhlbi.nih.gov
provides education on ways to fight obesity,
including such tips as:
_Choose food portions no larger than your fist,
a growing guide for a growing child. Restaurants
almost always serve too much; plan to bring home
leftovers.
_Make it easier to get healthy snacks and harder
to get unhealthy ones. Don't keep chips in the house,
but keep a bowl of fruit within reach on the kitchen
counter. Choose a checkout line without the candy
display.
_Limit TV or video games to two hours or less a
day. Don't just sit and watch challenge your
children to a jumping-jack contest during commercials.
_Go on an after-dinner family walk or bike ride;
make outdoor play, or visits to gyms or recreation
centers, routine.
Many children live in communities where traffic,
distance or crime make outdoor play or getting to
a park or gym impossible. Also Wednesday, the
National Institutes of Health
is bringing together researchers to debate how much
a child's environment increases the risk for obesity,
and how to help.