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nutrition

When a child suffers from nutrition related health problems, it can cause a good deal of emotional and financial strain on her family. Obesity-related medical conditions like diabetes, sleep apnea, high blood pressure and cholesterol often lead to pricey medications and doctor visits, and are sometimes tied to emotional issues that can be costly to treat.

On the flip side, eating disorders can have a devastating affect on a person’s health and usually take years of regular therapy to treat successfully.

Treating these conditions in a single child is expensive; when you add together the cumulative costs of treating them on national level, the numbers are astronomical. But researchers from Children’s Hospital Boston and the Centers for Disease Control and Prevention (CDC), have found that a fairly inexpensive health promotion initiative could reduce both obesity and bulimia nervosa in adolescents, potentially saving millions in would-be healthcare costs.

Their study, recently published in the Archives of Pediatrics & Adolescent Medicine, shows that by adopting an educational initiative called Planet Health, five Boston area schools successfully reduced the prevalence of obesity and behaviors linked to bulimia. If these Boston schools are any indication, a nationwide adoption of the program could lead to less obesity and eating disorders on a national level, thereby saving millions in healthcare dollars usually allotted to treating these conditions. Full story »

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Children’s in the news

by Tripp Underwood on August 25, 2011

Have you heard about the new kids’ book, “Maggie Goes on a Diet”? It’s basically a retelling of the age-old ugly ducking fable, but with a modern twist. In this reenactment, the duckling is a 14-year-old girl who goes on a diet, and with a little hard work goes from being an overweight, self-conscious kid to a star soccer player and the most popular girl in school.

The book may stress the importance of healthful eating and exercise, but many people are finding fault with the author’s emphasis on the thin = happy storyline, instead of focusing on the importance of health.

Among the critics is our own Dr. Claire, who was on New England Cable News this morning to talk about Maggie, childhood obesity and how to send kids the right message about health and weight.

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Children’s helps bring healthy food to the community

by Tripp Underwood on August 18, 2011

Unless you’ve been living under a rock for the past few years, you’ve probably heard plenty of healthcare experts stressing the importance of eating healthy food like fresh fruits and vegetables. The message may sound a little repetitive at times, but it’s important advice; whole, unprocessed foods  are not only good for our bodies, but for our waistlines too. And as obesity continues to dramatically affect the health of millions of Americans, it’s clear that more of us need pay closer attention to what the experts are saying.

But for many Americans, the shift towards eating healthy food isn’t so easy. Adding more greens to the grocery list is good advice, but it’s easier said than done for a lot of people. The high cost and limited availability of fresh fruits and vegetables in some areas makes them practically unobtainable to a substantial portion of the population. Full story »

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Is a vegetarian diet enough to sustain growing teenagers?

“Please pass the vegetables!” may be a scarcely-heard phrase from kids sitting around the dinner table, but the sentiment is becoming more common as adolescents and teens explore vegetarianism.

While very recent and consistent data on the number of vegetarians in the United States is hard to come by, it’s generally estimated by the Centers for Disease Control and Prevention that one in 200 American children under 18 is a vegetarian (that number reflects mostly teenagers, who have more control over their diets). This increase begs the questions: What does this mean for young vegetarians’ overall health? And how does it impact family life?

Understandably, parents may fear that it’s harder for vegetarian kids to eat a balanced diet and fit in socially. Some vegetarians replace meat with unhealthful sweets and carbohydrates, rather than vegetables and plant-based proteins, and there are news stories about high school vegetarians being teased for their different eating habits. Full story »

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Food for thought: The war against childhood obesity

by Tripp Underwood on August 10, 2011

Daivd Ludwig, MD, PhD

For David Ludwig, MD, PhD, one of health’s most fundamental truths can be traced back to a 2,000-year-old quote from Hippocrates, the father of modern medicine: “Let food be thy medicine and let medicine be thy food.”

It’s a simple but powerful philosophy, and when combined with current research in obesity prevention, it’s one of the cornerstones of Children’s Hospital Boston’s Optimal Weight for Life (OWL) Clinic. “Hippocrates was right, nutrition really is the foundation for health and well-being,” says Ludwig. “He understood that intuitively, without access to the modern science and technology.”

Founded by Ludwig in 1996, OWL is a multidisciplinary clinic with a staff that includes physicians, nurses, dietitians and experts in child behavior. With Ludwig at the helm, OWL has spent the past decade and a half researching childhood obesity while serving over 1,500 patients a year, making it one of the largest and most respected childhood obesity clinics in America. Now, thanks to a $7 million grant provided by the New Balance Foundation, Ludwig and his team will be able to expand their clinical research, patient care and community health programs. The newly created New Balance Foundation Obesity Prevention Center will bring Ludwig’s message to even more children and communities struggling with weight issues.

Since he was 8 years old, Ludwig has been captivated by the inner workings of the human body. By the time he finished the fourth grade he had read every physiology book on the shelves of his local library.

That fascination stayed with him throughout his education. When he began his pediatric endocrinology fellowship at Children’s, he focused his studies on diet and weight, researching how brain function affects body size, as well as the role genetics plays in why some people become obese and others do not.

But with childhood obesity already reaching epidemic status by the mid-1990s, Ludwig felt a more preventive approach was needed to remedy the mounting health problems that overweight children would face in the future.

“Our genes, though important, haven’t caused the epidemic—so we need to look to the environment for the answers,” he says. Full story »

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Public health benefits of breastfeeding

by Childrens Hospital Boston staff on April 8, 2010

Breast FeedingKimberly Barbas, BSN, RN, IBCLC, is a lactation specialist at Children’s Hospital Boston’s  Lactation Support Program.

How much does breastfeeding cost? How much money can be saved? In today’s health reform climate, it’s always about the bottom line. So for those of us who have for years championed breastfeeding as one of the best choices moms can make for the health of their children, a new study by Dr. Melissa Bartick and Arnold Reinhold in this week’s journal Pediatrics provides the financial data to support the choice to breastfeed exclusively for at least the first six months of a child’s life.

Full story »

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Do small changes in our diet really add up?

by Kristin Cantu on March 3, 2010

We’re constantly told that if we eat less and exercise more, the pounds will come sliding off. Not true. According to a recent study, small caloric changes have almost no long-term effect on weight.

While this news is disappointing, Children’s obesity expert – David Ludwig, MD, PhD, tell The New York Times that there is hope, especially for children. Small changes made during childhood lead to a much healthier adult lifestyle.

You can read more of Ludwig has to say on topic of childhood obesity here on Thrive.

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Claims of vitamin-fortified, sugary foods hard to swallow

by Childrens Hospital Boston staff on February 24, 2010

cerealboxWalking down the cereal aisle at the supermarket, it’s impossible to miss the declarations of health benefits prominently located on the fronts of the colorful boxes. The Nutrition Facts Panel—a valuable consumer resource that lists a product’s sugar, salt, fat and calorie content—is usually printed on the side of the box. But do parents searching for a healthful choice even bother to read the nutritional information when the front of the box suggests the product is made of “whole grain goodness” and “immune-boosting” vitamins?

Unfortunately many don’t and that’s a real problem, says David Ludwig, MD, PhD, in a commentary co-authored with Marion Nestle, PhD, MPH, and published in the Journal of the American Medical Association (JAMA). “We’ve arrived at the deplorable situation of Cocoa Krispies being marketed as a way to protect children from H1N1 flu, because it has a few added vitamins,” says Ludwig.

Consumers tend to believe claims on the front of packages, according to recent research, and perceive health statements to be endorsed by the government. But few health claims on food products have any basis in science at all. And unlike medications, food product labels don’t have to disclose their potential ill effects, such as obesity from high added sugar content. Full story »

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