Skip to content
  • About
  • Contact
  • Contribute
  • What Physicians Say
  • My Book
  • Careers
  • Podcast
  • Speaking
KevinMD.com — Social media's leading physician voice
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • What Physicians Say
    • My Book
    • Careers
    • Podcast
    • Speaking
KevinMD.com — Social media's leading physician voice
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • What Physicians Say
    • My Book
    • Careers
    • Podcast
    • Speaking
  • About Kevin Pho, MD, Founder of KevinMD
  • Aging and dementia: what physicians say, in their own words
  • Artificial intelligence: what physicians say, in their own words
  • Be heard on social media’s leading physician voice
  • Cancer: what physicians say, in their own words
  • Children’s health: what pediatricians say, in their own words
  • Contact Kevin
  • COVID-19: what physicians wrote as it happened
  • Custom enhanced author page pricing
  • Diabetes and obesity: what physicians say, in their own words
  • Direct primary care: what physicians say, in their own words
  • DMCA Policy
  • End of life: what physicians say, in their own words
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • GLP-1 drugs: what physicians say about Ozempic and its successors, in their own words
  • Heart disease: what physicians say, in their own words
  • Immigration and medicine: what physicians say about immigrant doctors and immigrant patients, in their own words
  • KevinMD influencer opportunities
  • Medical errors: what physicians say, in their own words
  • Medical ethics: what physicians say, in their own words
  • Medical malpractice: what physicians say, in their own words
  • Medical school: what students and physicians say, in their own words
  • Mental health: what psychiatrists and physicians say, in their own words
  • Nursing: what nurses and physicians say, in their own words
  • Opinion and commentary by KevinMD
  • Opioids: what physicians and pain patients say, in their own words
  • Physician burnout speakers to keynote your conference
  • Physician burnout: what physicians say, in their own words
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician personal finance: what physicians say about their own money, in their own words
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Physician suicide: what physicians say, in their own words
  • Physicians and administrators: what physicians say about who runs medicine, in their own words
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Primary care: what physicians say, in their own words
  • Prior authorization: what physicians say, in their own words
  • Privacy Policy
  • Private equity and corporate medicine: what physicians say, in their own words
  • Race and medicine: what physicians say, in their own words
  • Recommended services by KevinMD
  • Residency: what residents and attendings say, in their own words
  • Scope of practice: what physicians, nurse practitioners, and PAs say, in their own words
  • Subscribe to the KevinMD enhanced author page
  • Subscribe to the newsletter
  • Surgeons and surgery: what surgeons say, in their own words
  • Take-home messages: what physicians say when asked to leave one
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The electronic health record: what physicians say, in their own words
  • Vaccines: what physicians say, in their own words
  • Violence against health care workers: what physicians and nurses say, in their own words
  • What physicians say: the KevinMD records
  • Women in medicine: what women physicians say, in their own words
  • Women’s health: what physicians say, in their own words

The middle road to childhood obesity treatment: Empowering kids with healthy habits

Paul Porras, MD
Conditions and Diseases
February 21, 2023
Share
Tweet
Share

The new American Academy of Pediatrics guidelines for childhood obesity have shifted from a “watchful waiting” method to “early and aggressive treatment.” Coverage of the guidelines in the Washington Post, the New York Times, and other reputable news outlets have readily accepted this new depiction of childhood obesity as a disorder in need of immediate, aggressive intervention and has given little or no attention to what has been proven to help keep kids healthy — a nutritious diet and healthy lifestyle habits.

There is a middle road between the American Academy of Pediatrics’ old-fashioned hands-off attitude and today’s rush to treat with surgery and drugs. The approach that has been shown to reduce overweight and obesity and resolve Type 2 diabetes is diet. Of course, preventing obesity in young people is key, and diet also plays a crucial role here.

According to a study in the American Journal of Clinical Nutrition, a diet rich in vegetables, fruits, legumes, and whole grains improves childhood obesity. This epidemic increases the risk of type 2 diabetes and heart disease. Decades of research show that this type of healthful, plant-based eating can help prevent, improve, and even reverse type 2 diabetes. The American Diabetes Association even endorses a plant-based diet.

A low-fat, plant-based diet also lowers the risk of heart disease in obese children by improving their weight, blood pressure, and cholesterol levels, according to a Cleveland Clinic Study. That’s critical as obese children show evidence of significant heart disease beginning at age 8. And half of U.S. children and adolescents do not have ideal cholesterol levels, with 25 percent in the clinically high range.

Studies and research aside, I have seen firsthand in my pediatric practice the difference diet and lifestyle modifications that can make for children who are concerned about being overweight.

Some key tips I share with parents so that their children learn to eat well are:

Teach children the value of good nutrition. Parents, guardians, and teachers can work with children to understand that food is a fuel for health and fitness rather than a comfort, friend, enemy, or boredom reliever.

Have healthful foods readily available for snacking. For example, hummus and crackers, whole grain bagels and peanut butter, granola with strawberries and non-dairy yogurt, or a fresh and frozen fruit smoothie. Limit the quantities and availability of highly processed foods and sugary beverages.

Help children learn to listen to natural hunger and fullness cues rather than focusing on “cleaning plates.” Help children learn to pay attention to natural internal signals to keep from overeating. If a child does not want to finish his or her meal now, the plate can be wrapped and saved for later.

Engage children in the food preparation process. Gardening, picking berries, apples, or other produce at farms, grocery shopping trips, or visiting the local farmers market can spark an interest in healthful foods. Also, invite children to participate in menu planning as well as cooking.

Children continue to grow and develop into their early 20s, so they can’t afford to shortchange nutrients. For this reason, I do not typically restrict my patients’ calorie intake. However, switching out empty-calorie foods like highly processed snacks with healthful options ensures growing kids get everything they need.

In their coverage of these new childhood obesity guidelines, some reporters have rightfully pointed out that there is unequal access to the types of healthful foods that I describe. Right now, we have an opportunity to address this disparity. Our federal Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) recently announced proposed changes to the WIC food allotments, significantly increasing the amount and variety of vegetables and fruits and expanding whole grain options.

If history is any judge, these changes will improve the health of those who use WIC benefits. A 2017 study in the American Journal of Preventive Medicine looked at what happened when WIC was revised in 2009 to include foods such as whole-grain breads and cereals and fruits and vegetables. There were significant decreases in purchases of calories, sodium, and total fat and increases in purchases of fruits and vegetables with no added sugar, fats, or salt. Childhood obesity also declined for WIC participants after these changes were made, according to a study in JAMA Pediatrics.

ADVERTISEMENT

While diet is not a panacea, the mention of prevention and dietary interventions that work to help resolve childhood obesity should be a part of any reporting on this important topic.

Paul Porras is a pediatrician.

Prev

The consequence of neglect: the lack of business education in medical schools

February 21, 2023 Kevin 0
…
Next

The power of advocacy: a medical student's journey to helping an uninsured immigrant

February 21, 2023 Kevin 1
…

Tagged as: Pediatrics

< Previous Post
The consequence of neglect: the lack of business education in medical schools
Next Post >
The power of advocacy: a medical student's journey to helping an uninsured immigrant

 

ADVERTISEMENT

Related Posts

  • Stop stigmatizing medication-assisted treatment

    Brandon Jacobi
  • Let kids come to the table

    Casey Nagel, MD
  • Hospital administrators thinking about no-cost treatment which really helps patients

    John Corsino, DPT
  • Let’s insure our kids instead of building a wall

    Sonali Saluja, MD, MPH
  • Fixing our health care system won’t make us healthy

    Christopher J. Frank, MD, PhD
  • Cutting the red tape with buprenorphine treatment for opioid use disorder

    Christina Kinnevey, MD

More in Conditions and Diseases

  • Shift work and circadian rhythms shape the 24/7 workplace

    Deepak Gupta, MD
  • Telehealth and postpartum psychosis defy simple blame

    Rabia Cheema, MD
  • Underage online gambling needs more than a checkbox

    Kayvan Haddadan, MD
  • Why must fourth trimester care begin after delivery?

    Allison P. Boyle, DPA, PA-C
  • Nutrition during cancer treatment is more than calories

    Dr. Manjari Chandra
  • Why witnessing death outside the hospital felt different

    Denise Moulton, RN
  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • 4 fibromyalgia myths the current evidence doesn’t support

      Kayvan Haddadan, MD | Conditions and Diseases
    • Why exhaustion can make you see things that aren’t there [PODCAST]

      The Podcast by KevinMD | Podcast
    • AI governance in health care has to reach the exam room

      Amanda Heidemann, MD | Health Technology
    • The Pennsylvania measles outbreak and the cost of forgetting

      Christine King, CRNA | Conditions and Diseases
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • Why exhaustion can make you see things that aren’t there [PODCAST]

      The Podcast by KevinMD | Podcast
    • 3 reforms to counter wellness influencers in practice

      Farid Sabet-Sharghi, MD | Physician
    • Shift work and circadian rhythms shape the 24/7 workplace

      Deepak Gupta, MD | Conditions and Diseases
    • Paid for twice

      Physicians paid for G2211 twice. Most never bill it.

      Michael Duben, MD | Physician Finance
    • The next child

      Medicaid managed care and the case for mutual stewardship

      Steven Merahn, MD | Health Policy
    • Choosing a limb lengthening surgeon requires accountability

      Hrayr Basmajian, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • 4 fibromyalgia myths the current evidence doesn’t support

      Kayvan Haddadan, MD | Conditions and Diseases
    • Why exhaustion can make you see things that aren’t there [PODCAST]

      The Podcast by KevinMD | Podcast
    • AI governance in health care has to reach the exam room

      Amanda Heidemann, MD | Health Technology
    • The Pennsylvania measles outbreak and the cost of forgetting

      Christine King, CRNA | Conditions and Diseases
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • Why exhaustion can make you see things that aren’t there [PODCAST]

      The Podcast by KevinMD | Podcast
    • 3 reforms to counter wellness influencers in practice

      Farid Sabet-Sharghi, MD | Physician
    • Shift work and circadian rhythms shape the 24/7 workplace

      Deepak Gupta, MD | Conditions and Diseases
    • Paid for twice

      Physicians paid for G2211 twice. Most never bill it.

      Michael Duben, MD | Physician Finance
    • The next child

      Medicaid managed care and the case for mutual stewardship

      Steven Merahn, MD | Health Policy
    • Choosing a limb lengthening surgeon requires accountability

      Hrayr Basmajian, MD | Physician

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use Agreement
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...