Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

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

Paul Porras, MD
Conditions
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

Post navigation

< 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

  • Medicaid lags behind on Alzheimer’s blood test coverage

    Amanda Matter
  • Why transgender health care needs urgent reform and inclusive practices

    Angela Rodriguez, MD
  • Why the Sean Combs trial is a wake-up call for HIV prevention

    Catherine Diamond, MD
  • New surge in misleading ads about diabetes on social media poses a serious health risk

    Laura Syron
  • mRNA post vaccination syndrome: Is it real?

    Harry Oken, MD
  • The critical role of nurse practitioners in colorectal cancer screening

    Elisabeth Evans, FNP
  • Most Popular

  • Past Week

    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • How federal actions threaten vaccine policy and trust

      American College of Physicians | Conditions
    • Are we repeating the statin playbook with lipoprotein(a)?

      Larry Kaskel, MD | Conditions
    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Past 6 Months

    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • A physician employment agreement term that often tricks physicians

      Dennis Hursh, Esq | Finance
    • Why taxing remittances harms families and global health care

      Dalia Saha, MD | Finance
  • Recent Posts

    • Smart asset protection strategies every doctor needs

      Paul Morton, CFP | Finance
    • The silent cost of choosing personalization over privacy in health care

      Dr. Giriraj Tosh Purohit | Tech
    • How IMGs can find purpose in clinical research [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why the U.S. Preventive Services Task Force is essential to saving lives

      J. Leonard Lichtenfeld, MD | Policy
    • Medicaid lags behind on Alzheimer’s blood test coverage

      Amanda Matter | Conditions
    • The unspoken contract between doctors and patients explained

      Matthew G. Checketts, DO | 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

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • How federal actions threaten vaccine policy and trust

      American College of Physicians | Conditions
    • Are we repeating the statin playbook with lipoprotein(a)?

      Larry Kaskel, MD | Conditions
    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Past 6 Months

    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • A physician employment agreement term that often tricks physicians

      Dennis Hursh, Esq | Finance
    • Why taxing remittances harms families and global health care

      Dalia Saha, MD | Finance
  • Recent Posts

    • Smart asset protection strategies every doctor needs

      Paul Morton, CFP | Finance
    • The silent cost of choosing personalization over privacy in health care

      Dr. Giriraj Tosh Purohit | Tech
    • How IMGs can find purpose in clinical research [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why the U.S. Preventive Services Task Force is essential to saving lives

      J. Leonard Lichtenfeld, MD | Policy
    • Medicaid lags behind on Alzheimer’s blood test coverage

      Amanda Matter | Conditions
    • The unspoken contract between doctors and patients explained

      Matthew G. Checketts, DO | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • 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...