{"id":61521,"date":"2019-02-05T06:32:22","date_gmt":"2019-02-05T11:32:22","guid":{"rendered":"https:\/\/www.ou.org\/life\/?p=61521"},"modified":"2019-02-05T06:32:22","modified_gmt":"2019-02-05T11:32:22","slug":"combating-adolescent-obesity","status":"publish","type":"post","link":"https:\/\/www.ou.org\/life\/health\/combating-adolescent-obesity\/","title":{"rendered":"Combating Adolescent Obesity"},"content":{"rendered":"<p class=\"p1\"><span class=\"s1\">It\u2019s happening all too often.<span class=\"Apple-converted-space\">\u00a0 <\/span>The phone rings in my office and another mother is calling about her teenage daughter or son who is, at this early age, struggling with being overweight or obese.<span class=\"Apple-converted-space\">\u00a0 <\/span>Some of them already have high blood sugar, high cholesterol or even high blood pressure. <\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">This is, unfortunately, becoming commonplace. Adolescent obesity has been linked to depression, anxiety, suicidal thoughts, poor self-esteem, attention deficit hyperactivity disorder (ADHD), aggressive and destructive behavior, binging and purging, and other severe emotional outcomes (Reinehr 2018).<span class=\"Apple-converted-space\">\u00a0 <\/span>Unfortunately, many parents and their teenage children become desperate for solutions.<span class=\"Apple-converted-space\">\u00a0 <\/span>After all, with social stigmas and getting closer to the age of shidduchim, this is a true problem and an answer needs to be found. But desperate measures don\u2019t bring positive results. <\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Desperate for help, many teens and their families will try anything to lose weight. Their feelings are justified: Without intensive intervention, 90% of obese teens will be overweight or obese as adults. They also face increased risk for type 2 diabetes and insulin resistance, sleep apnea, fatty-liver disease, high cholesterol, hypertension, hip dysfunction, and poly\u00adcystic ovarian syndrome-PCOS (in females) (Steinbeck et al. 2018).<span class=\"Apple-converted-space\">\u00a0 <\/span>And so people tend to do the wrong things; the things that have proven ineffective.\u00a0<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">The very first option people think of is the failed diet \u201csolution.\u201d<span class=\"Apple-converted-space\">\u00a0 <\/span>They don\u2019t work, they\u2019ve never worked and it is a mentality that we need to abandon both for teens and adults. In addition, there are the companies that want to take advantage of the problem. In the United States, recently Weight Watchers offered a free weight loss program for teens. Weight loss companies like Medifast\u00ae and OPTIFAST\u00ae have developed teen-focused programs with calorie-controlled meal plans that require purchases of shakes and other processed foods. Weight loss camps\u2014generally costing $5,000\u2013$10,000 for programs of 2\u201312 weeks\u2014promise teens rapid weight loss, often with little medical oversight or evidence of long-term effectiveness.<span class=\"Apple-converted-space\">\u00a0 \u00a0<\/span><\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Unfortunately, some of these kids end up eating disordered from some of these methods. Instead, we need to use an approach that will bring a long-term result and help our teens develop good health habits for the rest of their lives.\u00a0<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Adolescence is a vulnerable life stage with new social norms and pressures. Teens\u2019 impulsive behavior, quick-fix outlook, growing independence and potential defiance can make any attempt to influence their health seem overwhelming.<span class=\"Apple-converted-space\">\u00a0 <\/span>The first step is to gain their confidence and focus on changing behaviors and habits, and not on losing weight and the pressure of the number on the scale.<span class=\"Apple-converted-space\">\u00a0 <\/span>Instead of restricting calories, start with five behavioral changes that will make a big difference:<\/span><\/p>\n<ul class=\"ul1\">\n<li class=\"li1\"><span class=\"s1\">Eat \u201creal foods\u201d like vegetables, fruits and whole grains rather than packaged or highly processed foods.<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Incorporate enjoyable activity into each day.<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Get adequate sleep.<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Limit time from computer screens and devices for part of the day.<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Cope with stress more effectively.<\/span><\/li>\n<\/ul>\n<p class=\"p1\"><span class=\"s1\">Teens are not like the rest of us.<span class=\"Apple-converted-space\">\u00a0 <\/span>Adolescents are not young versions of adults. Thus, optimizing health and treating obesity in teenagers means tailoring programs to their age, developmental stage, personal preferences and aspirations. Moreover, this work must be done by a caring team of medical and health professionals who understand adolescents.<span class=\"Apple-converted-space\">\u00a0 <\/span>We desperately need to help teens eat better, move more, sleep longer, spend less time on screens and devices, and better manage stress. Teens must be able to experience the rewards, including improved mental and physical health and well-being that result from these behavior changes.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">The role of parents in this process is critical.<span class=\"Apple-converted-space\">\u00a0 <\/span>Research has found that parents who urge a child to diet may do more harm than good: \u201cExperiencing parent encouragement to diet as an adolescent was significantly associated with a higher risk of overweight or obesity, dieting, binge eating, engaging in unhealthy weight-control behaviors, and lower body satisfaction 15 years later\u201d (Berge et al. 2018). Instead, parents can help by modeling healthy habits and a healthy relationship with food for the whole family.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">I once worked with a bochur who was in his last year of Yeshiva K\u2019tana.<span class=\"Apple-converted-space\">\u00a0 <\/span>Aside from the yeshiva itself not willing to cooperate with his weight loss, his parents couldn\u2019t understand that even though he was the only child in the house who needed to lose weight, he shouldn\u2019t be singled out and be expected to abide by restrictions that the rest of the home didn\u2019t have to keep.<span class=\"Apple-converted-space\">\u00a0 <\/span>For instance, sitting around the table on Shabbos afternoon while everyone was eating chips and drinking cola, he was expected to refrain.<span class=\"Apple-converted-space\">\u00a0 <\/span>Parents have to be role models.<span class=\"Apple-converted-space\">\u00a0 <\/span>Even if siblings will eat the way they eat, the parents need to model proper behaviors for all of their children.<span class=\"Apple-converted-space\">\u00a0 <\/span>If you expect you kids to eat healthy and get some exercise, you need to do the same.\u00a0<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">When it comes to modeling and encouraging our teens to lose weight, here are some simple do\u2019s and don\u2019ts as suggested by Dr. Natalie Digate Muth, a pediatrician, dietician and personal trainer.\u00a0<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">DO:<\/span><\/p>\n<ul class=\"ul1\">\n<li class=\"li1\"><span class=\"s1\">Make family meals a priority<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Encourage a child to eat when hungry and stop when full<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Eat a wide variety of nutrient-dense foods<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Provide ready access to fresh fruits and vegetables<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Remove unhealthful \u201ctrigger\u201d foods such as ice cream, potato chips and sugary drinks from the home environment;<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">make healthful changes for the whole family;<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">incorporate physical activity into everyday routines;<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">get adequate sleep and enforce bedtime routines; and<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Set computer\/screen time rules for the whole family, such as no screens during mealtimes or within 1 hour of going to bed.<\/span><\/li>\n<\/ul>\n<p class=\"p1\"><span class=\"s1\">DON\u2019T<\/span><\/p>\n<ul class=\"ul1\">\n<li class=\"li1\"><span class=\"s1\">Diet<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Demonize foods<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Punish teens for \u201cpoor\u201d nutrition decisions (with exercise or otherwise)<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Use food as a reward (such as eating your vegetables to get dessert or celebrating a good report card with ice cream)<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Single out an individual family member<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Eat for emotional reasons (stress, anxiety, etc.)<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Make negative comments about a child\u2019s body or your own<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Tease about weight<\/span><\/li>\n<\/ul>\n<p class=\"p1\"><span class=\"s1\">When speaking to a teen about weight loss, it is incredibly important to discuss in an adult fashion the true dangers of being overweight and obese.<span class=\"Apple-converted-space\">\u00a0 <\/span>Just like we teach our children the dangers of smoking or to wear a seatbelt in a car for their own health and safety, in a delicate way, the dangers of obesity should be made known.\u00a0<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">First, be informed and research this subject for yourself.<span class=\"Apple-converted-space\">\u00a0 <\/span>After talking about the different risks involved, engage your child of friend in conversation about each point and make sure they understand the ramifications of each disease or problem and the resultant lack of quality of life.<span class=\"Apple-converted-space\">\u00a0 <\/span>Here are some points to discuss:<\/span><\/p>\n<ul class=\"ul1\">\n<li class=\"li1\"><span class=\"s1\">Type 2 diabetes and insulin resistance<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Sleep apnea<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Fatty-liver disease<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">High cholesterol<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Hypertension<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Hip dysfunction<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Polycystic ovarian syndrome (in females)<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Depression, anxiety, and low self-esteem<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Attention deficit hyperactivity disorder<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Aggressive and destructive behavior<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Computer related addictions<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Eating disorders like bingeing and purging<\/span><\/li>\n<\/ul>\n<p class=\"p1\"><span class=\"s1\">Even with all the facts and figures in hand to discuss, it always will come down to changing habits and behaviors in order to get the desired results.<span class=\"Apple-converted-space\">\u00a0 <\/span>It is essential to empower our adolescents and encouraging them to be successful.<span class=\"Apple-converted-space\">\u00a0 <\/span>The first step is to set goal and make sure they are reachable and realistic. Give your child the autonomy and the tools to make healthy choices.<span class=\"Apple-converted-space\">\u00a0 <\/span>A normal and doable goal such as, \u201cI will eat a fruit or vegetable with each meal or snack\u201d is much better than saying I will lose 1 pound this week. These tactics set teens up for the quick wins that will keep them motivated.\u00a0<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Once teens develop goals, encourage them to learn new skills like reading nutrition labels, understanding serving sizes, noting hunger and fullness cues, and helping with meal planning. These skills can keep teens involved and achieve their goals.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Another way to empower teens is to let them attend health or fitness appointments on their own, without a parent. I usually ask the parents to come to the first visit or two but after that I prefer to see the client alone. <\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Keeping our households healthy is imperative for good health and quality of life.<span class=\"Apple-converted-space\">\u00a0 <\/span>If we do have an adolescent who is struggling, we should take action, but we need to take the right and proper steps to help them succeed and <b><i>\u201cadd hours to your day, days to your year and years to your life.\u201d<\/i>\u00a0<\/b><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>It\u2019s happening all too often.\u00a0 The phone rings in my office and another mother is calling about her teenage daughter or son who is, at this early age, struggling with being overweight or obese.\u00a0 Some of them already have high blood sugar, high cholesterol or even high blood pressure. This is, unfortunately, becoming commonplace. Adolescent<\/p>\n","protected":false},"author":469,"featured_media":61522,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[14],"tags":[],"class_list":["post-61521","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Combating Adolescent Obesity - OU Life<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ou.org\/life\/health\/combating-adolescent-obesity\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Combating Adolescent Obesity - OU Life\" \/>\n<meta property=\"og:description\" content=\"It\u2019s happening all too often.\u00a0 The phone rings in my office and another mother is calling about her teenage daughter or son who is, at this early age, struggling with being overweight or obese.\u00a0 Some of them already have high blood sugar, high cholesterol or even high blood pressure. 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CERTIFIED PERSONAL TRAINER and a BEHAVIORAL CHANGE and WELLNESS COACH with over 19 years of professional experience. Alan is the creator and director of the \u201c10 Weeks to Health\u201d program for weight loss. He is available for private coaching sessions, consultations, assessments and personalized workout programs both in his office and by telephone and skype. Alan also lectures and gives seminars and workshops. 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