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A28    SCIENCE
                 Monday 2 SepteMber 2019
            As with adults, no easy way to address weight with children




                                                                                                                                Dr. Sarah Hampl, a pediatri-
                                                                                                                                cian  specializing  in  weight
                                                                                                                                management at Children’s
                                                                                                                                Mercy  Hospital  in  Kansas
                                                                                                                                City,  Missouri,  said  it  can
                                                                                                                                be an easy way to under-
                                                                                                                                stand a complicated topic.
                                                                                                                                Experts say the system can
                                                                                                                                help  adults  eat  better  as
                                                                                                                                well.
                                                                                                                                But Kaitlin Reid, a registered
                                                                                                                                dietitian  at  UCLA,  said  it’s
                                                                                                                                a  way  of  classifying  foods
                                                                                                                                as  good  and  bad,  which
                                                                                                                                should be avoided. Seeing
                                                                                                                                any foods as bad might re-
                                                                                                                                sult  in  feeling  guilty  when-
                                                                                                                                ever eating them.
                                                                                                                                WHAT TO AVOID
                                                                                                                                When  Tomlinson  was  11  or
                                                                                                                                12, he was taken to a doc-
                                                                                                                                tor who gave him diet pills.
                                                                                                                                Few  health  professionals
                                                                                                                                would  do  that  today,  and
                                                                                                                                there’s  broad  agreement
                                                                                                                                on other mistakes to avoid.
                                                                                                                                Using  the  word  “diet,”
                                                                                                                                for  example,  could  imply
                                                                                                                                there’s  something  wrong
                                                                                                                                with the child, and that the
                                                                                                                                changes are short-term.
            In this Monday, Oct. 29, 2018 file photo, kids eat lunch at an elementary school in Paducah, Ky.                    Trying to scare children by
                                                                                                               Associated Press   warning  them  about  po-
            By CANDICE CHOI              Childhood  obesity  often    for  achieving  a  healthy  counted  his  lifelong  strug-  tential  medical  problems
            AP Food & Health Writer      leads to adult obesity, and   weight,  regardless  of  age.  gle  with  weight  in  “The  El-  isn’t helpful either.
            NEW YORK (AP) — Red, yel-    to higher risk for conditions   But  when  it  comes  to  ad-  ephant in the Room.”    And  if  parents  are  making
            low, green. It’s a system for  including  heart  disease,   dressing the topic with chil-  MAKING CHANGES           broader  lifestyle  changes,
            conveying  the  healthful-   cancer and diabetes.         dren, pediatricians and di-  Any  adjustments  to  meals  they  shouldn’t  feel  the
            ness  of  foods,  and  at  the  Getting  kids  to  eat  well   etitians  say  there  are  best  and  activities  should  in-  need to intervene or scold
            center of a debate about  and exercise is crucial, but    practices to consider.       volve  the  entire  family,  so  every time a child reaches
            how  to  approach  weight  figuring out how to do that    TALKING IT OUT               children  don’t  feel  singled  for a sweet.
            loss for children.           effectively is extremely dif-  Parents  may  feel  a  con-  out.  This  is  tied  to  the  be-  “Guilt  and  blame  are
            This  month,  the  company  ficult  —  and  sensitive.  For   versation  is  not  necessary,  lief  that  the  most  powerful  not  good  motivators  for
            formerly  known  as  Weight  some,  the  app  was  a  re-  particularly  with  younger  way to help a child change  change,”    said   Stephen
            Watchers     provoked    a  minder  of  bad  childhood    children,  and  that  they  their  behavior  is  by  setting  Pont,  associate  professor
            backlash  when  it  intro-   experiences around weight    can alter behavior by mak-   an example.                  of pediatrics at the Univer-
            duced a food tracking app  and  shame,  in  public  and   ing  lifestyle  changes.  But  Framing changes in a posi-  sity  of  Texas  Dell  Medical
            for children as young as 8.  at home.                     experts  say  a  talk  can  be  tive light is also key, Walsh  School.
            The app uses a well-known  “I  don’t  think  we  appreci-  constructive,  especially  if  said,  whether  that’s  sug-  By the same token, experts
            traffic-light  system  to  clas-  ate  the  bias  and  stigma   the  changes  are  going  to  gesting  new  recipes  to  try  say  parents  should  avoid
            sify  foods,  giving  children  that   families   struggling   be noticeable.          together  or  asking  about  making    negative   com-
            a weekly limit of 42 “reds,”  with weight face,” said Dr.   The key is to approach the  activities they might be in-  ments  about  their  own
            which  include  steak,  pea-  Stephanie  Walsh,  medi-    subject  with  kindness  and  terested in.                bodies.
            nut butter and chips.        cal  director  of  Children’s   caring,  and  avoid  blam-  “Keep things upbeat,” she  Regardless   of   whether
            Obesity is a growing public  Healthcare of Atlanta.       ing  any  of  the  child’s  be-  said.                    parents  see  noticeable
            health issue that nobody is  That  can  make  it  even    haviors.  Children  should  Then there is the matter of  changes  right  away,  Pont
            sure how to fix, and around  more  stressful  for  parents   also  understand  that  any  giving  guidance  on  foods.  said,  there  are  long-term
            one  in  five  children  in  the  worried  about  their  chil-  changes would be intend-  Parents  might  not  like  the  benefits of instilling healthi-
            U.S. is considered obese, up  dren’s health, she said.    ed to make them feel bet-    idea  of  directing  children  er habits in children.q
            from one in seven in 2000.  There  is  no  easy  answer   ter,  and  not  about  how  to  a  dieting  company’s
                                                                      they look.                   app,  especially  since  it
                                                                      As  uncomfortable  as  ad-   gives  older  children  the
                                                                      dressing  the  issue  may  option  to  “upgrade”  to  a
                                                                      seem, failure to do so may  coaching service that costs
                                                                      make  a  child  feel  worse  $69 a month.
                                                                      if  they’re  being  teased  The  company  that  now
                                                                      at  school  or  feeling  bad  calls  itself  WW  says  the
                                                                      about themselves.            app  is  based  on  Stanford
                                                                      “In  some  ways,  just  to  get  Children’s  Health’s  Weight
                                                                      it out there may be sort of  Control Program, but views
                                                                      a relief,” said Tommy Tom-   vary on the traffic-light sys-
                                                                      linson,  an  author  who  re-  tem.
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