Archive for December, 2009

The Crazy Rise Of Childhood Obesity

December 31st, 2009

Statistics have shown that for children between the years of 2 and 5 and adolescents between 12 and 19, the rate of obesity has doubled since the 1970s. For children between the ages of 6 and 11, the rate has tripled. Almost one third of all children today are at risk for becoming overweight. Sixteen percent of them already are. Are boys more prone to rise in child obesity?When it comes to boys and girls, the rates of child obesity are similar. The rates have increased since the 1960s for both sexes. In the last years of the previous century, over 29% of all boys were at risk for becoming overweight, while 27% of all girls struggled with the same problem. Of course, some groups are more affected by this phenomena than others. Among boys, those who are of Mexican American descent tend to have a greater problem with obesity, with over 42% of boys in this group being affected by the problem. Among girls, the problem is more serious for those of African descent. Why childhood obesity should not be taken lightlyThe problem of children being obese is a grave one, in that it can have lasting effects on one’s emotional and physical health. In the year 2000, it was estimated that about a third of all children born in the United States are at risk for developing type 2 diabetes in their lifetimes. These children are developing Type II Diabetes and high blood pressure at an early age. They are placing themselves at increased risk for heart disease and other obesity-related diseases. Their weight also makes them the target of bullies and children who insult and taunt them about their weight. This can ruin their self-esteem and put them at risk for depression. Lack of physical activity – a major cause of child obesityOne of the sad facts of our time is that young people have fewer and fewer chances to be physically active. In elementary and primary schools, quite often there is a lack of space and equipment for serious physical education, not to mention fewer and fewer teachers with specialized training in this area. Children spent the vast majority of their time at school sitting down behind a desk. The vast majority of six to eight year olds are allowed only thirty minutes of regulated physical education in their weekly school curriculums! The game fields and playgrounds are being sold off or abandoned. At home, children are discouraged from playing outside due to their parents’ concerns with safety. Along with lack of physical activity comes the convenience of fast food. There are fast food restaurants virtually around every corner, and they have easy access to snack foods full of saturated fats and sugars. In addition, obese parents are more likely to have obese children. The reason for this is two-fold. First, obese parents probably pass down their poor habits to their children. Second, genetics plays a role in obesity. Individual obesity control plans work best for childrenFor children dealing with obesity, it is best to evaluate the individual’s situation, taking in to consideration environmental, genetic, and metabolic concerns while treating the arising physical and psychological damage that has arisen. An obese child’s eating plan should also come with an exercise plan. Long term counseling is often needed to deal with self esteem issues relating to obesity that can affect the child’s performance in the real world. It’s important for parents to be role models to their children and emphasize the importance of physical activity and healthy eating. Parents can create healthy environments for their children by doing regular physical activities, such as biking, swimming, or walking together. They should encourage their children to participate in sports, dance, martial arts, and etcetera. This allows children to develop an appreciation of physical activity and enjoy exercising. When it comes to eating, parents need to implement diets rich in fruits, vegetables, and whole-grains. They can make eating enjoyable and healthy by preparing food together and eating together as a family. Fast-food should be limited and reserved for special occasions. Way too often, we reward ourselves for a job well done with food. Child obesity can easily be controlled. The process can be made fulfilling by using creative ideas. Look for other ways to reward your children for doing a great job, such as a special shopping trip or a day with just mom or dad. Not only will the kids feel appreciated, it will contribute to their well being in the long run.

The Medicalizing Of Education

December 31st, 2009

I don’t think that there is anyone in society today that doesn’t take medication for something – high blood pressure, diabetes, prostate problems, thyroid dysfunction, ulcers, or depression just to name a few. For sure, medication is something that is needed by many just to stay alive. Children have always needed medication for childhood illnesses and some childhood diseases. It is only within the last 20 years that we have seen school aged children being medicated with psychotropic drugs, sometimes even as early as preschool. About 15 years ago, when I was a vice-principal of a school for conduct disordered kids, I was on the phone with a doctor who was treating one of my students. I mentioned to the doctor that the student was hyperactive. He informed me that I was using the wrong terminology, that she wasn’t hyperactive, but that she had ADHD. During our discussion, the doctor further explained that this student’s ADHD was the reason why she had such poor impulse control, and that she needed medication to help control her. In my opinion, poor parenting and the lack of good old fashion discipline have played a huge part in the very popular current trend in society and especially in education where everyone including school psychologists, social workers, guidance counselors, administrators, and teachers take the easy way out and looks for a quick fix to deal with students who in days gone by would have been considered disrespectful and irresponsible, not mentally ill. Society today has raised its tolerance for deviance. This same attitude has found its way into education and has resulted in lower expectations for student achievement and behavior. Years ago if one person burned the American flag it was an illegal act and the guilty person or group was held accountable with the appropriate societal consequences imposed. But, what happens if five thousand people burn the flag and the jails aren’t big enough to hold them? You either build bigger prisons, or make it legal to burn the flag. When I was a student in school there were students who behaved in a disrespectful and irresponsible manner. These students were few and far between, and were dealt with accordingly. What happens when the number of students who are disrespectful, irresponsible, violent, bullying, and are involved in illegal acts starts to rise? A condition such as ADHD becomes the excuse for the deviant behavior. ”ADHD was determined to be a mental illness by vote of the American Psychiatric Association members at their annual meeting in 1987, and the new definition was then added to the Diagnostic and Statistical Manual of Mental Disorders. Children (and increasing adults)who exhibit behaviors such as inattention, distractibility, trouble in following directions, a tendency to lose things, and difficulty awaiting their turn to speak or participate in activities are now seen as victims of ADHD. ” (The Politics of Deviance, 2002) In the past these behaviors were seen as achievement-ability discrepancies, or just unruly behavior. Now, parents and educators both seem to be relieved that the problems that exist with behaviors such as disrespect, irresponsibility in the home and in school today can now be looked at as a type of mental illness that requires a treatment plan, rather than individual accountability and self control. The medical industry has developed drugs that have improved the quality of life for millions of people. In reality if some of these drugs didn’t exists some people would not be alive today. I am a perfect example. I take high blood pressure medication to normalize blood pressure that what would otherwise be so high I would have had a stroke. Taking this medication doesn’t make me any less responsible for my own health. I still have to walk, watch my diet, and not smoke. Because medication is so widely used in education, people often cite the decision of some parents not to medicate their children as the reason why a kid’s behavior is out of control. In my own experience I have often called parents to discuss their child’s unacceptable behavior and have been told that the child hadn’t taken his medication. The idea that the failure to take medication can be used as an excuse for deviance removes any form of responsibility on the individual for the behavior. I know that I am responsible for my own health with or without medication. Students are responsible for their own behavior and cannot use medication or the lack of it to get off the hook when confronted with the consequences of their lack of self -control. Parents and educators today see mental illness as an out for them. In fact many parents actually request the diagnosis of mental illness for their children. In others words, the parent is saying, it’s not me as a parent, but rather biologically there is something wrong with my kid. There is no stigma attached to the label mental illness. Many parents as well as educators are convinced that their children who are diagnosed with some sort of mental illness are actually smarter, brighter, and more creative than kids who do behave, do pay attention in class, and who are responsible for their actions. It almost becomes comforting for parents and educators to believe that it is not their parenting or behavior management techniques that may have caused the child’s problem. They are convinced that the inappropriate or even deviant behavior that they have been observing and tolerating is a result of faulty wiring in the child’s head which led him to throw tantrums, curse his teacher or parents out, bully other kids, and engage in violent behavior. Medicalizing education sends the wrong message to parents, teachers and administrators that a students’ poor academic performance or their lack of self control can be clinically diagnosed, and eliminated through the use of psychotropic medication. A model focusing on respect, responsibility, and emotional maturity is the only response to the medication model that excuses behaviors and avoids relevant consequences that will provide permanent help not temporary relief.

Parents, Brace Yourselves for Childhood Scoliosis

December 31st, 2009

There is a growing concern among many parents, educators and health care professionals regarding a condition that is not even considered a disease. It is affecting nearly one million children in the United States and usually girls are hit twice as often than boys. It is developed during childhood and it’s hereditary. It usually occurs in those older than 10 years, but the condition can be already seen in infants. About three to five of 1,000 people are impaired buy this condition called Scoliosis.

Scoliosis is an abnormal curvature of the spine. In scoliosis, the spine curves to the side when viewed from the front, and each vertebra also twists on the next one in a corkscrew fashion. It is a common condition among children with a familial history of scoliosis or other abnormal bone growth development. In many cases, scoliosis is not diagnosed promptly resulting in progression into adolescence and, thus, a impaired physical development.

Scoliosis is a medical term taken from a Greek word meaning curvature. This disease often develops during childhood causing the spine to curve laterally (to the side) to the left or right. The spine’s normal curves occur at the cervical (neck), thoracic (chest), and lumbar regions (lower back). These natural curves position the head over the pelvis and work as shock absorbers to distribute mechanical stress during movement.

Scoliosis affects a small percentage of the population, approximately 2 percent. However, scoliosis runs in the family. If someone in a family has scoliosis, the likelihood of an incidence is approximately 20 percent.

In most cases 85% of the cause of scoliosis is unknown which doctors call idiopathic. The other 15% of cases fall into two groups:

· Nonstructural (functional): This type of scoliosis is a temporary condition when the spine is otherwise normal. The curvature occurs as the result of another problem. Examples include one leg being shorter than another from muscle spasms or from appendicitis.

· Structural: In this type of scoliosis, the spine is not normal. The curvature is caused by another disease process such as a birth defect, muscular dystrophy, metabolic diseases, connective tissue disorders, or Marfan syndrome.

Childhood scoliosis is often misdiagnosed by parents. Fortunately, some parents recognize a potential growth defect, such as scoliosis, during regular growth and development when the child’s right shoulder appears to be out of line with the rest of the body. This is oftentimes recognized by the parent when the child is dressing up for school, when clothes are noticeably not fit in a correct manner.

Many schools regularly conduct scoliosis screenings among students. Usually these screenings occur during the middle school years and it is confirmed initially by the school health care professional with recommendation for pediatric follow up. Through the examination process, the pelvis is examined to determine if scoliosis may be present.

When positively diagnosed, the next step is to determine the scoliosis treatment option most appropriate for the child. The traditional medical management of scoliosis is determined by the severity of the curvature, skeletal maturity, and likelihood of progression. The conventional options are initially through observation, followed by bracing and surgery, and these procedures usually cost a lot.

Surgical options for children with scoliosis are serious medical procedures, and this is a consideration parents will be required to make. Parents should discuss with their child’s pediatrician the treatment options needed. If the child’s activities of daily living are impaired and the curvature is greater than 50 degrees, surgery may be indicated immediately. However, if the scoliosis has not progressed, before considering surgical options, alternative treatments, such as bracing, may be considered.

Although there are many exercises that can help in reducing scoliosis-related problems, another alternative method is children yoga. There are evidences that the problem of uneven curves are improved through yoga and it is considered the best scoliosis exercise.

Parents should understand that the complex nature of scoliosis and the methods for early diagnosis will provide for a more effective treatment plan. In most scoliosis cases, when diagnosed early, the use of bracing may eliminate the need for surgery as your child matures.