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PARENTGUIDE
PARENTGUIDE

Health and Fitness

Get ‘Em Up Off the Couch
Ten ways exercise can rescue children from a lifetime of fighting weight problems.
by Dr. Carolyn Ashworth

PARENTGUIDE News May 2006

Are you going to the gym today, or will you find some way to avoid it? Sometimes exercise is just another chore, like picking up the dry cleaning or taking out the trash. If that’s how you feel, chances are your children are reluctant to exercise, too.

Today, we are dealing with a worldwide epidemic of childhood obesity spawned by unhealthy eating habits, insufficient exercise and excessive sedentary behavior. For parents of tweens and early teens, this may be your last chance to affect your child’s activity level. Studies show that when teenagers enter high school, most engage in no exercise at all and don’t want to hear about it from adults who fail to lead healthy lifestyles.

If, however, you are determined to get your children up off the couch now, here are ten important steps toward family fitness:

1 Start as a family and motivate each other. Schedule a family meeting where you assign each member a specific day of the week to plan an engaging physical activity that everyone can participate in together for at least 45 minutes. A scavenger hunt in the neighborhood, shooting hoops in the park, riding bikes or hiking a local nature trail can all be worthwhile and pleasurable. Parents must participate for their kids to be successful participants. When it’s your kids’ turn to choose an activity, follow their lead and I’ll guarantee they will maintain their interest and activity level.

2 Visit your pediatrician and start slowly. Children of all ages need at least 30 minutes of moderate activity each day, either at home, in school, at the gym or outside. But before you get inactive tweens and teens off the couch, make an appointment with your pediatrician for a complete physical exam. This is imperative for overweight and obese kids. When it’s time to exercise, introduce the routine slowly. Start with two days a week and gradually increase the number of days until your children exercise every day.

3 Either join a health club or take it to the streets. Don’t run out and buy an expensive health club membership if you have to drag your family to the club kicking and screaming. A health club can offer a great place to exercise, but you can also get physically active by walking out your front door and continuing to move.
Begin simply, with easy-to-do outside activities like a good brisk walk or baseball game in the park. Let your teens know that they can earn the use of a health club based on the enthusiasm they show for working out on their own.

Move on your own whenever possible. Never drive when it’s practical to walk. Little bursts of energy can result in the maintenance of a healthy body weight. I park my car far away from the mall, walking as far as possible, and my grown children now do the same.

5 Keep exercise fun. As kids move into the tween stage, a world of structured team sports takes the place of natural movement.
This is when parents should stress the importance of exercise for the fun of it. Many kids quit team sports because their parents take the competition of sports too seriously. If your children avoid competitive sports, help them seek alternative forms of exercise, such as dance classes or martial arts lessons. A lifetime of health is worth far more than momentary glory on the playing field.

6 Explore the many choices available to older kids. Older children may exercise by themselves, or with friends, at a local health club. Trendy classes, such as Pilates, spinning or cycling, are usually most appealing to teenagers. Step aerobics, kick boxing and hip-hop dance classes may be challenging, but with practice they all can do wonders for teens’ coordination, cardiovascular system, confidence and overall health.
Look into other activities— indoor rock climbing, rollerblading or playing golf (without using a cart)— things that aren’t “gym-like.” For contemplative youngsters or those who resist team activities, yoga is a smart alternative. Practicing yoga can reduce anxiety, increase focus and help teens relax from their busy schedules.

You can institute a reward system by giving points for attending exercise classes. Your children can accumulate points and use them to earn computer time, sleepovers or music downloads.

7 “Fool” them with TV and video games. Can’t get your kid outside to exercise? Place a stationary bicycle in front of the television and give your tween the goal of cycling nonstop through a favorite half-hour program. If your child enjoys TV, he or she will continue beyond 30 minutes without knowing it.
Children can even integrate physical activity with their video game systems. I recently had a young patient whose workout routine was a dance video game called Dance Dance Revolution. The interactive game provides a healthy cardiovascular workout right there in the living room.

8 Bring exercise back to the schools. Remember when children had physical education as a daily class? Today, school boards cram as much classroom time as possible into each day, leaving little time to burn off excess calories.

And offering physical activity in school only gets more difficult as children get older. Daily participation in high school physical education classes decreased from 42 percent of students in 1991 to 29 percent just eight years later, so you can see the trend toward sedentary behavior in school. You can help reverse the trend toward obesity by speaking out at school board meetings and organizing other parents in support of physical education.

9Be patient with the process. Don’t expect results overnight. It might take a month or more for your children to embrace an exercise regimen and begin to lose excess weight. Praise their improvements. Their disposition and outlook on life will also soon improve. Studies find that in some young people who are depressed because of their weight, exercise can benefit them more than prescription medications such as antidepressants.

Make a difference. Empowering your children to stay physically fit is more than a lifestyle choice. It’s a choice that may prolong your child’s life. Studies indicate that sedentary behavior may contribute to making this generation the first to live shorter and less healthy lives than their parents.
It’s not too dramatic to call this a life-or-death situation. And as a parent, you have the power to save those lives.

Dr. Carolyn Ashworth is a mother, a pediatrician and a professor of clinical pediatrics. She is an expert on the toxic nature of childhood obesity. Her new book, Defeating the Child Obesity Epidemic (PSG Books), is available in bookstores, on Amazon.com or by calling (800)888-4741.

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