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Happy Healthy Kids

News and tips for helping kids grow strong, stay well, and feel good.

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Best and Worst Kids’ Drinks

February 24, 2015 by Kelley Leave a Comment

We’re told time and again that babies should get breastmilk (primarily) and teens need to steer clear of booze (obviously), but when it comes to kids in the middle, there’s very little talk about what they should drink, and how much. And yet, children’s beverage choices make a huge impact on how many calories and nutrients they consume in any given day.IMG_0031

Some recent research scarily spells this out. A 2014 report by the Yale Rudd Center for Food Policy & Obesity revealed that the typical 8-ounce “kids drink” marketed to children contains 16 grams of sugar, more than is recommended for some children in an entire day. And while I assumed that I was among the last generation of children who might discover an Orange Fanta in a lunchbox and not bat an eye, it turns out that today’s kids are drinking more sugary beverages than ever: From 1989 to 2008, calories from sugary beverages increased by 60% in children ages 6 to 11, and the percentage of children consuming them rose from 79% to 91%, according to a Harvard School of Public Health research review.

Kids’ ballooning packaged beverage consumption has a lot to do with the incredible number of choices they have—and the insidious marketing that targets them. Sodas are still in heavy rotation in many kids’ diets—despite worrisome new evidence out of Johns Hopkins showing that the cosmetic caramel color in colas and other dark drinks are carcinogenic to animals and may pose a risk to humans, too. They are also exposed to more types of juices than ever, as well as sports drinks and caffeinated “energy drinks.” Lately, it’s the latter group that’s really gotten doctor’s attention. In 2013, one-quarter of the sugary beverage ads viewed by preschoolers and children specifically promoted energy drinks, which the American Academy of Pediatrics says has no place in children’s diets, period. Some energy drinks have up to 400 milligrams (mg) of caffeine per serving (about 4 times the amount in a cup of coffee), For children under 12, as little as 2.5 milligrams per every 2.2 pounds of body weight (that’s just 75 milligrams for a 66-pound 7- or 8-year-old) can pose a danger, say University of Michigan pediatric researchers. It’s no wonder that emergency rooms around the country are reporting an uptick in cases of cardiovascular problems and seizures in people, including young children, who’ve consumed energy drinks.

While I know this is sounding like a finger-wagging screed against fun drinks, I’ll admit here that juice is on our grocery list, prompted mainly by my 3-year-old, who would happily subsist on apple cider and orange juice if given the option. (I try to limit him to a cup of either a day. Not always successful.) My other two boys are mainly water- and milk-drinkers, but my oldest son has recently acquired a taste for Sprite, which I allow him on occasion, and if hot chocolate drinking was a competitive sport, my middle child would be a champion. Gatorade, for all of them, pretty much represents an elixir from the Gods. Which is why I’m writing this post: I’d like some more clear-cut advice about what’s okay to serve on occasion, and what to keep out of the house, period. With thankful nods to the AAP, Nemours Foundation, other health policy researchers, and my always trusty advisory board, here’s what I’ve come up with.best and worst kids beverages

 

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Kids and Strength Training: A Good Idea?

February 10, 2015 by Kelley Leave a Comment

kids and strength trainingOur town recreation department recently started offering Crossfit classes—for kids. That was a surprise: I’ve always associated Crossfit—the high-impact, strength-boosting exercise movement that’s swept the nation—with hardcore (and hard-bodied) adults. The idea of kids doing burpees—and not the kind for laughs at the lunch table—seemed a little…much?

At the same time, I knew that strong muscles can help protect against many sports-related injuries. Also, gym-related fitness is a great alternative for kids who aren’t drawn to traditional competitive sports. The question: what can kids who are interested in getting stronger do that can help—and not hurt—growing bodies? So I checked into the research, spoke with my husband (a pediatric orthopedic surgeon who specializes in sports medicine) and consulted with physical education expert Curt Hinson, Ph.D., a Happy Healthy Kids advisory board member. Here are some takeaways:

1. Strength training can be really good for children and teens… Studies have demonstrated that well-supervised programs, especially ones performed twice a week for at least 8 weeks, can safely and measurably increase kids’ strength, and may also help decrease the risk of certain injuries. This is important to note as youth sport competitions continue to grow more intense and competitive, leading to the type of injuries—like A.C.L. tears—that used to only plague adults.

2. …But it’s imperative that kids do the right kind of strength training. The safest and best type of weight training regimen for kids should involve light weights, and high repetitions. Make sure kids are not doing any type of explosive, powerlifting moves, whether with weights or medicine balls or kettle bells or (as might be the case in our house) unwilling younger siblings. Lifting super-heavy objects can throw a skeletally immature child off balance, and overstress their joints.

Even better for kids are resistance-based moves that don’t involve any weights. So, certain Crossfit staples, like squats, mountain climbers, and, yes, burpees can be safe and beneficial for kids, if done with controlled, supervised movements. Most strength training injuries occur on home equipment, with unsafe behavior and in unsupervised settings. Make sure you or another trusted adult is monitoring your child when he or she is working out.

3. Hold off on encouraging your child to try any strength-training program until they are 8 years old. Because it’s around this time that children achieve adult-level balancing skills, which are needed to do strength-training moves safely and effectively, experts recommend parents hold off on letting their children embark on any muscle-building programs until this age.

4. Make sure you put the benefits of strength training in perspective for kids. Remind kids that muscle isn’t the magic bullet to sports success (or popularity or attractiveness, for that matter.) It’s important that kids know the risks of pushing their bodies too hard, as well as the dangers of supplements and pills that purport to make them bigger or more “cut.”

5. Check out the IronKids app if your child shows interest in getting stronger. The AAP has created a great, $3.99 app called IronKids, which features lots of safety tips as well as a 45-minute, kid-friendly “IronStrength” workout. Do it together with your kids—it’s a great way for you to keep tabs on their progress and fit a workout in at the same time.

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Sled Safer: Six Things to Know

January 28, 2015 by Kelley Leave a Comment

sledding safety tipsToday, while watching my sons hurtle down a bumpy, tree-banked hill on a dinky plastic saucer, the thought occurred to me: Why don’t we take sledding safety more seriously?

I know this is making me sound like the wettest blanket around, but think about it: We make our kids wear helmets while skiing, biking and skating, and make all sorts of rules and parameters when it comes to their participation in these activities. But sledding is usually a free-for-all: no protective gear, loose boundaries, and minimal vigilance on our part.

Turns out, doctors are concerned about sledding safety, too. A 2010 study by researchers at Nationwide Children’s Hospital showed E.R.s see more than 20,000 sledding injuries a year, four percent requiring hospital admission. The most frequent injuries were fractures, and the head was the most commonly injured body part.  Snow tubes were associated with the most serious injuries, a fact borne out tragically on Monday, when a teenager in New York died after crashing into a light pole.

I did some digging to find some expert advice on how we might have a safer sledding experience tomorrow, and here’s what I learned:

Don’t sled where it’s overcrowded. Pair up with just one or two friends and find a clear hill to do your runs—or hit a popular spot early or late in the day to avoid collisions. Injuries to the head are twice as likely to occur from collisions as from other mechanisms.

Choose wide-open spaces. Don’t sled where there are lots of trees or a road, parking lot, or body of water at the end of the sledding hill.

Use caution on snow tubes. Traumatic brain injuries were more likely to occur with snow tubes than other sled types, possibly because they reduce the rider’s visibility. (This is news to me: I assumed they were somehow safer, because they were more cushioned.) If you are going to tube—and I know, it’s so fun—do it in a spot where there are few people and no obstacles.

Consider helmets. Kids are so used to wearing them for other activities, why not sledding? Be the first in your ‘hood and set a trend.

Banish belly slides. This will be a hard one to enforce in our house. But experts urge parents to teach their kids to only ride sitting upright, and facing forward, to reduce the chance of crashes and collisions.

Teach kids to keep their eyes open for other sledders at all times. They should watch where they are going on the way down, and to move out of the way and look up immediately when they finish a run.

I know we have some work to do to meet these safety goals; do you?

Photo credit: Yooperann via Photo Pin, cc

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7 Ways to Improve Kids’ Social Skills

January 21, 2015 by Kelley Leave a Comment

teach kids social skillsFor some children, making conversation comes easy. For others, it’s hard work. Talking with a classmate on the bus, greeting a teacher, or even just taking turns chatting around the dinner table can feel painful, or just plain impossible.

Kids with ADHD, anxiety, depression, autism, Asperger’s Disorder, and other developmental disabilities are especially likely to struggle with these social skills, but they’re not the only ones. Given the amount of time that children spend in front of screens these days, all kids are getting less and less practice developing the ability to communicate—in real time—with others. A 2012 Stanford study showed that girls who spent the most time on a wide variety of tech devices (even social media) were at highest risk for social problems. Clearly, even as kids text more and talk less, face-to-face connection remains the building block of friendships.

Regardless of their age or whether they have a diagnosed social disorder or not, “all kids can benefit from making the most of their interactions with others,” says Polly Dunn, Ph.D, a Happy Healthy Kids advisory board member, child psychologist, and author of the Child Psych Mom blog. With the help of Dr. Dunn and some other psychology resources, we’ve gathered some tips for helping kids develop the social skills they need now—and in the future.

1. Teach her F.E.V.E.R. Dr. Dunn uses this acronym to teach kids and their parents what to think about when talking to someone else:
F—Face the person when talking
E—Maintain eye contact
V—Keep volume at a reasonable level: don’t be too soft or too loud
E—Think about your facial expression: Smile or be serious when appropriate
R—Relax! Try to not be anxious or tense.
You can teach your kids what F.E.V.E.R. stands for, and before a meeting with a teacher, or a playdate, or a visit with extended family, remind them to “remember fever.”

2. Praise positive social interactions. We praise our kids for good schoolwork, behavior, and extracurricular accomplishments; Dr. Dunn says we should give them props when they display positive social mannerisms, too. When your child looks another grown-up in the eye, answers a question clearly and promptly, or uses good manners at the table, point it out—and compliment him on it.

3. Model friendliness and good manners. You can’t expect your children to develop strong social skills if you aren’t modeling them. Show them how to strike up a conversation with the mailman or a neighbor, listen to a story without interrupting, ask follow-up questions, and stash your phone out of sight when talking with anyone (be it a best friend or barista).

4. Find a group-oriented extracurricular activity your child loves.Sports, clubs, or religious groups can give children extra practice perfecting their social skills. Be sure your child chooses the activity: the more engaged and excited she is about what she’s doing, the more likely she’ll be to want to work together and communicate with others.

5. Use opportunities for your child to talk on the telephone, FaceTime or Skype. You can’t mumble on the phone or over FaceTime or Skype and expect the person you’re speaking with to understand you. Sharing news from school or home with a distant family member or friend is a great way to help kids learn the importance of speaking clearly and thoughtfully.

6. Consider getting a pet. While researchers caution that more studies need to be done to establish a strong link, a recent study out of the University of Missouri suggested that autistic kids were more likely to display socially assertive behaviors (like answering people’s questions, introducing themselves, and asking for information) if they had pets. By establishing themselves as such an important and kid-friendly part of a household, pets may give shy or withdrawn children something to talk about. Past research has shown that pets are linked to greater empathy and social confidence in typically developing kids, too.

7. If your child is still struggling, look for a social skills class in your area. As diagnoses of conditions with social impairments have grown, so have the availability of social skills training classes, in which a trained professional guides groups of like-aged kids to start and sustain conversations. Dr. Dunn has seen children who have prolonged trouble interacting with kids or adults, making friends, or are painfully shy really benefit from these classes. Ask your child’s doctor or guidance counselor for ideas, or check out this list maintained by the Asperger and Autism Network (AANE).

photo credit: Visual Punch via Photo Pin, cc

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Five Family Playlists

January 16, 2015 by Kelley Leave a Comment

family playlistsMusic is like medicine: The perfect song, at just the right moment, can provide clarity, perspective, or release. With my kids, I use it like a reset button, to help them wake up, relax, or snap out of sour mood. Just last night, when the kids clearly needed to let loose after dinner and before their baths (finding one attempting to scale a doorjamb, American Ninja Warrior style, gave me the hint), I cranked up the old-school jam “Apache” on my phone as they shed their clothes for bath time. Just ten minutes of dancing to the Sugarhill Gang, underpants optional, turned out to be just what they needed to settle into the evening.

Last week, I asked friends and readers to share some of their favorite tunes to play with their kids in various settings—to rock out, chill out, or just pass the time in traffic. I got some great feedback, and naturally wasted a ridiculous amount of time online checking out their choices and discovering some new ones. You can connect to these via Spotify—it’s free, easy and really worth subscribing to, if you haven’t yet (you’ll get a prompt when clicking on a song). You can also find these songs on iTunes, Amazon, and Soundcloud, too. Let me know what you think, and please share your own family faves, as I will almost certainly do another playlist post at some point. This just might have been the most fun post to write, ever.

Note that all of these playlists have many more songs than the ones previewed in boxes, here. Just click on the edge of the box and scroll down for the full list. You can also find these and other playlists on Spotify directly by typing spotify:user:happyhealthykids into search bar at the top of the page.

Playlist #1: Preschool Playtime

There are quite a few really terrible “toddler time” playlists online, with the same group of tinny-voiced children singing the same creaky nursery rhymes to the same synthesizer beat. And yet, much of the new kiddie rock music is inaccessible to 2- and 3-year-olds. Here’s a mix of nicely produced classics and catchy newer tunes that are good for playdates, craft time, or car-seat time.

Playlist#2: Family Road Trip

Finding something suitable for the entire family in the car can be tough when a mix of ages and a musically snobby grownup or two are present. This is where some of the truly clever and often very funny new kids’ rock music comes to play. These songs are playful without being too babyish for elementary schoolers, and all have a good beat.

Playlist #3: Big Kid Dance Party

Our entire clan, ages 3 to 8, really digs this, but with a few “damns,” a couple “sexys,” and a drinking reference here and there, a more sensible parent than I might choose to reserve this as an after-dark playlist for the ‘tween set. It also doubles nicely for runs and workouts.

Playlist #4: Weekend Morning

Pleasant, upbeat music can have a positive effect on everyone in the household. All of these songs have a slightly ambient quality that’s well suited to lazy or busy weekend mornings. At the very least, you can enjoy listening to this while pretending to not hear your kids fighting over the new Hot Wheels track in the basement.

Playlist #5: Sleepy Songs

Every parent should have a sleepytime playlist in their back pocket—for frazzled nap times, long, sick nights, or nighttime road trips when the kids need to sleep. This is an extended version of a playlist I’ve been passing along to my best new-mom friends for years now. It got us through colic. Hope you like it.

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Bathing 201: Beyond the Baby Years

January 14, 2015 by Kelley 1 Comment

Bathing serves multiple functions in our house. Depending on the day and the kid, it can serve as a wind down tool or a wake-up call; sibling bonding time or much-needed alone time; a skin soother or grime remover. Our children take a bath or shower nearly every day, for these and other reasons. But when one of my sons scratched some dry skin on his hip so aggressively the other day that it started to bleed a bit, I started wondered if maybe we needed to cool it on his daily hot shower, at least during the winter. At the same time, doesn’t his current sport of ice hockey, perhaps the smelliest sport on the planet, call for it?

keep kids clean

When our babies are first born, we’re given detailed information about how—and how often—to cleanse their hair, skin, and teeny tiny belly buttons. But when the newborn period is over, so is the annual well-visit spiel about bath time. And yet bathing is something our kids do nearly everyday, with major repercussions on hygiene, body awareness, dermatologic health, and even mood. Clearly, I needed someone to walk me through bathing 201. So I turned to pediatricians Julie Kardos, M.D. and Naline Lai, M.D., HHK advisory board members and creators of the Two Peds in a Pod blog, for age-by-age guidance. Here’s the nitty-gritty on getting kids clean, along with some product recs (based on my own research).

BABIES AND TODDLERS

How often to bathe? Three times a week or less. Be sure to wash their hands after diaper changes and potty time and before meals, however. If they really like bath time, you can do it everyday, but don’t soap areas other than their hands, face, and diaper area, and keep sessions short. The exception is children with eczema; daily bathing can be too drying. For these kids who love the bath, set up a basin of warm water and toys at the sink for them to play with.

What products to use? Mild, fragrance-free soaps or just plain water is best. “Generally, the less scented, the better,” says Dr. Kardos. Research shows that using a thick moisturizer on a young child’s skin everyday can cut their risk of eczema by half. Lotion can feel cold right out of a warm bath; try filling the bathroom sink halfway with hot water and let the bottle warm in there during bath time.

Keep in mind…This never goes without saying: Keep within arm’s reach of babies and toddlers while they’re bathing. Older siblings are fun tub companions, but terrible lifeguards. This is not time to catch up on Facebook, either, as tempting as our iPhones are. Digital distractions around the bath are a hazard for your child and your device.

ELEMENTARY SCHOOLERS

How often to bathe? Every other day works for most kids in the early grades. During the summer, though, you might want to make sure they have a quick shower or bath nearly everyday, in order to rinse off chlorine, sunscreen, and possible ticks, and clean any cuts or microabrasions. Make sure they lather up their hands, face, and genital area.

What products to use? Colorfully packaged soaps can motivate school-age kids to bathe, but try to choose brands with minimal fragrance, dyes, and chemicals. Highly-rated ones to try: Kiss My Face Kids’ Bubble Wash ($10, Amazon) Jason’s Kids Only! Tropical Twist Wash Bath Gel ($7, Amazon) and Tru Kids’ Bubbly Body Wash (Amazon, $9), all of which come in fun, gender-neutral designs. Avoid bubble baths, which seem like fun but can really dry out skin and irritate private parts (especially girls). If itchy, dry skin is a problem, fill the toe of a sock with skin-soothing oatmeal, tie or cinch the top, and let it float in the water.

Keep in mind…Kids this age love to lounge, splash, and test their breath-holding capacity underwater, so even if they’re swimmers, make sure you can hear them at all times if bathing takes place in the tub. One idea: Bring a laundry basket into the bathroom or a room adjacent to the bathroom and get some folding done during bath time.

‘TWEENS AND ‘TEENS

How often to bathe? Once kids are around 9 or 10, they really should bathe everyday to stay fresh and clean. Make sure they wash their hands, faces, genital areas, feet, and underarms, as well as the back and chest (which can become acne-prone). As early as possible, teach them to wash their faces at the sink after waking and before bedtime, too, so that if and when complexion issues arise, they will have already developed good habits. Place a mild face soap, like Cetaphil (they make an oily skin version,$10, Amazon ) on the edge of their sink to help remind them.

What products to use? Again, nothing fancy: low-fragrance, mild soaps are best. Bar soaps that contain lotion, like Dove ($7 for eight bars, Amazon), will keep skin from getting dry and itchy. If your ‘tween or ‘teen likes to use a bath poof or sponge, replace them regularly (they are bacteria magnets).

Keep in mind…Big kids need bathing instruction too, especially as they hit puberty. Speak frankly with them about how to clean themselves, including using their pads of their fingers to scrub their scalps and avoid flaking, washing their faces from the top down as opposed to center-out (as not to spread any secretions from their noses into eyes and mouths), and carefully but completely cleaning the groin area. Awkward? Sure! Helicopter-ish? I don’t think so. These are life skills that will boost hygiene, comfort, and even confidence during the trickiest time of childhood.

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What if Your Kid Hates Sports?

January 7, 2015 by Kelley 7 Comments

kid hates sportsMore kids than ever—a whopping 21.5 million, according a recent analysis by the Sports and Fitness Industry Association —play organized sports. Indeed, for better or occasionally worse, there seems to be a team for everyone, every season of the year. But what if you’re the parent of a child who doesn’t want to play on a team at all? For whom an hour at the dentist may be preferable to strapping on the shin pads and chasing after a soccer ball?

In our sports-crazed culture, parenting a child who claims to “hate sports” can be tricky. I’ve spoken with parents who worry that children who beg off little league tryouts or who shuffle around a basketball court in apparent misery are missing out on some important childhood rite—or at the very least, an opportunity to bond with peers in some meaningful way. These feelings are natural, particularly if you have a little youth league nostalgia yourself. Plus, there’s data suggesting that sports participation can help boost self-esteem, fitness, social confidence, and even academic achievement.

Other than putting a child’s lack of athletic interest in perspective—we are, after all, talking about games here—parents can do many things to support sports-averse kids at multiple ages and stages. In fact, many kids may get the physical, social, and emotional benefits of mainstream sports and more by participating in lower-stakes recreational games or less mainstream physical activities. With special thanks to HHK adviser Curt Hinson, Ph.D., a kinesiologist and dad who counsels schools around the country about improving gym and recess programs, we’re listed two big ideas here.

At the early childhood level…Don’t push programming.

It’s not hard to get sucked into the tot-team industrial complex cropping up in many communities (guilty here). It sometimes seems that everyone’s signing their preschoolers and kindergarteners up for soccer, tee ball, and the like. Sure, exposing a child to a variety of sports early on may be just thing to help him narrow down what he likes and doesn’t like. But if your little one starts balking every time you lace up those teeny-tiny cleats, it may be time to throw in the towel, at least temporarily. “The most common reasons a child ‘hates sports’ are that they had a bad experience or lack the skill to participate at a level that makes them feel successful,” says Dr. Hinson. Some tot-level organized sports—ones in which coaches attempt to teach skills that are above many participants’ fledgling physical capacities—can set the stage for both these problems. “If a child starts playing at an early age and he or she lacks the strength or coordination to participate at a successful level, they often become frustrated or bored, which, in a child’s mind, can equate to ‘hating sports,'” says Dr. Hinson.

If this is your kid, says Dr. Hinson, the best remedy is for parents not to force their children to play in an organized league, especially skill-based team sports like soccer, baseball, football, basketball or ice hockey. “It’s better in this scenario to spend the early years just playing with your child in the backyard or in an open gym space,” he says. “Often, throwing, catching and kicking skills can be developed quicker with you than at a team practice. Some team practices have kids standing around waiting in line more than they are engaged in skill development.” This way, you can gauge a young child’s interest without the pressures or costs of a team experience. Invite some friends or neighbors over every so often if the social aspect is of interest to you or your child. This may be extra work for you, but chances are the extra family time and lower pressure environment will benefit everyone.

At the elementary- and middle-school level…Sign up for alternative sports.

When your older child ‘hates sports,’ it may just be that he just hates the sports he’s been exposed to up until this point. While the saying that “there’s an athlete inside all of us,” may sound a little commercial or corny, it’s true that there’s some appealing physical activity out there for almost every child—and now more than ever. Some of those ballooning sports participation stats have to do with the fact that more and more kids are getting involved with physical activities that weren’t available to us as kids.

Talking to your friends, your child’s P.E. teachers, and, of course, local Google searches will help generate ideas. In our town outside of Boston, for instance, there are a few indoor rock climbing facilities that hold kids’ classes, and many kids’ skiing programs. Dr. Hinson has found that dance programs and gymnastics in particular appeal to many kids who are disinclined toward team sports. There’s also a growing number of fitness gyms that have launched kids’ programming, from yoga to Crossfit. More and more towns are holding running programs and races that begin at the school-age level, and there are even kids triathlons held in many communities (look for one near you at trifind.com).

Whether or not your child finds a friend who’s game to try out one of these alternative sports with her, consider joining her yourself. You may both get more fit—have you ever tried to keep up with a motivated 11-year-old?—and also find that the best bonding you do is on a running trail or chairlift. And that’s a win-win.

Photo credit: Biscarotte via Photo Pin, cc 

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How Screens Sabotage Kids’ Sleep

January 6, 2015 by Kelley Leave a Comment

It’s old news that children who have a television set in their rooms get less sleep than ones who don’t. But a big, multi-center study on fourth- and seventh-graders in the journal Pediatrics reveals that smaller screens have an even worse impact on rest. Whereas tykes with their own TV sets get an average of 18 fewer minutes of shuteye per night than other kids, children who sleep alongside handheld electronic devices like tablets and smartphones reported sleeping about 21 fewer minutes per night. They also report just feeling more tired, too.screens harm kids sleep

If 21 minutes doesn’t seem like a lot, consider that most kids are already short on sleep. School-aged children need 10-11 hours; teens require around 9. And yet, studies have shown that only 15 percent of older kids get more than 8.5 hours per night. Some 60% get six or fewer hours. This can have wide ranging impacts: Kids with sleep deficits are more prone to obesity, attention disorders, depression, accidents, and even—this might be worth mentioning to your ‘tween if nothing else seems to resonate—acne.

Lots of parents set up a basket or bowl in which kids have to toss their devices during homework or dinnertime. These rules are meant to foster academic focus and familial relationships. But shouldn’t health be an equal if not greater impetus for a phone handover rule an hour or so before bedtime, too?

I know this is easy for me to say, having children who aren’t yet smartphone owners and therefore have few entertainment options keeping them awake at bedtime. (Nate the Great is a good read, but obviously not as compelling as an instant message from a crush from chemistry will one day surely be.) And yet, parting a kid from what we all know to be a near universally addictive object just makes sense. I know I struggle to tear myself away from my iPhone at bedtime (having my Kindle books and alarm clock on there doesn’t help). I can only imagine what it would be like to be a middle schooler and have unfettered and instant access to friends, boyfriends, gossip, and news. Just 21 minutes? I don’t know if my socially motivated, insecure ‘tween self would have had the self-control to stop there.

Which is why experts say it’s important to not blame or shame kids (i.e., you just can’t control yourself on that thing!) if you institute a rule of no phones and tablets in their rooms in the late evening and overnight. Explain that you’re not punishing them, but looking out for them. ‘Fess up about your own electronic dependencies, too, and walk the walk by leaving your phone charging in the kitchen or living room overnight. Will they balk? Naturally. But they’ll be healthier for it.

Have you found any successful strategies for establishing evening technology limits in your family? Share here, and get some more ideas from this printable family contract for smartphone use at Connect Safely.

Photo credit: John Karakatsanis via Photo Pin, cc 

 

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Be Wary of Supplements for Kids

December 16, 2014 by Kelley Leave a Comment

Immune boosting. Brain healthy. Tummy soothing. Whole aisles in Whole Foods and other stores are filled with rainbow-colored bottles bearing these promises and others, and they are marketed to parents like you and me, who want nothing more than to have healthy, bright, gastrointestinally secure children—particularly this time of year, when bugs, moods, and too-rich foods can run roughshod over our carefully laid holiday plans.be wary of supplements

Many parents “swear by” some sort of vitamin, mineral, or herbal blend, which is why 1 in 9 kids take some sort of supplement. But real research about the benefits—and more important, safety—of kid-targeted supplements just isn’t there. Dietary supplements aren’t tightly regulated by the FDA the way medications are, which means that companies aren’t required to meet a strict criteria of certain safety standards or prove certain health claims before their products land on a shelf near you. This truth was magnified recently, when a premature baby in Connecticut died after being given a probiotic powder that was contaminated with a fungus. Manufactured by the popular supplement brand Solgar, ABC Dophilus powder was marketed as a supplement for babies and children specifically before the contamination was discovered and it was pulled from the shelves.

This news shouldn’t incriminate probiotics on the whole: They are prescribed by many doctors to help replace the good bacteria in kids’  guts when they are taking antibiotics, and research has supported their use in premature babies with certain conditions. But it is a reminder that supplements are not without risk; and because regulation is so weak, it’s often unclear what those risks actually are in the first place. It reminds me of something a dietary researcher told me when I was editing a story about supplements for children as an editor at Child magazine: “Natural doesn’t mean neutral.” Many supplements sell themselves on being derived from nature or eschewing chemicals, but that shouldn’t lead us to believe they are necessarily harmless as a result. Moreover, while supplements suffer from a lack of testing in people generally, research on their effects in children is especially scant.

Cases like the one in Connecticut and many others will hopefully serve as a wakeup call that the government needs to rethink its position on supplement regulation in the U.S. In the meantime, it’s essential that when we choose over-the-counter supplements for our families, we do so caution and in close concert with a physician who knows your child’s medical history well. Some supplements may interfere with medications your child is taking—for instance, vitamin C interferes with the absorption of acetaminophen (Tylenol). Meanwhile, according to a 2012 report, children who take multivitamins are at greater risk than those who don’t of getting too much iron, zinc, copper, selenium, folic acid, and vitamins A and C, which is why the AAP does not recommend the use of multivitamins in kids with a reasonably varied diet. From time to time, a reputable, well-tested supplement may be just thing to help a child thrive. But in most cases, your pediatrician will probably tell you that supplement is unnecessary, in which case you’ll cut back on your grocery bill as well as unclear potential risks to your kids’ health.

photo credit: KitAy via Photo Pin, cc

 

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Prepping for a Doc Visit

December 15, 2014 by Kelley Leave a Comment

This is a guest post by Michelle Friedman, a mom, freelance writer, and marketer at Medical Scrubs Collection.

I walk into the bright glare of the waiting room, hanging onto coats and mittens, while handing out snacks and chasing after my toddler. I catch a whiff of hand sanitizer—and the sounds of wailing babies.prepping for a doc's visit

We’ve all been there. Well visits at the pediatrician are crucial for checking on your kids’ progress and getting them up-to-date on their shots, but not so great on the nerves. After a few disastrous experiences, I was forced to do a little research on how to make sure future well visits were more educational and less exasperating. Here’s what I’ve learned.

1. Come prepared with your own entertainment.

Different pediatricians have varying policies about the forms of entertainment they keep in their waiting rooms, due to a concern about spreading germs. Some doctors only have books or movies, while others have full entertainment stations. Regardless of what’s offered, bring along age-appropriate entertainment for your children to keep them busy during the inevitable wait. Books, small card games, and coloring books are all great ways to keep the kids busy. Educational apps that are kept as a treat just for the doctor’s office can keep their minds busy rather than their legs—because, let’s face it, an office full of sick kids are one of the last places we want our kids to “explore.”

2. Write down questions in advance.

 In the days leading up to my kids’ well visits I remember all the little things I want to ask the doctor, but once he’s in the room and I’m trying to keep them from jumping off the exam table, my mind goes blank. And before I know it the nurse is on her way with the shots, and the doctor is gone. The American Academy of Pediatrics recommends keeping a notepad dedicated for doctor’s office visits where you jot down questions as they come to you—seeing them in print really helps. You can bring up your questions at the beginning of the visit, or after the doctor is done examining your child. Check your list to make sure that all your questions were answered, and write down any instructions given.

3. Prepare the patient.

Kids, like adults, are afraid of the unknown. Before the well visit prepare your child by explaining the order of events and what will happen at the visit. (It might be tempting to “not worry” them with details beforehand, but that can lead to even more fear and distrust the next go-round.) Emphasize that the doctor and nurses care about them, and want them to feel well. KidsHealth.org offers a great resource that gives an in-depth look at the psychology behind children’s fears when visiting the doctor, and how to allay them. I have found that teaching my young son his doctors’ names helps alleviate the anxiety, by giving more of a personal feel to their caretakers. I also don’t cover up the truth: If he will be getting shots, I let him know. We discuss how the shot will only feel like a pinch for a moment. With a child who is really anxious, you can teach coping skills with a stress ball, which you can bring with you on the big day. You can also prepare young patients by playing doctor at home with dress up clothes and toy instruments. The role play will help familiarize your child with the concept, and might even make the whole process a little more fun.

4. Keep your cool.

I’ve learned that perhaps the most important thing that you can do for your child at a doctors visit is to be a calming force. Children are great at picking up vibes from their caregivers, and the slightest hint of tension will translate into anxiety and tantrums. Be prepared for the inevitable tears, and enjoy the opportunity to mark your children’s milestones.

Now that I’ve committed to some advance planning, my children’s well visits have become mostly pleasant experiences where they get a chance to form relationships with their doctor. And when they’re not? I’m learning to deal a little better with the chaos myself.

 

 

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