WWL>Topics>>3-6-14 1:10pm Angela: on childhood obesity

3-6-14 1:10pm Angela: on childhood obesity

Mar 6, 2014|

Angela talks about childhood obesity and how to combat it with Dr. Melinda Sothern of the LSU Health Sciences Center.

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Automatically Generated Transcript (may not be 100% accurate)

Hi everyone. My mantra today is there will be sunshine there will be sunshine. Were all a little wary of the -- but it's gonna happen I heard on channel four's morning news is going to be tomorrow so just hang in there one more day. Three I think fascinating shows the first one I cannot wait to get in with two with -- doctor -- southern. But also wanted to tell you in our second hour we're going to have found. Two women who have opposing views on common core. And in our third hour we're going to be talking about all kinds of how to save your credit for. I think everybody can relate to that on one level or another hammer gonna talk to an expert the man who founded credit dot com. And also ID theft dot com so stay with -- for the third hours well but this is the hour. I have truly looked forward to I recently read an article in time magazine about childhood obesity. This article was terrifying. Most of the snow that obesity in kids has tripled in the last thirty years. That more and more children are being diagnosed not with type one diabetes but with type two diabetes which is adult on sept. But what was frightening about this article was that obese children are aging faster. And showing signs of diseases. Normally associated with adults. Hypertension. Heart disease and liver disease. As the article said this could be the first generation who will not live as long as their parents. If you have a child or the aunts uncles or grandparents of the kid you think is overweight but feel he or she could just grow out of it. Think again. On obese child is on a dangerous path and needs help. And joining us to explain what's happening is doctor Melinda southern. Professor of -- shoe on health science center at the school of public health. And the -- thinks in down share. She's also the author of trim kids and of course we've all seen you for years with that embarrassed of her wonderful medical reports. And you are the authority when it comes to children and obesity -- and so ride out the bad acute I just keep kept reading that article. I couldn't believe what I was reading about the adult diseases. In 101213. Year old kids. That's correct and unfortunately it keeps getting younger. Five years ago we were seeing type two diabetes and ten to twelve year olds and now we're seeing type two diabetes and 89 girls. -- and the problem with that is that once your diagnosed with type two diabetes. Disappear -- time where you can simply take medication. And it if you follow them a plan of year. -- doctor. You can delay having to actually take insulin -- via an injection. But and lecture very very careful when you follow the planned exactly to the T. You know the consequences of that. Situation. Will happen sooner than later. Unfortunately the minute you have to start taking insulin the prognosis. For your life. He is quite Graham it's twenty years. So. All the other complications -- before and I think many people aware that eyesight is involved foot problems skin problems kidney problems at that at the end of it. But if a child develops type two diabetes at say eight years old and then becomes insulin dependent at twenty. They this is why they're not gonna live as long as their parents. The other chronic diseases that are associated with obesity are similar. We're seeing a very much increased rate in heart disease and especially women. Younger and that's tied to the obesity epidemic starting earlier. In this article on I wanna give credit to the author of an Alice park it was in time magazine a couple of weeks ago. But she gave the example of -- ten year old boy who was overweight and his cholesterol came up very high. And the doctor said you know we better check this out. And had a liver is liver tested and it was a fatty liver and this is what sort of blew my mind. I don't think I've ever heard fatty liver shame on me but it the explanation on that. Was this is what you often -- in alcoholics and now this ten year old boy was not an alcoholic he heading non alcoholic fatty liver. What does that mean. It it's a very complex. On the metabolism. Light shift. So everyone has us a healthy metabolism. On and it operates a certain way but we become so overweight. That your body cannot adapt to that. Excess fat that is especially located in that tropical part of your body like around her stomach area. Then your metabolism changes. And it chips to. To a point where it doesn't want to used the fat as a field so it doesn't use the fact it's stored as a field and it doesn't want to use the fact that you injustice if you. It only wants to use corporate hydrates. And this is why -- a high -- to -- kinda come under fire as well you know in Cobb high just -- Porsche white bread and you know potatoes things like that. Because. If the carbohydrates are being used -- you it means that the fat just continues to be stored. Well at some point that fat. Has to inner organs -- is just so much of it it circulates around the bloodstream and it just has no place to go so in as the organ and not only is the -- affected that's one -- That that's one organ they can measure quite easily but the heart also and the kidneys become. Infiltrated. And once that happens. It's almost like -- shifted. Into a cycle where. You're gonna stay that way unless there's some really strong intervention to turn that around. One of the things that will improve your ability to burn fat is exercise. And that's one of the reasons why especially children that's something that we really tried to. Promote the other is a high fiber diet. And some of higher and -- foods that are being promoted now that also helps in. You know maintaining a healthy metabolism. You know fatty liver is it is a disease and if the child gets that early enough the liver can become damaged. Umps and not only would they have diabetes that they can have other complications and even eventually on a liver transplant and we're seeing that. That fatty liver disease is increasing as well and he is associated with obesity. We actually did a study on this was quite quite frightening to us we were not expecting these results. We had over a hundred children between the ages of seven and nine and they were in between Baton Rouge and New Orleans. And we measured how much fat was actually inside their liver cell. You know not just with the blood tests we actually used an MRI machine and machine takes pictures of the of the actual liver. And we found that in children as young as seven if they were overweight. They had three times the amount of fat inside their -- as children who were not overweight. And these were overweight children who were healthy. They did not have high cholesterol they did not have high blood pressure we its screen away from the house so that was really frightening because that's told us that that liver fat inside. The sell on the is dangerous when it's I went yes and so the only symptom you're really gonna see at 8789. Is if they're overweight. Because at the doctor's office they're not hypertensive they don't have high cholesterol yet. But if you don't do any thing within three years. Just as the article said those things are coming up they start showing. When did you start -- -- you've been in this a long time now it when did you start seeing it escalate on. So we've we've been studying overweight children now -- 24 years -- -- how scientists center. And the first. On five to eight years there were very few children that were coming into our programs as an -- we -- kind of actively recruit because it just wasn't that many overweight children. But within. Five years so I would say. You know ten years ago. It really started to escalate so for the last ten years we've seen nothing but a tremendous increase in the number of globally children who need help. And that age at with at which they -- program much younger so we get calls from 3456. Year old children now. And more -- more. On. You know disheartening to me is that they come in not just obese but severely obese. Which is you know as a justification for that it's someone who has to lose about twice. Their body weight so a group of children like that are supposed to weigh a hundred pounds and they weigh 200 pounds and their six years old or seven years old. That type of obesity is so difficult to treat. On and typically all we are able to do even at this point and we have one of the best programs in the country frankly. Is. Reduce their -- about 1020%. You know if if the child is very compliant in the family's very supportive 30% weight loss perhaps. And maintain it there we are absolutely incapable of bringing them back to normal healthy weight which tells me that it's it's it's. There's something else driving other than their behavior. Okay we have a lot to talk about please stay with this were talking about really the tragedy of childhood obesity the doctor Melinda southern financial up we'll be right back. About childhood obesity with doctor Melinda southern of the LSU Health Science Center. And were were talking about an article that came out a couple of weeks ago in time magazine that was. Again pretty mind blowing about. The number of children who in and there are we're talking to little kids 89101112. Who -- starting to have diseases of adults. Certainly we've known about childhood diabetes and not -- but adult onset diabetes but now heart disease high cholesterol hypertension. Very frightening. And and yet we continue -- -- to put that we were talking like it just triggered a thought. We're talking about this obesity in kids talked about the super obese and the limitation you have on really helping them some. Those who are well motivated. To lose a hundred pounds or thirty pounds in -- is that a genetic thing and is all to. Obesity genetic. Or is -- lifestyle. It's a combination of genetics and lifestyle. We can carry. On genes that promote diabetes. But unless we're in an environment that causes that -- to turn on. Then we won't develop the flip side is true we can carry an anti diabetes team. And we would be protected but replaced in an environment. That doesn't enhance that protection. So some of the risk factors for for obesity. Related diabetes. Or high intake of sugar low intake of fiber. A lack of fruits and vegetables that's a combination of both the fiber and there helping nutrition at vegetables and -- provide. Low physical activity but children are not active they're much higher risk for diabetes I think what -- parents don't realize is that insulin. Is there a chemical that goes awry when someone gets diabetes I think everyone knows that. But the skeletal muscles are the main area where insulin is used so if you skeletal muscles are not healthy. They're making use. And what keeps skeletal muscle muscles healthy young children is exercise that's that's the way they grow and develop appropriately is through using those muscles. So they're inside in there on you know video games and TV in the not using those muscles. They have a much higher chance he. Even if there not that prone genetically to developing it but especially if they carry that you know we. Have all seen whole family's. You know in the mall in a restaurant walking down the street. And there are all obese. And it's very sad to see that and one would wonder if the grandparents weren't limelight at some point. Someone hasn't sent. You know now mom and dad have diabetes what about these three -- four kids. You know the research shows and it's very well documented that these individuals believe. That they are doomed they believe that if they're grandparents had diabetes and their parents at diabetes that they're just gonna get it no matter what they do. They're hopeless and that's what they think but the actual scientific research. Around -- -- in preventing it doesn't support that because if the child is provided with an intervention early enough. It can delay the diabetes by decades -- may not actually stopped them from getting diabetes at some point in their life. But it's certainly can delay there was actually a paper published last month. On via a major university up north. On which did -- won your studies in children. And turned around high cholesterol but the high liver fat. The on hypertension associated with them being obese for a hold Jeter. And they're gonna continue to folic it obviously but if you can maintain that momentum. It's clearly thought that you can delay the process of of the kind of diabetes that really -- July. You know it's was terrifying mostly I think to read that article about. It is happening at a cellular level and kids who are 8101213. 1415. Are aging and like adults. Getting these diseases but. In other words they're puberty is gonna start earlier and everything is going to start earlier -- and we've we've known it. Since I've been studying so we've known for over twenty years that an obese child has advanced bone age. So they have advanced age they have advanced physical age and sexual. Age but emotionally they're the same as the up until twelfth or so for example we'd have a ten year old girl who was super obese who had to lose a hundred pounds. Well in an emotionally she was just like another -- girl but she looked like she was eighteen she looks so much older. And physically was completely mature and sexually mature. And you know wouldn't we wouldn't we measured their own and their muscle on in our study and we would look at their bone in their -- that her opponent was eight or nine years. More than it should be so you're starting out ten years older when your child and of course you know it's gonna show up in these types of tests that look tests that look at the cellular level. And in terms of aging. What that actually needs to mean so that lifespan. We don't have those studies in children we do them and adults. But the the culprit is something called rock today that stress that the people in May have heard that you know the sort of free radical -- yeah these chemicals that circulate and cause damage and lead to cancer recently eaten. The advanced aging. Well the obese state promotes that obesity. Is associated with the type of -- on cells in the stomach area. That actually. Promote inflammation and promote. Promote. A response similar and -- if you were stressed so if you're stressed either mentally or physically. On think think about what happened to to Katrina you ultimate thing you know you're stressed of those fat cells send messages to the brain. That put the the body in a state of fighter flight -- it really damages cells that damages muscle cells that damages bone cells and and some in some studies. Especially very young children because of developing it can damage some of the neurological. On and so it's so wonder studied it's an area where -- like to say just because we don't know that it's happening because it's hard to study children. It doesn't mean it's not happened. Well you know I think were also now more and more attuned to what is happening in our health care cost and you'd hate to put it on that level but clearly. Obesity in adults has to be addressed because it is causing so many issues but now to look at it in two children. And saying we gotta get control over this. Well that the costs associated with. A child being overweight. On or every time there's a report it it goes up about 28 point 5%. And five years ago there were ten million obese children now this thirteen million. -- guy so the cost it increases. As the number of overweight children increase we actually had a recent report last week that preschool children. Had -- there was actually a reduction in the prevalence of obesity preschool children. On it sounds like it was a lot but he was only 8% which really isn't a lot. But it is hopeful yes on so what that tells me is that. Parents and especially moms -- listening. On their paying attention and their perhaps making those good choices. On in the home environment because that's really the only place -- moms have control over and and -- is at home environment. Because in terms of the in -- environment outside the home. The social environment in the media environment -- social media so and so -- And the environmental policy to support parents so that it's easy for them to make healthy -- -- is not there. So one of the things I've always said it's like. -- the minute your son or daughter walks out the front door the rest of the world is trying to make them overweight. But don't be powerless you know take control the -- you can take control over in your child spends a large amount -- timing your home. And you can do things tend to help this process. We're gonna continue our discussion with doctor Melinda southern but now let's go to the newsroom and Jim -- Well do you have an overweight child to do you have -- of great grandchild or niece or nephew. Have you ever been concerns. That this could be a lifelong battle and not just something that they're gonna grow louder. Well -- a recent article in time magazine said volumes to me and we are now joined by doctor Melinda southern who's a professor at LSU Health Science Center. And the author of trim kids and you've seen -- many times interviewed. By next fairest over channel four for all that you have done to help children. But even you are seeing you know it's one step forward how many back. Yeah -- of one step. All -- is that we seem to have made a dent in preschool obesity. In the you know school age child element to escalates out it seems to have leveled off but it's increasing in adolescents. And it's especially increasing in minority groups so African Americans and Hispanic. There prevalence of obesity continues to rise so we're not hitting that group. On and it's especially increasing import children regardless of their culture or their ethnicity. On part of that is because the environment that poor children live and it's very obesity promoting. There's something called food deserts I think people may have heard about that. So they don't have access to the healthy foods because they don't have that type of former markets and grocery stores carry fresh fruits and vegetables. Their neighbors and neighborhoods. Have high crime. You know hide disadvantage. Graffiti things that market as a disadvantaged neighborhood it's not safe and the play outside. Outdoor play is one of the one things of that that a parent can do to help prevent obesity related disease. On not only is it healthy for them because they'll do it longer and Marcus they enjoy it but vitamin. And so you know this is with we were -- we still have a lot a lot to consider and a lot a lot we need to work on if we're if we're really getting. Maintain optimum optimum environment for children to be healthy and in what really bothers me about overweight children especially the ones at a very overweight. Is there really not. Are allowed to be children. You know it's very difficult for an overweight -- to run and keep up with a healthy weight children. In -- their two joints hurt they run out of breath faster. They're -- initially and that's very well documented in the scientific literature there's still being teased measurably. On Iraq are cautioned parents if you have an overweight child to talk to them in and try to encourage them in and take the time. To play with them outside and teach him how to through and teach them how to do things because they can do. Just about anything -- -- child can do it to supplement -- itself you know and I'm sure in your programs. -- throughout the years. If you don't have the family support nothing works nothing works as a matter fact in new literature suggest that. You don't even have to treat the child you just bring the parents and work with them. And unfortunately I'm a mom and I have to say something about moms moms of the nutritional gatekeepers of the home I mean date for the most part -- Decide what types of -- abroad and how it's cooked how it's served the rules of the house. And I I I would like to again. Makes them more powerful about this it makes him understand that they can there's a lot they can do. On even of their busy moms who are working there's small steps -- can take every day to make their home. Their home healthier. And was to -- the dance the front they're important to him very once they're the ones to play the children they're the ones who teach them the sport they're the ones in. You know encourage playful activity -- you know I'm listening to -- on just thinking we've lived in such a fast world. Everybody's running everybody is working everybody is it's just so much and we were talking about being connected. We're all over connected and so it takes away the focus. On what. Is most important which is your health. I you have to take set one goal week if your if your parent in my opinion. So you don't wanna send the food police and then you know -- you know you know start you know making -- -- do calisthenics three hours today that would be that would be so counterproductive they would fight backs a much. It's just little small changes it's it's one small chains like setting the table playing music and serving dinner on Saturday night with your family. And leaving the food in the kitchen and only serving them the right portion size as a sit down and eat and have dinners family. Just having dinner as a family reduces the risk which a child that will develop obesity wartime it's really against children who -- of died as a family. Are four times less likely to be overweight that's simple thing and -- if you if you've not been doing that if -- one of these where children in front of TV and husbands of but the TV eating. You can't say every day you're gonna do that you just start with one night just that Saturday night put the napkins out like two candles placed music may it's national. Then they'll like they wanna do it and do on Wednesday. Into Saturday Sunday and Wednesday over about you know four month period that kids will walk and I -- -- do this to stop -- that on the table. And we -- so excited that the parents talking to them about the day. And I know this is typical but it's just how you set your priorities it's simply yes. You apps that we have some callers let's start with not Wendy Wendy. Time. I'm gone out and how well. My knee is that they dollar stores. Don't have -- just couldn't beat her collar. You are absolutely correct. And that is a problem and especially as we were talking about the food deserts if you don't have a convenient grocery store. But. You know what to do you get with -- other neighbors and say we're gonna make a run. Or are starting guard yourself when your own yard and if you don't have a yard you can actually -- tomatoes vegetables. In a window box -- I'm done it in spots -- mostly. Agree that happened. You know spend. The dollar stores and I think I need to be considerate. The expense -- interest. Have you ever mentioned it to any of the managers that you might say. I think it's a great idea and I I love the dollar stores was again on the -- the new England and -- things but. But that's an I'll do the same thing -- -- -- campaign and here's here's some you can do with your children when you go to the dollar store on. A couple of items to read the labels. And right there are some healthy items in the stores that they may be may not be fresh foods on but you can at least take that are needed to teach them. You know what what is a fat -- what is a carbohydrate grand how many calories it has to start making some making them more aware of what they're eating and choosing may -- to healthier version of something. -- what you know than that and the nonbelievers. Thank you went -- marry. Yes and child abuse to appoint all wanted to make -- -- -- It appeared that color these -- -- and that take out the -- committed to a couple points picnic out the GM BE. It's taken out they played tough and play on. The -- is horrible. And an indelible would have in mind that they have -- but it did. The ones that think -- did -- but -- as high. And people -- the apartment that they cannot -- apathetic -- Let god did not cut and plant and and it cost a lot more mind abide by to belt and it died but China doll -- -- -- -- get this council to vote. Now it's a problem that is a problem and again I think it's what -- seven assaying is. Is it having to think so far ahead and say you know what the food -- my my kid doesn't like the food at school. I'm gonna make a healthy sandwich I'm gonna make something that the -- can take it go to go to the if you if you if you know how to surf the web. Look farmers' markets in your area. They sometimes have programs where they provide transportation. On to and from the farmer's market that these groups are really aggressively trying to make fruits and vegetables. More available and these are these are local local -- local farmers look at local seafood fisherman they really want. On us to have access to their foods and their foods are so delicious and so healthy for you we're gonna take another break the were gonna come back and Barbara I definitely wanna hear from him. I'm Angela under the don't do well. We're talking about obesity and children and what is happening in this country. Concerning. Children really having now adult issues adult medical issues with doctor Melinda -- outlets chemical Barbara. Backed up and running partner -- you help my little boy committed yet he and Jim Baptiste and create. Doing. This heat on that well and the captain -- when. It's gradually she should. He started -- and -- programs -- -- E-book. That and it. Although he never gonna be where he's turned out to -- Hitler no he. Can't -- It was not. -- and -- the program. And children are directed from child like and -- -- it. And he -- every Monday at it like. And the children are free and should not bear out there are other. It really well and then me and change. Well let's let's let's not forget to mention Heidi Schumacher who with the dietitian in -- moment to acknowledge -- they look fabulous. -- -- -- I'm really really appreciate that update and you know what that he's graduated militia can't be prouder. A -- tell him that and you know you bring up a great point Barbara. Sometimes these children just have to learn how to manage their weight and that's what we talked about -- to do. -- now he's healthy it's not always about getting down to be so slim that your like a Barbie dollar Kindle you know you just did it's all about health. -- -- -- I'll never agree to support sport here. And and and oh my god dear god in the column. That's right. The -- that what it is that is constantly. And whining children. I'm just RS that he's still reading labels and Indiana and that must've really sunken garden and. I'm which has brought. Remember America I am not let it on the Iraq -- I really appreciate. You call and then -- only god could look look look me up on on the web and send me an email on outlook of -- to talk to the -- that would be fabulous. -- Think -- -- to -- thank you Barbara. Of the victories and because there are victories and people -- I think take control as you were saying. For some who are super obese they'll always be issues and it's about management. But for those if you have a little -- now and you're seeing this isn't right you can you can conquer it. Right and I think which you heard Barbara say was that the -- came every week for a year so he followed the program to the team which is why he was successful. And he was -- he was younger he he wasn't you know 1718 years old. I don't remember exactly -- old it was but I know he was he was in his elementary years when he came what you said he was 88 yet and so. Know what we did were able to document really Clinton was the younger the children would command and the less overweight. They were when they would comment the more success we would have actually getting them to their healthy weight and maintaining that. On the whereas the older children with a lot more to lose they are doomed but we we -- we didn't have as much effect with them we had effect that was good. -- and more importantly is we taught them how to manage their -- and education that they got and the the belief that they actually could take control of their bodies and their environment. Is what they took away. Yeah and that's majors major to any age child the it's the program is no longer act. A Children's Hospital that's correct and and we we do have some on studies over -- Health Science Center -- school public -- -- program -- and -- On the people interested to school our website. Look -- -- teens and and there's phone numbers and contact information if you have an overweight child. But you know quality programs are available and I would encourage on parents especially the child is significantly overweight to call the programs at this several in the area. Make sure they have three basic things they have helping attrition. Physical activity and they have a program that addresses behavior. On primarily in the parents and children you have to have those three. And the most important is it has to be medically supervised because anytime you restrict calories in children it must speak. Supervised by the physician their pediatrician family physician. It has to be that way on the diet part of it is best delivered by a registered dietitian these are the only. Individuals with enough experience and and training and education to tell you the right things. On the so many questions around attrition that I think people -- wanna know and these are the authorities. They -- the authorities James very quickly. Our outreach -- maybe your IQ. It's 98 that are called. Cougars to their doctor in a parent looks for the research assuring her that when you were younger you give. When you you're you're in this four processor your. You have a trigger personalities -- younger you can get -- enter or these programs. More. Secure they're gonna have what they are going to be for the long term. All the other -- outward shares are some products -- where it. All search for as Spectra substitute for borders be because that's what art thing to do is get killed -- all and you strictly routine. They're all you know vegetables and troops. -- there's something called -- -- -- -- O Peter chin or it's a very high fiber and protein very low insurer. At all. -- -- -- Very little sorority or the other stuff fiscal -- brattle. -- -- I'm not familiar with Ezekiel bread but. The whole grain pita breads on those types of com. Brits are very high in fiber and very low in sugar and it's the shorter response that really were concerned about so you can replace the white breads with that those types of products. I think that's fabulous on don't forget some of the whole grain crackers those also are arrogant. On and you know you can make things like your own guacamole that's got them healthy fat. And if you make it fresh on their gonna get all the vitamins and I'm mono unsaturated fatty acids and that's very filling in the same mystery with people tend to go toward peanut butter for example and I think you about her -- it's high in calories. But it's got so much that good that it fills you up we actually did something like peanut butter the butter is also a good choice you don't have an announced. The eastern products here's the boat boat as you can read it may spur routes. Air golf. Both of these. It turned out -- a lot of local structure a lot of the case like cork board right arguably. Are really. It's very real. Because you know you can -- it stopped in the world if you don't -- activity in your chart hurt people aren't easy corporate -- -- I believe because I used get that and -- it was very good but it wasn't that goes back to biblical days the actual recipe. For -- -- -- until -- re -- just read that label on the does yeah -- -- the glacier -- fiber -- thank you so much will be right back I'm Angela under the have you. Well have loved this hour with doctor Melinda southern professor -- Health Science Center and the author of train kids talking about what is happening to our children. And the needs to stop the madness that's correct and parents take a toll at home environment that's the last piece of advice you can give you. You can make you can make a difference and when your child grows -- healthy -- not -- up to you and I think now what we're reading in the science showing is that. Little children can have adult problems but again it's up to the parents right I cannot thank you enough and I appreciate everybody listening in the callers. And I hope you'll stay with this because our next hour is going to be an equally important topic common core stay with us now let's go to the newsroom and -- --