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>> ON HEALTH MATTERS, TELEVISION
FOR LIFE...
RAISING A FIT KID.
>> ARE WE READY?
>> IT CAN BE TOUGH WITH SO MANY
THINGS PULLING OUR CHILDREN
OFFTRACK FROM SCREEN TIME TO
FAST FOOD, IT IS A BATTLE
PARENTS CAN WIN.
SEE HOW AS HEALTH MATTERS LOOKS
AT WAYS TO MAKE EXERCISE FUN AND
EATING RIGHT ENJOYABLE.
>> GOOD JOB, GUYS!
>> JOIN FUSE KID FRIENDLY LESSON
IN GETTING HEALTHY WITH
INFORMATION ANYONE CAN USE.
RIGHT NOW, ON "HEALTH MATTERS."
>> Announcer: HEALTH MATTERS IS
MADE POSSIBLE BY OUR VIEWERS,
THE FRIENDS OF KSPS AND BY
PROVIDENCE HEALTHCARE.
>> I'M DR. ANDREW BOULET.
AND WHEN MY WIFE HAD A CARDIAC
ARREST, I CHOSE PROVIDENCE
BECAUSE I KNEW THAT EVERYTHING
WE NEEDED FOR HER COMPLEX CARE
WAS AVAILABLE FROM THE EMERGENCY
ROOM TO RADIOLOGY TO THE NURSING
STAFF TO THE SPECIALISTS WE
NEEDED FOR HER CARE.
>> I'M TAMMIE POWERS.
I'M THE DIRECTOR OF THE
CHILDREN'S HOSPITAL WHEN ANDREW
BROKE HIS ARM, I CHOSE
PROVIDENCE.
I KNEW HE WOULD RECEIVE THE
HIGHEST LEVEL OF CARE AND RATHER
THAN BEING A NURSE, I COULD JUST
BE HIS MOM.
>> GOOD EVENING, I'M YOUR HOST,
TERESA LUKENS.
WE'RE BACK WITH ANOTHER SEASON
OF "HEALTH MATTERS" AND A TIMELY
SUBJECT FOR YOU AS STUDENTS HEAD
BACK TO SCHOOL THIS FALL.
OUR FOCUS IS FIT KIDS FROM DIET
TO EXERCISE.
TODAY, A GROWING NUMBER OF YOUNG
PEOPLE ARE AT RISK FOR DIABETES
AS WELL AS OTHER DISEASES.
IT IS A BATTLE AND ONE THAT IS
BEING FOUGHT BY THE MEMBERS OF
OUR PANEL TONIGHT.
EACH ONE HERE WITH THEIR OWN
PERSPECTIVE.
LET'S MEET THEM.
DR. PONRAT PAKPREO WORKS FOR
PROVIDENCE ADOLESCENT MEDICINE.
SHE'S A BOARD CERTIFIED
PEDIATRICIAN AND ADOLESCENT
MEDICINE SPECIALIST.
SHE'S ON THE HEALTH ADVISORY
COMMITTEE FOR SPOKANE PUBLIC
SCHOOLS ALONG WITH OUR NEXT
GUEST.
HE IS DOUG WORDELL, HE IS THE
NUTRITION SERVICES DIRECTOR FOR
SPOKANE PUBLIC SCHOOLS AND IS
ALSO A REGISTERED DIETITIAN.
STEPHANIE SPLATER WORKS FOR
SPOKANE PUBLIC SCHOOLS AS WELL.
SHE'S AN ELEMENTARY, FITNESS AND
HEALTH FACILITATOR.
SHE'S BASED AT COOPER
ELEMENTARY.
AND DR. NALINI GUPTA IS
PEDIATRICIAN FOR GROUP HEALTH
COOPERATIVE AND ONE OF OUR
MEDICAL INTERESTS IS PEDIATRIC
OBESITY.
I WANT TO THANK YOU ALL FOR
BEING HERE THIS EVENING.
THE IMPORTANT SUBJECT AND ONE
THAT NEEDS TO BE TACKLED.
ONE THAT REALLY NEEDS TO BE
ADDRESSED VERY SOON BECAUSE IT
IS GETTING OUT OF CONTROL.
DR. PAKPREO, LET'S START WITH
YOU.
WHAT IS THE PROBLEM RIGHT NOW AS
YOU SEE IT WITH OUR KIDS
BECOMING HEAVIER.
THEY'RE BECOMING OBESE.
THEY'RE ALSO NOT AS ACTIVE AS
THEY USED TO BE.
WHERE ARE WE HEADED?
>> IF YOU ASKED ME THAT ABOUT
FIVE YEARS AGO, I WOULD SAY
PROBABLY INCREASING OBESITY
RATES.
RIGHT NOW IT LOOKS LIKE THE
OBESITY RATES ARE PLATEAUING A
BIT.
I'M HOPING THEY WILL CONTINUE TO
PLATEAU OR DECREASE NATIONALLY.
LONG-TERM FOR CHILDREN THOUGH,
BY THE TIME THEY SEE ME, THEY'VE
HAD A DECADE OF OBESITY.
ADD THAT TO ADULTHOOD AND THE
RISK.
IT PREDISPOSES THEM TO CHRONIC
HEALTH CONDITIONS THAT WE DON'T
NORMALLY SEE IN YOUNG PEOPLE BUT
THEY ARE STARTING TO HAVE THAT
HYPERTENSION, CHOLESTEROL
PROBLEMS, DIABETES, TYPE 2, AND
NOT TO MENTION SELF-ESTEEM
ISSUES AND PSYCHOLOGICAL ISSUES
RELATED TO BULLYING OR BEING
TEASED ABOUT THEIR WEIGHT OR
WORRYING ABOUT THEIR HEALTH AND
FAMILY WORRYING ABOUT THEM.
>> WHAT DOES THE FUTURE LOOK
LIKE, DR. GUPTA, IF WE DON'T
TACKLE THIS NOW AND TAKE CARE OF
THE PROBLEM?
>> SO, IT IS VERY INTERESTING
BECAUSE DR. PAKPREO SEE TOTALLY
DIFFERENT SPECTRUMS OF KIDS.
I SEE THE YOUNGER ONES WHO GO ON
TO BECOME THE THE ADOLESCENTS.
ALL OF THE DATA SAYS IF YOU'RE
AN OBESE CHILD, 80% CHANCE
THEY'LL BE OBESE OR SEVERELY
OBESE ADULT.
WHERE ARE WE GOING WITH THIS?
I THINK WE PROBABLY ARE GOING TO
BE THE FIRST GENERATION IN WHICH
THE LIFE-SPAN OF OUR CHILDREN
WILL BE SHORTER THAN OURS.
AND YOU KNOW, IT IS ALL RELATED
TO THE LONG-TERM OUTCOMES OF
BEING OVERWEIGHT AND OBESE, OVER
A LONG PERIOD OF TIME.
A LOT OF CONDITIONS THAT
DR. PAKPREO SAID, WE SAW EARLIER
IN ADULTS ARE FAIRLY COMMON IN
18, 17-YEAR-OLDS.
SO IT IS NOT LOOKING GOOD.
>> IT CERTAINLY IS A SAD STATE
OF AFFAIRS.
I WANT TO SHOW YOU A CLIP FROM A
PIECE BOTH OF OUR DOCTORS ARE
INVOLVED IN.
A DOCUMENTARY FEATURING OUR
DOCTORS AND ALSO A FAMILY THAT
YOU'RE GOING TO MEET.
IT IS CALLED "OUR SUPERSIZED
KIDS" AND WE WANT TO RUN A CLIP
FROM THE SHOW SO YOU CAN SEE
WHAT SOME FAMILIES ARE ACTUALLY
FACING.
♪♪
>> Reporter: THIS IS 12-YEAR-OLD
CALEB HELM.
HE LOVES PLAYING SPORTS,
SCOUTING AND PLAYING MUSIC.
TODAY, CALEB LOOKS AND FEELS
GREAT.
BUT IT WASN'T ALWAYS THAT WAY.
>> HE WAS ABOUT 8 THAT HE
STARTED TO GET A POOCHY BELLY ON
HIM.
I FIGURED OH, HE'S GOING TO HAVE
A GROWTH SPURT REALLY SOON.
>> Reporter: CALEB DID NOT GROW
OUT OF IT.
BY AGE 10, KIDS AT SCHOOL WERE
TEASING HIM AND CALLING HIM FAT.
>> HE WAS A 10-YEAR-OLD KID WITH
WEIGHT OF A 13-YEAR-OLD KID.
HE WAS OFF THE CHARTS.
>> Reporter: CALEB'S MOM WAS
ALSO AN OVERWEIGHT CHILD.
SHE KNOWS FIRSTHAND WHAT IT CAN
DO TO YOUR SELF-ESTEEM.
>> I REALLY FELT ISOLATED.
FELT LIKE I COULDN'T DO
SOMETHING BECAUSE I WAS
CONSCIOUS ABOUT MY BODY.
>> PSYCHOSOCIAL AND EMOTIONAL
FACTORS ASSOCIATED WITH A CHILD
BEING OVERWEIGHT ARE JUST AS
SIGNIFICANT AS THE MEDICAL
COMPLICATIONS ACTUALLY.
MOST OF THE CHILDREN DO HAVE LOW
SELF-ESTEEM.
THEY HAVE PROBLEMS WITH BEING
BULLIED AT SCHOOL AND BEING
TEASED WHICH CAUSES SOME OF THEM
DOB INTROVERTS AND IT CAN BE
VERY DEVASTATING TO THEM AS
INDIVIDUALS.
>> EVERY DAY HE ASKS DOES IT
LOOK LIKE I'M LOSING WEIGHT?
EVERY DAY HE ASKS.
AND YOU KNOW, I KNOW HE CARES
ABOUT IT.
>> I GUESS NO PEER SUPPORT.
WHAT MAKES HIM SO GOOD IS TO EAT
FOOD.
IT IS A VICIOUS CIRCLE.
>> ONCE AGAIN, THAT WAS FROM THE
KSPS DOCUMENTARY, "OUR
SUPERSIZED KIDS."
YOU CAN SEE THAT ENTIRE
DOCUMENTARY A WEEK FROM TONIGHT
ON KSPS, SEPTEMBER 26th AT
7:30.
WE CERTAINLY HOPE YOU WILL ALSO
TUNE IN FOR THAT IMPORTANT
PROGRAM.
FEATURING OUR TWO DOCTORS.
IT BREAKS MY HEART TO WATCH THAT
CLIP.
AND DOUG AND STEPHANIE, BOTH OF
YOU WORK WITHIN THE SCHOOL
SYSTEM.
YOU'VE NO DOUBT SEEN THE YOUNG
MAN IN THE CLIP IS BULLIED
BECAUSE OF THE WAY HE LOOKS.
THE PARENTS ARE TRYING TO WORK
WITHIN THE SYSTEM AND KIND OF
STARTS NOT ONLY AT HOME BUT
WITHIN THE SCHOOL SYSTEM ALSO.
>> YEAH.
CHILDREN ARE GOING TO CONTINUE
TO STRUGGLE WITH THIS.
IN SPOKANE PUBLIC SCHOOLS, WE
WORK *** INCLUSION AND
GETTING KIDS TO BE ACCEPTING AND
WE TALK STRONGLY ABOUT BULLYING
AND ANTI-BULLYING POLICIES.
BUT KIDS ARE KIDS AND THEY CAN
DO MEAN, CRUEL THINGS AND THOSE
WOUNDS, PSYCHOLOGICAL WOUNDS
CARRY WITH YOU -- YOU HEAR
ADULTS TALKING ABOUT -- I
REMEMBER THAT TIME IN THIRD OR
FOURTH OR FIFTH GRADE.
SO WE'LL CONTINUE TO WORK ON IT
BUT FAMILIES AND KIDS NEED TO
MAKE IT A PRIORITY AND A VALUE.
IT IS A CULTURAL VALUE.
IT IS NOT THE SCHOOL'S PROBLEM
BUT THE SCHOOLS IN OUR COMMUNITY
NEED TO BE A PART OF THE
SOLUTION.
THAT'S WHERE HOW DO WE DO THIS
AS A COMMUNITY?
START NUDGING LITTLE PIECES TO
MAKE A DIFFERENCE.
>> EXACTLY.
WHAT EXACTLY IS THE PROBLEM --
IS IT OVEREATING?
IS IT LACK OF EXERCISE OR ALL OF
THE ABOVE?
STEPHANIE, YOU SEE THIS BEING A
FITNESS INSTRUCTOR WITHIN THE
SCHOOL SYSTEM.
ARE KIDS JUST NOT ABLE TO PLAY
THE WAY THEY USED TO, THE WAY WE
USED TO BE SENT OUT THE DOOR TO
PLAY ALL DAY LONG AND GET THAT
PHYSICAL ACTIVITY?
>> I THINK THAT WITH IT BEING A
MUCH MORE DIGITAL WORLD, THEY
HAVE OTHER THINGS THAT DISTRACT
THEM AND THINGS THAT THEY WANT
TO DO INSTEAD.
SO WHAT WE TRY TO DO IS EXPOSE
THEM TO A WHOLE RANGE OF
ACTIVITIES SO THAT THEY FIND
SOMETHING THAT THEY LOVE THAT'S
ACTIVE, THAT THEY WANT TO DO
OUTSIDE OF THE TWO 30-MINUTE
SESSIONS THAT WE SEE THEM EVERY
WEEK.
THAT'S THE GOAL.
WE TRY TO WORK ON IT WITH THE
KIDS.
BUT IT IS DEFINITELY A SIGN OF
THE TIMES THAT THEY HAVE A LOT
OF OPTIONS BUT THE OPTIONS ARE
NOT ACTIVE OPTIONS.
>> NOT ALWAYS GETTING UP AND
PLAYING AND RUNNING AROUND BEING
A KID, AGAIN, KIND OF THE WAY WE
USED TO DO IT.
SO, AGAIN, IS THE PROBLEM THE
FOOD WE'RE EATING?
ARE WE EATING TOO MUCH FOOD?
WHAT CAN PARENTS DO?
WHERE CAN WE START WHEN THE
CHILD IS BORN, BASICALLY?
>> I'M SO GLAD YOU ASKED THAT
BECAUSE I THINK IT STARTS
PRENATALLY.
IT IS ABOUT EDUCATING OUR
PARENTS BEFORE THE CHILD IS BORN
ABOUT WHAT IS A HEALTHY
LIFESTYLE?
WHAT IS A HEALTHY DIET FOR A
PREGNANT MOM.
GETTING THAT PHYSICAL ACTIVITY
IN.
AND THEN CARRYING IT THROUGH SO
THAT IT STARTS AT BIRTH, YOU
KNOW.
WITH HEALTHY FOOD CHOICES.
AND AS A SOCIETY, WE COULD DO A
LOT OF THINGS.
WE CAN LOOK AT OUR OWN NUTRITION
AND PHYSICAL ACTIVITY AND WHAT
DO WE DO EVERY DAY TO MAKE IT A
NORMAL THING WE DO AND ROLE
MODEL FOR OUR KIDS.
THEN IN OUR COMMUNITIES, ONE OF
THE THINGS I WORKED ON AS
ADVOCACY WITH STEP UP AND GO
WHICH IS A COMMUNITY
ORGANIZATION BUT REALLY TRYING
TO GET THE MESSAGE OUT THAT
EVERYWHERE IN OUR SOCIETY, WE
CAN DO THIS.
AND IN OUR RESTAURANTS AND OUR
GROCERY STORES, THE MESSAGES
COULD BE IN OUR SCHOOLS AND
OFFICES AND MEDICAL OFFICES, AT
WORK.
IT IS EVERYWHERE.
IT IS ALL ABOUT OUR CULTURAL
ATTITUDES ABOUT WEIGHT.
>> IF IT DOES START AT THAT
POINT, THEN BY THE TIME DOUG
GETS THEM INTO THE SCHOOL SYSTEM
AND IN THE LUNCH LINE, THEY KNOW
HOW TO MAKE THE HEALTHY CHOICE.
THAT'S WHAT YOU FACE WHEN YOU'RE
PUTTING TOGETHER MENUS.
YOU'VE GOT FEDERAL GUIDELINES,
BUDGETS THEN YOU'VE GOT WHAT
WILL A KID EAT?
HOW DO YOU TACKLE THAT?
>> OH, GOSH.
IF WE COULD SOLVE THAT!
IT IS A SOCIAL PROBLEM THAT'S
GOING TO HIT US IN SO MANY
DIFFERENT DIRECTIONS AND IT
STARTS AT HOME.
WHEN WE GET THEM, WE'RE STARTING
TO DO LOTS OF NUDGINGS.
WE'VE GOT A HARVEST OF THE MONTH
PROGRAM WHERE WE'RE FOCUSING ON
FOODS FROM LOCAL FARMERS AND
TRYING TO PROMOTE THE WASHINGTON
FOODS.
WE WANT TO CONNECT KIDS TO WHERE
THEIR FOOD COMES ON.
WE'RE WORKING ON PORTION
CONTROLS, NEW GUIDELINES REQUIRE
US TO DO THAT.
WE HAVE KIDS WHO NEED MORE
CALORIES YET WE'RE ONLY
PROVIDING CALORIES MODERATE FOR
AN AVERAGE STUDENT SO TRYING TO
SHOW WHAT THAT LOOKS LIKE AND
STRUGGLING ON BOTH ENDS IS A
DIFFICULT PLAN.
WE HAVE FRUIT AND VEGETABLE
PLANS IN EVERY SCHOOL.
WE'RE TRYING TO GIVE THEM
MULTIPLE CHOICES.
I WOULD LOVE TO GO BACK TO -- WE
ONLY HAVE ONE CHOICE AND THE
CHILI, THE CHILI OR THE CHILI
BUT OUR KIDS LIKE CHOICES.
WE'RE TRYING TO PROVIDE A
VARIETY OF YOU IN NUTRITIOUS
CHOICES.
WHAT I REALLY LIKE TO SEE HAPPEN
AND WE'RE DOING IT IS WE'RE
TRYING TO CREATE NUDGES TO SAY
BROCCOLI AND VEGETABLES ARE
REALLY COOL.
WE'RE TRYING TO TALK ABOUT LEAN
PROTEINS AND MARKET IT SO THAT
KIDS UNDERSTAND THIS IS THE
RIGHT THING TO DO AND MAKING IT
NORMAL.
BUT THAT HAS TO HAPPEN
EVERYWHERE.
IT HAS TO HAPPEN IN THE SCHOOLS.
MOM AND DAD, THEY NEED TO GET
OUT THERE AND THEY NEED -- IF
THEY'RE NOT MAKING IT IMPORTANT
FOR THEM, WHY WOULD THE KIDS DO
IT?
>> EXACTLY.
MAKE THE MISTAKE THEN OF SAYING
HEALTHY FOOD?
DOES THAT PUT A STIGMA ON THE
FOODS WE WANT THEM TO EAT RATHER
THAN SAYING IT'S FOOD?
THIS IS -- NUTRITION YOUR BODY
NEEDS?
BECAUSE WE'VE WE SEND TO SAY A
HAMBURGER FROM A FAST FOOD
RESTAURANT IS NOT HEALTHY BUT
THIS IS HEALTHY FOOD SO THEN THE
KID GOES WELL, I WANT THE
HAMBURGER.
I DON'T WANT THE HEALTHY FOOD.
>> PART OF OUR CULTURE IS WE'RE
HUMAN BEINGS.
IT IS ECONOMICS THAT'S FORCING
TWO INCOME FAMILIES TO WORK AND
THEY'RE HAVING TO WORK HARD.
THEY DON'T HAVE TIME.
IT IS FREE TIME FOR KIDS AND
THEY DON'T HAVE THE STRUCTURE WE
MIGHT HAVE HAD.
IT IS FEAR OF SAFETY BECAUSE
THEY CAN'T GO TO THE PARKS AND
HAVE A PARKS AND RECREATION
PROGRAM SO OUR COMMUNITY BUYS
IN.
HOW DO WE TAKE ALL OF THE PIECES
AND PLUG THEM BACK SO THAT
FAMILIES ARE EMPOWERED.
IN TERMS OF THE HEALTHY, I THINK
IT IS GOOD FOR US TO START
TALKING ABOUT WHAT IS HEALTHY.
AS A DIETITIAN, THERE'S FOO --
NO GOOD AND BAD FOODS THERE.
IS PORTION CONTROL.
WE HAVE TAKEN HOT DOGS AND TATER
TOTS OFF THE ELEMENTARY MENU.
IT IS NOT THAT IT IS BAD BUT
WE'RE TRYING TO PROVIDE NUDGES
AND MODELING.
WE'LL INTRODUCE MORE WHOLE
POTATO PRODUCTS AND ITEMS KIDS
HAVEN'T SEEN AS MUCH.
PART IS OUR INTENTIONAL PROCESS
OF NUDGING THEM INTO MAKING
BETTER CHOICES AND BEING MORE
CONSCIOUS OF THE CHOICES BECAUSE
WE MAKE CHOICES EVERY DAY AND
THE MARKETING WE GET HIT WITH
JUST SMASHES INTO US.
WE DON'T EVEN KNOW WE'RE MAKING
THE CHOICES AND WE'VE BEEN
MARKETED TO.
>> AGAIN, IT IS SOMETHING WE
DIDN'T HAVE TO DEAL WITH AS
KIDS, AT LEAST NOT ON THE LEVEL
OUR CHILDREN AND OUR CHILDREN'S
CHILDREN ARE GOING TO HAVE TO
DEAL WITH.
DR. GUPTA, BY THE TIME A FAMILY
COMES TO YOU, DOUG TOUCHED ON IT
BY SAYING SOME KIDS NEED MORE
CALORIES THAN OTHERS.
A FAMILY COMES TO YOU, A
FRUSTRATED PARENT, HOW DO THEY
KNOW IF THEIR CHILDREN IS HEADED
IN THE WRONG DIRECTION IF
THEY'RE OVERWEIGHT OR GOING
THROUGH THAT STAGE IN THEIR
LIFE?
AND HOW DO YOU ADDRESS THAT?
>> I'M VERY GLAD THAT YOU ASK
THIS QUESTION BECAUSE WHAT -- IN
SPEAKING WITH THE FAMILIES AND
IN SPEAKING WITH MY COLLEAGUES,
THERE IS A HUGE DISCONNECT
BETWEEN WHAT WE THINK A
CONVERSATION SHOULD BE LIKE.
SO I THINK ON THE PART OF THE
PARENT, THEY'RE AFRAID TO ASK
THAT QUESTION.
YET THEY'RE WORRYING ABOUT IT
BECAUSE OF THE STIGMA ATTACHED
TO IT.
THERE IS SUCH A NEGATIVE
ASSOCIATION WITH BEING
OVERWEIGHT, ESPECIALLY IF A
FAMILY IS OVERWEIGHT.
AND ON THE PHYSICIAN'S PART,
THERE IS USUALLY A BIG -- YOU
KNOW, HOW DO I BRING IT UP?
WILL I OFFEND THE PARENTS?
IT ALL STARTS WITH AT A WELL
VISIT, LOOKING AT THE GROWTH
CHART AND IT SHOULD BE A PART OF
EVERY CONVERSATION, AT EVERY
WELL VISIT WHETHER IT IS TWO
MONTHS, FOUR MONTHS, SIX MONTHS.
BECAUSE THIS IS NOT A PROBLEM
THAT HAS AN EASY FIX OR, YOU
KNOW, A ONE-TIME FIX.
I THINK PREVENTION IS THE KEY IN
THIS.
SO IF WE CAN PREVENT OUR KIDS
FROM REACHING THAT STAGE BY VERY
EARLY EDUCATION, AND JUST
SETTING THE NORMS AS TO, YOU
KNOW, WHAT IS WHAT SHOULD BE
NORMAL AND HEALTHY.
>> BECAUSE WE'RE SO AFRAID WE'RE
GOING TO HURT THEIR FEELINGS OR
WE'RE GOING TO -- THAT WHOLE
BODY IMAGE ISSUE IS GOING TO
PLAY INTO HOW THEY PERCEIVE
THEMSELVES.
>> THE PARENTS WORRY THEY'LL
TRIGGER OFF AN EATING DISORDER
IF THEY TALK ABOUT IT OR MAKE
THE CHILD UPSET ABOUT FOOD.
>> WE'RE NOT TALKING ENOUGH
ABOUT IT.
>> I DO NOT THINK WE'RE TALKING.
IF YOU ASK THE KID AND YOU TAKE
THE TIME TO ASK THE CHILDREN,
THEY'RE THINKING ABOUT IT
CONSTANTLY.
THEY'RE TALKING ABOUT IT
CONSTANTLY.
THEY'RE BEING TALKED AT OR ABOUT
AT SCHOOL.
THE PARENT IS THINKING ABOUT IT.
THE DOCTOR IS THINKING ABOUT IT.
THEY'RE JUST NOT COMING TOGETHER
TO DISCUSS IT AND ADDRESS IT.
SO I THINK THAT IS A VERY
IMPORTANT -- GROWTH CHARTS, I
URGE EVERYBODY TO GO AND DISCUSS
THAT WITH THEIR PHYSICIAN.
WHERE IS THE GROWTH?
WHERE ARE WE HEADED?
WHAT IS IT GOING TO LOOK LIKE
AND IS THIS NORMAL OR NOT?
STARTING THE CONVERSATION IS A
VERY BIG STEP TO THE TREATMENT.
>> I WOULD LIKE TO SEE SOMETHING
WITH THE PARENTS AS A DIETITIAN.
I TOTALLY AGREE.
HAVE THE CONVERSATION.
BUT PARENTS, THERE ARE TIMES
WHEN KIDS GO UP BEFORE THEY --
THEY GROW OUT BEFORE THEY GROW
UP.
IT IS NOT LIKE YOU HAVE TO CUT
IT IN HALF RIGHT NOW.
SO DON'T PANIC.
I HEAR PARENTS TALK ABOUT MY
CHILD AND HAVE TO BE ON THIS
DIET AND THEY EVEN TALK ABOUT
HAVING MORE CONTROLS THAN WE
ALREADY HAVE IN OUR MEAL
PROGRAM.
I'M VERY CAUTIOUS BECAUSE
OVERCONTROLLING SOMETHING AND
OVERMANAGING IT CAN HAVE THAT
NEGATIVE IMPACT.
SO ADDRESS IT.
DO IT WELL BUT LET THEM KNOW, I
CARE ABOUT YOU.
WE'RE GOING TO LEARN THIS
TOGETHER AND THAT PROCESS -- IN
A CARING WAY, HAVE THE
DISCUSSION.
BUT NOT BEING HEAVY OR LABELING
THEM BECAUSE YOU DON'T WANT TO
CREATE THE LABEL THAT WILL
CREATE THAT NEGATIVE SPIRAL.
>> EXACTLY.
STEPHANIE, I'M GUESSING THESE
ARE CONVERSATIONS -- DO YOU HEAR
THIS AMONG KIDS?
ARE THEY TALKING?
>> OH, SURE.
>> DO YOU HEAR THIS GOING ON?
>> WE DO.
WE INCORPORATE HEALTH CONCEPTS
INTO OUR FITNESS TEACHING AND
TODAY WE WERE TALKING ABOUT BODY
COMPOSITION ACTUALLY AND IT IS
ALWAYS VERY TOUCHY BECAUSE WE
MEASURE HEIGHT AND WEIGHT AS
PART OF OUR STATE FITNESS
TESTING AND I SAID -- WE WERE
JUST HAVING A DISCUSSION.
IT WAS A FOURTH GRADE GROUP.
THE MINUTE YOU SAY FAT WHICH WE
KNOW WE NEED TO PROTECT OUR
ORGANS AND ALL OF THE OTHER
REASONS WE TEACH THEM, YOU COULD
TELL THAT OH, NO, THAT WORD,
WE'RE GOING TO TALK ABOUT FAT.
WE CAN TALK ABOUT WHAT WE'RE ALL
MADE OF AND THAT IT IS IMPORTANT
BUT AT THE SAME TIME, WE'RE
GOING TO ALSO TALK ABOUT
NUTRITION COMING UP IN A FUNERAL
UNIT AND BEING ACTIVE AND THE
BALANCE.
I THINK THEY'RE GETTING A
MISCOMMUNICATION ON WHAT'S
IMPORTANT AND WHAT THEY NEED TO
BE THINKING ABOUT.
BUT THEY DO TALK TO EACH OTHER
AND I THINK THAT IT IS IMPORTANT
WE PUT OUT A POSITIVE MESSAGE
AND THAT EVERYBODY IS DIFFERENT.
>> DIFFERENT HEIGHTS, WEIGHTS.
GIRLS MOSTLY CONCERNED ABOUT IT,
I'M GUESSING?
>> DEFINITELY THE GIRLS HAVE A
HEIGHTENED SENSE OF AWARENESS
ABOUT THEIR BODY IMAGE BUT I'M
SEEING IT IN BOYS, TOO, FOR
SURE.
ESPECIALLY, WITH DIFFERENT MEDIA
TRENDS THAT COME ALONG.
BOYS ARE CONCERNED AS WELL.
>> WE WANT TO ALSO REMIND YOU
THIS EVENING THAT WE'RE HAPPY TO
TAKE YOUR PHONE CALLS.
OUR PANEL HERE TO ANSWER YOUR
QUESTIONS ABOUT YOUR KIDS, YOUR
GRANDCHILDREN, WHATEVER YOU
WOULD LIKE ASK TONIGHT.
YOU CAN SEND AN E-MAIL AND ASK
US A QUESTION DIRECTLY TO OUR
PANEL THIS EVENING IF YOU WOULD
LIKE TO DO THAT.
STEPHANIE, I ALSO WANT TO TALK
ABOUT A NEAT PROGRAM.
I'M FASCINATED BY THIS.
WE STARTED THIS YEAR WITH ALL
DAY KINDERGARTEN WITHIN SPOKANE
PUBLIC SCHOOLS.
WHEN WE BROUGHT THAT IN, WE
BROUGHT IN A NEW PROGRAM THAT
TIES IN THE CURRICULUM WITH
FITNESS.
TALK ABOUT THAT.
>> RIGHT.
ALL OF OUR ALL-DAY KINDERGARTEN
STUDENTS ARE FORTUNATE TO
PARTICIPATE IN FIT.
THIRD HALF HOUR OF FITNESS A
WEEK AND IT COMBINES LITERACY
AND MATH PIECES WITH MOVEMENT.
SO THE KINDERGARTENERS WHO JUST
CAME IN ARE GETTING SOME EXTRA
TIME WITH FITNESS AND WITH
PRACTICING THEIR LETTERS AND
NUMBERS AND COLORS AND DIFFERENT
THINGS THAT ARE A PART OF THE
KINDERGARTEN CURRICULUM.
IT IS A COLLABORATION AND IT IS
AN INVESTMENT IN THE IMPORTANCE
OF MORE FITNESS, MORE ACTIVITY.
MORE PRACTICE IN THEIR CORE
SUBJECTS AND COMBINING THE TWO.
>> KIND OF DESCRIBE HOW DOES IT
WORK?
GIVE US AN EXAMPLE.
>> SO THE KINDERGARTEN CLASS
WILL COME INTO THE GYM.
IT IS A GYM SETTING AND THERE
WILL BE STATIONS SET UP, FOR
EXAMPLE, AND THE FITNESS TEACHER
SET UP STATIONS THEY MIGHT BE BE
HOPPING THROUGH HOPSCOTCH STYLE.
THE TEACHER WILL PUT DOWN
LETTERS THEY'VE BEEN WORKING ON
SO AS THEY HOP, THEY'RE SAYING
THE LETTERS AT THE SAME TIME.
WE'VE SEEN IN THE FIVE OR SIX
SCHOOLS THAT HAVE DONE IT FOR
QUITE A FEW YEARS, NOT ONLY DO
YOU HAVE BETTER RELATIONSHIP
WITH THE KIDS BECAUSE YOU'VE
SEEN THEM MORE BUT YOU NOW HAVE
A CONNECTION BETWEEN FITNESS AND
THE CLASSROOM AND IT HAS BEEN AN
EXCITING THING TO BRING INTO THE
SCHOOL DISTRICT.
>> ONE OF THOSE THINGS, I WOULD
GUESS THE KIDS DON'T -- AREN'T
CLUED IN THAT THEY'RE LEARNING
BOTH.
WE HAVE FLORENCE WITH US, A
PHONE CALL FROM SPOKANE.
GOOD EVENING, FLORENCE.
>> Caller: GOOD EVENING.
>> HI.
WHAT WOULD YOU LIKE TO ASK?
>> Caller: I WOULD LIKE TO KNOW
WHEN THE HOME ECONOMICS CLASSES
WERE WITHDRAWN FROM THE JUNIOR
HIGH CLASSES AND HOW COME.
IF THIS IS A BASIC NEED OF ALL
CHILDREN, WHY IT WAS WITHDRAWN?
>> YOUR THINKING IS MAYBE THE
KIDS WERE LEARNING SOME MORE
ABOUT FOOD, NUTRITION AND
COOKING AND GETTING INTO THE
KITCHEN?
>> Caller: YOU BET THEY WERE.
AND WE HAD BOYS IN OUR CLASSES
AS WELL.
>> ABSOLUTELY.
>> I WAS ONE OF THEM.
[ LAUGHTER ]
DO WE KNOW WHY THOSE WERE PULLED
OUT OF THE SCHOOL SYSTEM.
>> I'M NOT SURE THEY WERE
ENTIRELY PULLED.
WE HAVE LIFE SKILLS WHICH HAS
MUCH OF THE SAME CURRICULUM THE
TRADITIONAL HOME ECONOMICS
COURSE HAD.
I'M NOT AN EXPERT ON WHAT'S
GOING ON IN THE MIDDLE SCHOOL
CURRICULUM BUT LIFE SKILLS IS
STILL A PART OF IT AND INCLUDES
COOKING AND SEWING AND OTHER
LIFE SKILLS OR PERSONAL SAFETY
ISSUES.
>> IS THAT STILL AT THE HIGH
SCHOOL LEVEL?
>> THEY'RE STILL OFFERED AT THE
HIGH SCHOOL LEVEL.
AT THE MIDDLE SCHOOL LEVEL, THE
RIGGER IS SO MUCH HIRE.
IF YOU THINK YOU'RE SMART,
SMARTER THAN A FIFTH GRADER, SEE
THE CURRICULUM THEY'RE DOING.
IT IS SO CHALLENGING NOW BECAUSE
WE ALMOST HAVE THE SAME NUMBER
OF MINUTES AND WE'RE PACKING ALL
OF THE RIGGER IN.
THEY'RE FOCUSED AND THE AMOUNT
OF TIME WE HAVE TO SPEND AREN'T
AS MUCH.
I FEEL BADLY.
THE SAME WITH OUR FITNESS
CLASSES.
STEPHANIE AND THE CREW DO A GOOD
JOB WITH THE MINUTES THEY GET.
IF WE COULD -- IF WE HAVE THE
BUILDING SPACE AND THE FUNDING,
I WOULD LOVE TO SEE US INCREASE
IT BUT WE DON'T HAVE AS MUCH
FUNDING SO I THINK THAT SOME OF
THOSE NONCORE CURRICULA PIECES
HAVE BEEN SHORTENED.
THAT'S BEEN A PRESSURE ON OUR
SCHOOLS TO REALLY PERFORM AT A
WORLD-CLASS LEVEL.
>> I FOUND BRINGING UP MY TWO
DAUGHTERS THAT THEY WERE SO
BUSY, I COULDN'T GET THEM INTO
THE KITCHEN.
THEY WERE DOING HOMEWORK AND
SPORTS.
THEY DIDN'T LEARN TO COOK THE
WAY I LEARNED TO COOK.
THEY DON'T HAVE THE SKILLS.
THE MICROWAVE IS THEIR FRIEND.
THERE IS ALSO THAT PROBLEM, TOO,
IT IS AGAIN FINDING THAT
BALANCE.
>> I WOULD SHARE WITH YOU, ONE
OF THE NOUNALS THAT FAMILIES CAN
DO AND WE NEED TO DO WITHIN OUR
SCHOOLS, WE HAVE A CHEF, CHEF
KLINK WE MIGHT BE SEEING LATER.
HIS TEACHING OF FAMILY AND KIDS
HOW TO DO FOOD.
WE HAD A CONSULTANT AND A
DIETITIAN STUDENT COME IN.
THEY COULDN'T FIND ANY GOOD
CURRICULUM ON BASIC COOKING OUT
THERE THAT WAS AVAILABLE AND
USABLE FOR THE RIGHT AGE LEVELS.
I THINK THIS IS AN OPPORTUNITY
FOR US AS A COMMUNITY AND THE
SCHOOLS TO MAKE IT MORE
AVAILABLE.
>> ABSOLUTELY.
IN FACT, LET'S GO TO THAT PIECE
NOW.
WE'VE TALKED A LOT ABOUT COOKING
AND GETTING THE KIDS INTO THE
KITCHEN, GETTING HANDS ON.
THAT MAKES A HUGE DIFFERENCE
WHEN IT COMES TO THEM EATING
HEALTHIER AND COOKING FROM
SCRATCH.
>> HI.
WE ARE AT HUTTON SETTLEMENT
WHERE HEALTHY COOKING IS A
PRIORITY AND WE'RE JOINED BY
L.J., THE CHEF WHO WILL BE DOING
COOKING FOR US.
WE HAVE GREG WHO IS 15 YEARS OLD
AND GABE WHO IS 11.
WE'VE GOT THREE DIFFERENT
RECIPES.
WHAT ARE WE MAKING?
>> FUN, EASY RECIPES KIDS CAN DO
WITH THEIR OWN TWO HANDS IN
THEIR OWN KITCHENS.
THEY'RE VERY HEALTHY AND THEY'RE
FUN AND SIMPLE ONES THAT WE ALL
KNOW AND LOVE.
ONE, WE'RE GOING TO DO
MEATBALLS, ALWAYS GOOD.
MAIN COURSE.
PASTA.
WE'LL TALK ABOUT THAT A LITTLE
BIT.
IT IS JUST A NOODLE.
THEN WE'RE GOING TO SERVE IT
WITH A MIXED GREEN WITH RANCH
DRESSING.
HOW DOES THAT SOUND?
>> IT SOUNDS GOOD.
>> ALL RIGHT.
WE'RE GOING TO START BY CHOPPING
UP SOME OF OUR VEGETABLES FOR
OUR MARINARA SAUCE WHICH IS A
WHAT SAUCE?
SPAGHETTI SAUCE, EXACTLY.
JUST A RED SAUCE.
>> YOUR MARINARA SAUCE, THIS IS
SOMETHING YOU CAN THROW ANY
VARIETY OF VEGETABLES INTO,
COULDN'T YOU?
>> ABSOLUTELY.
IF YOU'VE GOT VEGETABLES YOU CAN
THROW IN LIKE ZUCCHINI OR
EGGPLANT AND YOU PUREE IT ALL
IN, WELL THEN YOU HAVE EXTRA
NUTRIENTS AND EXTRA VALUE OF THE
FOOD CONTRIBUTION TO YOU.
ONE OF THE THINGS I HATE IS WHEN
PEOPLE PUT SUGAR IN THEIR TOMATO
SAUCE.
>> WHY DO THEY DO THAT?
>> BECAUSE TOMATO HAS ACIDITY.
IF YOU DON'T COOK IT LONG ENOUGH
OR PUT NATURAL SUGARED
INGREDIENTS IN IT, YOU HAVE TO
ADD SOMETHING TO BALANCE THAT
OUT.
SO INSTEAD OF HAVING THAT,
INSTEAD OF HAVING SUGAR, WE PUT
A CARROT IN THERE.
CHOP IT UP.
SO WE'VE GOT THIS BEAUTIFUL
SAUCE GOING.
WHAT ARE WE GOING TO SERVE IT
WITH?
WE'RE GOING TO SERVE IT ON TOP
OF QUINOA PASTA.
IT WAS WORSHIPPED FOR 5,000
YEARS BECAUSE IT HAS SO MANY
WONDERFUL AMINO ACIDS THAT YOUR
BODY NEEDS BUT THE COOL PART IS
PEOPLE THAT ARE GLUTTON
INTOLERANT AND CAN'T HAVE
REGULAR PASTA CAN HAVE QUINOA
PASTA.
OKAY, WE'VE GOT THIS AWESOME,
WONDERFUL SALAD DRESSING THAT IS
EASY AND FLAVORFUL WITHOUT IT
BEING COMPLETELY UNHEALTHY FOR
YOU.
I WOULD LIKE YOU TO PUT HALF
GREEK YOGURT IN THERE AND HALF
SOUR CREAM.
THEN LET'S PUT HALF THAT
MAYONNAISE IN THERE.
WE'RE GOING TO PUT JUST A LITTLE
BIT OF VINEGAR.
JUST A SPLASH.
A LITTLE BIT OF THE BUTTERMILK
IN THERE.
FRESH HERBS ALWAYS ENHANCE THE
FLAVOR OF EVERYTHING.
>> YOU COULD HAVE A COUPLE OF
LITTLE POTS OF CHIVES, FRESH
BASIL.
>> A FLAVORFUL WEED, PRETTY
MUCH.
ALL RIGHT.
LET'S PUT THE LID ON THERE.
LET'S SEE HOW OUR CONSISTENCY
IS.
SHAKE IT LIKE YOU MEAN IT.
YEAH!
WE WANT TO GET A GOOD SHAKE ON
THAT.
WE'VE GOT BEAUTIFUL GREENS HERE.
ALL RIGHT.
WE'VE GOT SOME GROUND PORK AND
SOME GROUND HAMBURGER.
WE'VE ALSO GOT TWO EGGS.
I'LL LET YOU BOTH CRACK ONE OF
THOSE RIGHT INTO THERE.
WE HAVE PARMESAN AND WE HAVE
BREADCRUMBS THAT WE'RE GOING TO
MIX RIGHT IN AS WELL.
I'M GOING TO CUT UP A LITTLE BIT
OF GARLIC AND ONIONS TO PUT IN
THERE.
BUT, OF COURSE, ITALIAN DINNER
NEEDS A LITTLE ITALIAN SEASONING
IN THERE AS WELL.
GOING TO PUT A PINCH OF BLACK
PEPPER.
ALL RIGHT.
I NEED YOU TO GET BOTH OF YOUR
SETS OF HANDS IN THERE AND
SQUISH IT ALL AROUND, MIX IT ALL
UP!
RIGHT ON!
>> OKAY.
NOW WE GET TO THE BEST PART.
WE GET TO SAMPLE WHAT WE MADE.
>> ABSOLUTELY.
DIG IN.
LET'S GIVE IT A TRY.
TELL ME WHAT YOUR THOUGHTS ARE.
>> TELL EVERYBODY WHAT WE'VE GOT
HERE AGAIN.
>> WE'VE GOT A BASIC MARINARA
SAUCE WITH LOTS OF FRESH
VEGGIES, MEATBALLS WITH A LITTLE
BIT OF PORK SAUSAGE AND QUINOA
PASTA.
OUR BEAUTIFUL MIXED GREENS WITH
A BIG, FLAVORFUL RANCH DRESSING
THAT IS HEALTHY FOR YOU, TOO.
>> OKAY.
I THINK IT'S WONDERFUL.
VERY FLAVORFUL.
WHAT DO YOU THINK, GABE?
>> I THINK IT'S WONDERFUL.
>> THIS IS SOMETHING YOU WOULD
LIKE TO SIT DOWN TO DINNER TO?
>> LOVE THAT.
LOOK AT THAT BIG BITE OUT OF A
MEATBALL.
THAT'S THE WAY IT SHOULD BE
RIGHT THERE.
>> WE WANT EVERYBODY TO BE ABLE
TO TRY CHEF L.J.'S RES RECIPES.
WE'LL POST THEM ON KSPS.ORG.
WONDERFUL.
THANKS SO MUCH.
THANKS, GUYS.
THANKS FOR HELPING OUT!
LET'S EAT!
>> ONCE AGAIN, THE THREE RECIPES
WE FEATURED WILL BE ON OUR WEB
SITE AT KSPS.ORG.
THEY WERE DELICIOUS.
I'M A NEW FAN OF QUINOA PASTA.
I HAD NO IDEA.
AND DR. PAKPREO, YOU'VE EATEN IT
BEFORE.
>> IT IS HIGH IN PROTEIN.
IT IS A GREAT SOURCE OF PROTEIN
FOR YOUNG PEOPLE.
>> VERY DELICIOUS.
AND DOUG, TALK ABOUT
NUTRITIONWISE ON THE PLATE
THERE.
>> FRESH VEGETABLES.
CONDIMENTS CAN CARRY EMPTY
CALORIES AND NOT NECESSARILY
WHAT YOU WOULD NEED BUT IT IS
GOOD TO HAVE SOME GOOD FLAVOR.
HE MIXED HALF WITH THE YOGURT,
YOU CAN HAVE NONFAT SOUR CREAM.
YOU CAN SUBSTITUTE SOME THINGS
BUT GREAT FLAVORS FOR THE SALAD.
HE'S GOT HIS MEATS IN THERE BUT
NOT -- A MEATBALL, NOT TEN.
WITH THE PASTA.
THE PLATE, WHAT'S NICE, MY PLATE
IS THE NEW PORTION.
PART OF WHAT WE NEED TO TEACH
OUR FAMILIES ARE THAT PORTION
CONTROL.
THAT'S A BIG DEAL WHEN WE'RE
TALKING ABOUT EATING.
HAVING A NINE INCH PLATE, NOT A
16 INCH PLATE.
FILLING IT.
LOOKING AT MORE VEGETABLES AND
FRUITS AND A WHOLE-GRAIN PASTA
AND A LITTLE BIT OF PROTEIN IS A
GREAT WAY.
THAT WAS A NICE PORTION, NICELY
LAID OUT, WELL DONE.
I WOULD LOVE TO SEE MORE
FAMILIES -- MAYBE NOT EVERY
NIGHT BUT IT TAKES A LITTLE
TIME.
BUT ONCE YOU'VE DONE IT FOR SIX
MONTHS, A YEAR, YOU BUILD THE
PATTERNS WHERE IT DOESN'T TAKE
MUCH MORE TIME ONCE YOU'VE BUILT
BASIC SKILLS AND THE KIDS CAN DO
IT.
THEY'RE MORE CAPABLE THAN YOU
GIVE THEM CREDIT FOR.
>> WHEN THEY DID GET HANDS ON,
THEY WANT TO EAT THEIR COOKING.
A LOT OF THE TIME, YOU FIND THAT
KIDS WHEN THEY'RE IN THE KITCHEN
AND HELPING OUT, THINGS THEY
WOULDN'T HAVE EATEN BEFORE, THEY
HELPED PREPARE IT.
GET INVOLVED IN THE PROCESS.
ONE OF THE OTHER PROBLEMS WE
HAVE IS AGAIN, BECAUSE WE'RE
BUSY IS WE'RE NOT TAKING THE
TIME TO SIT DOWN AND ENJOY OUR
MEAL AND AGAIN, IT HAS A LOT TO
DO WITH, YOU KNOW, PORTION
CONTROL AND REALLY TAKING THE
TIME TO DIGEST THE FOOD AND
WE'RE EATING TOO FAST AND
GETTING TOO MANY CALORIES, IS
THAT THE CASE?
>> I WOULD POINT OUT FOR
PARENTS, HERE'S THE DEAL.
IF THEY WANT BETTER
RELATIONSHIPS AND BETTER SUCCESS
WITH THEIR KIDS AND I'M BLANKING
ON THE STATISTIC BUT IT IS
SOMETHING LIKE 30% TO 40% OR
MORE BETTER RELATIONSHIPS AND
CONNECTION WITH KIDS FOR
FAMILIES THAT JUST SIT DOWN AND
HAVE DINNER THREE NIGHTS A WEEK.
BECAUSE IT IS COMMUNICATION
TIME.
TRYING TO SHUT THE -- TIME TO
SHUT THE SCREENS OFF AND HAVE
FUN WITH IT.
THAT'S A HUGE RELATIONAL
BENEFIT.
IF YOU WANT TO KNOW WHAT'S GOING
ON, TAKE THE TIME TO SIT DOWN.
IT WILL BE BENEFICIAL FOR
EVERYBODY'S RELATIONSHIP AND
THEN YOU KNOW, YOU NEED TO GET
RID OF SOME OF THE SOCIAL -- GET
RID OF THE QUICK HIGHER CALORIE
STUFF, THE CHIPS.
PUT OUT THE CUCUMBERS AND THE
CARROT STICKS.
YOU CAN HAVE ANY OF THIS YOU
WANT AND MAKE IT EASY TO GET TO.
MAKE THE BETTER CHOICES EASIER
AND THEN THE NOT SO GOOD
CHOICES, YOU KNOW, ONCE IN
AWHILE, THEY SHOULD BE GONE
BECAUSE IF THEY'RE IN THE
CABINET, I'M EATING THEM, TOO.
>> IF WE'RE SETTING THE STANDARD
AT HOME, WHEN WE SEND THEM OUT
TO FRIEND'S HOMES, IT WILL BE A
LITTLE EASIER FOR THEM TO MAKE
THE CHOICES.
AGAIN, YOU KNOW, STARTING THEM
EARLY.
ON A PREVIOUS SHOW, WE TALKED
ABOUT SOME OF THE INJURIES THAT
WE'RE SEEING IN KIDS EARLIER.
A LOT OF IT HAVING TO DO WITH
THE FACT THEY'RE SINGLED IN ON
ONE SPORT.
THAT'S SOMETHING ELSE OUR
SOCIETY HAS GOTTEN INTO IS THAT
THEY'RE NOT PLAYING A VARIETY OF
SPORTS, THEY'RE NOT INTERACTING
IN DIFFERENT WAYS AND USING THE
DIFFERENT BODY PARTS.
ARE YOU SEEING THAT IN YOUR
PRACTICE?
>> CHRONIC INJURIES?
>> EXACTLY.
>> YOU CAN SEE THAT IN SOME
YOUNG PEOPLE.
AND I THINK ACTUALLY BEING
DECONDITIONED.
IF YOU'RE NOT IN A SPORT AND YOU
TRY TO DO SOMETHING YOUR BODY
ISN'T QUITE READY FOR OR THE
WEEKEND WARRIOR TYPE OF THING,
YOU CAN SUFFER INJURIES THERE,
AS WELL.
>> SO, AGAIN, TRYING TO GET KIDS
INTO A VARIETY OF ACTIVITIES,
GET THEM INVOLVED.
>> CONSISTENT.
>> STAYING CONSISTENT.
>> ONE OF THE THINGS, I WILL LET
STEPHANIE SPEAK TO IT.
OUR PROGRAM IS ABOUT PERSISTENT
FITNESS, REGULAR EXPOSURE.
OUR ATHLETES ARE BETTER OFF IF
THEY'VE HAD A BROADER EXPOSURE
BECAUSE IT IS LIFETIME FITNESS.
THEY TEACH LIFETIME FITNESS IN
THE PROGRAMS.
IT IS NOT JUST 10% OF THE KIDS
ARE SUCCESSFUL AT THROWING THE
BALL AT THE KID WITH THE
GLASSES.
OUR PROGRAM IS GREAT ABOUT
LIFETIME FITNESS.
>> I THINK OUR GOAL EVERY DAY IS
TO TRY TO FIND SOMETHING THAT
THEY WILL ENJOY DOING.
WE MASK IT BY SAYING THIS IS
P.E. CLASS AND IT IS GOING TO BE
FUN AND OF COURSE, IT IS GOING
TO BE FUN BUT WE'RE TRYING TO
EXPOSE THEM TO A VARIETY OF
ACTIVITIES.
FROM DANCE TO TEAM SPORTS TO
FITNESS ACTIVITIES.
WE TRY REALLY HARD TO SHOW THEM
THERE ARE LOTS OF OPTIONS FOR
THEM.
>> WE MENTIONED IN THE OPEN OF
THE SHOW, TOO, THAT TYPE 2
DIABETES IS BECOMING A CHRONIC
ISSUE, REALLY.
IT IS BECOMING A HUGE CONCERN.
AT WHAT POINT DOES A CHILD --
WHEN ARE THEY GETTING TO THAT
POINT WHEN IT BECOMES CRITICAL
LIKE THAT?
>> SO, THE QUESTION IS --
>> I'M WONDERING, THE CHILD --
WE TALKED ABOUT THE BODY ISSUES.
HOW THEY'RE GOING TO GROW.
BUT AT WHAT POINT SHOULD A
PARENT START TO BECOME CONCERNED
THIS COULD BECOME AN ISSUE, EVEN
BEFORE THEY COME TO YOU?
>> YOU KNOW, IF YOU'RE THINKING
ABOUT "IS MY KID OVERWEIGHT,"
THEN IT IS A CONCERN.
YOU KNOW AS A PARENT.
AND HAVING SAID THAT, I KNOW
THAT IN TODAY'S WORLD, THE NORMS
ARE CHANGING.
I SEE A LOT OF KIDS WHO ARE
HEALTHY WITH PARENTS COME IN AND
SAY HE DOESN'T EAT.
HE'S TOO SKINNY COMPARED TO
EVERYBODY ELSE.
SO KEEPING IN MIND THOSE NORMS.
IF YOU'RE CONCERNED AND YOU
BRING IT UP WITH THE PHYSICIAN,
I MEAN WE DO LABS TO CHECK FOR
THINGS.
WHEN YOU'RE IN THE OBESE
CATEGORY WHERE YOUR BODY MASS
INDEX, BMI IS 95th PERCENT
ISLE, YOU'RE WELL ON YOUR WAY TO
HAVING METABOLIC CHANGES WHICH
CAN PREDISPOSE WHERE THE
CHOLESTEROL IS NOT NORMAL, YOUR
INLINS IS NOT RESPONDING THE WAY
IT SHOULD IN THE BODY WHICH ALL
SET THE STAGE FOR DIABETES.
I THINK TO ANSWER THAT QUESTION,
AS A PARENT, IF YOU ARE THINKING
THAT COULD THIS BE A PROBLEM,
DON'T SIT ON IT.
DON'T THINK ABOUT IT.
JUST GO TALK TO YOUR DOCTOR.
>> ABSOLUTELY.
IF YOU DO IT EARLY ENOUGH, YOU
CAN ABSOLUTELY --
>> WHERE DO YOU BEGIN?
AS A DOCTOR, AS A PHYSICIAN AND
AS THE PATIENT, HOW DO YOU
TACKLE THAT?
>> WELL, AS A DOCTOR, WE
START -- I'M GOING TO GO OFF THE
TOPIC A LITTLE BIT.
BECAUSE I KEEP HEARING ABOUT WE,
AS A SOCIETY NEED TO DO THIS AND
WE AS A FAMILY NEED TO DO THIS.
INTERVENTION NEEDS TO BE AT SO
MANY DIFFERENT LEVELS THAT I
THINK WE AS DOCTORS START WITH
THE BASICS AS FAR AS JUST WHAT
DOES THE FAMILY LOOK LIKE?
JUST GETTING --
>> YOU CANNOT CHANGE THE CHILD.
>> YOU CAN ABSOLUTELY NOT CHANGE
THE CHILD NO DIFFERENTLY THAN
YOU CAN ASK THE KID TO TREAT HIS
OWN ASTHMA.
>> THAT'S AN EXCELLENT POINT.
YOU HAVE TO UNDERSTAND AND BE
COGNIZANT OF THE LIMITATIONS.
THE CHILD DIDN'T GET TO THAT
STAGE BY HIMSELF OR HERSELF
ALONE.
THERE WAS A WHOLE LOT OF THINGS
THAT CONTRIBUTED TO IT AND THOSE
VERY MANY DIFFERENT THINGS THAT
CONTRIBUTED TO IT WILL NEED TO
BE -- THEY HAVE VERY LITTLE
CONTROL IN THEIR LIVES, OUR
CHILDREN.
WE CONTROL, AS ADULTS.
>> AS WELL WE SHOULD.
>> AS WELL WE SHOULD.
THE KEY IS THE REALIZATION THAT
AS ADULTS, WE NEED TO ACT AS
PARENTS WE NEED TO ACT.
AS TEACHERS, WE NEED TO ACT.
THEN ON A BROADER LEVEL, AS
COMMUNITY.
SO JUST HAVING THAT CONVERSATION
AND COMING TO THAT POINT THAT
SOMETHING NEEDS TO BE DONE.
ABOUT THIS ISSUE.
AND NOT SHOWING -- NOT
PRETENDING IT DOESN'T -- IT IS
NOT THERE.
HE OR SHE WILL GROW OUT OF IT.
THEY MIGHT OR THEY MIGHT NOT BUT
IT IS NOT THE RISK WORTH FINDING
OUT.
>> DR. PAKPREO, YOU TOUCHED ON
THE FACT THIS CHILD'S LIFE WILL
BE SIGNIFICANTLY DIFFERENT FOR
THEM, A MUCH BIGGER CHALLENGE IF
YOU DON'T GET A HANDLE ON IT
WHEN THEY'RE CHILDREN.
WALK ME THROUGH THAT.
WHAT WILL THAT CHILD'S LIFE LOOK
LIKE IF A PARENT SAYS THIS IS
JUST THE WAY THEY ARE.
THEY'VE GOT DIABETES NOW FOR THE
REST OF THEIR LIFE.
>> THEN THEY HAVE TO COME SEE
THE DOCTOR.
THEY HAVE TO COME SEE ME.
BECAUSE IF THEY HAVE -- IF THEY
DEVELOP COMPLICATIONS RELATED TO
THEIR WEIGHT, THEY WILL NEED TO
GO TO THE DOCTOR TO HAVE LABS
DRAWN, TO HAVE THEIR HEART
CHECKED, TO DISCUSS THEIR WEIGHT
AND OTHER HEALTH ISSUES.
SO THOSE ARE SOME OF THE
COMPLICATIONS.
THERE ARE OTHER COMPLICATIONS AS
WELL THAT ARE NOT AS EASILY
IDENTIFIED.
THERE IS WEIGHT BIAS IN HIRING
AND ISSUES WITH MARRIAGE AND
RELATIONSHIPS.
THERE ARE A LOT OF OTHER THINGS
THAT WEIGHT CAN AFFECT IN THE
LONG-TERM AND IT IS NOT THAT
EVERY OVERWEIGHT OR OBESE PERSON
WILL HAVE AN UNHAS BEEN LIFE
THAT WILL BE TEASED OR BULLIED
OR SAD OR WHATEVER BUT THERE IS
A HIGHER RISK OF MEDICAL
COMPLICATIONS.
SETTING THE STAGE FOR A
HEALTHIER LIFESTYLE WHEN THEY'RE
YOUNGER IS INCREDIBLY IMPORTANT
TO HELP THEM DEVELOP HABITS SO
LATER ON IN THE FUTURE, THEY'RE
NOT CONTINUING TO HAVE THESE
PROBLEMS.
A SIGNIFICANT PORTION OF YOUNG
CHILDREN, ADOLESCENTS, AS THEY
GET OLDER, WILL CONTINUE TO BE
OBESE WHEN THEY'RE ADULTS AND
SEVERELY OBESE KIDS WILL BE
SEVERELY OBESE ADULTS.
IT IS VERY, VERY DIFFICULT TO
GET THAT WEIGHT DOWN WITHOUT
STARTING EARLY.
>> HOW DO YOU PUT A CHILD ON A
DIET?
>> WELL, IT IS NOT A DIET.
FIRST OF ALL.
>> THANK YOU.
>> IT IS NOT A DIET.
IT IS A FAMILY-BASED APPROACH
WHICH -- YOU KNOW, EVERYONE HAS
SPOKEN VERY WELL TO.
IT IS A CHANGE IN YOUR FAMILY'S
LIFESTYLE ABOUT WHAT YOU PUT ON
THE DINNER TABLE AND HOW YOU
INCORPORATE ACTIVITY AT HOME.
IT IS NOT A DIET.
>> HEALTHY EATING PLAN.
HEALTHY EATING PLAN.
>> A VARIETY, A BALANCE.
DON'T SAY DIET IN FRONT OF YOUR
KIDS.
IT IS OKAY TO SAY I'M WORRIED
ABOUT MY WEIGHT BUT I'M DOING
THIS TO BE HEALTHIER.
ROLE MOD IT WILL FOR YOUR
FAMILIES.
YOUR CHILDREN.
I'M EATING MORE APPLES,
VEGETABLES, I'M GOING OUT FOR A
WALK.
COME OUT WITH ME.
I USED TO WORK WITH EATING
DISORDER PATIENTS SO THE
MESSAGING IS SO IMPORTANT IN HOW
YOU SAY IT.
CHILDREN SEE WHAT YOU DO.
THEY WILL DO WHAT YOU DO.
THEY WILL ACT LIKE YOU.
AND SO, AS A PARENT, YOU HAVE A
SIGNIFICANT AMOUNT OF POWER IN
THAT SITUATION.
TO SAY HEY, THIS IS WHAT I'M
DOING.
YOUR KIDS AREN'T ALWAYS GOING TO
FOLLOW WHAT YOU SEE.
THEY'RE GOING TO HEAR WHAT YOU
SAY.
THEY'RE GOING TO REMEMBER THAT.
SOME DAY, IT WILL.
>> WE RECEIVED AN E-MAIL WITH A
QUESTION FROM CATHY IN SPOKANE.
FOODS, VITAMINS OR MINERALS OR
HEAVY METALS THAT AFFECT HOW OUR
BODIES COLLECT FAT?
THAT'S INTERESTING.
DOUG, DO YOU KNOW IF THAT'S THE
CASE?
>> YOU KNOW, I'M BEHIND ON MY
RESEARCH.
I KNOW THAT CERTAINLY, YOU NEED
TO BE CAREFUL.
FISH IS A GREAT FOOD TO GET BUT
SOME OF OUR LAKES AND STREAMS
HAVE HIGHER COUNTS OF HEAVY
METALS, MERCURY.
YOU NEED TO MODERATE THE PIECES.
SO IF YOU GET TOO MUCH, YOU
COULD IMPACT SOME OF THE VITAL
ORGANS.
I DON'T KNOW OF ANY THAT ARE
DRAMATICALLY IMPACTING
METABOLISM IF THAT'S THE
SPECIFIC QUESTION.
I DON'T BELIEVE THERE ARE ANY TO
MY KNOWLEDGE.
>> DR. GUPTA?
>> I AGREE WITH THAT.
IT IS A METABOLIC ISSUE, BEING
OVERWEIGHT OR OBESE IS
METABOLIC-RELATED PROBLEM.
SO FAR NOTHING, NO ONE THING OR
COMBINATION OF THINGS RELATED TO
DIET OR WHAT WE EAT HAVE BEEN
SHOWN.
THERE ARE THINGS THAT ARE BEING
TALKED ABOUT.
NOT PROVEN YET.
SO THE ARTIFICIAL SWEETENERS,
THE CERTAIN KINDS OF FATS THAT
TEND TO MAKE YOU MORE PRONE TO
SEEK THOSE FOODS AGAIN.
BUT NOT PARTICULARLY CHANGE THE
METABOLISM TO ACCUMULATE MORE
FAT.
>> I WOULD TOUCH ON THIS.
THERE'S SO MUCH GOOD RESEARCH
AND DATA AND WE HAVE THE ABILITY
TO TAKE THE DATA AND THEN LOOK
AND SEE, YOU KNOW, SOME OF
THESE -- WE'RE NOT JUST TALKING
ABOUT WHAT'S GOOD HEALTH.
WE'RE TALKING ABOUT OPTIMAL
HEALTH NOW.
HYPERTHYROIDISM AND
HYPOTHYROIDISM AND GOING TO SEE
YOUR DOCTOR TO FIND OUT -- IN
THIS AREA, WE'RE LOW ON VITAMIN
D SO A VITAMIN D SUPPLEMENT IS A
GOOD THING TO DO.
PLEASE SEE YOUR DOCTOR OR
DIETITIAN TO FIND OUT WHAT THE
LEVEL WOULD BE.
WE DO HAVE VITAMIN D
SUPPLEMENTATION IN OUR FOOD BUT
IT MIGHT BE A GOOD PIECE.
LOW THYROID IS A COMMON PIECE
FOR DEPRESSION.
BEING ABLE TO HAVE THE PIECES
CHECKED OUT.
IF YOU'VE TAKEN A METAL THAT
IMPACTS ONE OF OUR ORGANS, IT
CAN IMPACT YOUR MOOD, YOUR
HEALTH.
WE'VE GOT GOOD DATA.
I ENCOURAGE PEOPLE.
THERE ARE A LOT OF ANECDOTAL
PIECES THAT MIGHT HAVE -- IF YOU
BELIEVE STRONGLY ENOUGH, HATS
OFF IT IF IT HELPS YOU.
THERE ARE DOCTORS THROUGHOUT AND
DIETITIANS LOOKING AT THE
RESEARCH SAYING THERE ARE
IMPLICATIONS BUT THIS IS PRETTY
SOLID.
YOU CAN TRY THIS SUPPLEMENT AND
SEE YOUR DOCTOR ON THAT.
>> IF YOU SEE ME, I'LL TELL YOU
TO EAT REAL FOOD.
>> ANY SUPPLEMENTS?
>> VITAMIN B.
SEASONAL AFFECTIVE DISORDER
COMES.
YOU DON'T NEED TO BUY A
SUPPLEMENT.
YOU DON'T NECESSARILY NEED TO BE
ON A VITAMIN UNLESS YOU HAVE A
VERY ASKEWED DIET BUT REAL FOOD,
BALANCED AND THE DIFFERENT FOOD
GROUPS, YOU'RE GOING TO BE FINE.
I WOULD VERY MUCH DISCOURAGE THE
USE OF SUPPLEMENTS TO PROMOTE
WEIGHT LOSS.
I GET THAT QUESTION ALL THE TIME
ABOUT WHAT PILL CAN THEY TAKE.
WHAT MEDICINE SHOULD THEY GET.
IT DOESN'T WORK THAT WAY.
YOU STOP IT, IT COMES BACK.
UNFORTUNATELY, IT COULD CAUSE
DAMAGE TO YOUR BODY.
SO WE DON'T WANT THAT.
BACK IN THE DAY, IT USED TO BE
FEN-PHEN AND ALL OF THOSE PEOPLE
WITH HEART PROBLEMS, DEATH.
YOUR CHILD'S WORTH MORE THAN
THAT.
>> ABSOLUTELY.
SO MORE ACTIVITY.
DEFINITELY THE KINDERGARTENERS,
BRILLIANT IDEA.
DO YOU SEE PROGRAMS LIKE THAT
COMING INTO PLAY AS THE KIDS GET
OLDER?
MAYBE BRINGING OTHER PROGRAMS
INTO THE SCHOOL SYSTEM THAT
WOULD BE SIMILAR TO THAT LIT FIT
FOR THE KIDS?
>> DOUG MENTIONED EARLIER WITH
THE CORE SUBJECTS BEING SUCH A
HIGH RIGGER RIGHT NOW, SOME OF
THE FITNESS AND HEALTH, SOME OF
THE OTHER CLASSES ARE GOING AWAY
AND SO WHAT CAN WE DO TO MAKE
SURE THAT THEY'RE AS IMPORTANT
AS THE OTHERS.
THAT'S BY COMBINING THE TWO.
LIT FIT IS A PERFECT EXAMPLE OF
HOW WE CAN HAVE IT BOTH WAYS.
WE CAN HAVE THE KIDS BE ACTIVE
AND THEN THEY'RE STILL LEARNING
AT THE SAME TIME.
BOTH VERY IMPORTANT, OF COURSE.
WE DON'T WANT TO LOSE SIGHT OF
THEIR LONG-TERM HEALTH ALSO.
>> I WOULD LOVE TO SEE FAMILIES
FIND -- I'M TALKING ABOUT
PARENTS NOW, FIND SOME THINGS
THEY'RE PASSIONATE ABOUT OR
ENJOY SO THAT THEY CAN PASS
SOMETHING BEAUTIFUL ON TO THEIR
CHILDREN.
IT IS HIKING, IT MIGHT BE
BIKING.
IT MIGHT BE SAILING BUT GETTING
OUT AND BEING ACTIVE.
FIVE DAYS A WEEK, 30 MINUTES.
THIS IS THE MINIMUM.
BUT TO MAKE THE TIME THAT
THEY'RE MOVING AND BEING ACTIVE.
AND THEN GETTING THEIR KIDS
INVOLVED.
A LOT OF TIMES SPORTS.
IT IS SO POWERFUL.
YOU CAN SEE KIDS WHEN THEY
GET -- IT IS NOT ABOUT GETTING A
GOLD STAR.
NOT ABOUT GOING TO THE OLYMPICS.
IF THEY LIKE THAT, GREAT.
IT IS REALLY ABOUT TAKING THIS
ON.
PAST 12th GRADE AND PAST THEIR
20s INTO THEIR LIFE SAYING
THIS IS SOMETHING WE DO BECAUSE
IT IS VALUABLE.
>> YOU CAN CREATE THAT PASSION
EARLY ON FOR KIDS.
I'M FINDING IT NOW TO BE MORE OF
A STRUGGLE THAT MY DAUGHTERS ARE
IN THEIR EARLY 20s BECAUSE
THEY'RE OUT OF SCHOOL.
THEY'RE NOT DOING ACTIVITIES.
THEY'RE AWAY FROM MOM.
IT IS MORE DIFFICULT FOR ME TO
ENCOURAGE THEM TO GET TO THE GYM
OR TAKE A WALK OR YOU KNOW,
THEY'RE INVOLVED WITH OTHER
ACTIVITIES.
NOW I'M FINDING IT MORE OF A
STRUGGLE THAN I DID WHEN THEY
WERE CHILDREN WHEN I COULD GET
THEM OUT PLAYING OR THEY WERE
PLAYING THEIR SPORTS.
SO WHAT ELSE ARE WE FACED WITH
KIDS AS FAR AS DISEASE OTHER
THAN DIABETES AND THE THYROID
ISSUES AS THEY BECOME ADULTS OR
EVEN AT A YOUNGER AGE, YOU
TOUCHED ON A FEW OF THEM.
>> THERE'S ARTHRITIS.
WITH YOUNGER KIDS, AS THEY ARE
GROWING, THEIR JOINTS, THEIR
BONES ARE MORE FLEXIBLE.
UNFORTUNATELY, SOMETIMES WHEN
THEY ARE OF A HIGHER WEIGHT,
THAT CAN CAUSE HIP PROBLEMS AND
SO FOR SOME KIDS --
>> TOO MUCH FOR THEIR FRAME.
>> TOO MUCH FOR THEIR FRAME.
SOMETIMES IT CAUSES THE BONES
TO -- LONG-TERM, THE PRESSURE ON
THEIR JOINTS CAN CONTRIBUTE TO
ARTHRITIS.
WITH ASTHMA, THAT IS ANOTHER ONE
BECAUSE IT IS HARDER FOR THEM TO
BREATHE.
IT IS A LITTLE MORE RESTRICTIVE.
IT CAN WORSEN ASTHMA SYMPTOMS.
WE TALKED ABOUT THE DIABETES.
THAT'S A PRETTY SIGNIFICANT ONE.
CHOLESTEROL PROBLEMS, HEART
DISEASE, HEART ATTACKS.
RISK OF STROKE IN THE FUTURE.
AND IT AFFECTS YOUR WHOLE BODY.
THE PART THAT'S HARD IS IT
STARTS SO YOUNG AND YOU CAN HAVE
A 30-YEAR-OLD PERSON WHO'S MAYBE
ALREADY HAD A HEART ATTACK OR
HAS BEEN ON DIABETES MEDICATIONS
FOR TEN YEARS ALREADY.
I THINK AS A PROVIDER, IT IS
VERY PREVENTABLE.
THAT, I THINK, IS WHERE A LOT OF
THINGS -- YOU CAN DO SOMETHING
ABOUT IT.
YOU DON'T HAVE TO FEEL HELPLESS
ABOUT IT.
JUST ASK FOR HELP LIKE DR. GUPTA
SAID.
TALK TO YOUR DOCTOR IF HAVE A
QUESTION.
EVEN A THOUGHT, IS THIS OKAY OR
NOT OKAY.
AND SOME OF THE KIDS WILL GO TO
THEIR TEACHERS, TOO, AND THE
PARENTS WILL APPROACH THE
TEACHERS AND SAY HEY, I'M
WORRIED ABOUT MY SON, YOU KNOW.
IS HE PLAYING ON THE PLAYGROUND
VERY MUCH?
OR WHAT DOES HE DO?
IS HE IN THE CORNER?
WHY IS HE NOT PLAYING?
I THINK TEACHERS, THEY HAVE A
VERY GOOD EYE ON THE KIDS.
THEY CAN GIVE YOU A LOT OF
INFORMATION.
>> THERE IS A LOT OF INSIGHT
THAT CAN COME INTO PLAY IN THE
SCHOOL SYSTEM WHEN IT COMES TO
WHAT KIDS ARE UP TO.
>> EXACTLY.
TALKING ABOUT RECESS ALSO BEING
REALLY IMPORTANT.
>> TALK ABOUT ELIMINATING RECESS
TO GET MORE SUBJECTS IN.
>> WE CAN'T DO THAT.
IF WE COULD STOP FOR A MINUTE
AND THINK ABOUT HOW IMPORTANT IS
IT FOR THEM TO GET OUTSIDE AND
BE ACTIVE.
IT PREPARES THEM TO BE BETTER
LEARNERS.
THAT IS JUST AS IMPORTANT.
THEY'RE GOING TO HAVE A MORE
QUALITY EDUCATION IF THEY'RE
HEALTHIER.
IF THEY'RE MORE PREPARED TO
LEARN.
AND RECESS IS NOT FITNESS AND
HEALTH EDUCATION BUT IT IS VERY
IMPORTANT.
AND IF WE CAN DO EVERYTHING WE
CAN TO KEEP THOSE OPPORTUNITIES
OUT THERE FOR KIDS, THEY NEED TO
HAVE THAT.
DOUG?
>> IT IS A GOOD STEP, TOO.
WE SHOULD BE MOVING EVERY 45
MINUTES TO AN HOUR.
IF YOU'RE AT A DESK JOB -- I SIT
ON MY BRAINS WAY TOO MUCH.
BUT I PHYSICALLY HAVE TO GET UP
AND MOVE EVERY 45 TO 50 MINUTES
OR SO.
THE SAME WITH OUR KIDS.
THE LIT FIT, IT IS SUCH A GREAT
PROGRAM, MOVEMENT AND LEARNING.
KIDS LEARN BETTER WHEN THEY'RE
PHYSICALLY ACTIVE.
YOU HAVE BETTER RETENTION, THERE
IS GREAT DATA THAT SAYS THEY'RE
BETTER LEARNERS WHEN THEY'RE
MOVING.
PARENTS, YOU CAN PICK UP ON
THIS.
WHETHER THEY GO FOR A QUICK
BLOCK, JUST AROUND THE BLOCK.
SOMETIMES THEY THINK I'VE GOT TO
START THIS PROGRAM.
I HAVE TO DO 100 PUSHUPS.
OKAY, THAT'S FINE BUT IT CAN BE
THE LITTLE THINGS.
THERE'S ALSO SOME GREAT
RESOURCES.
THERE'S RESOURCES IN OUR
COMMUNITY FROM THE DIFFERENT
HEALTH PROVIDERS, FROM THE
SCHOOLS.
CALL SOMEBODY.
GET SOME RESOURCES BECAUSE IF
YOU GET SOME COOL PEOPLE OR
SOMETIMES THEY CAN'T HEAR IT
FROM MOM AND DAD SO GET SOMEBODY
ELSE.
THERE ARE GREAT RESOURCES
THAT -- LOW COST OR ON THE WEB.
GET THEM INTO THAT.
BECAUSE YOU GOTTA START MAKING
IT COOL.
IT IS MORE THAN ONE WAY TO MAKE
IT COOL.
>> MAYBE IT IS NOT MOM AND DAD.
>> I WAS JUST GOING TO FOLLOW UP
WHAT DR. PAKPREO SAID.
I THINK WE TALK ABOUT ALL OF THE
PHYSICAL ILLNESSES THAT ARE, YOU
KNOW, FOLLOWED AS A RESULT OF
BEING OVERWEIGHT OR OBESE.
WE VERY SERIOUSLY UNDERMINE THE
PSYCHOLOGICAL AND THE MENTAL
HEALTH ISSUES THAT COME FROM
THAT.
WHEN YOU ACTUALLY SIT DOWN AND
YOU ASK A 6 OR 7-YEAR-OLD HOW
THEY FEEL ABOUT IT, I'VE HAD
MORE TEARS IN MY EXAM ROOMS THAN
I CARE TO HAVE.
BUT YOU KNOW, IT IS VERY
SIGNIFICANT.
AND AS A SOCIETY, WHEN YOU SEE,
YOU KNOW, DEPRESSION, ANXIETY,
STRESS, IT IS ALL TIED INTO
THAT.
SO I JUST DON'T THINK WE TALK
ENOUGH ABOUT THE PSYCHOLOGICAL
AND THE EMOTIONAL IMPACT OF
BEING DIFFERENT, BEING SINGLED
OUT.
AND GETTING THE NEGATIVE
MESSAGES, NOT JUST IN THE SCHOOL
BUT AT HOME.
YOU KNOW.
SUBCONSCIOUSLY, AS PARENTS, IF
YOU'VE GOT TWO KIDS WHO LOOK A
LITTLE DIFFERENT, YOU KNOW, WE
NEED TO BE COGNIZANT OF HOW WE
PORTRAY THIS MESSAGE.
EVEN AS PHYSICIANS.
>> CHOOSE VERY CAREFULLY.
>> THIS IS SOMETHING THAT IS
VERY CLOSE TO THE HEART FOR
EVERYBODY WHO HAS STRUGGLED WITH
IT.
AND YOU KNOW, EVERYBODY NEEDS TO
BE AWARE OF THAT.
>> LET'S TAKE A CALL FROM BRENDA
IN SPOKANE.
GOOD EVENING, BRENDA.
>> Caller: GOOD EVENING.
YES, THANK YOU FOR TAKING MY
CALL.
CAN YOU HEAR ME?
>> WE CAN HEAR YOU.
WHAT'S YOUR QUESTION?
>> Caller: MY QUESTION IS BACK
TO THE PART WHEN THEY WERE
TALKING ABOUT DIETING.
THE QUESTION IS DO THEY HAVE
SOME -- DO THEY RECOMMEND A WAY
TO DEAL WITH ALL OF THE IMAGES
OF HYPERTHIN PEOPLE THAT WE'RE
ALWAYS SHOWN AS PEOPLE THAT ARE,
I GUESS, SUPPOSEDLY MORE PERFECT
THAN WE ARE.
AND HOW DO THEY THINK WE SHOULD
DEAL WITH THAT?
I MEAN OBVIOUSLY THAT'S NOT A
HEALTHY BODY TYPE EITHER.
>> OKAY.
>> IMAGES CHILDREN ARE SEEING
AND HAVING TO CONFRONT ON A
DAILY BASIS.
LINDA, THANK YOU SO MUCH FOR
YOUR QUESTION.
AGAIN, WE'RE INUNDATED.
THERE'S MODELS, IMAGES.
THEY DON'T WEAR -- I DON'T WEAR
A SIZE ZERO CERTAINLY.
I CAN'T IMAGINE WHAT A CHILD IS
GOING THROUGH.
>> ABSOLUTELY.
WHAT THEY HAVE TO INTERPRET THE
PICTURE -- IT HAS BEEN PHOTO
SHOPPED MULTIPLE TIMES.
>> ABSOLUTELY.
>> BRENDA, YOU ASKED A GREAT
QUESTION ABOUT WHAT TO DO.
WHAT I WOULD DO IS SIT DOWN AND
HAVE A CONVERSATION ABOUT IT.
IF YOU SEE SOMETHING ON TV OR A
COMMERCIAL.
IF YOU'RE FLIPPING THROUGH A
MAGAZINE, ASK THEM WHAT THEY
THINK THE PICTURE LOOKS LIKE?
WHAT DOES THAT MESSAGE TELL YOU?
AND THEN TALK TO THEM ABOUT THE
TRUTH ABOUT THAT PICTURE.
OR THAT THING THAT THEY SEE ON
TV ABOUT WHAT DOES THAT MEAN?
AND IS IT REAL?
NO, IT'S NOT REAL.
FOR ME, THE BIGGER ISSUE IS OUR
WEIGHT DOESN'T DEFINE US.
IT IS WHO WE ARE AS PEOPLE.
AND TO HELP YOUR KIDS BE
RESILIENT ABOUT THAT BECAUSE
WE'RE DEFINING WEIGHT AS TOO BIG
OR TOO THIN.
IT IS WHAT THEY DO.
OUR HEARTS, YOU KNOW.
HELPING BUILD YOUR CHILD'S
SELF-ESTEEM ON THOSE ISSUES
RATHER THAN SAY HEY, YOU DON'T
LOOK LIKE THAT PERSON IN THAT
PICTURE, YOU'RE NOT NORMAL.
THAT'S NOT THE MESSAGE WE WANT
TO SEND TO OUR KIDS.
>> I WOULD ENCOURAGE SOME
MANAGEMENT OF THE SCREEN TIME, I
LOVE WHAT YOU'RE IMPLYING, IF
YOU'RE TALKING ABOUT IT, MAYBE
YOU PARTICIPATED WHETHER YOU'RE
WATCHING THE SHOW WITH YOUR
CHILD.
I WOULD MANAGE THE SCREEN TIME
IF YOU CAN.
AS ADULTS, WE CAN.
SHUT DOWN THE SCREEN TIME.
AND THEN TRYING TO PARTICIPATE
IN IT.
THE OTHER PIECE I WOULD LOVE TO
SAY AS A GUY TALKING TO THE
FEMALE POPULATION, IT IS
DEVASTATING.
AND YOU NEED TO HAVE THE
CONVERSATION, DADS AND MOMS, THE
INNER BEAUTY, THE THING THAT'S
INSIDE YOU IS MORE VALUABLE.
WHAT YOU DO AS A PERSON AND THE
WAY YOU CARE ABOUT PEOPLE IS
WHAT'S MOST IMPORTANT.
WE CAN DO THIS THING TOGETHER,
WHATEVER TO BE HEALTHY.
THEY NEED TO GET THE MESSAGE OF
BEING VALUED.
THEY NEED TO HEAR THAT FROM MOMS
AND DADS OFTEN.
>> IT IS A CONVERSATION YOU NEED
TO HAVE AT EVERY AGE LEVEL.
AND REINTRODUCE TO THEM WHEN
THEY'RE LITTLE AND CONTINUE TO
HAVE THE CONVERSATION.
AND DR. PAKPREO, YOU WORK WITH
THE OPPOSITE SIDE OF THAT.
YOU WORK WITH SOME -- THE YOUNG
MEN AND WOMEN WHO HAVE EATING
DISORDERS BECAUSE POSSIBLY THEY
BOUGHT INTO THAT IMAGE ISSUE.
>> YEAH.
A LOT OF IT IS BASED ON LOW
SELF-ESTEEM AND LOW CONFIDENCE
LEVELS.
THE BIG QUESTION I GET WHEN I
WORK WITH EATING DISORDER
PATIENTS IS WHERE DID THIS COME
FROM?
HOW DID IT START?
THERE IS NO ONE THING
NECESSARILY.
IT IS A LARGER PICTURE OF WHAT
WE SEE IN SOCIETY.
HOW WE VIEW OURSELVES AND COPING
SKILLS AND SO FORTH.
AND I THINK THAT, YOU KNOW, IT
IS AN INTERESTING TOPIC.
I HAVE TO SAY YOU HAVE TO CHANGE
YOUR BRAIN A LITTLE BIT WHEN YOU
GO FROM AN ABUSED CHILD TO --
>> IT COMES FROM THE SAME PLACE.
>> ABOUT -- IT IS A SPECTRUM.
THE BALANCE AND FINDING THE
MODERATION BETWEEN.
>> NOT TAKING IT TO THOSE
EXTREMES.
>> RIGHT.
AND WHEN YOU HAVE A PROBLEM TO
BE ABLE TO REACH OUT AND ASK FOR
HELP RIGHT AWAY.
A LOT OF OUR KIDS THOUGH, THEY
WON'T NECESSARILY COME TO YOU
RIGHT AWAY SO CHECKING IN WITH
YOUR KIDS OFTEN AND TEACHERS,
THEY ACTUALLY DO A REALLY GOOD
JOB OF THAT.
THEY'LL SEE A KID NOT LOOK QUITE
RIGHT, THEY'LL TALK TO THEM AND
CALL THE PARENTS UP WHICH I
APPRECIATE SO MUCH.
SOMETIMES I'VE HAD THE KIDS GET
TO ME IS A TEACHER HAS CALLED A
PARENT AND SAID I'M CONCERNED
ABOUT YOUR CHILD.
I THINK IT IS VERY POWERFUL.
>> KEEPING THE LINES OF
COMMUNICATION OPEN WITH ALL OF
THE PEOPLE THAT ARE IN YOUR
CHILD'S LIFE, CERTAINLY VERY
IMPORTANT.
WELL, WE'RE QUICKLY RUNNING OUT
OF TIME.
BEFORE WE GET TO SOME LAST
THOUGHTS, WE WANT TO INTRODUCE
YOU TO A BRAND NEW FEATURE HERE
ON "HEALTH MATTERS."
AT THE END OF OUR BROADCASTS,
WE'LL GIVE YOU AN UPDATE ON THE
AFFORDABLE CARE ACT ALSO KNOWN
AS OBAMACARE.
WE BEGIN WITH A DEVELOPMENT IN
OUR OWN BACKYARD.
ON SEPTEMBER 3rd, WASHINGTON'S
HEALTH BENEFIT EXCHANGE OPENED A
CALL CENTER IN SPOKANE VALLEY.
TRAINED STAFF MEMBERS ARE THERE
TO ANSWER QUESTIONS FROM
WASHINGTON RESIDENTS THAT ARE
INTERESTED IN SIGNING UP FOR
HEALTH INSURANCE.
IF YOU HAVE A QUESTION, THE
NUMBER TO CALL IS
1-855-923-4633.
THAT CALL CENTER IS OPEN MONDAY
THROUGH FRIDAY STARTING AT 7:30
A.M. UNTIL 8:00 P.M.
OF COURSE, ALSO, YOU CAN CHECK
OUT THE WEB SITE THAT THEY HAVE
PROVIDED WHICH IS EXCELLENT
INFORMATION ALSO ON THAT.
AND THE NEXT SIGNIFICANT DATE
FOR YOU TO KNOW IS OCTOBER
1st.
THAT'S WHEN SALES OF THE NEW
HEALTH INSURANCE POLICIES WILL
GO ONLINE.
IF YOU SIGN UP FOR COVERAGE BY
DECEMBER 23rd, YOUR POLICY
WILL BEGIN AS IT SHOULD ON
JANUARY 1 OF 2014.
IF THIS ALL SEEMS CONFUSING, IT
DOES TO MOST OF US, JOIN US ON
OCTOBER 17th WHEN "HEALTH
MATTERS" WILL FOCUS ON THE
AFFORDABLE CARE ACT, OBAMACARE
AND IF YOU WOULD LIKE TO SUBMIT
A QUESTION, PLEASE SEND IT TO
HEALTH MATTERS AT KSPS.ORG.
IN AN E-MAIL.
SO AGAIN, SOME HEAVY TOPICS
COMING UP FOR NEXT MONTH.
I WANT TO GET FINAL THOUGHTS
VERY QUICKLY ON THE TOPIC AND
JUST KEEPING OUR KIDS HEALTHY.
>> START EARLY.
>> I LIKE THAT.
>> MODELING.
PARENTS AND MODELING.
THEY SHOULD BE ENGAGE AND START
GETTING THE EXAMPLE BECAUSE
THEIR LITTLE NOUNALS, THEIR
LITTLE EXAMPLES CAN MAKE A HUGE
DIFFERENCE.
>> WE'RE OUT OF TIME.
BUT I THINK THAT SETS A GOOD
EXAMPLE.
THANKS SO MUCH FOR BEING HERE
THIS EVENING.
AND THANK YOU FOR JOINING US ON
"HEALTH MATTERS."
I'M YOUR HOST, TERESA LUKENS.