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>> the following is apresentation of a project presented by wviz pbs,ideastream. >> funding comes from thecleveland foundation. the mcgregor foundation. the woodruff foundation and thecommunity foundation of lorain



rachael ray weight loss 2013

rachael ray weight loss 2013, county. additional support comes fromthe mount sinai healthcare foundation, st. luke's, theunited lack fund of greater cleveland, and rpninternational.


>> childhood obesity requirescomplex solutions. this is the first generation ofkids that are expected to live shorter lives than their parentsdo. we can ask ourselves thequestion, are we actually killing our children with food? >> kids don't want to have thisbecause it is not fun. >> a can of pop costs less thana bottle of water. that is the problem. they are playing games.


>> it is frightening to see howit insidious obesity has become. >> the prevention of childhoodobesity begins before and during pregnancy. >> one of the keys is gettingback to the soil, growing things the way they are intendedto be. >> i have a lot of things iwant to do. >> personal stories from localfamilies. inside from doctors andscientists. coming up next, "be well: youngand obese."


>> most people do not questionchildhood obesity is a problem. the question is, what are wegoing to do about it? for the next hour we're going totake you across our region to a farm, laboratory, school,hospital and home to understand the complexity of childhoodobesity and to see how some kids and adults are fighting fat. there is no magic pill that willsolve this problem. dr. david katz is a nationallyrecognized expert on childhood obesity.


here is what he told us. >> every strategy, every policythat will empower people to eat well every day, to beastphysically active and manage their time better, for kids andolds is part of the solution but no one thing will be thewhole solution. >>... understand how we gothere. the culprits are diet andexercise. more and more kids eat too muchof all the wrong wrong things and exercise too little.


to give you an idea how bad theproblem is, we are going to show you a map. it is a county by county lookthe way third-graders are in ohio. they are eight and nine yearsold. researchers consider them to beestimates on how the data was collected. only 5-10% of third-graders areobese. in our region that includesmadonna canty.


now comes royal blue, 10-15% areobese. next is dark blue, representingplaces where 20% of children are obese. cuyahoga and wayne counties,peer. yellow makes up the majoritywhere 25% of third-graders are these include yuri, ashland, andsummit. so now we go to orange. 25-30% of third-grade childrenchildren are obese. sandusky and heron are theunlucky winners.


finally, red, over 30% ofstudents are obese. these are mostly in southernohio. all in all, half a millionchildren in ohio are overweight or obese and you are going tomeet some of them. chances are you're going tothink him and they do not look obese but the reality is somany people are so fat we have become desensitized. we have lost track of what ahealthy body looks like. doctors use bmi along with ageand gender to rate children into


categories. bmi gives doctors a way toalert parents of problems regardless of appearance. in our first story we meetvictoria to understand some of the problems kids base when itcomes to weight management. >> my name is victoria. i am 12. i am going to be a teenagersoon. i like all of the boy bandsthese days.


guy singers. i do swimming in the cross. and maybe soccer. -- and lacrosse. my grandma loves to cook. she cooks us snacks after wecome home from school. >> i make mashed potatoes, corn,soup. strudel, too. >> i love her food a lot.


it is hard to resist because thetaste of it is so good. when you smell, it is notwatering. >> it is a lot of richfood. a lot of stuff withcarbohydrates. at age 2, she was starting togain weight. and from then it has gottenworse. >> sometimes i will eat out ofboredom. like i am bored. i do not have anything else todo.


>> society is against the kidsbecause both parents have to work nowadays and it makes itharder. there are some days i do notget home until after 9:00 at night. same with my husband. >> order a pizza, watch tv, goto bed. >> what do you have for me? >> i have been going heretuesdays for 12 weeks. >> it is a program focused onchildren and teenagers


identified as being obese at acertain level. even though the child isidentified based on weight, the key is parents in the family. we have a multidisciplinaryapproach. it is not just focused onweight. it is focused on getting ourbody moving, how we think and feel about things, how we eat,where. how much we eat. it's really important to havethe russia list, exercise, the


tight addition -- specialist,exercise, and the dietitian. >> they have a psychologist. we do a half-hour with her andthen we go to the dietitian. >> one of the things we use isthis new idea called my plate, which is a visual that helpskids and families consider portion size. in a more user-friendly way. >> we do learn from each other. we bring different ideas to thetable.


>> i have learned psychologythings like hunger skill. before i get a snack, i look atthe scale and see if i am hungry or if i'm just bored. >> it is a tool that helps notonly with the physical aspects but the emotional aspects. being more mindful about, why ami thinking i am hungry right now? >> having ready-made food iseasier in a working family but by changing habits, and may bepreparing food on the weekend


is what i have changed. take away the cookies and thesugar and the junk. kids do not need to junk and asa society we have learned by giving them macaroni and cheesethat it is ok. it's not ok. >> by going through the program,it has changed the way she has been cooking for them. she has a lot of vegetables. a lot of salad.


vegetable soup. fruit. victoria has lost some weightbut more importantly she is healthier. >> before i would run out ofbreath after five or 10 minutes of running. >> it is exciting to see thesekids feeling like a whole person and feeling strong intheir physical self. >> victoria is determined tokeep her weight under control.


she does not want medicalproblems and there is a history of heart disease in her family. she joins us now to talk aboutthe consequences of childhood good to see you. amazing statistic, one in fiveteenagers has high blood pressure. explain what that means and whathappens in terms of kidneys. >> high blood pressure issomething you might not realize when you have it because it doesnot cause any symptoms but it is


constantly working on your bodyto cause all kind of harm, such as if you have high bloodpressure you are more likely to deposit cholesterol, fat inyour arteries. have a heart attack. have trouble with yourcirculation in your limbs. have a stroke. and have other complications,kidney failure. it is related to a lot ofdiseases that is causing harm to your body all of the timeyour blood pressure is high.


>> these are long-termconsequences. not necessarily the sage. >> this is the first generationof children that will have a shorter life expectancy thantheir parents. >> we know that diabetes is upfrom less than 10% to almost 25% starting in 1990's. it has to be frightening. >> it is frightening to doctors. what is really important to knowis that it is preventable.


it is easier to prevent then itis to treat to the consequences later on. we can treat them but not verywell. >> you are saying there is alikelihood of obesity among children. give me those numbers. >> yes. a child is four and a half moretimes more likely to develop diabetes sometime in his or herlife than a child who is not


overweight or obese. >> when you sit down and youexplain that to the parents, do people realize this? >> i think they realize itacademically but they don't necessarily think their child isobese. and the consequences are so faroff, they do not feel as real to them. and also preventing theseconsequences entail lifestyle changes, not just for the childbut the family as well.


it may seem overwhelming. >> i can't imagine there isanything harder for you than to sit down and say, you areclinically obese. it has to be an emotional lowfor them. >> it is really hard. in theory we are supposed to bevery clear, your child is obese and is at risk for all of theseterrible health effects down the line that we can hopefullyprevent. but is hard to say that becauseparents find that upsetting


upsetting. they do not like to talk aboutthings and front of their child that are scary butunfortunately one of the issues is that we as doctors need tocommunicate these scary facts clearly to families. so the family can act on thosefacts and prevent the consequences for their children. >> there is less of a stigmathan there used to be. >> unfortunately, i think thatmight be true, traditionally.


being overweight or obese, inaddition to the short and long- term health effects, it alsohas a psychological effect, they get teased, they have a hardtime fitting in. it is hard to participate inathletics. i know that is true, certainlythe short-term and long-term health complications are astrue as they used to be that as the population gets more obesei think it tends to normalize for kids and parents. they may look around and notrealize how much of a risk and a


problem it is. >> thank you very much. there is no question theemotional and physical consequences of childhoodobesity are devastating. 70% of obese youth have one riskfactor for disease. we have a generation of youngbodies hitting old people diseases. in some cases children arelosing the function of their organs.


that is what is happening tokimberly. >> i'm going to explain to you. this is a normal liver. then you start to have fatinside of it. it looks yellow like this. >> i am 12 years old. >> kids do not want to havethis. it's not fun. a lot of pain and surgery.


you don't get to do thingsother kids are doing. >> in her case, she had livercirrhosis. she has a scarring of the. it is very hard. most likely she will need aliver transplant during her lifetime because of obesity. the end result is the same ascirrhosis. this is a shock. when you tell parents yourchild's liver looks like an


alcoholic, they should be awake-up call for any parent. when you look under themicroscope you can see the fat and they -- replace the entireliver and that makes it sick. >> we are going to talk aboutmeat and starch. the portion of meat should beabout four ounces, about the palm of your hand. >> we are working on her diet,getting her to lose weight, watching her cholesterol andsugar. >> it makes me upset childrenare having these complications


but it also makes me want toeducate people about this problem and make sure it isdiagnosed early on. i'm going to listen. people will be shocked to learnfatty liver is affecting one in 10 children in the unitedstates. it is the most common form ofchronic liver disease in kimberly is rare but this hasbeen reported in different studies and we expect this willhappen or and more often now that we have more childrenaffected.


>> i wanted to make people moreaware of it. some of these parents havelittle kids that are starting to gain weight and they are notworried. be worried. >> the liver is one organ in abody damaged by obesity. also at risk, the heart andvascular system, and to name a few. avoiding complications requiresa focus on diet and exercise. not just at home.


the average kid spends 6.5 yearsof their life in school. healthy meals are not the normin most schools. good to see you again. one of the things kids do is eatin school. some have one meal, almost halfparticipate in a lunch program. what are they eating right now? >> they could be doing better. we know that from nationalcoverage on this issue and what we see around ohio is tatertots, pizza, hamburgers, things


that are not healthy. things you would prefer theywould not make an schools. we know they are competitivefoods. it could be fast food so thekids are more likely to choose that. it could be other foods wherepeople are doing fundraisers and bringing in high calorie foods,brownies, a lot of candy. sugar, salt, fat that we areall drawn to as humans. those are problems.


and it affects our kids'ability to learn. >> what is an schools do? >> i may have depressed peopleto try to stay the fact we need to create an imperative to dosomething about it. part of it is in terms ofguidelines from school, they are making choices on what theythink it will cost them. there is a sense that eatinghealthy will cost more and they're concerned about thebottom line. it could also be issues aroundpreparing the food, whether it


is available. >> those people assume theschool is making food. >> that is not always the case. in many cases it is not true atall. >> who makes the determination? does the federal government todo that or is it each school system? >> the usda has some guidelinesthey provide for all schools. there are some new guidelinesfrom 2010 to provide some


guidelines. and so beyond that, the schoolsystems have their own companies that also work withthem to determine what the menu will be. >> i have a couple morequestions but let's look at another story. getting kids to eat at schoolis the idea behind this program. you get the locally grownfruits and vegetables into cafeterias.


the first such program iscalled students eating locally. it is being held as a model tofight obesity and involves a partnership between the board ofhealth and a man known as farmer floyd. >> my name is floyd davis. i am the owner of this farm. i work with the school districtand the kids alike to call me farmer floyd. depending on the season, itdictates what it is we grow for


the school. during the winter we are in thegreen houses but we can do spinach, we do several varietyof lettuce, we do kale, radishes, turnips, broccoli. in the summer we do sweet cornand peppers. >> i want to taste this. mmm. it's so flavorful. >> that has a lot to do withthe soil.


we use a lot of compost. we follow a lot of organicpractices. the key to everything is thesoil. it is the foundation. growing things the way they areintended to be. right now we are taking anywherefrom 30-50 pounds of wheat -- spinach into the school. i got a survey from the board ofhealth and they were looking for growers that wanted toparticipate.


they identified the schooldistrict and so they were looking for growers that wouldbe interested in supplying the school district. >> this is the survey heresponded to. one of the thing that caughtour eye was not only the variety he has to offer and theinterest in working with local districts but also the fact hewas driving past the school on his way downtown. >> what do we have?


we have spinach. let us. -- lettuce. >> we were getting produce fromcalifornia, 2000 miles away. it could take a week or so forit to get here. the good news is with thestands, this is the nutritional highway. >> we have found getting freshproduce from the farmer is less time than when we werepurchasing it from a


distributor. i think this is great. it is probably one of the mostexciting things i have seen in school food service. i have been here 26 years. it goes on in with everythingelse. we dice them up. at first the kids were hesitantbut now you can put all of the stands and because they aretender because they were just


picked. >> this program allows us toeliminate some of the processed items that kids were normallyused to seeing. we have six salad bars, we knowthat in our county only a quarter of our high school kidsare eating the recommended servings of fruits andvegetables so we are providing access to fresh fruits andvegetables they may not have outside of the school. >> how does this taste comparedto can't spinach?


>> this one actually tastebetter. it is not canned in water, stucktogether. then it makes it taste weird. not like a fresh salad. yeah. a bite. >> i feel like i'm eating aleaf. >> whether it is nutrition,education, or hands on through the use of the garden, we nowhave three hands on learning


gardens. >> they are able to learndifferent things about agriculture, how to grow food,how to compost can be sustainable. >> what do you think aboutplanting your vegetables? >> i think it is a good idea. some people think it is betterand it is more likely people eat healthy if they grow thefood themselves. >> do you think you likevegetables more?


>> i used to hate them. it's fun to find where they comefrom. >> are you earning and you canshare? >> yes, i grandma is trying toplant in her backyard. -- my grandma is trying toplant in her backyard. >> we need to create positionsfor kids, adults, everybody to make healthy decisions. we can't expect because we tellpeople you should eat five servings of fruits andvegetables they are going to go


out and do that. it is going to takenontraditional partnerships to be able to create that forpeople to make healthy choices. >> the students he going --eating locally is a win-win. the revenue from school lunch isup in the local economy is getting a boost. and the future of the programis secure. in 2011, the district became thefirst in ohio to pass a school wellness policy whichguarantees that program will


continue. you had a lot to do with puttingthat together. you have to be pleased thatwhat was your reaction seeing it come to for wishing? >> it is the first of its kindand we think it is going to be a model for the whole area. we were involved with our staffworking with the school to make the case you can do this cost-effectively if you allow the time and put the effort into itand the kids will come.


they will eat vegetables andthat is what happened. we know kids are going to dowell in school and so that model can be cared for by thelunch lady, by the school district leaders, with otherschools. >> and lunch ladies talk amongthemselves. >> they certainly do. we know there are otherdistricts. >> we did a survey. we found 20 school districtsare interested in carrying the


model forward. there is less waste. we know kids are eating thesalad bars more than they used to. all of these things are movingin the right direction. >> the food service program,they have to agree to let their school participate. >> i think there may be someinitial resistance to the way it is done over the last 10-15years but once they see kids are


consuming the food, i think itis a win-win. >> how important is parentalinput? >> it is huge. certain parent groups andteachers are critical. parents have to demand thesethings are available. we know that kids that areeating well are going to perform better and we know it is time tobegin to change this trajectory. >> we see it at the same time,schools are helping kids. >> you have issues aroundphysical activity, in 196942% of


kids walked to school. in 2001 it was down to 16%. cutting activity is a big issuebecause a sound body is a sound mind and you are physicallyactive and you're going to perform better. >> you mentioned competitivefoods. we have not mentioned vendingmachine. >> the big issue is that vendingmachines are provided and stocked by soft drink companies.


that happened very quietly overthe last 20 years when school budgets have been tight. that needs to change becausethere's a lot of empty calories and that is a big link todiabetes, obesity, and that is one of the biggest problems. >> how much does celebrity help? michelle obama, rachel ray. >> they have the national imageto take it forward and what that ties into is a nationalimperative we start to change


the way we do business. $.75 on every dollar that wemake, that is $2 trillion on health care. we have to change it. >> thanks for your help. this program about childhoodobesity is part of our series called "be well." we have made a commitment tospend an entire year covering this topic.


go to our website for articles,stories, and local resources designed to help you understandobesity and how you and your family can live healthier lives. be sure to watch the webexclusive about a local doctor that could determine if they areat risk of developing fatty liver disease. it will make prevention a loteasier. and be sure to listen to radioreports. one examines the challenges.


all of this and much more whenyou go to our website. at the beginning we heard froman expert on childhood obesity who says there is no magic pill. it is too complex and requiresintervention in our schools and neighborhoods. new interventions are beingtested by case western reserve university. the studies called impact andit is part of a nationwide effort designed to find the bestway to treat childhood obesity.


this 11-year-old is part of thestudy. they had a little experiment,things that will help. >> my name is jake. i am 11 years old. when i get tired from runningaround, he gives me that motivation. >> for jake and his dad, thisis part of an experiment they are doing for the impact study. tell me about this.


>> my experiment is sleep andexercise. >> impact is testing ways tohelp children and families battle obesity. jake is testing approach thatcalls for kids and their parents to come up with ways to makesmall changes in their habits. >> one of the things we do, wehave them chart their routine. what do you do first, the kidsdo it and the parents. and then it pops out some of thethings they do that are not healthy or opportunities theycould fit something in that


would be healthier. can we start with you? tell us what you have beenworking on. >> they go through designedexperiments to change something in their environment. that would be more healthy forthem. we let them do experimentsaround to diet, exercise, including reducing sedentaryactivities, screen time on tvs. also sleep is an importantbehavior we have them work on


and then stress management. >> i learned the word sedentary. that is like not moving, sittingdoing nothing. i am trying to cut my tv time. >> jake chose to focus onexercise and sleep. >> the sleep part was a shockbecause i was thinking he was getting regular sleep. we know children who get lessthan 5.5 hours of sleep are more likely to not manage theirweight well and the obese.


>> one issue has to do with theblue light emitted from television screens. it acts as a stimulus. his experiment calls for him tomentor the tv is off before he goes to bed. the family dog is anotherexperiment. >> we wake up in the morning,walk the dog, go straight to watching tv but really we aretrying to change that. it's fun because the dog isenjoying it.


and you can enjoy it becauseyou're -- you know your dog is having fun. i try to walk the dog fartherdistances. >> the fact he thought of thishimself may be the magic behind the new approach to fightingobesity. >> it comes from them. it is their energy and theirfamily. they own it. while jake and his family arehaving some success, they admit


change is hard. so is battling weight. >> it is a struggle for jake andmyself. but each day, we take it one dayat a time and try to do a new thing. >> you want to protect them. you don't want kids to pick onthem. but you want to like yourself,not whether other people like you.


you want them to be accepted. it's something they feel theywant to do. >> part of the impact study hasthese cool component. some research participants aretaking part in the we run the city program. it trains the teams of studentsto run all or part of the cleveland marathon. >> i am proud of him, being oneof the bigger kids in his school.


it takes courage, just to keepgoing, no matter what. >> step up, stepped down. >> jake and his family arefocusing on experience but impact is a massive study thatincludes hundreds of local kids. after three years, researcherswill figure out which approach helps the most children losethe most weight. in the meantime, some of hisexperiments are paying off. at the 2013 cleveland marathon,and jake ran a 1.2 mile stretch of the race.


>> my friends were encouragingme. it was fun. >> i am glad we made it to thefinish line. he encouraged the whole familyto get up and run every day. >> anything he puts his mind tohe can do. if he wants to lose the weight,he can do it. >> there are a lot of things iwant to do in life. >> something else researchersare looking at our things that sabotage.


when is exempt -- example iskids were there a lot of fast food restaurants and limitedaccess to fresh fruit and vegetables. joining us now to talk aboutthis is the senior physician for quality at kaiserpermanente. thank you for being with us. we talk about kids and beingprisoners. they do not have a choice. they do not choose where theyare going to live and go to


environment is important. >> children go from home toschool to their community and each one of them is influencedby the choices they make in terms of healthy eating andphysical activity. >> in terms of fighting obesity,the opportunity to become obese is right there. do they have the opportunity todo something different? >> you have to think the choiceyou're going to make. when you are in an environmentwhere there are not many


choices, there are some choicesyou may have to search harder to make a better choice. >> we talk about theneighborhood and about church, school, any clubs, it all tiesin. >> exactly. dealing with obesity is acommunity effort. it is something that requires apublic health initiative. it involves not only the homeand the school, church, all have to have a strategy to act on tomake it happen for a family to


be successful. >> how can parents change thatenvironment? >> one way is for a family todo a food inventory. opened the pantry, find outwhat is there, pull it out and look at what types of food youare eating. pay attention to labels. you may not realize you'reconsuming food that has a lot of calories and few nutrients. it gives a family anopportunity to see what they are


eating. families can begin to focus onmovement. getting away from television andcomputers and focus on activities together and beginto spend more time on activities. children need 60 minutes ofactivity per day. find what works for you. we are finding that people needto come up with their own solutions.


if you allow them to make thosesolutions, they will find what works best for them. >> if you and i say you have toeat well and we are there with a bag of chips -->> you have to model. children will model what you do. if you are doing the wrongthings, you're not going to be successful. obesity is a family issue. you must begin to focus on thefamily in order to be


>> is it difficult to changethese factors? >> it is hard but convenienceis part of modernity. we have to figure out things wecan do that are actually harmful to us. changing lifestyles isimportant. dieting is the wrong word. it is really about changing alifestyle because the things you need to be successful is notsomething you do for the week or 90 days.


>> is it hard to stress the ideaenvironment matters? >> a lot of this activity ispassive. people are not aware this isgoing on. they are not aware they are notparticipating in physical activity. about healthy eating. it seems almost next toimpossible but by giving them an opportunity to solve theseproblems they can come up with reasonable solutions.


>> thank you for your timetoday. we often hear overweight adultssay obesity runs in the family and it is true some aregenetically programmed to gain weight. some of them are a product ofevolution when food was scarce and it was necessary for humansto store fat. but modern-day factors like toomuch fast food and too little exercise changed the dna andsome of these changes may start in the room.


as we see, overweight and obesewomen may be unintentionally programming their fetus tobecome a fat child. >> my name is rihanna and i am10 years old. me and my mom are trying to loseweight. we have a competition. i can't eat sugar or nothinglike that. >> we did things as a jointeffort with each other to help each other along the way. our pediatrician brought up thisbefore that we need to get on


top of watching her diet becauseshe is in the 95th percentile. between 25% and 50%. she weighs 106 pounds. she is not embarrassed. we sit and joke with each otherwhen we work out sometimes. we do not take it personalbecause we recognize it needs to be fixed. >> you are a mother-daughterteam going at it. >> you are here to do a follow-up on the study.


>> they are also a team of formedical research. it began 10 years ago when shewas developing inside of her mother's womb. she agreed to be in a researchstudy. the doctors checked her weightand other things. now researchers want to know howsuch issues may impact children now, especially when it comes toweight. >> they can tell ask whichricks factors are going to be important for the development ofsomething like obesity.


it was of the mother's weightbefore she got pregnant? was at her diabetic statusduring pregnancy? >> this doctor is researchingways to prevent childhood obesity at the earliest possiblestage. in the womb. >> it is different if a womanis overweight or normal weight. >> teresa was heavier when shegot pregnant. one thing she is looking at iswhether that is related to what is going on today.


>> go ahead and turn around so ican see your shoulder blade in the back of your arm. >> time will tell. the study will enroll 300mothers and children and last five years. meanwhile, his team is workingon another set of studies. >> i have three samples frompatients to compare. >> they are trying to figure outwhat happened inside of the body of lean versus obese pregnantwomen.


some agreed to donate tissue. in one experiment, scientistsgrind up pieces of fat. in another, they slice offslivers of placenta. >> we are going it in vitro butwe are trying to replicate conditions women who are obesemight have during pregnancy. >> the environment a woman hasin her bloodstream, her nutrients, her glucose andsugar, can affect the way that the fetus develops. >> he views the problem ofchildhood obesity as a


continuum of what happensbefore, during, and after for years doctors have warnedwomen, don't gain too much weight during pregnancy but themore important issue may be how much a woman ways before she ispregnant. >> rethink the relationshiprelationship between preview pregnant see -- we think therelationship between pre- pregnancy is different. for example, that environmentaffects the way the placenta grows.


the placenta is important fornutrients, and how babies grow. how you program that placentamay have an important outcome 6, 9 months later. it exists earlier. >> for years, women have beenadvised not to smoke were trained. now it is time to add fat tothe list. >> smoking during pregnancy isnot healthy. drinking is not healthy.


the next thing is that gettingto a good weight and a good diet and exercise is also anotherhealth component to having a healthy baby. as much as these other things. it really does have potentialbenefits, not only short-term, but relative to the problem ofchildhood obesity. >> while he continues hisresearch, they continue their own quest. they are not waiting on resultsto manage her weight problem.


>> this is something you want todo. how come you are determined? >> i do not want to getdiabetes. >> we do not want the hardproblems, none of those issues. >> one thing that is importantto mention, just because you may be healthy weight, you arenot off the hook if you get pregnant. you're less likely to lose yourbaby weight. this may explain why somechildren born later in the birth


order may be heavier than thefirst warned. their moms were heavier at thetime of conception due to the fact they never lost weightfrom previous pregnancy. a fact emphasized on whathappens before, during, and after pregnancy. robert needleman is apediatrician who has taken over the writing of books and heknows how important it is after pregnancy in the home. 12% of children in ohio inpreschool are obese.


thanks for being with us today. why is intervention at birthconsidered to be essential? >> the pattern children followsin their life are laid down in the first few years of life. if you get things off to a goodstart, kids are more likely to follow along. it is why the first years areimportant. >> what can parents do at earlystages to get things going? >> one of the first decisionsis breast-feeding.


parents need to take seriouslythe fact rust feeding has a role in inventing obesity and otherpositive things as well as helping parents lose theirpregnancy weight and get back to their normal weight. the decision to breast-feed isthe first decision and that is one that should be consideredcarefully. >> i am sure people arethinking, we do not have that option. the other ways are valid.


>> of course. many of us grew up on formula. we have done ok but overall,parents have the information to know that breast-feeding is agood choice. >> do you see a lot ofcommonality? they did this item, are therethings we look? >> there are some patterns. television viewing, youngchildren, certainly is associated with obesity.


you realize how much money isspent in selling unhealthy food to children. it is about $12 billion a yearspent in marketing foods to that is not marketing apples andoranges, carrots, and other healthy things. that is processed foods, high infat and sugar. >> kids are becoming pickyeaters because they have been taught to go that way? >> eating patterns aredetermined early, by age four.


parents have to think rightaway, let's make this an option for us and the kids. >> children will adopt eatingpatterns in their family. kids eat different from beijingon the for example and that is not because the children aredifferent but the environment is. whatever it is that isconsidered good food in your family is what you are likely togrow up wanting to eat. parents need to make healthydecisions and when a new child


comes, they grow up with thatenvironment. the flipside is a does not makesense to say you eat healthy and we will eat our unhealthy food. it has to be a family decisionand then children will grow into a healthy pattern. >> things that are practicallike avoiding birthday cake because of how much talks andis in that. if four-year-old is at a partyand all of them are eating, how do you keep yours from doing thesame thing?


>> not that many hearties. unless everybody is your friend. basically, you know, food atcelebration is not where kids get into trouble. they get into trouble withsweets and high salt food every day or every week. save the birthday cake for abirthday. if you feel a need for cookies,make them yourself and then you have the opportunities to learnabout measuring things, gaining


some skills and you don't dothat every day. it is more important to createan everyday food environment which allows the foods that arethere for celebration to be there for celebration. >> e the example and thinkbefore you act. >> it is called leadership. when parents exert that positiveleadership they can feel good they are helping their childrentake the right path. >> thank you so much.


we have established obesity isa big, complex and serious problem that requires innovativesolutions. metabolic, social, and societal. we met victoria and learn howsomething as nine as boredom can contribute to obesity. it really showed us how it canshow problems to internal organs such as the liver. what they eat at school is a bigfactor. we learn about a trailblazingprogram that is making meals


jake showed us how his fightinvolves simple but effective experiments in his home andneighborhood. and we learned it can start inthe womb and before consumption. we want to thank those braveenough to share with us and medical experts who shared theiradvice. one final reminder to visit ourwebsite for a list of resources, stories, and waits you and yourfamily can lead healthier lives. there is also a link to ourpartner, the website from case western reserve university, ohiostate, and the university of


cincinnati. for all of my colleagues, i amrick jackson. thanks for watching and thewell. -- be well. ♪ ♪ >> this was a dozen tatian of "be -- presentation of "be well." funding comes from the clevelandfoundation, the morgan foundation, the mcgregorfoundation, and the community foundation of lorain county.


foundation, st. luke's, unitedfund of greater cleveland, and rpn international. portions of tonight programminghave been made possible by the following supporters of qualitytelevision.




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