Some solutions for "lifestyle change"

So, we bogged you down with the dilemma of the pediatric obesity epidemic yesterday. Then we told you that you shouldn't have your child diet if he or she is obese. And, to top it all off, we gave you the vague solution of "lifestyle change" as an alternative to dieting.

We're aware of how ineffective that advice would be without more details. So, we went back to our clinical dietiatian and pediatric obesity expert, Deborah Stern, to get some specific ways to encourage your child to adopt a healthy lifestyle instead of a one- or two-month dieting fad.

1)It all starts with you - Stern sees patients who struggle with obesity every day. The ones who succeed, she says, are the ones who have parents not only encouraging, but participating in the weight-loss process. "It's the parents who have instilled these behaviors in the kids. So, the parents need to decide to change as a family. It's nice when the parents switch their eating and exercise habits, too. That shows the kids that getting healthy isn't a punishment for something they've done wrong and that they aren't in it alone."

2)Make activity changes before diet changes - Increasing activity can be a fun way of easing children into a healthy lifestyle, Stern says. "That way, you're making it more about what you can do instead of what you can't do. You can go to the park and play ball as a family, or you can go to the mall and walk if it's cold outside. You can also set up the Nintendo Wii or Xbox Kinect and do a dance video together."

3)Make fruits and veggies plentiful and available - Repeatedly offer fruits and veggies to your children throughout the day. Leave some (ones that don't go bad in room temperature) out on display. Basically, inundate your kids with the idea of eating fruits and veggies. "If children aren't offered fruits and vegetables multiple times, then they aren't going to choose fruits and vegetables," Stern said.

4)Pack their lunches - Although it's getting better in some places, our children are still basically offered what we were offered in school cafeterias - soggy, greasy pizza; french fries; sodas; corn nuggets; taquitos; and other various non-green things. They aren't exposed to a whole lot of variety there. And since they spend more waking hours at school than at home, guess where they're forming their eating habits? "I know that packing a lunch is a time and money challenge for families, but if you can do it, I think it's very helpful," Stern said.

One basic packed-lunch menu she suggested: a wholegrain or wheat sandwich/wrap with lean protein like ham or chicken; chopped up cucumbers or carrot sticks; granola bar; light yogurt; and a bottle of water.

5) Do it all gradually - "I would advise against bombarding them with lifestyle changes," Stern said. "Maybe there are three things they can work on one month. When the month is over and those are accomplished, we can give them three new goals. But when they have 10 things to change at once, they generally get more discouraged - especially if it's 10 things thrown at them at the beginning of the weight-loss process."

Dieting isn't the way to lose weight for kids

As we've addressed many times and as you've literally seen hundreds of times on the news, childhood obesity is a problem in America. Many well-informed, concerned people would even take it a step further and say that it's an epidemic. That group includes many experts on our team at Children's.

So, it seems like we should be doing whatever possible to get kids to lose weight, right? (For examples of "whatever possible," see this story on tracking devices in a New York school district and a recent ad campaign by the Georgia Children's Health Alliance.)

Maybe not, revealed a recent University of Minnesota study . The results of that study indicate that teens shouldn't even be dieting.

Why? Children's clinical dietitian Deborah Stern said dieting "implies the starting and stopping of something. And eating healthy shouldn't be a temporary thing. It should be a lifestyle change."

The teens who participated in the Minnesota study proved Stern's point. The ones who regularly dieted, skipped meals and took weight-loss pills actually gained more weight in young adulthood than the ones who didn't take any of those measures.

The problem with diets, medicines, fasts and cleanses is that they're usually unsustainable over the long haul. "They set you up to fail," Stern said. Teens (and some adults like the one writing this blog) get pulled into them because they often do provide significant short-term results, and they see the dramatic transformations people undergo from drastic diet and fitness adjustments on shows like NBC's "The Biggest Loser."

"I have to admit that it's one of my favorite shows; I watch every episode," Stern said. "But kids have to understand that all the contestants do 24 hours a day, every day is workout and diet. They don't see family. They don't go to work. It's unrealistic."

Stern said that it's vital that weight loss goals be realistic for kids. Instead of focusing on losing 20 pounds in one month by eating only lettuce, they need to look at getting healthy as a process, adjusting their lifestyle a couple of steps at a time. That may result in less drastic weight loss in the short term, but it will equip them to be healthier in the long term.

"If kids don't look at being healthy as a lifestyle, they're never going to develop healthy habits," Stern said. "Instead, they'll develop habits of trying new diets and then dropping them entirely, which isn't healthy at all."

So, how do you help your child make being healthy a lifestyle instead of just a one-month goal? We'll talk about that in tomorrow's blog.