Stories about: Breastfeeding

Preventing heart disease in kids: how can we doctors do better?

Claire McCarthy, MD

A week or so ago, the American Academy of Pediatrics came out with a report entitled “Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents.” It’s a 44-page report full of evidence-based recommendations for preventing kids from getting heart disease when they grow up.

I wasn’t going to write about it. After all, it seems like everyone’s eyes glaze over when I talk to them about diet and exercise; why should I waste the time writing something people likely won’t read? And even if they read it, chances are they won’t follow the recommendations. I know I sound cynical, but that comes from years of talking to families about healthy habits with really minimal results.

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What do you think of the breastfeeding baby doll?

Claire McCarthy, MD

Have you heard about the breastfeeding doll from Spain?

I was really happy to hear about it. I am a strong supporter of breastfeeding, both as a pediatrician and a mom; I breastfed all of my children, the last three until they were between three and four years old. Yet despite all this exposure to breastfeeding, my kids only wanted to give their dolls bottles. “Don’t you want to nurse your baby?” I’d say to them, and they’d look at me like I had three heads.

I read about it in a blog that included a video of a little girl playing with it. Eager to see how it worked, I watched the video.

I was totally creeped out.

 

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Obesity prevention for the under 5 crowd

Is there anything cuter than the chubby face of a smiling baby?  Maybe not, but in some instances that baby fat should elicit more concern than cooing, according to a report released by the Institute of Medicine (IOM).

The Early Childhood Obesity Prevention Policies report shows that even the youngest children in the United States are at risk of becoming obese. Today, almost 10 percent of infants and toddlers are heavy when compared to their length, and that number doubles for kids between the ages of 2 and 5.

A little baby fat may not be a red flag for health concerns now, but studies show that early obesity can track into adulthood. To prevent future health problems before they occur, the IOM is calling on healthcare professionals, caregivers and policymakers to step up their game when it comes to imparting on parents the importance of nutrition, physical activity and the dangers of sedentary behavior. And the sooner the better; the report stresses that kids should be on the right nutrition and physical activity path before they even enter school.

Elsie Taveras, MD, MPH

“There’s been a lot of evidence accumulating over the past couple years that indicates that the first few years of life are crucial to future health and the prevention of obesity in children,” says Elsie Taveras, MD, MPH, who served on the IOM committee that released the report and is co-director of Children’s Hospital Boston’s One Step Ahead Program. “In the past there’s been a precedent to wait until a problem exists before we intervene, but the point of this report was to stress the importance of prevention. Preventing obesity before it occurs is easier and more efficient than trying to reduce it once its been established.”

Because obesity can’t be prevented by just one single method, the IOM report made several suggestions. Here’s a breakdown of some their more important findings:

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