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Tipping the Scales


Reviewed by Chris Woolston - Consumer Health Interactive

As the father of a human flagpole, I'm not exactly the target audience for Trim Kids, a book written by Melinda S. Sothern, PhD, and other childhood obesity specialists at Louisiana State University. The heart of Trim Kids is a 12-week program of diet and exercise designed to help overweight kids shed pounds. Early on, we're introduced to Jeff, a 10-year-old who weighed twice as much as he should have (an astounding 55 percent of his body weight was fat). By following the tenets of the program, he lost 54 pounds in the next year and became the quarterback of his school's football team.

But this isn't just a kiddie diet book. It's a training manual for parents trying to raise healthy children in an age of Happy Meals, satellite TV, the Internet, and Playstation 2. With enough support and encouragement, the authors assure us, kids of all sizes can eat right, stay active, and get the most out of their bodies. After reading this book, I believe it.

A growing crisis

Many parents hope their kids will just "grow out of it," but obesity is rarely a fleeting problem. Eighty percent of obese 10- to 13-year-olds will grow into obese adults. Overweight, inactive children are also vulnerable to maladies considered "adult" diseases, such as high blood pressure and Type 2 diabetes. A study in the Oct. 26, 2001, issue of the medical journal The Lancet found that severely obese children already had stiff arteries, making them potentially susceptible to atherosclerosis as adults. And even though overweight kids are becoming more and more numerous, the stigma is as strong as ever.

Fortunately, young bodies are extremely malleable, and any kid can lose weight, says Sothern, an exercise physiologist and the primary author of Trim Kids. As she and her colleagues write in chapter one, "There is no single solution for every child. But we've found there's not a single child for whom there are no solutions."

The solutions outlined in Trim Kids aren't simple, and they won't change kids overnight. The program requires participation and patience from the whole family. Kids have to fill out forms, weigh themselves frequently, closely watch what they eat, and start a structured exercise program. They are practically guaranteed to complain. The authors urge parents to stay firm but flexible about the exercise a child participates in. Don't make them play football if they're more avid about skating, for example. And encourage them not to give up too soon. All kids, they say, want to be healthy and active -- some of them just need a little coaching.

Food fight

Parental influence is especially important when it comes to food. Kids love fat and sugar, and plenty of people and companies are eager to give it to them. Trim Kids urges parents to empty the house of "temptation foods," cook at home as often as possible, steer clear of fast food restaurants, limit sodas (many kids get 1,000 calories a day just from soft drinks!), and satisfy their children's hunger, not their cravings. No foods are forbidden, but every item has to fit within daily limits.

Trim Kids attempts to take much of the guesswork out of healthy eating. Using simple charts, parents can "score" foods based on their content of fat or carbohydrate. Parents can also refer to the book's sample menus and large collection of recipes. Most of the suggested meals sound tantalizing, but a few seem to be more about low-fat cooking than making food that's tasty as well as healthy. You'd better make sure your child is really committed to the project before you offer a dinner of seasoned lentils, creamed spinach, and a glass of water.

Get moving

Of course, the healthiest diet in the world can't save a kid who hardly ever leaves the couch. Modern society seems designed to keep kids as still as possible, and parents have to work hard to buck the trend. A core concept of Trim Kids is that kids love to play. When parents make a house "play-friendly" -- by putting tumbling mats in the basement or a swing-set in the backyard, for example -- kids will almost automatically burn extra calories.

The book highlights one of Sothern's major discoveries: Obese children often have a surprisingly low tolerance for exercise. When other kids are just starting to get out of breath, hefty kids may be in agony. For many years, Sothern has preached a slow-but-steady approach. If a kid hits the wall after a few minutes, he or she won't be able to burn many calories. Moderate exercise is much more effective, not to mention much more enjoyable.

Once again, the book provides many tips, some more practical than others. I fully agree that dads should spend more time playing catch with their kids than watching games on TV. (I'll start this weekend. Promise.) It also makes perfect sense to ration television and computer time carefully and to take family hikes and bike rides.

Now it's time for me to get off this computer. I have a play date.

Trim Kids: The Proven 12-Week Plan That Has Helped Thousands of Children Achieve a Healthier Weight
By Melinda S. Sothern
Harper Resource
416 pp

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