Wednesday, January 18, 2012

Play With Your Food: Tips for Healing Childhood Obesity



Play With Your Food: Teaching Kids the Ecstasy of Mindful Eating

     Does it bother you that fat kids are bullied or rejected every day and lead shorter, sicker lives than children of average weight?  If you're a parent and want to help, you have to understand the problem first.
·        Compulsive eating in children arises from too much wealth and a too little  mindfulness. 
Parents counsel and explain but don't model or moderation. We put kids on diets, but we don't teach them the joy of eating that can be found in paying attention. In our society only sommeliers and chefs savor and thoroughly describe what they are tasting and experiencing.

We also set up food as part of a reward system.  "Eat your peas and you can have desert" teaches kids "Yes, peas are disagreeable and unpleasant, but to get you to eat them I will gratify you with food full of fats and sugars." 


 Why not attend to the pea?  Create a story of its planting and growth, and how it was protected and nurtured by nature and farmer alike. Enjoy its shape and color. Play with your food a bit and see how many peas will balance on the blade of a table knife. Tell the story of the princess and the pea, or of Jack and his Beanstalk (close enough.)  Don't teach that peas are ugly but necessary.  Food should never be associated with reward or punishment.

I once counseled aides at an eldercare center to be sure to offer residents their glasses before eating so they could see the food clearly, then discuss the food admiringly to see what memories this might trigger. While they are learning to respect and delight in ordinary food, it's OK for kids to smell it carefully and even touch it gently, and experiment with various utensils and unexpected combinations.

Most childhood obesity comes from compulsive eating by kids who confuse food with love or at least relief, together with poor teaching and the abundance of cheap, concentrated food.

Is Letting a Kid Get Obese a Form of Child Abuse?

How do you feel when you look at this picture? Are you angry with the parents? Child Protective Services in Ohio recently removed a youngster from his parents just because he was enormously fat. They said letting a kid get so big was child abuse. Do you agree? Does it make you worry about your kids, or about yourself?

Parents want everything good for their children and love to see them learn and grow. Few parents really know how to teach their kids to eat with attention and joy, mostly because they don't know how themselves.  

Nurturing and teaching are the key responsibilities of parenting, and they often go together.  Nurturing means providing healthy food that promotes growth and well-being. It also means avoiding using food as a bribe or love-substitute, or withholding food as a punishment.  Kids in supermarkets whine for candy. Parents say "If you're good, you can have one piece."  Perhaps if they are extremely good, they can have the whole bag.

Goodness in a child's mind means only one thing: complying with the parental will, usually by being quiet and unobtrusive.  If you are "good" you will receive highly concentrated simple and complex sugars and fats, which nature designed to feel good in the mouth and brain.



Later, if we are lonely or bored and want love from outside ourselves, our hearts remember to connect love and comfort with sugars and fats, so we watch reruns with a soda and a bag of chips.

Sadly, we don't really taste the Coke or the Doritos. The comfort they provide is primitive, oral, and can never be fully satisfied.

If only we could learn to savor a single chip. Turn off the TV. Hold the chip, notice its texture. Enjoy its colors and how it is translucent to bright light. Smell it slowly, becoming aware of the complexities there. Snap it in half and listen to the sound. Put the half on your tongue and notice again. But wait, the sensations are likely to shift. Slowly chew and then swallow, mentally following the chip all the way down. Describe the experience to yourself, and select words that might communicate the experience to others.

Sound silly?  Maybe, but I remember a monk leading a group of students though an exercise like that as we held and touched and sniffed the big red apples he'd brought us. For nearly an hour. When he finally let us take a bite, it was apple ecstasy for me.  I'll never forget that apple from 40 years ago.

Maybe you've taken wine tasking courses.  They follow most of the steps I suggested for the potato chip, and they have certainly enhanced my appreciation.  Sadly, I often go through the attention exercise only with the first sight and smell and  and sip, then drink the rest of the glass mindlessly.

There are games parents can use to teach kids mindful eating, far better than lectures about "slow down and enjoy your food,"  but the best teaching is through example. 

Dieting rarely works long term. It's about restricting and limiting ourselves temporarily, usually so we can be thinner and feel more attractive. It makes our favorite foods our enemy. When we've learned that food is a substitute for love, food-as-enemy is a recipe for craziness.  Mindful eating can lead to moderate eating with great pleasure, and we can model it for our kids.


How to Make Things Better: Ten Tips for Parents


 Fat kids suffer, and not just because other children are mean. Even teachers favor lean, cute boys and girls, and assume they're smarter. Many assume obese kids are weak, lazy, and unhealthy. Overweight adults know subtle judgment and rejection, but have grown-up defenses.  For kids it’s harder. For them “fat” is a cruel insult that has no response. Here are my ten tips for parents:
                     1. Never, ever reward or punish with food. If you give treats for good behavior, especially sweet and fatty ones, your child can learn to connect fats and sweets with love and approval.  If you withhold food to punish, you’ll reinforce the food-love connection. 
                   2. Be calm about food. It's a law of nature that you pay a lot of attention to a behavior it will increase, even if the attention is negative. Be neutral and matter-of-fact about what kids eat or don’t eat. If a child isn’t eating, stay cool and distant. If kids are eating in a polite and moderate and healthy way, that’s when to show feelings and appreciation. If you get in a power struggle about food you’re sure to lose.
                   3. Model emotionally healthy eating. Let the kids see you eat slowly, with attention and enjoyment. Express delight about tastes and textures and temperatures so that kids stay aware of the eating process without distraction.  By definition, compulsive overeaters don’t pay attention to their food; all they seek is the current fix and the next. Don’t serve food in front of a television or with other major distractions. Mindful eating and compulsive eating are incompatible.
                                        4. Let eating be a pleasant ritual, a ceremony.  Have the kids set the table and decorate it. Light a candle or two, even on ordinary occasions. Assume that eating is that special place, not in the media room or the bedroom, and certainly not in the bed or the car.  If you have to get fast food, slow it down. Go inside and sit at a table, and don’t teach kids to eat in a moving vehicle.
                    5.  Never use shame to get a kid to stop overeating. It won’t work. Compulsive overeaters already associate food with love and approval. A shamed kid will will just eat more to feel better.
                   6.  Be aware of your kids’ metabolism.  Most children’s blood sugar is a little low when they get home from school. A small glass of juice, or better yet, raw fruit, can help smooth things out.  There is no such thing as a “sugar high” (unless the parents expect it) but big doses of refined sugars like soda pop are not kid-friendly.
                                      7.   Please don’t put your kid on a diet. Unless it’s a life-time diet, all you will get is resentment from the child, and short term weight loss. Soon the fat will return.  Deep down we all know that diets rarely work for long-term weight loss. Older kids might want to improve their nutrition and ask for help. That’s different. Research and learn together, when your teen is ready to explore healthier eating for life.
                   8. Don’t provide binge foods. Kids who eat compulsively often have a few items that make them crazy. Like alcoholics, they start and can’t stop until it’s all gone. Chocolate candy bars are a frequent offender: those big molecules of fat feel so comforting in the mouth and the bit sugar hit is so soothing. It could be any food, but it’s likely to be highly concentrated: lots of calories for the size. Just don’t have it in the house.
                   9.  If you’re overwhelmed, get help. Consider sending yourself to counseling instead of your child. You might be your own kid’s best therapist, and the counseling can provide you tools to do it. In my practice I call it "therapy by remote control."
             10. Admit you are ultimately powerless. You can restrict your dog’s food by putting what you want in the bowl, but human food is everywhere. Determined, driven kids will get it, at least when they’re old enough to be sneaky. Start by accepting and enjoying your overweight kid. Start by letting go of all blame and all shame. That's how you'll increase your influence with your child and your ability to help.


Tuesday, January 17, 2012

Childhood Obesity Part Three: Tips for Worried Parents

 For Parts One and Two, please see postings for October 13 and November 29

 Fat kids suffer, and not just because other children are mean. Even teachers favor lean, cute boys and girls, and assume they're smarter. Many assume obese kids are weak, lazy, and unhealthy. Overweight adults know subtle judgment and rejection, but have grown-up defenses.  For kids it’s harder. For them “fat” is a cruel insult that has no response. Here are my ten tips for parents:
                     1.           Never, ever reward or punish with food. If you give treats for good behavior, especially sweet and fatty ones, your child can learn to connect fats and sweets with love and approval.  If you withhold food to punish, you’ll reinforce the food-love connection. 
                   2.            Be calm about food. It's a law of nature that you pay a lot of attention to a behavior it will increase, even if the attention is negative. Be neutral and matter-of-fact about what kids eat or don’t eat. If a child isn’t eating, stay cool and distant. If kids are eating in a polite and moderate and healthy way, that’s when to show feelings and appreciation. If you get in a power struggle about food you’re sure to lose.
                   3.            Model emotionally healthy eating. Let the kids see you eat slowly, with attention and enjoyment. Express delight about tastes and textures and temperatures so that kids stay aware of the eating process without distraction.  By definition, compulsive overeaters don’t pay attention to their food; all they seek is the current fix and the next. Don’t serve food in front of a television or with other major distractions. Mindful eating and compulsive eating are incompatible.
                                        4.     Let eating be a pleasant ritual, a ceremony.  Have the kids set the table and decorate it. Light a candle or two, even on ordinary occasions. Assume that eating is that special place, not in the media room or the bedroom, and certainly not in the bed or the car.  If you have to get fast food, slow it down. Go inside and sit at a table, and don’t teach kids to eat in a moving vehicle.
                    5.            Never use shame to get a kid to stop overeating. It won’t work. Compulsive overeaters already associate food with love and approval.A shamed kid will will just eat more to feel better.
                   6.            Be aware of your kids’ metabolism.  Most children’s blood sugar is a little low when they get home from school. A small glass of juice, or better yet, raw fruit, can help smooth things out.  There is no such thing as a “sugar high” (unless the parents expect it) but big doses of refined sugars like soda pop are not kid-friendly.
                                      7.            Please don’t put your kid on a diet. Unless it’s a life-time diet, all you will get is resentment from the child, and short term weight loss. Soon the fat will return.  Deep down we all know that diets rarely work for long-term weight loss. Older kids might want to improve their nutrition and ask for help. That’s different. Research and learn together, when your teen is ready to explore healthier eating for life.
                   8.            Don’t provide binge foods. Kids who eat compulsively often have a few items that make them crazy. Like alcoholics, they start and can’t stop until it’s all gone. Chocolate candy bars are a frequent offender: those big molecules of fat feel so comforting in the mouth and the bit sugar hit is so soothing. It could be any food, but it’s likely to be highly concentrated: lots of calories for the size. Just don’t have it in the house.
                   9.            If you’re overwhelmed, get help. Consider sending yourself to counseling instead of your child. You might be your own kid’s best therapist, and the counseling can provide you tools to do it. In my practice I call it "therapy by remote control."
             10.            Admit you are ultimately powerless. You can restrict your dog’s food by putting what you want in the bowl, but human food is everywhere. Determined, driven kids will get it, at least when they’re old enough to be sneaky. Start by accepting and enjoying your overweight kid. Start by letting go of all blame and all shame. That's how you'll increase your influence with your child and your ability to help.