The Scope of the  Problem
Obesity - a modern epidemic
Are you happy with your weight, or your childs weight? 
Here is what we can do to help your family.
The number of obese children in America has more than tripled since the 1980's.  Currently according to the Center for Disease Control more than 60 percent of U.S. adults and 15 percent of children and adolescents ages 6 to 19 are overweight.  People who are overweight ore obese have and increase in diseases and disabilities that can shorten life or greatly impact the quality of life.  These include but are not limited to high blood pressure, heart disease, stroke, diabetes, gallbladder disease, joint disease, sleep apnea as well as increase in certain types of cancer including endometrial, breast, prostate and colon cancer.
In addition, there can be psychological repercussions ranging from poor body image, eating disorders, difficulty with social interaction and further decrease in physical activity which can only worsen the problem.  What can be done about this problem?  We, the physicians, practitioners, and nurses at Union Avenue Pediatrics want to help your child and your family to a better weight, and better road to health.

Childhood Obesity Lecture Notes:  Part 1 Part 2 "Pharmacotherapeutics for ARNP's" Lecture at PLU  Pharmacology Slides Only
Link to Weigh2Roc.com
eWeigh2Rock! is about losing weight.  Its purpose is to help kids, teens and their parents.
OMRON Pedometer
Weigh2Rock Quick Start Guide
One of the strategies to lose weight is to burn more calories.  For older children and adolescents a simple way to monitor physical activity during our every day activities is through the use of a pedometer.  The average number of steps walked per day is 6,000.  Persons wishing to lose weight should increase their daily step count to between 8,000 and 10,000.  The simple pedometer at left can be ordered online at either Amazon or Drugstore.com at relatively low cost.
Get Fit Program at Morgan Family YMCA Children and adolescents are encouraged to get at least one hour a day of exercise per day (not including school PE).  In order to help families learn more about exercise and nutrition for their children ages 7 to 12, the Tacoma YMCA in conjunction with the Pierce County Health Department and Multicare Medical Center has developed the Pierce County Families Get Fit Program.  This program includes child activity sessions, nutrition classes, and lifestyle management advise to help families develop healthy habits for their children.  Take a look at the Kids Get Fit & Healthy Dining Program too.

Ted.com talks on Food and Nutrition
Dr. Dean Ornish:  The world now eats (and dies) like Americans
Mark Bittman:  What's wrong with what we eat

BMI Calculators for Children/Teens and Adults from the CDC  Body Mass Index (BMI) is a number calculated from a person’s weight and height. BMI provides a reliable indicator of body fatnessd text...............   Nutrition and Weight Resources from the CDC
A Sample Contract between Patient, Parent and Provider    Effective weight loss and maintenance of weight loss requires a combined effort of everyone in the childs environment.  A child cannot be expected to make changes in their lifestyle if others that surround him or her do not provide support in both word and deed.  This is a sample contract we use to ensure the commitment of the child and his or her parents.   This contract serves as a continued reminder of the goals everyone involved is striving for.
MyPyramid.gov from the USDA: One size doesn't fit all. MyPyramid offers personalized eating plans, interactive tools to help you plan and assess your food choices,and advice to help you:
► Make smart choices from every food group.
► Find your balance between food and physical activity.
► Get the most nutrition out of your calories.
► Stay within your daily calorie needs.

Wii Fit  Very seldom to I endorse a particular produce, especially a video game.  However, for the Wii Fit I will gladly make an exception.  I have never allowed a video game system into my home (since I've had kids) until now.  This machine is simply marvelous.  Although, I lost weight with a combination of exercise, diet and motivation before I purchased this machine.  (see my story in Dr. Cain's Journey)  I have since incorporated it into my weight maintenance routine.  My wife and teenage daughter just love it to for their exercise needs.  Yes, it is pricey if you don't already have a Wii system, but it is well worth it. (very inexpensive to add on to an existing Wii machine)  I highly recommend it.
Nutrition.gov Providing easy, online access to government information on food and human nutritionfor consumers.
CDC.gov  The Division of Nutrition, Physical Activity, and Obesity (DNPAO) is working to reduce obesity and obesity-related conditions through state programs, technical assistance and training.......
Washingtn State DOH  Public Health in Washington: Helping communities, schools, and businesses make changes to help people make healthy choices
Strategies of a Successful Loser:  Losing weight is not easy, keeping it off is even harder.  I have now lost enough weight and kept it off long enough to be classified a Succesful Loser.  How did I do it? (You can read my story here)  How is it relevant to you and your child?
It is relevant because health lifestyle changes in a child begin with the family.  If the family is not in step with a healthy lifestyle the the obese child in the family faces a near impossible battle.  The following is a list I have compiled of traits of successful loosers that were identified in studies from C.O.R.E (Centers for Obesity Research and Education; Univ. Colorado Denver)  I did my research and due diligence into what techniques I could apply to my own life and here I will share them with my patients and families.  The strategies listed below are taken from scientific presentations and seminars that outline the successful lifestyle habits of adults who have lost more than thirty-five pounds and kept it off for more than three years.  Initially, they are not easy fo follow, however, after they are incorporated into a comprehensive plan for lifestyle change they become habit and reinforce themselves.  They are as follows:

Nutrition Goals:
Monitor portions at meals Make sure five portions of fruits and vegetables offered per day.
Monitor size of portions (no super-sizing) The amount of fruit/veggies should = other courses.
Reduce or eliminate sweetened beverages. (no soda pop)
Slow down the rate of eating, chew food longer and wait at least 15 min before second helpings.
Don’t serve meals “Family Style” with the main courses at the table. (must get up for seconds)
Stop eating when you start to feel full. Don’t try to finish your plate unless you’re still hungry.
Consume all food in the dining area without watching TV (no snacking in front of a screen)
If a snack is eaten, prepare it as a portion, put away the remainder and eat it in dining area.
Have at least one meal a day where the family eats together.
Eat breakfast every day.
Drink water when thirsty, not juice, pop or sports drinks.
Limit consumption of food from fast-food restaurants.
Read the FDA Nutrition Facts Label on the food you eat. (so you know what you are eating)

Physical Activity Goals:
Make sure to get at least one hour of vigorous exercise every day (School PE does not count)
Use a pedometer and aim for 10,000 steps a day, attain at least 8,000 steps a day.
Take the stairs if you have three floors or less to climb or descend.
Park the car far away from your destination rather than close and then walk.

Family Support Goals:
Limit television, video game and computer time to less than two hours a day.
Remove televisions, video game systems and computers from the sleeping areas.
Plan the family meal plan as a group with all members eating the same healthy diet.
No unhealthy weight control behaviors such as binging, purging or anorexia.