Thursday, July 31, 2008

Sue Scheff: Inactive Teens by Connect with Kids


“Make time for [exercise] because once you get out of it, it’s so hard to get back in.”

– Tori, 16 years old

They run and play and participate in all sorts of sports. But what happens when little kids become teens?

“After a while, you just become like a couch potato,” says Tori, 16.

When she was a cheerleader in middle school, Tori got plenty of exercise. Now she’s 16, and she admits she hasn’t exercised regularly in years.

“I’m not physically fit,” she says. “I mean, I’m skinny, but I guess it’s just because I have a fast metabolism. But physically fit? Noooo!”

A study in the Journal of the American Medical Association followed more than one thousand children aged 9 to 15.

97% were active when they were 9-years-old, but by the time they were 15, only 31% of teens were meeting the recommended sixty minutes of vigorous physical activity during the week. And only 17% met that target on the weekend.

The older they got, the less they exercised!

Experts speculate, for some it’s just laziness, for other, interests change, or they’re simply too busy.

Tori agrees: “School starts to get harder, and you get more homework, and you want to spend more time with your friends and you need more sleep.”

Still, experts warn that teens must find a way to remain active otherwise they risk becoming obese or sick later in life. Parents can help by getting involved in activities with their children.

“Whether it’s running and pulling a kite in the wind or going out throwing a Frisbee or going for a walk with your dog, if you incorporate those things, you’re just gonna have a better quality of life,” says Jon Crosby, an Atlanta-based sports and fitness trainer.

Tori’s advice to fellow teens: “Make time for [exercise] because once you get out of it, it’s so hard to get back in.”

Tips for Parents
Many studies have found similar results to the UC- San Diego study. University of Pittsburgh researchers report that as girls age, they increasingly get less and less exercise. In their study, published in The New England Journal of Medicine, the researchers evaluated the exercise habits of 1,213 black girls and 1,166 white girls for 10 years, beginning at age 9 or 10. By the time the girls were 16 or 17, nearly 56% of the black girls and nearly 31% of the white girls reported no regular exercise participation at all outside of school.

While this study focused on teenage girls, other research shows that participation in physical activity is decreasing among all American children. The National Association for Sport & Physical Education reports that only 25% of all U.S. kids are physically active. And while most parents believe that their children are getting enough exercise during school hours, the President’s Council on Physical Fitness and Sports (PCPFS) says that only 17% of middle or junior high schools and 2% of senior high schools require daily physical activity for all students.

As a result of this physical inactivity, more and more children are becoming obese. According to the Centers for Disease Control and Prevention, 13% of children aged 6 to 11 and 18% of teens aged 12 to 19 are overweight. These same overweight adolescents also have a 70% chance of becoming overweight or obese adults and are at an increased risk for developing health problems, such as heart disease, type 2 diabetes, high blood pressure and some forms of cancer. In fact, the PCPFS reports that physical inactivity contributes to 300,000 preventable deaths a year in the United States.

Besides preventing the onset of certain diseases, regular physical exercise can also help your child in the following ways, according to the Centers for Disease Control and Prevention:

Helps control weight
Helps build and maintain healthy bones, muscles and joints
Improves flexibility
Helps burn off stress
Promotes psychological well-being
Reduces feelings of depression and anxiety
As a parent, you need to emphasize to your child the importance of physical activity. This can often be a difficult task, as you may encounter some resistance from a child who enjoys sedentary activities like watching television and surfing the Internet. The American Council on Exercise (ACE) recommends the following guidelines for easing your child into an active lifestyle:

Don’t just tell your child that exercise is fun; show him or her! Get off the couch and go biking, rock climbing or inline skating with your child. Skip rope or shoot baskets with him or her.
Invite your child to participate in vigorous household tasks, such as tending the garden, washing the car or raking leaves. Demonstrate the value of these chores as quality physical activity.
Plan outings and activities that involve some walking, like a trip to the zoo, a nature hike or even a trip to the mall.
Set an example for your child and treat exercise as something to be done on a regular basis, like brushing your teeth or cleaning your room.
Concentrate on the positive aspects of exercise. It can be a chance for your family to have some fun together. Avoid competition, discipline and embarrassment, which can turn good times into bad times. Praise your child for trying and doing.
Keep in mind that your child is not always naturally limber. His or her muscles may be tight and vulnerable to injury during growth spurts. Be sure to include stretching as part of your child’s fitness activities.
Exercise and nutrition go hand in hand. Instead of high-calorie foods and snacks, turn your child on to fruits and low- or non-fat foods.
If you discover that your teen is having trouble staying motivated to exercise, the American Academy of Family Physicians suggests these strategies:

Choose an activity that your child likes to do. Make sure it suits him or her physically, too.
Encourage your child to get a partner. Exercising with a friend can make it more fun.
Tell your child to vary his or her routine. Your child may be less likely to get bored or injured if he or she changes his or her exercise routine. Your child could walk one day and bicycle the next.
Ensure that your child is active during a comfortable time of day. Don’t allow him or her to work out too soon after eating or when it’s too hot or cold outside. And make sure your child drinks plenty of fluids to stay hydrated during physical activity.
Remind your child not to get discouraged. It can take weeks or months before he or she notices some of the changes from and benefits of exercise.
Tell your child to forget “no pain, no gain.” While a little soreness is normal after your child first starts exercising, pain isn’t. He or she should stop if hurt.
With a little encouragement and help from you, your child will be up and moving in no time!

References
American Academy of Family Physicians
American Council on Exercise
Centers for Disease Control and Prevention
National Association for Sport & Physical Education
Office of the Surgeon General
President’s Council on Physical Fitness and Sports
The New England Journal of Medicine

Friday, July 25, 2008

The Dangers of Inhalant Abuse


I know I have Blogged a lot about Inhalant Abuse and I will continue to do so - especially after reading about the recent senseless deaths. Take a moment to read their Blog at http://inhalant-info.blogspot.com/ - Take the time to learn more and you never know when this knowledge will be necessary. http://www.inhalant.org/

Monday, July 21, 2008

Parents Universal Resource Experts (Sue Scheff) Is it a Diet or an Eating Disorder?


Your teenager skips meals, becomes obsessed with weight loss and goes on wacky diets. You wonder if this is a passing phase or one of those eating disorders you hear so much about.

While it's a leap to link a teen's poor eating habits to an eating disorder, experts contend poor dieting, if taken to the extreme, can in fact lead to a health-threatening, life-threatening eating disorder.

Pamela Guthrie, an outreach director for the American Anorexia Bulimia Association (AABA) a nonprofit organization dedicated to the prevention and treatment of eating disorders, characterizes eating disorders and disordered eating as different degrees of eating abnormally. Disordered eating may mean frequently missing meals, yo-yo dieting, popping diet pills (diuretics) and cutting out whole groups of food. Eating disorders, she explains, are not triggered solely by the desire to be thin.

"Eating disorders are about food, but they're really not about food," she says. "They are usually about psychological problems, low self-esteem, stress and depression."

People with eating disorders tend to use food to gain a sense of control when they feel out of control, to gain a sense of self-esteem and self-worth, to manage depression and to express anger and rebellion, according to Guthrie, who as outreach director travels around high schools and colleges to educate students about eating disorders.

A growing problem

Both disordered eating habits and eating disorders have grown to be a major problem among teenagers, according to both psychiatric and nutrition experts. And both, they say, are dangerous.

A teenager who has poor eating habits misses out on important vitamins and minerals that help prevent disease later on down the road. A teenager who has an eating disorder runs the risk of serious malnutrition, dehydration, heart disease or heart attack and other serious health consequences, according to AABA.

It's estimated that 90 percent of high school juniors and seniors have been on a diet, although only between 10 percent and 15 percent are overweight, Guthrie says. What's more, 80 percent of 10-year-old girls and 50 percent of 9-year-old girls have been on a diet, according to the Council on Size and Weight Discrimination, a nonprofit organization in New York.

As for true eating disorders, the American Psychiatric Association estimates that between 1 percent and 4 percent of teens and young adults have one type of eating disorder or another, such as anorexia nervosa or bulimia nervosa. Nutritionist Frances Berg, editor of the "Healthy Eating Journal" and author of the book "Afraid to Eat: Children and Teens in Weight Crisis," cautions parents that their own eating habits, particularly if they are rabid dieters, can set their children up for poor and even dangerous eating practices. "Adults keep running after every new weight-loss program or product while their kids watch their bizarre behavior and think it's normal," Berg says.

Eating disorder characteristics

How can you tell whether your child's dieting practices have gone too far and may be signs of an eating disorder? Guthrie says it's important for parents to first educate themselves about good nutrition and eating disorders.

The characteristics of the two eating disorders associated with obsessive weight loss:

People who have anorexia eat very little even though they are thin. They have an intense fear of body fat and weight gain.
People with bulimia tend to binge and purge. That is, they will get rid of food that they have just eaten by vomiting or taking laxatives or diuretics (water pills). They also have a fear of body fat even though their size or weight may be normal for them.
"With an anorexic, the first things to look for are the physical signs. They will show distinct weight loss," Guthrie says. "The signs are harder to see with a bulimic. A parent should look for behaviors, such as a constant obsession with food and weight or constant comments about foods being too fattening."

Another sign of someone having bulimia is not wanting to eat with the rest of the family. "They may want to eat in private, or they go to the bathroom (to purge) after they eat," Guthrie adds.

They may also offer excuses for why they don't want to eat. "They say they're too busy to eat. They're not hungry in the morning. They don't like cafeteria food," Guthrie says.

Parents and school coaches should also be on the lookout for what experts call "exercise bulimia." "Too much exercise can be just as dangerous as purging," Guthrie contends. "If they eat a piece of cake, they think they have to work that off. They exercise several hours every day."

Finally, Guthrie advises parents to look for signs of depression or antisocial behavior closely related to eating disorders. If you suspect your teenager has an eating disorder, don't keep your suspicions to yourself. "Sit down with your child and let them know you're really worried about them," she says.

Sunday, July 13, 2008

What is Inhalant Abuse? The Dangers...


Inhaled chemicals are rapidly absorbed through the lungs into the bloodstream
and quickly distributed to the brain and other organs. Within minutes, the user
experiences intoxication, with symptoms similar to those produced by drinking
alcohol. With Inhalants, however, intoxication lasts only a few minutes, so some
users prolong the “high” by continuing to inhale repeatedly.


Short-term effects include:

headaches, muscle weakness, abdominal pain, severe
mood swings and violent behavior, belligerence, slurred speech, numbness and
tingling of the hands and feet, nausea, hearing loss, visual disturbances, limb
spasms, fatigue, lack of coordination, apathy, impaired judgment, dizziness,
lethargy, depressed reflexes, stupor, and loss of consciousness.
The Inhalant user will initially feel slightly stimulated and, after successive
inhalations, will feel less inhibited and less in control. Hallucinations may
occur and the user can lose consciousness. Worse, he or she, may even die.
Please see Sudden Sniffing Death Syndrome below.


Long-term Inhalant users generally suffer from:

weight loss, muscle weakness,
disorientation, inattentiveness, lack of coordination, irritability and depression.
Different Inhalants produce different harmful effects, and regular abuse of these
substances can result in serious harm to vital organs. Serious, but potentially
reversible, effects include liver and kidney damage. Harmful irreversible effects
include: hearing loss, limb spasms, bone marrow and central nervous system
(including brain) damage.


Sudden Sniffing Death Syndrome:

Children can die the first time, or any time, they try an Inhalant. This is
known as Sudden Sniffing Death Syndrome. While it can occur with many
types of Inhalants, it is particularly associated with the abuse of air conditioning
coolant, butane, propane, and the chemicals in some aerosol products. Sudden Sniffing Death Syndrome is usually associated with cardiac arrest. The Inhalant causes the heart to beat rapidly and erratically, resulting in cardiac arrest.

Sunday, July 6, 2008

Parents Universal Resource Experts (Sue Scheff) Teen Anxiety


Teen Anxiety


The lesser known relative of depression, anxiety, afflicts people of all ages and can be especially detrimental for teenagers. It is completely normal and even common for individuals to experience anxiety, particularly during stressful periods, such as before a test or important date (think Prom). For many, this is beneficial, serving as motivation to study hard and perform well; however, for many, anxiety goes beyond standard high-stress periods. While occasional stress is nothing to worry about and can even be healthy, many people experience anxiety on an ongoing basis. People, especially teenagers, who suffer from anxiety disorders, find that their daily life can be interrupted by the intense, often long-lasting fear or worry.

Anxiety disorders are not fatal; however, they can severely interfere with an individual's ability to function normally on a daily basis. The intense feelings of fear and worry often lead to a lack of sleep as it makes it very difficult for people to fall asleep. Those with anxiety disorders also commonly suffer from physical manifestations of the anxiety. The anxiety can cause headaches, stomach aches, and even vomiting. In addition stress can cause individuals to lose their appetite or have trouble eating. One of the more difficult aspects for students to deal with is difficulty concentrating. When one is consumed with worry, his or her mind continuously considers the worrisome thoughts, making it considerably harder for teenagers to concentrate on school work and other mentally intensive tasks. These affects of anxiety can make it difficult for teenagers to simply get through the day, let alone enjoy life and relax.

While there seems to be no single cause of anxiety disorders, it is clear that they can run in a family. The fact that anxiety disorders can run in families indicates that there may be a genetic or hereditary connection. Because a family member may suffer from an anxiety disorder does not necessarily mean that you will. However, individuals who have family members with this disorder are far more likely to develop it.

Within the brain, neurotransmitters help to regulate mood, so an imbalance in the level of specific neurotransmitters can cause a change in mood. It is this imbalance in a neurotransmitter called serotonin that leads to anxiety. Interestingly, an imbalance of serotonin in the brain is directly related to depression. For this reason, SSRI medications, more commonly referred to as anti-depressants, are often used to help treat an anxiety disorder. Medication can provide significant relief for those suffering from anxiety disorders; however, it is often not the most efficient form of treatment.

In addition to medication, treatments for anxiety disorders include cognitive-behavioral therapy, other types of talk therapy, and relaxation and biofeedback to control muscle tension. Talk therapy can be the most effective treatment for teenagers, as they discuss their feelings and issues with a mental health professional. Many teens find it incredibly helpful to simply talk about the stress and anxiety that they feel. Additionally, in a specific kind of talk therapy called cognitive-behavioral therapy teens actively "unlearn" some of their fear. This treatment teaches individuals a new way to approach fear and anxiety and how to deal with the feelings that they experience.

Many people attempt to medicate themselves when they suffer from stress or anxiety. While individuals find different ways to deal with the intense worry that they may experience, self medication can be very detrimental to their body. It is not uncommon for people who suffer from anxiety disorders to turn to alcohol or drugs to relieve the anxiety. While this may provide a temporary fix for the afflicted, in the long run it is harmful. By relying on these methods, individuals do not learn how to deal with the anxiety naturally. Reliance on other substances can also lead to alcohol or drug abuse, which can be an especially significant problem if it is developed during the teen years.

Statistics on teen anxiety show that anxiety disorders are the most common form of mental disorders among adolescents:

8-10 percent of adolescents suffer from an anxiety disorder
Symptoms of an anxiety disorder include: anger, depression, fatigue, extreme mood swings, substance abuse, secretive behavior, changes in sleeping and eating habits, bad hygiene or meticulous attention to, compulsive or obsessive behavior
One in eight adult Americans suffer from an anxiety disorder totaling 19 million people
Research conducted by the National Institute of Mental Health has shown that anxiety disorders are the number one mental health problem among American women and are second only to alcohol and drug abuse among men
Anxiety disorders cost the U.S. $46.6 billion annually
Anxiety sufferers see an average of five doctors before being successfully diagnosed
Learn more about Teen Anxiety.

Thursday, July 3, 2008

Sue Scheff - Teen Depression and Drugs


Why do they start? What Should I Look For?



A major factor in drug use is peer pressure. Even teens who think they're above the influence of peer pressure can often find it hard to refuse trying drugs when they believe their popularity is at stake. Teens may feel that taking drugs or alcohol to fit in is safer than becoming a perceived social exile, and may not realize that their friends will not abandon them simply for refusing a joint or bottle of beer. A popular adage that is thrown around regarding peer pressure says if your friends would abandon you for not accepting an illegal substance, they're not "real" friends- but try telling this to a teenager. A more effective method is to acknowledge the pressure to fit in and work with your teen to find solutions to these problems before they arise. Suggest that your teen offer to be the designated driver at parties, and work with them to develop a strategy for other situations.



Even agreeing to back your teen up on a carefully crafted story can help enforce your bond with them- giving them the okay to tell their friends to blame you or that you give them random drug tests will go a long way. Knowing they have your support in such a sensitive subject can alleviate many of their fears, and knowing they can trust you helps instill the idea they can come to you with other problems. This is also an excellent time to remind them to never allow friends to drive under the influence and to never get into a car with someone under the influence. Reassure your teenager that if they should give in to peer pressure and become intoxicated or high, or if they have no sober ride home though they are sober themselves that it is always okay to call you for a ride home. Some parents may want to consider getting teens a cell phone for emergency use, or giving them an emergency credit card for cab fare.



Depression is another major factor in drug use. For more in depth information on teenage depression, please visit Sue Scheff™'s Teen Depression Resource. Despite the fact that many substances actually make depression worse, teenagers may be lured in by the initial high, which in theory is only replenished by more drugs. Thus begins the vicious cycle that becomes nearly impossible to break without costly rehabilitation. If you notice your teen is acting differently, it may be time to have a talk with them to address these changes. Remember- do not accuse your teen or criticize them. Drug use is a serious cry for help, and making them feel ashamed or embarrassed can make the problem worse. Some common behavior changes you may notice if your teen is abusing drugs and alcohol are:



Violent outbursts, disrespectful behavior
Poor or dropping grades
Unexplained weight loss or gain
Skin abrasions, track marks
Missing curfew, running away, truancy
Bloodshot eyes, distinct "skunky" odor on clothing and skin
Missing jewelry money
New friends
Depression, apathy, withdrawal
Reckless behavior