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The Power of Family Dinner to Fight Childhood Obesity

Posted: 03/30/11 09:38 AM ET

Thanks to Michelle Obama and many public health advocates, much-needed attention has been directed to the epidemic of childhood obesity in America. Many possible interventions have been raised, including programs for healthier school lunches, more opportunities for play and recess, and less consumption of processed, poor quality foods.

There is one simple idea, though, that gets barely any attention. It's something that parents can act on right away, without any special training or government support and its available to them every day! That solution is family dinner. How and where we eat may seem too simple in the face of the enormous problem of childhood obesity. Yet, the ritual of eating meals together as a family, be it one parent at the table or both, has been shown to greatly improve healthy eating habits.

Dr. David Katz, the new Editor-in-Chief of the journal Childhood Obesity argued recently on this site that families (parents and kids together) are being forgotten in the far-flung efforts to stop the upward trend of obesity in U.S. children. We agree. Programs are geared mainly towards schools, and occasionally to adults, but rarely do we treat the basic social unit of the family with any consideration. What an oversight! Family dinner is a positive activity that is immediately understandable to parents, and immediately actionable. It is something that the vast majority of parents can do without much more than some basic ingredients and a kitchen table.

Regular, routine meals add structure to a child's day (and to a parent's) and from this structure stems a myriad of health and social benefits, including better relationships with peers and adults, better grades at schools, and less likelihood of using drugs, alcohol or cigarettes. We all know this. But children (and adults) who have regular mealtimes, with the television turned off and conversation turned on, are also far less likely to be overweight, are less likely to have eating disorders, and are more likely to eat more fruits and vegetables than are those who eat alone or on the run.

To many people this seems illogical -- just because parents and children eat together doesn't mean they are eating healthy food, they argue. Couldn't families eat together and still just eat junk? Yes, of course, but empirical evidence, and common sense, shows that this is not the case. Many studies have shown that families who make dinner at home do indeed eat healthier. One theory is that once parents take the step to mindfully shop, prepare, and serve dinner, they also start making better health choices for themselves and their families. The act of sitting at the table and putting the focus on the mealtime may, all of a sudden, make the "fast-food" meal less palatable and a lot less interesting as an everyday option.

Family dinner is not always easy to accomplish night after night, but the benefits to families and to society are worth the effort. Parents could definitely benefit from improved nutritional information on packaging, from social and tax policies that support the purchase of healthy food, and from more flexible workplace policies to allow parents to get home by dinner hour. But we should be spending at least some of our research efforts figuring out how to best support parents to make healthy food choices and how to help them bolster the skills needed to accomplish family dinner.

The bottom line is dinner makes a difference. Family dinner is our best bet at an immediate impact in childhood obesity. We should not shy away from a proven solution, no matter how old-fashioned or simplistic it may appear. Family dinner and childhood obesity should be in the same sentence and families should be an intrinsic part of our anti-obesity efforts.

 
 
 

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HUFFPOST SUPER USER
Tom Hendricks
see wikipedia
12:21 PM on 04/01/2011
Doctors, I don't think you are getting to the root of the problem. Here is a clue Breast milk is the best diet drink in the world. There is a new hypothesis that suggests that each infant sets up a 3 part digestion system that may play a key part in every aspect of his life (including both overweight and underweight problems).*
He develops, over the first years of his life a pattern of a) breaking down food into usable nutrients - from mouth to stomach, b) absorbing those nutrients - in small intestine, and c) excreting out waste - from large intestine.
Therefore each child sets a 3 part pattern in infancy of how he will digest food. This seems to subconsciously program almost all behavior from then on.
This pattern is in the ENS, or Enteric Nervous System or digestion brain. It is unconscious motivation, and it is very difficult to change.
These three patterns are set up through breast feeding and weaning.
Generally problems with breast feeding will lead to overweight problems, and problems with weaning will lead to underweight problems.
Resetting this 3 part infant digestion pattern in the ENS, solves a vast layer of human physical and psychological problems that seems to be quite extensive. *This is an untested hypothesis.
10:44 AM on 04/01/2011
Wow. I'm almost speechless. Almost. The condemnation in
these responses will be attributed here to a lack of knowledge. To remedy
that, I would recommend Dr. Ruby Payne's "A Framework for Understanding
Poverty." If there is not the time or desire to read the entire book, I'd
encourage looking up the concept of generational poverty. I would also
encourage the distinction between desire and "know-how." I'm thrilled that
each who responded took the time to respond so passionately. I am happy
that each of you has found what works for you. I would now encourage you to
consider other issues might be in effect, rather than "everyone has time to
do this." What if they don't? Then what? What if no grocery stores in their area (food deserts), and little or no mass transportation? What if no deep freeze or microwave? What if no education? We didn't want the schools to do it, so then who? Again, please see generational poverty. Easy answers, people, are what got us here.
12:13 AM on 04/01/2011
no offense ms david, but rght now i'm more concerned with and over how and where the families in japan are going to be eating their family dinners.... luv ya ..
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TinaFreeman
08:54 PM on 03/31/2011
I have a busy family of 8 with several children who are at the age they are going all the time...but I STILL COOK the family meal every night, even if everyone is not there at dinnertime. OK, those that don't make it have to warm it in the microwave, but we eat healthy, home cooked food with small portions of meat or fish and a lot of vegetables. Very little refined starches and (almost) NO processed food ever. Even if you can't "all get together" because your kid has basketball or night classes or it's your hubby's bowling night...you can keep your family eating right, and it is a LOT cheaper and healthier than eating fast food or "nuke and eat" prepared junk.
07:47 PM on 03/31/2011
Preparing and eating food in the family kitchen is the way that my son and I connect.
Now that he is grown his career path has taken him through cooking school and even now as a Chef he comes home weekly for a family meal. The two of us have a relationship built on nourishing.

We bake together and compete with each other finding the best recipes from the freshest, local foods.

If you want to have a close relationship with your children as they grow older: feed them and spend the time today, and you may create the greatest gift of all, the love of family.
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TinaFreeman
08:57 PM on 03/31/2011
My son is not yet 20 and still at home, but is in culinary school and it has been so much fun. He does experiment on the family (and not every experiment is successful) but we are enjoying his journey and as the family cook myself, I am not only enjoying having him cook for ME now, but the cool tips and new spices and flavors and techniques he has introduced me to. I was always a good cook, but having a son in culinary school really is an added blessing!
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TinaFreeman
08:58 PM on 03/31/2011
And I am proud to say my future Iron Chef won't tough fast food...if he needs something quick, he will grab what he can find in the fridge and make a fresh omelet or a salad or stir fry. NICE to see what I have tried to teach him sunk in!
04:37 PM on 03/31/2011
The Main Street Diet is the cause of many of our problems: http://www.themainstreetdiet.com
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Bootzey Jones
3/4th covered with water, 93 million miles from th
10:25 AM on 03/31/2011
Home economics needs to come back to the schools as well. I see so many young couples who don't know how to cook... at all. How do you expect this new generation to feed their families well when they don't know how to feed themselves well.
11:20 AM on 03/31/2011
It's not that they don't know how to cook, they don't want to cook or they're too lazy to cook. If you can read, you can cook.
jjtx
living between the trees
09:56 AM on 03/31/2011
My children are in their 20's now but, while they were at home (actually my oldest is back after college graduation), I always and am still serving family dinners. I even had family breakfast when they were little and had the same schedule (the schools do not help accomplish this with their staggering school schedules).

I agree that if you have to plan a meal you do make healthier choices. Since I am older, my dinners tended to go the old square meal route. There was a (usually meat) entree, a carb and a green or orange vegetable. This could be chicken, rice and a salad or spaghetti and a salad. It could also be pork roast, sweet potatoes and green beans or pot roast, mashed potatoes and carrots.

This is more than possible and actually quite easy once you start doing it. You find out what works best, you buy and use a slow cooker. Most days I can make dinner at home faster than we could get a seat in a restaurant.

Try it people. You eat better, you find out more about your children, you take the time to give thanks (yes, ritually, but still an impact on children - I have seen mine realize that not everyone has enough to sustain themselves through this saying of grace if you remember the needy in it) and to talk about the concerns of the community and the world.

Nothing takes its place.
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DrP
11:29 PM on 03/30/2011
Until the medical establishment stops believing in the faulty "lipid hypothesis," and promoting low-calorie, low-fat, grain-based diets, then the family dinner will not be a solution. If the family dinner is low-fat, high-carb, then it will simply contribute to the problem that began to escalate with Ancel Keys and the disastrous food pyramid.
07:51 PM on 03/30/2011
The first thing to go in a family under financial stress are the fresh fruits, vegetables, and lean proteins. People in America are fat because they are filling up on cheap food which is high in fat and calories. No parent wants their child to be fat, but they can't send them to bed hungry either. So they feed them what they can afford. The focus on school lunches keeps us from talking about food security and what is really going on in this country.
10:32 PM on 03/30/2011
I will give you that people under financial hardship may not have easy access to fresh/healthier foods for one reason or another, but it doesn't mean you can't eat LESS of the bad stuff and throw in an apple here and there.
You know what the first thing that went when I lost my job was? Cable TV. What's going on in this country is crap food is easy and people don't want to drag out a frying pan anymore.
jjtx
living between the trees
10:03 AM on 03/31/2011
I have a garden and six months of the year we eat vegetables out of our garden. Cost very little after you get it started. Then, the next years, the costs are the cost of the seed. Find out what grows well in your area and get out there.

Even in the winter, I have found that I can feed my family very well with fruits and vegetables on about fifty a week. Take the money you spend on sodas and chips and spend it on whatever produce is on sale that week. This week, I can get broccoli crowns at my local market for a dollar a pound. I, then, can serve my family steamed broccoli for way less than a bag of chips.

However, I do agree that the economy can take its toll on providing as well as you would like for your family even in terms of food.

But, try hard, work the sales and do what you can instead of going the route of junk food because it is filling. It might be better to feel a little hungry but have nourishing food that will help your body grow than to be filled with junk food. My experience has been that after eating high carb junk food a lot on vacation, I will at first feel hungry when I go back to a nourishing diet full of fruits and vegetables and a little meat.
07:13 PM on 03/30/2011
I didn't start gaining weight until I hit 35. Over 20 years later and I still can't get it off. I'm finally riding a bike 18 miles a day. If I don't do this, I'll be diabetic with all the other obese people in this country who don't have the will to stop eating or start exercising. I pity the poor kids out there who pork out and hope to work it off with all the energy their forefinger uses on the mouse, controller or channel changer. Ain't going to happen in this lifetime (which gets shorter with every added pound).
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Fuddgate
Some assembly required
06:56 PM on 03/30/2011
Although it seems that my parents never knew what an avocado is, there is no question that I benefited from family meals. It's part of the whole learning process. Bush the first bitterly complained about broccoli, but he must have learned something about the value of fruits and vegetables. You won't get that message texting and watching crap TV. If your Mom never told you to eat your vegetables, you probably won't.
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Sinick
06:10 PM on 03/30/2011
Nothing contributes to family life more than family dinners. I watch a lot of foreign films and it seems like it is much more treasured in other cultures, especially as a means of face-to-face family communications. I recommend that we bring it back (in spite of the possible emotional confrontations) and save America!
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johnrf
05:46 PM on 03/30/2011
When my kids were young I forced them to help me prepare dinner every night. They complained, they cried, they hated me... But now one daughter is married and thanks me constantly for teaching her to cook. The other daughter, single, still won't cook.
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HUFFPOST BLOGGER
Susan Orlins
Writer and author of blog Confessions of a Worrywa
05:36 PM on 03/30/2011
I love how you emphasize family meals; there are so many benefits!

Some of my favorite memories are of cooking with my kids. Acknowledged it's not always easy to find the time. So I strive for easy, quick recipes with few ingredients as well as one-dish meals.

You can find links to my recipes on my blog Confessions of a Worrywart http://tinyurl.com/usshg