Study Links Fatty Liver And Heart Failure In Obese People

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This article is courtesy of PRWeb….please share your thoughts below…..

newsFatty liver is independently associated with subclinical heart failure in obese people, according to a new study published online, January 26, in the journal Radiology. The findings add more support to the importance of dietary interventions in such patients, researchers said.

Fatty liver is independently associated with subclinical heart failure in obese people, according to a new study published online in the journal Radiology. The findings add more support to the importance of dietary interventions in such patients, researchers said.

Non-alcoholic fatty liver disease (NAFLD), also known as hepatic steatosis, is the most common liver disease, with a prevalence of up to 30 percent in the general population and between 70 percent and 90 percent among persons who are obese or have type 2 diabetes. NAFLD is considered as a manifestation of the metabolic syndrome, a group of risk factors like high blood pressure, excess abdominal fat and unhealthy cholesterol levels that raise the risk of heart attacks, strokes and other health problems.

“One of the unique aspects of our study is that we took all of the individual components of the metabolic syndrome into account as possible confounders in this association, as the metabolic syndrome is associated with NAFLD and with cardiovascular disease,” said study lead author Ralph L. Widya, M.D., from the Leiden University Medical Center in Leiden, the Netherlands.

For the study, Dr. Widya and colleagues used proton magnetic resonance spectroscopy to noninvasively measure hepatic triglyceride content, a measure of fat in the liver, and cardiac MRI to assess left ventricular diastolic function in 714 men and women aged 45 to 65 years. Of the 714 patients, 47 percent were categorized as overweight, and 13 percent were classified as obese.

The left ventricle is the heart’s main pumping chamber, and diastolic function refers to the phase of the heartbeat when the heart relaxes to fill with blood. Abnormalities of diastolic function, represented by inefficient filling of the heart, play a major role in exercise intolerance in patients presenting with heart failure. Diastolic dysfunction has been clinically undervalued and is currently gaining major attention by cardiologists and general physicians, according to senior author Hildo J. Lamb, M.D., Ph.D., also from Leiden University Medical Center.

Results indicated that an increase in hepatic triglyceride content was associated with a decrease in mean left ventricular diastolic function in the obese subgroup of the study population. The association between hepatic triglyceride content and left ventricular diastolic function existed independently of the metabolic syndrome, suggesting that fatty liver itself could, at least in obese people, pose a risk of heart dysfunction above and beyond known cardiovascular risk factors that are clustered within the metabolic syndrome.

“Our results may be of importance in cardiovascular risk stratification in obesity, because there is a large variation in the degree of hepatic steatosis in obesity,” Dr. Widya said. “Also, more emphasis should be put on dietary interventions to reduce or prevent hepatic steatosis.”

The reasons for the link between fatty liver and heart function are unknown, Dr. Widya said, but could be related to several factors, including the presence of infection-fighting white bloods cells called macrophages or increased expression in the liver of small proteins known as cytokines.

Future research is required to study the effect of NAFLD on cardiovascular events, according to Drs. Widya and Lamb, and further study is needed to investigate to what extent the association exists and differs among normal weight, overweight and obese persons.

The Best Fitting Workout Shoes For Obese

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By Dana Smith

healthywordsAlmost everyone is a fan of sneakers and running shoes. However, some have a hard luck finding the perfect pair of shoes. Take someone who weighs 200 or 300 pounds or more. Definitely, many of these people find it tough to purchase the right pair because commonly, a retailer might sell shoes according to sole type; however, rarely does one take into consideration the needs of shoes varying in accordance to a person’s weight.

The problem with overweight people and shoes is that they either are not able to find the correct size or are not able to get the style that they are looking for. A plus-size person often complains about getting sores on the feet, shoe bites, aches as well as pains. So, what is the key to purchasing the right shoes for those who weigh a little or a lot extra than normal?

Keep the Following Tips in Mind

1. Brands Are Always Safer Option: While it is recommend for all that they purchase shoes from a reliable brand or retailer, it is a must for overweight and obese people to shop for branded shoes. Certain special retailers manufacture shoes for plus-size people. Do not experiment much with regard to the place from where you purchase shoes. Remember, shoes are not shampoo. Convenience and comfort come first.

2. The Type that Suits: While you should not change the retailer or brand very frequently, you must try out different shoe types to find out which one fits you the best. From spiked running shoes to the one’s that come with a spring-technology to sneakers with thicker soles, keep trying till you find your running mate.

3. Shop Online, With Care: Though there are a number of online stores that promise the best of quality in their products. However, there are very few who actually deliver what they assure. For obese people, it is important that they be double sure about the quality of the shoes before they make a purchase online. There are very few online stores like Zelen shoes, which fulfill the quality standards when it comes to making a purchase online.

4. Try Before You Buy: Until and unless you are extremely sure that the shoe that shows your size on the sole will fit you and be comfortable too, never pick a shoe before you try it on. And, the best way to try on the shoes or boots is to wear them with the same or similar socks that you are actually going to wear them with while running or jogging.

5. Purchase Often: If your shoe has started showing signs of wear and tear, it is time to replace them. Do not wait for the shoes to deplete completely before you chuck them. Even a bit of depreciation of the sole of your shoes can do much harm to your feet. It is better to buy a new pair from online shoe stores than to spend money on pain-killers later on.

The above listed are some of the tips that must be taken as the holy grail of shoe purchasing, by all who weigh heavy. These act like precautionary measures that not only save one from foot aches and pains, but also add to the comfort of a workout. Whether you wish to buy shoes online or from a physical store, you will only reap the full benefits of the money paid, if you make a diligent purchase.

– Dana Smith is an experienced writer who currently writes on subjects of fashion and art. She loves to buy shoes online. Her love for everything fashion related, qualifies her to write on shoes, clothes, cosmetics and more.

Life Insurance Options Available To The Obese

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By Lance Peterson

bellymeasurementsmallBeing obese can lead to many serious health problems, which in turn can make it difficult to find life insurance. Some patients don’t realize the seriousness of obesity and may not understand all the health concerns that are linked to the condition, so they may not understand why they need to look harder for life insurance or are being denied coverage by their insurance carrier. Consider why obesity involves such high risks and how you can find the right life insurance for you, regardless of any health concerns you might have.

Obesity can lead to increased risk of heart attacks and heart disease, because an obese person usually has stores of fat that collect around the internal systems, including the heart and arteries. The heart needs to work harder to push blood to all the extremities when a person is obese, and this puts a great strain on the circulatory system.

Being obese is also linked to severe asthma, which can be serious and even fatal. Those fat stores can collect around the lungs and the body’s own weight can push down on the respiratory system so the patient cannot breathe very easily. Many who are obese also suffer from sleep apnea, which is a cessation of breathing while sleeping. Usually the body wakes up long enough to start breathing again but in some cases, this too can prove fatal. Obesity is also linked to certain forms of cancer and many other serious health concerns.

Because of these risk factors, obese persons usually need to shop for high risk life insurance.

Because of these risk factors, obese persons usually need to shop for high risk life insurance. These are policies that are designed specifically for those who have special risk factors when it comes to their health and longevity. Many top life insurance companies will provide policies for the obese, but with certain terms and conditions. They may pay a bit more for a policy or may have fewer options available to them, but an obese person can still typically find the coverage they need for their final expenses and to care for their family at a price they can afford, if they shop around.

One way to find life insurance if you’re obese is to compare term life insurance quotes. Term insurance means that it must be redeemed within the term of the policy, typically at 20 years or 30 years. This is usually the best choice for those in high risk groups and comparing quotes will allow you to find the company that offers the coverage you want at a price you can afford. Term insurance differs from whole life insurance; a whole life insurance policy is good for as long as the premium is being paid, rather than being limited to a certain term.

Many of the top term life insurance companies will have policies that are specifically written for those with higher risk, such as those over 50, those with diabetes or hypertension, and those who are obese. Because the condition is becoming more and more common, companies are providing the life insurance needs to these patients even if they’re high risk.

If you prefer whole life insurance and are considered obese, your best solution may be to shop around to find the policy that suits you. There are companies that do offer any type of policy you need no matter your health and without a medical exam. You can find the insurance you need even if you are obese or have other medical conditions, so don’t let your health concerns keep you from shopping for the policy that’s right for you.

– My name is Lance Peterson; I am a graduate in Finance from UPenn. I am a banker, whose expertise stretches to areas like loans, investments, hedge funds, insurance and other related fields. I am also the Content Manager for Chooseterm.com. I like keeping myself updated about the global financial scene.

Why Fast Weight Loss Never Lasts

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By Stavros Mastrogiannis

bigpantsEverybody wants to lose weight fast, who doesn’t? The diet industry knows this, which is why most of the diets focus on delivering fast results. Well, how is that working so far? If you look at the statistics, not that well. Although most people do lose weight fast with most diets, over 95% of them regain all the weight back. So my question is what is the point of losing weight fast if you are going to gain it back again?

Here is the problem with losing weight fast. In order to lose weight fast, you must make big changes in your life all at once. The fact is that the more changes you make in your life at once the more uncomfortable you get, the more uncomfortable you get the faster you burn out and revert back to your old habits thus gaining the weight back.

The mistake many people and even many fitness professionals make is that they wrongly believe that once people see results they would be motivated to keep going. Well if that was true then how come most people who lose weight gain it back? They did get the results they wanted after all, and yet they still revert back to their old habits and gained the weight back.

The fact is that the best results in the world would not keep you motivated if the results were achieved through a method that overwhelmed you. This is the case with most diets. Although they get people the results they want, they are overwhelming and sooner or later people quit and revert back to their old habits.

So what is the answer? How can people lose weight and keep it off? The answer is very simple. First of all you need to realize that weight gain is a symptom not the problem, the problem is your habits. Your habits got you in the shape you are in today and if you are not happy with your current shape you must change the habits that got you here.

http://yourhealthjournal.com/wp-content/uploads/2013/04/kickhabit.jpgThe only way to make permanent changes in your habits is to make them one at a time. Whatever change you make has to become habitual before making another change. Make enough changes in your habits and the weight will come off. Yes, with this method it will take you a little longer to start seeing weight loss, but at least once you lose the weight you would never have to worry about your weight again.

Only through permanent changes in your eating and activity habits you can lose weight and keep it off. Unfortunately the way most diets approach weight loss it is almost impossible to develop new habits and that is one of the biggest reasons why, in spite the 78,000 diet books on the market today we are still losing the weight loss battle.

– Stavros Mastrogiannis is a 20 year veteran of the weight loss field and specializes in permanent weight loss. He is the author of 4 books including his latest one Eat It All By Eating Right and the creator of TheStavrosMethod.com. A unique online weight loss program that helps people develop all the necessary habits so they can lose weight and keep it off for life.

Blown Away By 35.7 %

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By Kac Young PhD, DCH, ND

scaleThe American Medical Association just released a statement that 35.7% of Americans are obese according to the Centers for Disease Control and Prevention. Obesity has been declared a disease by the AMA. However this declaration is hotly debated. Obesity-related conditions, including heart disease, stroke, type 2 diabetes, and certain cancers, are some of the leading causes of preventable death. If it’s preventable, then why is it classified as a disease?

Dr Russell Kridel argues, “It’s more like smoking. Smoking isn’t a disease. Smoking can cause disease such as lung cancer and emphysema in the same way that obesity can lead to diabetes and hypertension. What we’re really talking about here is nomenclature, not philosophy.”

He noted that behavior and dietary choices play a huge part in obesity. “Thirty years ago, we did not have the obesity problem we have now. If you look scientifically at what has changed, our diet has changed. There’s been no change in our genetic structure in the past 30 years.”

“The American Heart Association believes the additional focus is needed on this important risk factor for heart disease and stroke.” The AHA wants to open people’s eyes to the severity of the issues (one in every two deaths is caused by heart disease – which is 90 % preventable) and to demonstrate to people that they possess the power to make decisions which improve heart health and cardio strength.

Whether you believe obesity is a disease or not, consider this: the power to prevent it is in your hands. Obesity is preventable.

Whether you believe obesity is a disease or not, consider this: the power to prevent it is in your hands. Obesity is preventable. You don’t have to take pills, prescriptions or appetite inhibitors; what you have to do is control what you eat and how much physical exercise you do. If you eat whole grains, fat-free foods, fruits, vegetables, legumes and delete red meat, fried foods, and the bad saturated fats and start walking 30 minutes a day, you will be on the right track towards preventing obesity and all its related diseases. www.HeartEasy.com has information and tips for you about eating and exercise.

Each one of us can choose between a cheese-laden burger and a salad, just as we can choose to buy black shoes or brown. If you’re not making the right choices to support your heart health and stave off obesity, then perhaps you don’t have the right information. With the facts available at the click of a mouse it’s hard to believe someone doesn’t have access to healthy eating information, but let’s give them the benefit of the doubt and start spreading the word. Take action! Let’s not allow people to die of obesity-related diseases when they can live healthier, happier, longer lives by choosing to eat healthier and by exercising.

What can you do in your community to spread the word about healthy eating? Can you create a health day at school, church or at your community gatherings? What about teaming up with a local nutritionist to teach kids and families how to create healthy meals? Can you make a game of it? Can you create a fund raiser? Can you reach out to lower economic groups and share the wealth of healthy eating knowledge? Can you plant a garden, raise awareness and invite local growers to talk about the value of fresh produce? Start today. Get a group together. Brainstorm ways you can affect your community’s health for the better. You may actually save some lives and how great would that feel?

Kac Young, a former television director and producer, has earned a Ph.D. in Natural Health and is a Doctor of both Clinical Hypnotherapy and Naturopathy. She is the author of 10 books. Heart Easy is a system of nutritionally sound, delicious meals that promote heart health, long life and taste great. In the cook book sound nutritional advice is followed by traditional recipes that have been turned into heart healthy meals that anyone can make and everyone will love.

Where Are Worried Parents To Turn If Their Child Is Obese?

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doctorglobeFrom Your Health Journal…..”An interesting article from Ireland in a publication called the Independent that I wanted to promote. It brings up the interesting question for parents…..Where Are Worried Parents To Turn If Their Child Is Obese? Childhood obesity is on the rise all over the world as children are showing risk factors for heart disease, cancer, type 2 diabetes, weak joints, and asthma. The reduction of physical activity, increase of sedentary lifestyle which includes technology, as well as poor diet have all contributed to this growing concern. But, where should a parent turn to for help? Here are a few suggestions:

1. Your child’s pediatrician
2. The school nurse, principal, or PE teacher
3. A nutritionist
4. A dietician
5. A grandparent
6. A coach
7. A family role model

You get the point. A parents objective in this situation is to have long list of supporters who may be able to help an overweight or obese child. Once this is in place, then parent and child can become educated on lifestyle changes that may help them get on the path to a healthier lifestyle. Please visit the Independent web site (link provided below) to read the complete article.”

From the article…..

Where do you go and who do you turn to if your child is overweight or obese? Apparently, parents have little or no services to turn to. This startling fact was revealed at the launch of the INDI (Irish Nutrition and Dietetic Institute) Nourish Children Week in Dublin.

This lack of services is particularly worrying when, according to figures from the national Growing Up in Ireland survey, one-in-four of the 30,000 primary school children in this country are either overweight or obese.

The school yard is a jungle for all kids. The last thing a child needs is to be singled out for their weight. Overweight children often complain about bullying in school. This, on top of their already fragile self-esteem, is a dangerous combination.

Nourish Children Week is aiming to highlight the lack of HSE childhood obesity services. Dietitian Richelle Flanagan, INDI’s president, said there is a dearth of services despite child obesity now reaching epidemic levels.

“73pc of the country doesn’t have access to a child obesity programme and 88pc of the country doesn’t have access to a group intervention programme when kids are already obese,” he says.

The INDI presented a map of Ireland which showed that just three HSE childhood obesity prevention programmes exist across seven counties, along with two group treatment programmes that cover three counties.

To read the complete article…..Click here

Vitamin D May Lower Diabetes Risk In Obese Children And Adolescents

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obeseboyvectorbellyFrom Your Health Journal…..”Another interesting article from Science Daily that I wanted to promote entitled Vitamin D May Lower Diabetes Risk In Obese Children And Adolescents. We discuss here on a regular basis the obesity epidemic facing the youth of the world, as well as the increase of obesity related illness such as heart disease, weak joints, asthma, cancer, and type 2 diabetes. We know that children today have become very sedentary, where technology is consuming their lives, to a point where physical activity is minimal. Parents are always looking for solutions – quick ones! But, as we know, there are NO quick solutions to fighting obesity. A well-rounded healthy lifestyle is the best defense to keep the weight off children – including eating properly, exercise, sleep, and proper hydration. Now, University of Missouri researchers found vitamin D supplements can help obese children and teens control their blood-sugar levels, which may help them stave off the disease. The study suggested that by increasing vitamin D intake alone was nearly as powerful as what has been seen using a prescription drug. These are interesting findings, which needs more research, but nevertheless, very interesting. Remember, this does not take away the importance of proper exercise and diet, but important. Please visit the Science Daily web site (link provided below) to read the complete article.”

From the article…..

Childhood and adolescent obesity rates in the United States have increased dramatically in the past three decades. Being obese puts individuals at greater risk for developing Type 2 diabetes, a disease in which individuals have too much sugar in their blood. Now, University of Missouri researchers found vitamin D supplements can help obese children and teens control their blood-sugar levels, which may help them stave off the disease.

“By increasing vitamin D intake alone, we got a response that was nearly as powerful as what we have seen using a prescription drug,” said Catherine Peterson, an associate professor of nutrition and exercise physiology at MU. “We saw a decrease in insulin levels, which means better glucose control, despite no changes in body weight, dietary intake or physical activity.”

Peterson and her colleagues studied 35 pre-diabetic obese children and adolescents who were undergoing treatment in the MU Adolescent Diabetic Obesity Program. All of those in the study had insufficient or deficient vitamin D levels and had similar diets and activity levels. Study participants randomly were assigned either a high-dose vitamin D supplement or a placebo that they took daily for six months. Those who took the supplement became vitamin D sufficient and lowered the amount of insulin in their blood.

“The vitamin D dosage we gave to the obese adolescents in our study is not something I would recommend for everyone,” Peterson said. “For clinicians, the main message from this research is to check the vitamin D status of their obese patients, because they’re likely to have insufficient amounts. Adding vitamin D supplements to their diets may be an effective addition to treating obesity and its associated insulin resistance.”

Vitamin D helps maintain healthy bones, muscles and nerves and enters bodies through sunlight exposure, diet or supplements. Vitamin D insufficiency is common; however, it can be more detrimental to those who are obese, Peterson said.

To read the complete article…..Click here

Skim Milk Not The Answer To Childhood Obesity

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milkFrom Your Health Journal…..”A very good article from The Australian entitled Skim milk not the answer to childhood obesity, study finds. Through the years, we have mentioned how most kids under age 2 should have whole milk, then after age 2, switch over to skim or low fat milk. Now, research is suggesting that giving your toddler skimmed or semi-skimmed milk is unlikely to make inroads against the risk of obesity. In the study, they found kids who drank full-fat milk, which has a 3.5-percent fat component, or reduced-fat milk, which has two-percent fat, also tended to weigh less than counterparts who drank skimmed or semi-skimmed. This study is very interesting, but way too complex to start re-writing all the data found, so I suggest you all visit The Australian web site to read the complete article. It is well written and very informative.”

From the article…..

Giving your toddler skimmed or semi-skimmed milk is unlikely to make inroads against the risk of obesity, a large study conducted among American children has found.

Researchers trawled through data from a long-term probe into the health of 10,700 children born in 2001.

Parents or caregivers were asked about milk consumption when the infant was two and were questioned again two years later, when the child was again weighed and measured.

Overweight or obesity was widespread: 30.1 percent of the children at two years fell into this category, rising to 32.2 percent at the age of four.

But children who were overweight or obese were likelier to drink skimmed milk or semi-skimmed milk, which has one-percent butterfat, than counterparts of normal weight, the probe found.

Low-fat or fat-free milk was consumed by 14 percent of heavy two-year-olds and 16 percent of heavy four-year-olds.

This compared with nine percent of normal-weight two-year-olds and 13 percent of normal-weight four-year-olds.

Kids who drank full-fat milk, which has a 3.5-percent fat component, or reduced-fat milk, which has two-percent fat, also tended to weigh less than counterparts who drank skimmed or semi-skimmed.

To read the full article…..Click here

More On Childhood Obesity

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overweightchildFrom Your Health Journal…..”A very interesting article from WEAR-TV, an ABC local affiliate about childhood obesity. Reports have come in from many credible organizations like the American Heart Association, which stated 25 million American youth are overweight or obese – and the CDC which has stated obesity has doubled for children ages 5-11, and nearly tripled for teens ages 12-18. Heart disease is still the number one killer in our country, and illnesses related to it are also on the rise, such as type 2 diabetes – affecting children as well. There are many contributing causes to this epidemic such as homework loads, extra-curricular activities, sedentary lifestyle, and poor diet – but one thing that has been a major influence in the rise of obesity among children is the popularity of technology. Children keep busy on their Ipads, video games, hand held devices, computers, cell phones, and countless other machines that entertain, but cause children to be sedentary. Throw on top of this all the TV times, and we have ‘couch potato’ generation, who many experts feel could have a shorter life expectancy than their parents. We need to get kids off the couch, out to play, have healthier diets, less technology, and proper education on healthy lifestyle. Please visit the WEAR-TV (ABC-TV) web site (link provided below) to read the complete article. It was very informative, and shared great material at the local level.”

From the article…..

It’s a growing problem across the country. The Centers for Disease Control and Prevention says Childhood Obesity has more than doubled in the past 30-years.

What is being done to battle the growing disease. “Childhood obesity is a growing problem in the United States here in Escambia County one of the ways they are trying to battle that problem is starting here in the schools by changing the lunches.”

Pediatrician Doctor Michelle Grier-Hall says obesity at a young age raises many health concerns not only physical but mental.

Dr. Michelle Grier-Hall “Heart disease and diabetes which we are seeing diabetes in our children not just in adults but we’re seeing diabetes in children who have obesity, so you have high blood pressure, cholesterol problems and this is not good of course the joint problems, back pains and other things you can see with obesity.”

The Escambia County Health Department says there is no increase in the total percentage of students who are obese or overweight this year.

Data shows 63 % of the children measured are in the normal range for body mass index. But CDC numbers nation wide show children ages 6 to 11 years who are obese increased from 7 % in 1980 to 18 % in 2010.

Adolescents ages 12 to 19 increased from 5 % to 18 %. Recently, schools have stepped in changing their lunch menus to healthier alternatives.

And removing friers from the cafeteria. Jaleena Davis “There are five components in our meal whole grain bread, milk, fruit, vegetable, meat or meat alternate.”

To read the complete article…..Click here

When Sizing Up Childhood Obesity Risks, It Helps To Ask About Random Kids

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girlhulaFrom Your Health Journal…..”A very good article on the NPR web site that I wanted to promote by Gillian K. SteelFisher entitled When Sizing Up Childhood Obesity Risks, It Helps To Ask About Random Kids. Please visit the NPR site to support Gillian’s article. Childhood obesity is on the rise in many areas of the world. Many would like to think it is starting to get under control, but even so, many children are in need of reducing their weight. Obesity related illnesses for young children is on the rise, as so many children show risk factors for heart disease, type 2 diabetes, asthma, cancer, and weak joints. In fact, many of these children are bullied at school as well as having low self esteem. Recently, a poll was taken with a random sample of children which looked at what children are actually doing in terms of eating, drinking and physical activity. Are they eating dinner with their families? And what’s on their plate (or TV screen or iPod) when they do? To learn more about this poll and its results, please visit the NPR web site (link provided below) to read the complete article.”

From the article…..

To understand the challenges around childhood obesity in the U.S., you need to take a close look at the lives of children and the households in which their habits are formed.

NPR, the Robert Wood Johnson Foundation and the Harvard School of Public Health, where I’m a researcher, created a unique poll to do that.

The poll looked at what children are actually doing in terms of eating, drinking and physical activity. Are they eating dinner with their families? And what’s on their plate (or TV screen or iPod) when they do?

One thing that makes this poll different from others is that it’s based on a random sample of children, even though adults in the households answered the questions. In order to be sure the findings are representative of children across the country, we needed this random sample of kids.

It’s an important distinction.

In a traditional poll, the research team telephones a random selection of households and asks to speak with a randomly selected adult in the household. Here, the team telephoned a random selection of households with children and asked to speak with an adult about a randomly selected kid in the household.

Another difference is that the polling team went beyond interviews with parents. In each case, we interviewed an adult in the household who actually knows what the child does and eats. Another caregiver — rather than a parent — might know that best. This approach allowed us to make sure that kids living in many kinds of households are included.

For most kids, the adult who knows what they eat and what they’re doing in terms of activities does turn out to be a parent. But for some kids, the adult who knows is a grandmother, a foster parent, an uncle or even an adult sibling. We call the respondents “parents” in our reports for simplicity, and we make a note about this in the complete description of our polling methods.

To read the full article…..Click here