Healthy Kids

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Introduction

     Long-term good health is less an accident than the resultof good habits and wise choices. To enjoy good health now andin the future, youngsters must learn how to eat, exercise,sleep, control stress, and be responsible for personalcleanliness and reducing the risk of disease. In addition, theyneed to be aware of what to do in an emergency and when to say”no”.

     Habits that include eating nutritious foods andunderstanding the relationship between physical and emotionalhealth will help your child grow up healthy. Your child’sability to learn and the chances for a longer and moreproductive life can be greatly improved by developing andfollowing good health practices.

First of All, Your Child Is Special

     The mental and emotional health of your child is just asimportant as physical health. From the earliest moment, a childneeds to feel that he or she is special and cared about byfamily members and friends.

     A child who enjoys good mental and emotional health isable to approach new situations with confidence. When childrenare comfortable with themselves, they can express theiremotions in a positive way. As children learn to valuethemselves and develop confidence in their ability to makeresponsible decisions, they are building a sense of self-worthor self-esteem.

     Parents and teachers share the responsibility for helpingchildren build self-confidence. A child who is confident ismore successful in everyday interactions with peers and adults.Confidence in one’s ability to learn new and difficult skillscan affect future achievement, as well. Developing a trustingrelationship with your child, establishing open communication,and recognizing personal achievements are all important. Whenchildren know they can do something well, it makes them feelspecial.

Get Ready, Get Set, Grow Up Healthy

     From the time your child is born, there are ways in whichyou can help your child learn how to grow up healthy. This bookhas activities that help children

   * understand their emotions and build self-esteem;

   * eat the right foods;

   * prevent disease;

   * and build strong bodies.

     The book also has safety tips, ways to help your child say”no” to drugs, a section on parents and the schools, abibliography, and a chart to help you keep track of yourchild’s vaccinations.

The Basics

Does This Mean I Can’t Eat Ice Cream?

     Good nutrition does not mean that your children cannot eattheir favorite foods or that they must eat foods they do notlike. Good nutrition means variety and moderation in a person’sdiet. Choosing what foods to eat is important in pursuing ahealthy life. Your children may choose to eat certain foodsbecause they taste good or because they are available. Makenutritious foods available and monitor the “sometimes”foods–sugary snacks and fatty desserts.

I’d Rather Play.

     Good health is a blend of physical and emotionalwell-being. Exercises are basic elements of physical fitnessthat should be part of play.

     Aerobic exercises, such as jogging or jumping, thatincrease the heartbeat, strengthen the heart and muscles,improve endurance, condition the total body, and help preventdisease. Anaerobic, slow, stretching exercises improveflexibility and muscular fitness. Both types of exercise areimportant and fun.

I’m Afraid and I’m Unhappy.

     We all face stressful situations. With family members,with teachers, with friends, and with strangers problems canarise that make your child feel anxious, nervous, confused, orfrightened. Too much stress or the wrong kind of stress canmake it difficult for children to learn. Helping your childlearn appropriate and healthy ways of handling stress, throughexercise, proper sleep, discussing problems with an adult, orbreaking down jobs into manageable parts, for example, isimportant.

You Sneezed Right in My Face!

     A healthy lifestyle includes habits that will help yourchild avoid diseases caused by germs. Material carrying germscan be transferred through handshaking, kissing, coughing,sneezing, or by other means of direct contact. Most shareditems have germs on them. Teaching your child how to reduce thetransmission of germs can help your child, as well as others,stay healthy.

I Don’t Feel Well!

     A clean environment will support the health and well-beingof your child now and in the future. You can begin by having ahealthy home that is free of dirt, dust, and germs, as well asdangerous substances such as radon or lead. Make sure, too,that poisonous substances, such as household cleaners andpesticides, are kept away from children. You can also takeprecautions in preparing foods by washing them carefully andcooking them at the recommended temperature. Outside the home,you can work with others to help combat excessive pollution inyour community.

Important Things To Know

Nutrition and Your Child

     They went to the cupboard… Today, feeding children isbased on concerns about heart disease, diabetes, cancer, andhigh blood pressure. There is reason to be concerned. More than20 percent of American children are overweight with a goodchance that 50 to 70 percent of them will remain overweight asadults. It is important for parents to set good examples ofhealthful eating. Research shows that children develop eatinghabits similar to those of their parents. While it is aparent’s job to provide balanced selections from the five foodgroups, children can be allowed a certain amount of freedom tochoose what and how much they eat.

     Poor eating habits and craving for sugar snacks and fattyfoods may develop if parents fail to direct the decisionmakingprocess. Remember that the issue isn’t “good foods” versus “badfoods”. If children balk at food put before them, don’t worry.Studies show children will, over time, eat the amount of foodthat is right for them if they are offered healthful choices.You can’t expect a child to want to eat broccoli if frenchfries are offered, or drink milk or orange juice when parentsare drinking sodas. Of course, an occasional high fat food,gooey dessert, sugary snack, or soda is permissible, providedthey are not substitutes for nutritious foods. Parents can makeeating a pleasure for the entire family by helping createpositive attitudes about food that will lead to a lifetime ofgood health.

     What are the five food groups, and how can we help theentire family eat a balanced diet? The food guide pyramid onthis page shows how to select a balanced diet and how to teachyour child to make wise choices.

How many servings do you need each day?

                          Many      Children,       Teen                          women,    teen girls,     boys,                          older     active women,   active                          adults    most men        men

                          about        about        aboutCalorie level*            1,600        2,200        2,800

Bread Group Servings        6            9           11Vegetable Group Serving     3            4            5Fruit Group Servings        2            3            4Milk Group Serving        2-3**        2-3**        2-3**Meat Group Servings      2, for a     2, for a     3, for a                         total of     total of     total of                         5 ounces     6 ounces     7 ounces————————————————————–Total Fat (grams)          53           73           93

   * These are the calorie levels if you choose low fat. lean     foods from the 5 major food groups and use foods from the     fats, oils, and sweets group sparingly.

  ** Women who are pregnant or breastfeeding, teenagers, and     young adults to age 24 need 3 servings.

     A balanced diet includes food from each of the followingfood groups: 1. grains (bread, cereal, rice, and pasta); 2.fruit (fresh, dried, or unsweetened canned); 3. vegetables (rawor lightly cooked); 4. meat (meat, poultry, fish, dried beans,eggs, and nuts); and 5. dairy (milk, yogurt, and cheese). Offeryour children nutritious choices for meals and snacks. This wayyou can help them control their own diet. For example, youmight offer a choice of an apple, an orange, or a banana. Witholder children (aged 7 and up) you can start by planning a menutogether, letting the children check to make sure it includesall five food groups.

     Remember that each of the food groups provides some, butnot all, of the nutrients a child needs. Foods in one groupcan’t replace those in another. No one of these major foodgroups is more important than another. For good health, all arenecessary.

     What’s for breakfast? Many of us do not eat in themorning. Estimates suggest that up to 25 percent of allschool-aged children leave the house without breakfast.

     You may think that breakfast is just another meal.For a child, breakfast provides much needed energy (calories)to start the day off right. Adults may be able to make up forskipped breakfast by grabbing something on the way to work orwhile doing morning errands. Your child, however, does not havethat opportunity. A nursery school child usually has amid-morning snack 3 to 5 hours after waking up. Afterkindergarten, few children are offered a morning snack.

     Getting your child to eat breakfast isn’t always easy. Tryto tune into your child’s morning personality. A sleepyhead mayneed a quick breakfast. An early riser may like to eatbreakfast before getting dressed. If this conflicts with yourmorning schedule, let your children get their own breakfast.Even a 6-year-old can open a container of yogurt.

     A good breakfast consists of complex carbohydrates andsimple sugars (breads, whole grains, fiber, fruits, andvegetables); proteins (dairy, chicken, beef, fish, eggs, nuts,and dried beans), and some fat. Carbohydrates and simple sugarsoffer quick energy but leave the stomach quickly. A breakfastof only carbohydrates can give a child the mid-morning “blahs”.When milk, cheese, yogurt, lean meat, or an egg is added, thefood stays in the stomach longer and provides sustained energy.

It’s Child’s Play

     Physical fitness is a vital part of being healthy. Forchildren, being and staying physically fit can happen withactivities they refer to as PLAY! Play that makes them breathedeeply is aerobic exercise. Aerobic activities such asbicycling, jumping rope, roller skating, running, dancing, andswimming can be beneficial if they are done for 12 to 15minutes without stopping.

     The young child develops an active lifestyle as he or shebegins to creep, crawl, and then walk. Young children learn howto move in their environment by playing alone in their ownpersonal space.

     As children grow, they hop, march, run, roll, toss,bounce, and kick. Their bodies are changing in terms of heightand weight, and they are beginning to form a self-conceptthrough comparison with others as they move.

     When play is organized into specific movements, it becomesexercise. For exercise to become part of each day, thesemovements or activities should meet the interests and needs ofyour child. Play is the beginning. Children can follow theirown paths to lifetime fitness by exercising for fun and attheir own pace.

     Watching too much TV can deprive your child ofopportunities to play and exercise. Set a good example. LimitTV watching. Walk to your destination as often as possible.Play active games with your child. Help form neighborhoodsports teams and participate in the recreation.

     Everyone can exercise. Certain exercises keep your heartand lungs healthy. Strong, flexible muscles can be developedwith exercise. As your child achieves fitness through exercise,a growing self-confidence will be another benefit of a fitnessroutine.

Let’s Stay Well.

     Reducing the risk of disease is a major goal in helpingyour child grow up healthy. Bacteria and viruses cause diseaseand sickness, and cleanliness can help prevent the spread ofthese germs. Sharing such items as a comb, toothbrush,hairbrush, or cup, even among family members, can also spreaddisease. Having clean clothes and daily baths shows childrenthat being clean not only feels good, but also helps them staywell.

     You can teach your children to wash their hands at anearly age. Tell your children that skin can stop germs fromentering the body, and washing can reduce the risk of infectionif your child has a cut or scrape.

     Explain, too, that harmful germs and viruses can be spreadby a sneeze or a cough. Teach your child to stay away frompeople who are sneezing and coughing. Children can help preventthe spread of disease if they cover their sneezes or coughswith a tissue.

     Everybody has an internal disease fighting system (immunesystem) made of antibodies and white blood cells. Your childcan help that immune system function well by getting enoughsleep, by eating nutritious meals, and by exercising.

     Vaccinations also prevent disease and play an importantpart in helping your child grow up healthy. The idea of havinga shot may be frightening to a child. Help your childunderstand that this vaccination is a medicine that preventsdisease. It’s a lot more fun to be playing with friends than tobe sick.

     A vaccination chart for keeping track of immunizations canbe found on the inside front cover. The importance ofvaccinating children at the appropriate ages cannot beoveremphasized.

Activities

     The activities that follow are designed to introduce yourchild to some of the basic ideas of good health. There areactivities that focus on understanding emotions and developingself-esteem, those that emphasize nutrition, those that stresscleanliness and caring for your body, and those that promoteexercise (see the symbols to the right that indicate the typeof activity). These activities are just samples of the manythings you can do with your child to enhance awareness of thebenefits of good health throughout life. So, get started andhave fun!

Face File

     Young children love to cut and paste. They can learn abouttheir emotions at the same time.

What you’ll need

MagazinesPieces of cardboard or construction paperPaste or glueBox or folder

What to do

  1. Have your child find pictures in magazines to illustrate     different feelings.

  2. Have your child paste each face on cardboard or     construction paper.

  3. Together, decide what feeling is expressed by the face and     label the picture.

  4. Sort the faces by categories of feelings, such as sad,     funny, surprised, happy.

  5. Use a box or folder to file the pictures.

     By looking at the pictures, children can recognize howpeople feel by their facial expressions.

A Mirror of Me

     Help your child frame a mirror with items that representthe things your child likes.

What you’ll need

Small pocket mirrorLid of a shoeboxMagazines, photographs that that can be cut up, paint or an ink     pad for thumb prints, or other items that represent your     child’s interestsScissors if you wish to cut out picturesGlue that is strong enough to hold the mirror

What to do

  1. Help your child attach a small pocket mirror inside the     lid of a shoebox.

  2. Have your child decorate the inside of the lid with     objects that reflect special interests. Some of the     decorations might include

     a thumb print     photographs     pictures of favorite foods, sports, and hobbies.

  3. Have your child look into the mirror to see a wonderful     face and the things that make it smile!

  4. You might want to hang the framed mirror on the wall of     your child’s room.

     This activity recognizes the things that are important toyour child and helps your child realize that an identity isbased on one’s own interests.

Quilt of Many Feelings

     Traditionally, making quilts has been a way for people toexpress themselves through the use of color and pattern in apractical way. A quilt of faces can help your child understandhow emotions are conveyed through facial expressions.

What you’ll need

Colored paperMarkers or crayonsPaste or glueLarge piece of paper (poster paper, a large paper bag cut and     laid out flat, wrapping or computer paper)

What to do

  1. Using different colors (pastel colors work best), cut the     paper into 6″ x 6″ squares.

  2. Have your child draw faces representing feelings they have     had:

     happy         loved     sad           special     good          jealous     bad           lonely     pained

  3. Have your child label these emotions.

  4. Paste the squares together on a large piece of paper to     resemble a patchwork quilt.

     Drawing pictures is one way children have of expressingthemselves without feeling self-conscious or embarrassed.

My Folder

     A folder with your child’s name on it can help your childget organized while enhancing self-image.

What you’ll need

Dark crayon or markerLarge sheet of paper

What to do

  1. Have your child write his or her name or initials many     times on a large sheet of paper.

  2. Fold the paper in half to create a folder.

  3. Place pictures, work from school, or drawings that are     important to the child in the folder.

     Names are veyr important to children. Just think of howupset they get when they are called names. Talk with your childabout his or her name. Is there a favorite nickname? What doesthe name mean? Was your child named for someone? This is anopportunity for you and your child to talk together to build astrong self-image.

This Is the Way We Wash Our Hands

     Children have to be reminded to wash their hands. This isa way to turn the reminder into fun.

What you’ll need

Paper or cardboardSmall slice of soap or a sample soap barGlue

What to do

  1. Have your child trace around his or her hand on a piece of     paper or cardboard.

  2. Cut a small slice of soap from a large soap bar or use a     small or sample sized bar of soap.

  3. Glue the soap onto the paper hand.

  4. Hang the poster in the bathroom over the sink to remind     your child about hand washing.

     Washing your hands is one of the best ways to avoidspreading germs to prevent disease. It is especially importantwhen eating or handling food.

Smile If You Like Me

     Make a game out of introducing your child to new foods.

What you’ll need

PaperRound objectFelt tip penNew foods for your child to sample

What to do

  1. Cut paper into three 3″x 3″ squares.

  2. On each piece of paper, trace around the bottom of a round     object with a felt tip pen.

  3. Have your child draw three different kinds of faces in the     circles: a face with a smile, an unhappy face, and a face     with a straight line for a mouth to show “I don’t care”.

  4. Ask your child to try a new or different food. Emphasize     that not all the portion has to be eaten: simply try the     food and talk about likes and dislikes.

  5. Tell your child to give you one of the faces that reflects     the feeling about the new food.

  6. Post a chart to record new foods your child tries.

  7. Set a goal, such as trying one new food a week.

  8. Reward your child for trying the foods by writing “Good     job!” on the chart, putting stickers on the chart, or     celebrating by taking a trip to the local zoo or library     when the chart is complete.

     This activity gives your child a chance to enjoy and learnabout a variety of foods without the pressure of having to”clean your plate” at mealtime. One point to remember whendoing this activity is to try not to use food as a reward orbribe.

Follow the Recipe!

     One way to get children to eat healthful food, especiallyvegetables, is to involve them in the selection and preparationof a recipe.

What you’ll need

A simple recipePaper and pencil to write a listTrayUtensils and other equipment with which to cook

What to do

  1. Choose a simple recipe to prepare.

  2. Write a shopping list from the recipe. Check the     nutritional value of the ingredients by reading the     nutrition label aloud with your child.

  3. Take the children to the market. The supermarket is the     perfect place to introduce the older ones to label     reading. For children over age 6, see who can find the     products with the most sugars, fats, and salt. Explain     that the first ingredient listed is what the food has the     most of. Then, hunt for alternative, healthier foods.

  4. Allow children to feel the weight and texture of     vegetables. Handling hits and vegetables will help them     learn how to distinguish between ripe, unripe, or spoiled     produce.

  5. Have children help you put away groceries. Preschoolers     enjoy washing fruits and vegetables, and you can explain     the proper way to wash them to remove dirt and     insecticides. Have them store fresh vegetables in the     refrigerator, explaining this will help retain vitamins     and help the vegetables stay fresh longer. Have them store     root vegetables (potatoes and onions) in a cool, dry place     away from light.

  6. Place all the ingredients you will need for the recipe on     a tray to make cooking more efficient.

  7. Keep tasks simple and within the child’s abilities.     Toddlers can stir an egg, mix ingredients, spread jams or     peanut butter, or carry pots and pans. Older children love     to measure dry ingredients and enjoy the challenge of     pouring liquids without spilling.

     Pediatricians recommend that parents should get moreinvolved with their children. What better way than by making agame out of cooking, a necessary task but one in which everyonecan be involved. Having your children participate in foodselection can help you manage food choices for toddlers,preschoolers, and elementary school children.

Oven-Fried Potatoes

     NOTE: This activity requires parental supervision.

     Here is a healthful recipe that you might want to try.

What you’ll need

3 medium potatoes, peeled or unpeeled2 tablespoons low calorie margarine, melted1 1/2 tablespoons olive or vegetable oilPaprikaParmesan cheese, grated (optional)

What to do

  1. Cut potatoes lengthwise into strips about 4″ x 1/2″ x 1/4″

  2. Arrange in a single layer on a nonstick baking sheet.

  3. Pour margarine and oil over potatoes and toss to coat     well.

  4. Sprinkle with paprika (young children enjoy doing this).

  5. Bake at 450 degrees for 40 minutes.

  6. Put on serving platter; sprinkle with cheese if desired.

     Makes 6 servings

     Safety tips in the kitchen: Children should not be leftunsupervised when electrical appliances, flame, or heat areinvolved. Be extra careful with moving equipment, such asrotary blades of a mixer, food processor, blender, or handmixer. Knives, scissors, and the like are best for olderchildren. Remind children that handles of utensils on a stovetop should be turned inward. Stirring spoons (especially metalones) should have long handles and be kept away from the heat.Keep an eye on children near stoves, no matter what age andkeep small children away from heat of any kind.

Sticks & Stones Snack

     Here is a snack that your children will have fun makingand enjoy eating while getting needed nutrients.

What you’ll need

4 cups of cereal (Kix or some type of low sugar cereal)2 cups of pretzel sticks2 cups of raisinsMixing bowl

What to do

  1. Mix the cereal, pretzel sticks, and raisins in a mixing     bowl.

  2. Eat as a “between meal” snack. Makes about 8 cups.

     This recipe was adapted from Kid’s Recipe Magic, 1990,General Mills, Minneapolis, Minnesota, p. 15.

     The food guide pyramid shows that children need about 9servings a day from the bread and cereal group and 3 servingsof fruits. This snack can help meet these nutritionalrequirements.

Brushhhh!

     Playing and singing with children can help make toothbrushing an enjoyable experience.

What you’ll need

Toothbrush (child sized in a favorite color or with a favorite     cartoon character on it)Toothpaste (you might try toothpastes especially made for     children)Wash cloth for young childrenChildren’s dental floss.

What to do

  1. When it is time for your children to brush their teeth,     sing a silly song together about tooth brushing:

     This is the way we brush our teeth,     Brush our teeth,     Brush our teeth,     This is the way we brush our teeth,     So early in the morning!

  2. Make sound effects–”ZOOM, ZOOM, ZOOM …. or VROOM,     VROOM, VROOM” when you watch them brush.

  3. Have your children name their teeth and use their names:     “Now don’t forget Cutters, Doggies, and Chompers!”     (Children often find it interesting that dentists call     some teeth “canines.”)

     Before your baby even has teeth, clean the gums with a wetcloth after feeding. When teeth start to come in, brush with asoft toothbrush and water. At about age 3, teach your child tobrush as follows: start at the gum and gently massage under thegum, then work the toothbrush around the teeth in a gentle,circular motion. Floss teeth daily when all the baby teeth arein.

To Share or Not To Share?

     Telling the difference between personal items that shouldnot be shared and those things that are to be shared can be ahard distinction for children to make.

What you’ll need

Newspapers or magazinesLarge pieces of paperGlueRed pen or markerScissors

What to do

  1. Have your child collect pictures of a toothbrush, cup,     comb, hairbrush, and spoon or fork from newspapers or     magazines.

  2. Ask your child to paste the pictures on a large piece of     paper.

  3. With a red felt tip marker or pen, have your child put an     X or \ through each picture.

  4. Title the poster, “Things I Do Not Share”.

  5. Have your child collect pictures of objects that he or she     does share. These can be pictures of toys, pets, and     books.

  6. Use these pictures to make a poster with the title “Things     I Share”.

     Remind your children that disease is spread by the handsand through the mouth, so they shouldn’t share toothbrushes,cups, spoons, or forks. head lice are spread by combs andbrushes. Working with your child to make the posters will helpyou explain these points, while emphasizing that there are manythings we can share.

I Do It For Me

     How can I take care of myself? Here is an activity thatwill take advantage of your child’s growing independence whileemphasizing healthful responsibility.

What you’ll need

PaperMarker or crayon

What to do

  1. With your child, make a chart that lists healthful     responsibilities:

     I take a bath.     I wear clean clothes.     I brush my teeth at least twice each day.     I wash my hair.     I wash my hands before eating.     I wash my hands after going to the bathroom.     I use my own brush or comb and don’t let anyone else use       it.     I get plenty of sleep.

     The list can include other items that you and your child     think should be on the list.

  2. Make a box for each day of the week after each     responsibility.

  3. Have your child check off the things done each day.

  4. At the end of the week, write WOW over the     responsibilities or place a sticker over those completed     during the week.

     It is important that children learn to take responsibilityfor the care of their bodies. Having a chart helps them developself-reliance and helps to make life calmer for both of you.

Hold that Tiger!

     Children love animals and they love to imitate. Combinethese two interests to inspire exercise.

What you’ll need

Magazines or newspapersCardboard or paperPaste or glueScissorsAn open space in which to move

What to do

  1. Collect pictures of different animals.

  2. Paste each picture on a different piece of cardboard.

  3. Place the cards face down on a table and mix them up.

  4. Have your child select a card and turn the card over to     reveal the animal picture on the other side.

  5. Have your child imitate the movements of the animal on the     card. For example:

     rabbit     hop     horse      gallop     turtle     crawl     elephant   slow lumbering walk, clasp hands together and                swing arms side to side like a trunk.     frog       leap     tiger      fluid, smooth, sliding steps

     These movements will help your child develop bodyawareness, space awareness, and coordination.

Warm Up

     Use one or more of the following exercises to have yourchild warm up before doing more vigorous exercises.

     All exercises have been adapted from Get Fit!, publishedby the President’s Council on Physical Fitness and Sports, 701Pennsylvania Avenue, NW, Suite 250, Washington, DC 20004.

What to do

  1. Arm Circles. Stand tall with knees slightly bent. Rise on     your toes and slowly circle your arms inward and upward,     until arms are straight over head. Inhale deeply. Continue     circling your arms backward and downwards while lowering     your heels and exhaling. Do this exercise slowly and     smoothly. Repeat 5 times.

  2. Swinging March. Stand up straight with feet shoulder-width     apart, hands at your sides. Alternate right and left arms     in forward circle motions. At the same time, lift your     opposite knee so that when the right arm is circling     forward the left knee is raised and vice versa. Do 10     complete circles with each arm and then switch arms to     swing backward. Repeat 10 full circles with each arm.

  3. Pendulum Push. Stand straight with arms at your side. Step     to right, bending your right knee. Raise arms overhead and     push toward the ceiling. At the same time, rise on your     right toes and lift your left leg off the ground, keeping     all the weight on the right foot. Put your left leg back     on the ground, bending both knees and placing hands on     shoulders. Repeat to the left side. Repeat 10 times on     each side.

  4. Jumping Jacks. Stand straight with feet together. Jump up     and land with your feet shoulder-width apart as you swing     arms to shoulder height. Jump back to starting position     while clapping your hands over your head. Jump up and land     with feet apart while bringing your arms back to shoulder     height. Jump back to starting position while lowering arms     to your sides. Repeat this 4-part jumping jack 10-20 times     at a slow, controlled pace.

     Children should warm up their bodies for about fiveminutes to get muscles and joints ready for action and toprevent injury. They will be warmed up when they start to sweatand breathe heavier.

Stretch

     Muscles should be stretched after they’ve been warmed up.

What to do

  1. Back Scratch Stretch. Have your child stand or sit to do     this exercise. Raise the right hand in the air with the     palm facing to the back. Bend the elbow and place the palm     of the hand on the back between the shoulders. Bring the     left hand behind the back to try to touch the right hand.     Hold 10-30 seconds. Repeat two times on each side. Do not     force the stretch.

  2. Knee High Stretch. While standing, lift left knee toward     chest. Place left hand under knee and pull leg up to     stretch the back of leg and lower back. Keep the standing     leg slightly bent. Hold for 10-30 seconds. Repeat twice on     each side.

  3. Thigh Stretch. Keeping body upright, grasp left foot     behind you with left hand. Slowly pull leg back so that     the knee moves away from your body until you feel a     stretch in the front of your leg. Hold 10-30 seconds.     Repeat twice with each leg.

  4. Calf Stretch. With hands against a wall, put right     leg behind you. Keep right heel on the floor and very     slightly bend the right knee. Lean forward until you feel     a pull in your calf and behind your ankle. Hold 10-30     seconds. Repeat twice with each leg.

     Stretching helps prevent muscles and joints from gettinginjured. Stretching makes the body more flexible so your childwill be able to move easily. Stretching also helps your childrelax.

Run For It!

     After you’ve warmed up and stretched, you’re ready to run.

What to do

  1. Beginner. Jog 2 minutes/walk 1 minute for a total of 15     minutes. Repeat. Do this at least three times a week.

  2. Intermediate. Jog 4 minutes/walk 1 minute. Do this for     about 15-20 minutes at least three times a week. After     about two weeks, reduce the amount of walking to 30     seconds. Gradually build up to about 30 minutes using this     pattern.

  3. Advanced. Continuously jog for 20 minutes. If you like     jogging, you can run for longer periods time.

     Aerobic activities strengthen your child’s heart and lungsby requiring lots of oxygen and making the heart beat faster.Walking, swimming, running, and dancing are examples of aerobicexercises.

Keep Going!

     These exercises will help your child build muscle strengthand endurance.

What to do

  1. Push Ups. Get down on your hands and knees and position     yourself so that your back is straight, head in line with     your spine. Hands should be placed slightly outside your     shoulders, fingers pointed forward, feet on the ground.     Slowly lower your body until your chest touches the floor.     Return to starting position. Once you can do 20-25 push     ups with your knees bent, advance to the straight-leg     position on your hands and toes. Try to do 10 straight-leg     push ups at a time.

  2. Curl Ups. Lie on your back with knees bent and feet flat     on the floor. Place your arms across your chest, hands on     opposite shoulders. Slowly curl your head, shoulders, and     upper back off the floor, bringing elbows to thighs.     Breathe out as you curl up and return to starting position     while breathing in. Repeat 10 times. You might find it     helpful to have someone hold your feet to the ground.

     Curl Ups build strong stomach muscles, and Push Ups buildstrong arm muscles.

Cool Down

     After doing aerobic or muscle exercises, your child isready to cool down.

              What to do

  1. Have your child walk around for a few minutes to make sure     breathing is back to normal and that the heart is NOT     beating fast.

  2. Your child should feel slightly relaxed when it is time to     do stretches.

  3. Doing the stretching exercises given on previous pages or     others, have your child stretch all major joints and     muscle groups, especially those used in the workout.

  4. Have your child work on flexibility, since it’s easier to     stretch warm muscles.

     Children should cool down after vigorous exercise to gettheir breathing back to normal. Cooling down also keeps musclesfrom becoming sore and stiff.

More Ideas

     Here are some more ideas that will help your child grow uphealthy.

Safety First

     Be aware of ways to prevent accidents and be able toidentify how accidents are caused. Teach your children to pickup toys off the floor and stairs. When cooking, try to use theback burners, making sure that pot handles and spoons areturned toward the back of the stove. Use safety latches oncabinets that contain cleaning fluids or knives and otherdangerous utensils. Cover electrical outlets with plasticdevices made for this purpose. And always be sure to keep aneye out for your children!

     Identify safety rules and practices to prevent accidentsat home, at school, and during recreational activities. Lookfor playground and swimming pool rules that give safetyprecautions, and explain them to your children. Make sure yourchild wears safety equipment for specific activities: a helmetwhen riding a bike and knee and elbow pads when roller skating,roller blading, or skate boarding. Have your child practicehand signals while bike riding. For the car, make a “BuckleYour Seat Belt” sign and place it where children can see it.

     Be aware of peer pressure. Observe your children in socialsituations, and listen closely when they talk with you aboutthings that happen at school or on the playground. Get to knowthe parents of your children’s friends and try to attend asmany functions in which your child is involved as you can.

     Teach your children how to protect themselves. Have thempractice saying “No.” Tell them not to talk to strangers, toalways walk with a friend, and to avoid isolated areas such aswoods or vacant lots. If your child is followed by a car, he orshe should run away to a friend or neighbor’s house. Teach yourchildren to be alert and to scream if someone grabs them. Keepthe lines of communication open, so that your children willtell you if someone touches them in a way that makes them feeluncomfortable. Work with your school and neighborhood to havethe police brief your children about safety precautions andstart a “safe home” program where neighbors display a sign inthe window to show children that if they are in danger they cango to that house.

Response to Emergencies

     Recognize and lean appropriate responses to emergencysituations, such as fires, lightning, tornadoes, andearthquakes. Teach your children the proper uses of fire andfire safety. Plan a home fire escape with your children andpractice it often. Also, show children what to do if theirclothes catch fire (STOP where you are, DROP to the ground, andROLL to put out the flames). Make sure your children know howto dial the emergency number 911. Post it and other emergencynumbers near the telephone where they will be easily seen. Inthe event of a tornado, teach. your children that the safestplace to go is the basement or interior room or hallway on thebottom floor of the house. In an earthquake, teach children toget under a desk or table, and stay away from windows If yourchildren are outside during a storm and there is lightning,teach them not to stand under or near a tree. Trees tend toattract lightning, because they are so tall

First Aid

     The best rule of thumb is, “When in doubt, call thedoctor.” Know the symptoms that require a doctor’s care:intense pain, high fever, excessive bleeding, unconsciousness,difficulty breathing. Emphasize to your children that the bestway to care for a minor cut or scrape is to wash it with soapand water and cover with a bandage if the cut is bleeding orwill be exposed to dirt. If possible, take a first aid coursefrom the American Red Cross, your local YM/YWCA, rescue squad,or other organization to learn the procedures inlife-threatening situations, such as choking or poisoning. Somedoctors have free pamphlets or video tapes on first aid andwhat to do in case of emergency.

And They Licked the Platter Clean

   * If your child won’t try vegetables, mix finely grated raw     carrots with peanut butter and use as a spread for     crackers, bread, apple slices, or bananas.

   * Puree an egg or egg substitute with cooked or defrosted     frozen vegetables and grated cheese. Cook the mixture the     same as you would scramble eggs.

   * Serve vegetables as a first course on a colorful,     child-oriented plate and then serve the meat or fish as     the second course to be eaten after the vegetables are     finished.

   * Make edible art. Use the plate as the background and have     each child add applesauce for clouds, shredded lettuce for     grass, celery sticks for a stem, carrot rounds for     flowers, orange slices for leaves, raisins for rocks, and     any other edible ingredients for natural scenes.

   * Most toddlers need to eat more often than older children.     Give them favorite, high energy foods and quick and     convenient snacks such as slices of fruit and raw     vegetables, whole grain breads, crackers, and cereals, or     chunks of cheese.

   * Encourage your children to enjoy and learn about a variety     of foods. All foods can fit into a healthy diet over time.

   * Introduce new foods to preschoolers. They are more willing     to try them and will enjoy practicing their skills with     fork and spoon.

Growing Up Drug Free

     From the time your child is born, there are things you cando to help your child grow up drug, alcohol, and tobacco free.Here are some guidelines.

   * Take precautions with medicines and harmful household     products.

   * Respect your child’s feelings.

   * Use effective communication skills; avoid statements that     blame, sarcastic remarks, or put downs.

   * Be certain that rules for behavior are fair and     consistent.

   * Set aside time to be with your child.

   * Guide your child’s activities. Know where your child is at     all times and get to know your child’s friends.

   * Set the example for your child.

   * Have drug, alcohol, and tobacco free parties and     activities in your home.

   * Learn about the school’s drug policy.

   * Ask for help if you need it.

     For more information, you might want to contact

National Clearinghouse for Alcohol and Drug Abuse Information6000 Executive Boulevard, Suite 402Rockville, Maryland 20852

(301) 468-2600/(800) 729-6686 (alcohol/drug information)(800) 662-HELP (toll-free; drug abuse treatment information andreferrals).

Parents and the Schools

     The school can be a vital link to your child’s well-being.So much of your child’s life is spent in school, it isimportant that you be aware of all the people and situationsinvolved. Besides the school nurse (who may not be at theschool full time), there are many resources you can call on.

     Teachers are aware of the whole child and things thatmight be getting in the way of your child’s learning. Schoolcounselors can advise on your child’s social and emotionalwell-being. Many school counselors concentrate on helpingchildren build self-esteem, and some work with groups ofchildren with similar problems, such as coping with a divorceor death in the family.

     Physical education classes provide an opportunity forexercise, and they foster teamwork. The school cafeteria is asource of well-balanced lunches (and breakfasts in some schooldistricts), many of which are government-subsidized for lowincome students. The principal and teacher can advise onspecial services provided by the school district for childrenwith handicaps and special learning needs.

     The most important thing you can do is stay in contactwith the school, especially your child’s teacher. Listencarefully to the teacher, because the teacher will often spotproblems or warning signs of serious trouble before you mightnotice them.

     It is also important for you to tell the teacher if yourchild has a serious health problem or is experiencing anemotional crisis at home. It is imperative for the school toknow if your child is on medication and what it is, who shouldbe contacted in case of an emergency, and what to look for inyour child’s behavior that might be a warning sign of the onsetof a medical emergency.

     Your child’s welfare is a partnership between the parentand the school. If a serious medical condition exists, privateor community health services should be consulted.

What can you expect of the school?

     The following information has been adapted from ManagingAsthma: A Guide for Schools, published by the U.S. Departmentof Health and Human Services and the U.S. Department ofEducation.

     The principal should:

   * give parents a clear policy on taking medication during     school hours.

   * provide opportunities for staff to learn about medical     emergencies.

   * establish a resource file on health issues for teachers     and staff to read.

   * schedule building repairs, cleaning, or painting when     students are out of the building during vacations or the     summer.

     The school nurse should:

   * maintain health records on all students with chronic     diseases.

   * alert staff members about students with serious health     conditions.

   * inform parents if they suspect a serious health problem.

   * administer medication according to school policy.

   * Work with the parent/teacher organization to provide     educational programs on medical conditions that affect a     large number of students.

     The teacher should:

   * know the early waning signs of a medical emergency.

   * develop a clear procedure for handling schoolwork missed     due to illness.

   * understand the side effects of medication, for example,     drowsiness, anxiety, withdrawal.

   * educate classmates about special medical conditions of     students in the class, while respecting confidentiality.

   * reduce health hazards in the classroom.

   * encourage students with health problems to participate in     classroom activities as much as possible.

   * allow a student to do quiet activities if a medical     condition prevents full participation.

     These are just some of the actions that school personnelcan take to make the school a safer and friendlier place foryour child. Remember that when children are well andcomfortable, they learn more.

Bibliography

     The following list of books includes just a few of manyexcellent publications for parents and their children. No oneknows your child as well as you do. When you select a book,always read through it to make certain the material presentedwill benefit your child.

Aliki. Feelings. Mulberry. Picture book with illustrationsshowing different emotions. Ages 3-6.

Berger, Melvin. Germs Make Me Sick! illustrated by MarylinHafner. Thomas Y. Crowell. An easy-to-read book introduces theyoung reader to diseases…what they look like, how you catchthem and how the body’s resources fight them. Ages 6-8.

Brown, Fern G. Hereditary Diseases. Franklin Watts. Explainshow disease traits are transmitted through the chromosomescystic fibrosis, sickle-cell anemia, Tay-Sachs disease, anddiabetes. Ages 10-12 years.

Bums, Sheila L. Allergies and You. Julian Messner. Direct,clearly presented text and illustrations on the symptoms,causes, and preventative measures for persons afflicted withvarious allergies. Glossary and bibliography included. Ages9-12 years.

Colan, Edward. Drugs in Sports. Franklin Watts. The hazardouseffects of steroids, amphetamines, blood boosting, cocaine,marijuana, and crack as used by athletes for a competitiveedge. Age 11 and older.

Condon, Judith. The Pressure to Take Drugs. Franklin Watts.Explanation of why people are pressured by peers to take drugs.Advice on how to resist this pressure is presented. Ages 11-12years.

DeSantis, Kenny. A Doctor’s Tools. Dodd, Mead. For the youngestreader, an introduction to the vast variety of instrumentsphysicians use in their practice of medicine. Ages 5-8 years.

Eagles, Douglas A. Nutritional Disease. Franklin Watts. Theimportant role of enzymes and hormones and the havoc caused bychemical imbalances. Ages 10-12 years.

Elgin, Kathleen. The Fall Down, Break a Bone, Skin Your KneeBook. Walker Pub. A clear, simplified introduction to thephysical reactions that take place when the body confrontsinjury and infection. A section on first aid is included. Ages8-10 years.

Englebardt, Stanley. Kids and Alcohol: The Deadliest Drug.Lothrop, Lee & Shepard. Alcohol what it is, how it affects thebody, why some people become alcoholics…how to recognize,treat, and prevent alcoholism. Age 11 and older.

Epstein, Sherrie S. The Story of Penicillin: Penny, theMedicine Maker. Lerner Pub. In story format, a simpleintroduction to the history of the discovery of penicillin byDr. Alexander Fleming. Ages 7-10 years.

Gelman, Rita Golden & Susan Kovacs Buxbaum. Ouch! All AboutCuts and Other Hurts. Harcout Brace Jovanovich. Alphabeticallyarranged, the most common minor injuries that can befall achild are presented with humor and understanding. Ages 7-9years.

Get Ready Coloring Book A coloring activity book to helpeducate children on disaster readiness. Federal EmergencyManagement Agency. FEMA-197

Gretz, Suzanna. Teddy Bears Cure a Cold. William, the teddybear, catches a cold, and his friends take care of him. Ages4-6.

Hammond, Winifred. The Riddle of Teeth. Coward, McCann &Geoghegan. An introduction to the study of teeth…what theyare made of, how they grow, and how to keep teeth strong andhealthy. Ages 8-10 years.

Hautzig, Deborah. A Visit to the Sesame Street Hospital. Aguidebook that prepares Sesame Street characters for Grover’stonsillectomy. Ages 36.

Howe, James. The Hospital Book. Crown. Straightforward,detailed account of hospital procedures illustrated with blackand white photographs. Ages 12 and older.

Krensky, Stephen and Marc Brown. Dinosaurs, Beware! Illustratedby Marc Brown. Joy Street/Little Brown. A guide to householdsafety with pictures of examples of things to avoid. Ages 7-9.

Linn, Margot. A Trip to the Doctor. HarperCollins. Book isorganized in two-page spreads, with questions about thedoctors’s office and three possible answers. Ages 4-6.

Madison, Arnold. Drugs and You. Julian Messner. For the youngchild, this factual, nonthreatening book presents awell-balanced and in-depth approach to information on drugs anddrug abuse…how people use drugs; the affect different drugshave on mind and body; withdrawal and treatment. Ages 9-11years.

MacLachlan, Patricia. Through Grampa’s Eyes. HarperCollins. Ayoung boy learns to understand his grandfather’s blindness.Ages 7-9.

Nourse, Alan E. Viruses. Franklin Watts. Clearly written andwell illustrated. Introduction to the discovery of viruses andthe development of vaccines. Ages 8-12 years.

Rabe, Bernice. The Balancing Girl. Dutton. Illustrated byLillian Hoban. Story of a girl who is confined to a wheelchairand can balance things remarkably. Ages 7-9.

Raskin, Ellen. Spectacles. Aladdin. Story about a girl whoneeds glasses. Ages 4-6.

Rockwell, Harlow. The Emergency Room. Macmillian. A picturebook about the emergency room for very young children. Otherbooks by the author include My Doctor and My Dentist.

Patent, Dorothy Hinshaw. Germs. Holiday House. Brief account ofthe story of germs that cause measles, flu, tuberculosis, andother diseases. Ages 7-12 years.

The Sesame Street Fire Safety Book. The Sesame Streetcharacters help teach preschoolers and young children aboutfire safety and prevention. Federal Emergency ManagementAgency. FA-73

Zim, Herbert S. Your Stomach and Digestive Tract. WilliamMorrow. Detailed illustrations and clear, concise text describethe functions of the four organs of digestion. Ages 8-10 years.

Consumer Information Catalog. A free catalog that lists manyU.S. government publications in print and how to obtain copies.Consumer Information Center, P.O. Box 100, Pueblo, Colorado81002.

General Health: Pantell, Robert H., James F. Fries, and DonaldM. Vickery. Taking Care of Your Child. Addison-Wesley. Aparent’s guide to medical care.

Nutrition: Nutrition and Your Health: Dietary Guidelines forAmericans. Tips on how to eat right. U.S. Department ofAgriculture, Human Nutrition Information Service, 6505 BelcrestRoad, Hyattsville, MD 20782.

The Food Guide Pyramid. A guide that shows how to eat right andlead a healthy lifestyle. U.S. Department of Agriculture.

Safety: Fire Strikes Back. A packet of resources includingfamily plans that educate children on the dangers of playingwith fire. U.S. Fire Administration, Office of Fire Preventionand Arson Control.

Your Family Disaster Supplies Kit. Instructions on how toprepare and use a disaster relief kit. Federal EmergencyManagement Agency. P.O. Box 70274, Washington, DC 20024.FEMA-189

Drug Prevention: Growing Up Drug Free: A Parent’s Guide toPrevention. A booklet that provides tips for parents on how toteach children about drugs and what parents can do in the fightagainst drugs. U.S. Department of Education. For free copy calltoll-free 1-800-624-0100 (in DC area 202-732-3627).

Acknowledgments

     This book was made possible with help from Tim Burr, whoprovided information from other government agencies; BerniceBarth, who compiled the bibliography; and Tim McCarty, whocontributed to the bibliography. Francie Alexander, Liz Barnes,Elaine Palazzo, Theodor Rebarber, and Rikki Smoot, and RoseTobelmann provided suggestions and guidance to the project.Phil Carr and Donna DiToto designed the book.

     Many of the activities are taken from ideas firstpresented in Imagine That, written by Joyce King and CarolKatzman.

What We Can DoTo Help Our Children Learn:

Listen to them and pay attention to their problems.

Read with them.

Tell family stories.

Limit their television watching.

Have books and other reading materials in the house.

Look up words in the dictionary with them.

Encourage them to use an encyclopedia.

Share favorite poems and songs with them.

Take them to the library-get them their own library

Take them to museums and historical sites, when possible.

Discuss the daily news with them.

Go exploring with them and lean about plants, animals, andlocal geography.

Find a quiet place for them to study.

Review their homework.

Meet with their teachers.

Do you have other ideas?

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