Showing posts with label wellness. Show all posts
Showing posts with label wellness. Show all posts

Sunday, August 2, 2015

Screen Time

Screen Time

The American Academy of Pediatrics (AAP) calculates that today’s average child consumes about 7 hours of screen time.  Screen time is any activities done in front of a screen, including watching TV, playing video games and time on computers, smart phones and tablets.  Most screen time is sedentary, meaning you are physically inactive and sitting down during the activity.  Even really young children are being introduced to more screen time.  A recent study by Common Sense Media found that 38% of toddlers and infants under the age of 2 have used a mobile device, as compared to 10% in 2011.

The AAP continues to suggest limiting screen time to no more than two hours per day for children over the age of 2 and no screen time at all for children under the age of 2.  These guidelines are most likely based on research showing the benefits of active play for young children.  There is research showing children benefit from outdoor play, the use of manipulatives, and interactions with other people.  However, as technology quickly offers more interactive media, research has not yet had time to study the effects these applications may have on the developing brain.
The Problems

Many shows and applications claim to have educational benefits for your children, and some of these claims may be true, but too much screen time can also have negative effects.  Excess screen time is linked with:
·         Inconsistent or poor sleep - This risk is increased with the use of screens in a child’s bedroom.  The light from the screen can confuse our bodies into staying awake.
·         Obesity - Since most screen time is inactive, the more time a child spends in front of a screen the less they are moving.  Children are also especially susceptible to commercials, so commercials for junk food and sugary drinks can cause them to desire less healthy foods.
·         Problems with attention and behavior - Children may be confused by things they see on television and copy inappropriate behaviors.  The inactivity may also be linked with hyperactivity and attention problems. 
·         Depression - The increased risk of poor sleep and obesity can increase the chances a child suffers from depression.
·         Difficulties recognizing emotions in others - UCLA researchers studied 6th graders from a public school in Southern California.  Researchers found that students who spent 5 days without access to electronic devices were better at reading facial emotions and nonverbal cues than those that continued to use their devices.

Most governments recommend limiting screen time for children and not allowing screen time for children under 2 or 3.  Some governments have even made excess screen time illegal. 

Additionally, parents sometimes have assumptions about media use that could cause them to use screen time poorly.  Studies have shown that content claiming to be educational does not always have the intended effect.  Some children may be able to repeat words heard from a DVD but others will have no benefit from this screen time.  Another study focusing on Clifford the Big Red Dog asked kindergarteners to watch an episode intending to teach that friendship can overcome physical differences as Clifford befriends a dog with three legs.  Since the majority of the episode dealt with the dog’s physical differences, children seemed to be too engrossed with the differences to catch the intended lesson.

Background television, especially if it is adult themed, also is a problem even if your child doesn’t appear to be paying attention to it.  Children tended to perform poorly on cognitive tests with exposure to adult-oriented television.  One theory assumes the child’s mind is busy trying to figure out what is going on in the show, but they do not have the background knowledge to process this.  A study by Garrison and Christakis reported in the 2012 issue of Pediatrics also suggests that a reduction in exposure to violent or adult-oriented television shows produced better sleep in children.

The Benefits
For years, the AAP has recommended reducing screen time for children under the age of 2 and removing all screen time for children under the age of 2.  However, as many parents who have had a screaming child in a waiting room or on a flight or have needed a few moments to do something else like prepare a meal, take a shower, or help a sibling, sometimes screens provide those few moments of distraction to calm a child.  Do we suffer through the tears or face guilt over the damage this screen time could be causing our child?  Isn’t there some benefit or way to create a positive media experience for our child?
·         Web cam interactions – When family members are far away, technology can keep families and friends connected across the distance.  Although these experiences may not be the same as playing and interacting up close, studies like the one in Child Development in 2013 have shown that these video interactions can help children form or keep bonds and even increase vocabulary.
·         Cuddle time and dialogue opportunity – Recommendations from the AAP and others don’t always take into account the fact that screen time doesn’t have to mean the screen is baby-sitting your child.  You can take the opportunity to cuddle with your child and talk about what your child is doing or watching.  For those that don’t always know what to talk about with their young child, this could be the key to start a conversation.
·         Early lessons in media consumption – We have to recognize that television, computers and smart phones or tablets aren’t going away.  We can use screen time to help our children develop positive habits in media consumption.
·         Age-appropriate interactive screen time – Studies exist which show very young children can benefit from certain age-appropriate media, especially when parents and children interact during screen time.  Researchers have found that when children under the age of 2 watched educational television, it did not negatively affect their attention span; although the presentation of the material does make a difference in what the children actually learn.  Each child is different, so media that works for one child might not work for others though, but when parents are involved, the lessons do have a tendency to last.

The National Association for the Education of Young Children and the Fred Rogers Center agree with the AAP that children under 2 should not have any passive screen time.  They added the word passive to indicate that they believe interactive screen time could be alright if they are used to strengthen adult-child relationships.

Practical Ways to Limit Screen Time and Use Screens Wisely
·         Replace screen time with other fun activities like arts, books, puzzles, outdoor play, or games.
·         Create screen free zones or times in the home.  Meal time, bathrooms (to help keep electronics from suffering water damage) and bedrooms are great screen-free zones. 
·         Have a screen-free game night.
·         Don’t use the television as background noise.  If you need noise, use music.  Research shows that children playing with background television spend more time hopping from toy to toy.  Parents also seemed to interact with children less.
·         Lead by example.  If you use your phone at the table, so will your child.  Limit your time in front of the television as well, so your child won’t want to mirror those activities.
·         Plan ahead about which programs you want to watch.  If you can, DVR them and watch them commercial free to avoid the effects commercials might have on your child.
·         Try a screen free challenge.  Go for a week with no screen time and see what kind of new fun you find.
·         Experience boredom.  When we constantly turn to our screens for entertainment, we lose precious daydreaming time, which is important for our creativity and imagination.  After a few moments, you may create something really fun like an obstacle course or find fun in an imaginary tea party.
·         When your children are using screens, pay attention to how they behave during and after use.  If their screen use is balanced with active, screen-free time and they are using age-appropriate media, then their behavior ought to remain positive.  If they start acting out, or you notice a change in their personality, you might want to re-evaluate the media they are using and the amount of time they spend with their screens.
·         Explain the rules you are creating and involve your children in the decisions about screen time.
·         Talk to your children while they are using media.  Not only will you know exactly what they are watching, but you can reinforce the lessons you want them to walk away with and explain anything that could confuse them.  Let them tell you about what they are doing.  If they are playing a game, maybe they can teach you how to play too.  They may not always be interested in talking, but just spending time together can be good.

Bibliography

Brain Rules for Baby by John Medina

Monday, June 8, 2015

Exercise While Pregnant

Although exercise is generally thought to be beneficial for pregnant women, there are complications which may prevent certain women from exercising.  A doctor’s approval is always advisable. 

The changes to the body mean that while exercise in general is good, there are precautions.  Aerobic exercise is great, but make sure you can still speak while exercising to ensure enough oxygen makes it to your little one.  Avoid contact sports, of course, and activities like biking, which can be difficult as your center of balance shifts.  Yoga is another great exercise, but make sure you are doing prenatal yoga, as certain poses and twists are ill-advised after the first trimester.  And don’t try to break any personal records, but if you were running before you should be fine to run again.

The Research for Moms
Doctors used to advise against exercise during pregnancy.  However, research has shown that there are many mental and physical health advantages to exercising during pregnancy.

Exercise helps release endorphins, which help keep you in a better in a better mood.  Exercises like water workouts, yoga and pelvic tilts can help lessen back pain and reduce swelling and leg cramps.  Less pain also means better mood.  Pregnant women who exercise tend to put on less excess weight than those who do not, which helps provide a better body image during pregnancy, and a sense of security that it will be easier to lose the weight once the baby is here.  Exercising can help give you a sense of control over at least that one aspect of your pregnancy as well.  Exercise also will help keep you in a better mood by keeping you more energized and well-rested.  Increased oxygen from aerobics helps keep energy up, and the workout can help tire you enough to sleep better.  After pregnancy, the mood lifting benefits may still exist, as moms who exercised are more likely to be social, enjoy hobbies, and cope well with the demands of motherhood.

On the physical health side, exercise helps reduce the risk of gestational diabetes by as much as 27% and can prevent the need for medication if you do develop gestational diabetes.  Gestational diabetes can cause premature birth and also is linked with overweight babies.  Exercise lowers the risk of preeclampsia, which is the number one cause of premature birth.  Progesterone, one of the pregnancy hormones, can cause constipation but the increased blood flow from exercise can help keep you regular, especially partnered with a high fiber diet.  Moderate exercise can help prevent colds, which can seem worse during pregnancy since so many medications are not available to you.  The physical benefits also continue after pregnancy, as women who exercised during pregnancy tended still show benefits such as lower cholesterol and resting heart rates later in life.

Both the physical and mental preparation from exercise can help when the big day finally arrives.  Studies show that regular attendees of prenatal water aerobics were 58% less likely to ask for pain medication while in labor.  Also regular exercisers were 75% less likely to require the use of forceps, 55% less likely to have an episiotomy (a cut to the perineum to enlarge the birthing canal), and were up to 4 times less likely to have a C-section.  Active labor also tended to be shorter by about 2 hours for regular exercisers.  These benefits are linked to a stronger cardiovascular system and core muscles from aerobic exercise and the better ability to stay calm and relax during discomfort achieved through yoga.

The Research for Babies
Exercise may not just benefit the mom-to-be.  Many recent studies have been conducted to help create a better picture of how exercise can benefit the baby.

Obesity is a large problem in many parts of the world, even in young children.  Regular exercise can decrease the chance of a baby being born overweight.  This excess fat can linger, increasing the likelihood of the child becoming an overweight kindergartener.  If the mother of the overweight newborn had gestational diabetes, this increases the child’s risk of having gestational diabetes.  A healthy birth weight can also help newborns overcome the stresses of childbirth faster.

Exercise can also affect the newborn’s heart.  A 2010 study shows regular exercise during gestation can lower the heart rate of the fetus; this effect is shown to persist for at least a month after the baby is born.  A low heart rate is evidence that the infant’s heart is healthy.  An additional study has shown that exercise while pregnant can alter the vascular smooth muscles of the fetal heart, creating arteries that are more resilient and efficient.  This increased efficiency appears to last into the childhood years, evidenced through higher cardio fitness levels.  This also has the potential to reduce susceptibility to cardiovascular disease.

Most recently, studies have been showing that women who exercise while pregnant can stimulate brain development.  Studies from the University of Montreal showed that as little as 20 minutes of exercise three times per week while pregnant can improve a newborn’s brain activity.  Babies in this study had more fully developed brains at 8-12 days old.  They were better able to process repeated sounds than their counterparts whose mothers had not exercised.  Other studies show that kids whose mother worked out during pregnancy have better memories, and higher scores on intelligence and language tests.

Personal Perspective
Personally I chose to work out while pregnant for two reasons.  The first being the benefits to the baby.  If my exercising can help my child be more intelligent and healthier, I am perfectly willing to put in the effort to exercise.  Secondly, I broke my hip in two places in a car accident in college and was concerned about childbirth.  I hoped by strengthening my muscles, I would be better prepared.  My workout routine included yoga, walking, Gaiam’s Pregnancy Fit Plan and the What to Expect When You’re Expecting workout dvd.

I did experience many of the benefits.  Although I did experience some pregnancy fatigue, it was not nearly as bad on days I exercised.  Constipation was never a problem.  My mood remained mostly positive throughout the experience, even with the added challenge of moving across country in the middle of my pregnancy.  However, I cannot claim that exercise helped with labor at all.  My injured hip caused severe pain and my stubborn little one didn’t want to turn her head the right way so I still needed epidurals and forceps.


Gaiam’s Pregnancy Fit Plan