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Books and Young Children – 5 Reasons You Should Read Aloud to Your Kids

Originally posted on my US News & World Report parenting blog (Aug 17)

WHAT IF I WERE TO START this blog post with the phrase, “In a great green room…,” ask you what the brown bear sees, or simply inquire as to what very hungry caterpillars eat? I’m willing to bet that most of you, as parents (not to mention grandparents, child care providers and early educators), would be able to finish the sentence and answer the questions without pause.

I imagine that for many of you, these ever-so-simple references would likely also conjure up the colorful images and happy memories that tend to go hand in hand with reading such beloved children’s books as Margaret Wise Brown’s, “Goodnight Moon;” or “Brown Bear, Brown Bear” written by Bill Martin, Jr. and illustrated by Eric Carle; and “The Very Hungry Caterpillar,” written and illustrated by Carle. Yet all too often, I find that discussions about early literacy move away from what we all know and love about the experience of reading aloud with young children, and towards the more literal, academic advantages. That includes getting kids familiar with “sight words” – or commonly used words kids are encouraged to memorize, or know on sight; teaching them the sounds of letters; and all of the various other nuts and bolts of learning to read.

That’s not to say efforts focused on promoting early literacy and helping young children make the necessary connections between sounds, letters and words are without benefit. After all, learning to read affords children the ability to spend the rest of their lives reading to learn. There is no question that reading aloud with young children can facilitate their learning their ABCs and help set them up for reading and life success.

Read more….

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Family-Friendly New Year’s Resolutions for Parents

Now that the buildup to 2013 has come and gone and everyone has had ample opportunity to contemplate and commit to New Year’s resolutions, I thought it would be a useful time to look past the hype and consider what really makes for family-friendly and longer-lasting resolutions.

Let me first say that I’m a big believer in the benefits of goal setting, and I do really well with defined start dates – even those that I fully realize are arbitrarily defined. In fact, the thought of starting a New Year’s resolution a day past the first of the year, or failing to follow through for at least six months leaves me feeling unsettled.

My family, however, doesn’t exactly share my attitude. Ask my husband and he’ll tell you that New Year’s resolutions are silly. Not that he doesn’t share my belief in setting goals and sticking to them, but he questions what makes identifying life-enhancing goals and then committing to them on January 1st any different than doing so on June 1st (or any other day of the year, for that matter)?

And if I were to have waited for resolution revelations from my 3 children (one pre-teen and two teenagers), I would have been offered up some vague and non-committal pledges at best – somewhere along the lines of “I think I may try to start running some time this year…if I feel like it.” Given that it’s not uncommon for children to be similarly resolution challenged when left to their own devices, I’ve concluded that it’s not only worthwhile for parents to assist children with choosing resolutions, but to help them pick ones that are both positive and realistic. Better yet, it helps to pick resolutions you can both support and share in as a family.

So just what approach should parents take? It’s interesting to start by considering the most popular adult New Year’s resolutions. No matter what top ten list you look at, it’s likely to include such goals as eating healthier, getting fit, losing weight, getting a better education or job, helping others, and getting organized. Given that these are all things we repeatedly aspire to, it seems to me the best thing we can do for our kids is to join them in setting goals that will help them (and us) lead happier, healthier, smarter and more organized lives right from the start.

Healthier. Having your child commit to such basic things as daily tooth-brushing and regular hand-washing may seem somewhat insignificant in the grand scheme of New Years resolution-making, but they’re really not. In fact, along with making sure your child is up-to-date on immunizations, eats healthy and stays active, hand washing and tooth brushing rank right near the top of ways to stay healthy. As for eating healthier, my own family’s resolution is to eat out less and cook more meals at home using an online menu planner that comes complete with weekly shopping lists and healthy recipes. (www.thefresh20.com)

Happier. When it comes to resolving to be happier, I have two overarching suggestions. The first is to focus on spending more quality time as a family, whether it’s in the form of after-dinner walks, road trips and family vacations together, bedtime books or a weekly game night. The other is helping others – a commitment that has also been clearly shown to make people – children and adults alike – happier. Remember that when it comes to helping others, it can be as simple as teaching young children to use their manners and share their toys or shoveling a neighbors driveway, to volunteering at or contributing to a local non-profit or helping those in need around the world. One of my family’s favorites is a non-profit micro-lending site, kiva.org, where families can read about and help contribute to worthy causes such as supporting education in India, or helping to buy a bull for a farmer in S. America.

Wiser. While there are countless age-appropriate resolutions children can make that will make them smarter, a particularly worthy New Year’s resolution is to simply read more, whether it’s reading aloud every day with your child, your child resolving to learn to read on his own this year, making shared quiet reading time a regular family activity, or committing to reading a certain number of books over the course of the year.

More organized. In case you’re wondering if the tasks might be too mundane to qualify as New Year’s resolutions, having your children commit to such routine tasks as putting away their toys, cleaning their rooms, and sorting/putting away their laundry really do make a difference towards fostering important lifelong organizational skills.

Originally posted on Omaha World Herald’s Live Well Nebraska

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I admit it – I do well with resolutions. I truly believe that people tend to accomplish more when they have a set goal in mind. I personally love to rise to a challenge, and find that setting a formal (and preferably public) goal definitely has a way of bringing out one’s competitive nature.

So when it comes to New Year’s resolutions, I have to say I’m a believer. As someone dedicated to promoting health and safety year-round, I obviously think it’s important to set goals throughout the year. But if ushering in a new year happens to give you an increased sense of motivation, then by all means, run with it because now is the perfect time to shift gears from helping your children create holiday wishlists to helping them (and you) focus on setting some realistic family goals that are sure to deliver on the promise of an even happier, healthier 2012.

Okay, so what’s the best way to figure out what one’s family goals should be? While each of your family members’ individual resolutions can be customized according to age, ability, and circumstance, I figured it might be helpful to get you started by offering you some simple family-friendly resolutions – you know, those completely do-able resolutions that don’t seem nearly as challenging as, say, signing up for a gym membership in January only to lack the willpower come March to make use of it. Or running a marathon. While there’s nothing wrong with either of those resolutions (I’ve made them both myself in years past), there’s nothing wrong with first reaching for the “low-hanging fruit” resolutions that are sure to give your family both a sense of accomplishment and a big bang for your buck when it comes to improved healthy, safety and well-being.

–       Walk more. That’s right, walk more. Around the block, to the grocery store, with friends, on the treadmill – wherever and whenever you can. Running is fine, too. But if that seems a bit daunting or impractical, the important thing for kids and adults alike is to be more active in 2012. As someone who just placed my own order for a FitBit, let me add that if you and/or your children are more likely to put their best foot forward with a concrete goal (or a cool new gadget), then using a pedometer may prove to be just what it takes to get up and get going.

–       Sleep more. You see – I told you these resolutions would be attainable, if not downright desirable. I mean, who doesn’t want to sleep more? But as a pediatrician married to a surgeon and therefore accustomed to dealing with the demands of both professional schedules and with the many sleep-related challenges of parenthood, I fully understand why most of us simply don’t get enough sleep. I have also become increasingly impressed with how important sleep is to one’s overall health. So whether it’s an improved bedtime routine for babies or toddlers, taking/keeping the TV set out of your child’s bedroom, keeping tabs on your teenager’s sleep habits or simply placing more value on your own sleep needs – I strongly recommend it.

–       Read more. Daily, whenever possible. Not just for work, not just when your kids are required to, but for fun. Read aloud to your kids. Read quietly alongside them.  Make a point of reading the newspaper. Encourage your tweens or teens to start reading it too. Read on paper or in any electronic form you choose. Regardless of what angle you take, resolving to read more will enrich your family’s new year.

–       Drink more. Water, that is. Just back from a recent trip to NY where I discussed water as a key aspect of health, hydration, and tackling the obesity epidemic with a wide range of magazine editors, I decided to toss it in my resolution list. It’s not just because I think drinking more water is the one and only solution to better health, but because it strikes me as such an easy one once you and your family set your minds to it. The goal in encouraging more water consumption in large part actually relates to getting everyone (kids and parents alike) to drink less soda, less juice, and less sugary liquids in general. If your family is not in the water-drinking habit, consider committing to milk with meals and water with snacks, and making water more appealing by filtering it (typically tastes better), bottling it (re-usable water bottles are both convenient and better for the environment), or simply adding some natural flavor (a wedge of lemon/lime or even a slice of cucumber!).

–       Engage more. Social networking now seems to be the key to everything from successful weight loss to professional success. Yet one of the things we risk in what is sure to be an increasingly wired (or wireless) 2012 is the lack of meaningful, personal engagement with others in our community. That’s why I firmly believe that all families should set a goal of teaching their children to more actively engage and become contributing members of society. Taking some lessons from the Helping Hands curriculum at my child care center, this can be as simple yet meaningful as having even very young children visit the Humane Society or a local retirement home; send letters of thanks to those serving in the military; and/or collect mittens, books, pennies, diapers, coats or cans of food for those less fortunate. Whatever you choose, remember that one of the most powerful lessons we stand to teach our children (and live by ourselves) is that it is our meaningful connection with others that brings the most happiness.

–       Laugh more. At yourself, with your kids….the point is that while resolutions can be a good way to improve one’s health, it’s just as important to make sure that stress doesn’t get the best of you. I’ve found the best way to do this is to remember to laugh, and always remind yourself of how fortunate you are to have your family, your friends, your health, and the gift of another year.

On that note, I want to take this opportunity to wish you all a very happy, healthy and accomplished new year. I’ll look forward to sharing 2012 with you and everyone in the Live Well Nebraska community.

Originally posted on Omaha World Herald’s Live Well Nebraska

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Raising Healthy Kids: Reaching for the Low-Hanging Fruit of Parenthood

For good or for bad, parents today are faced with the fast paced nature of both the real world and a virtual one. Much of the virtually continuous stream of information, videos, tweets and texts we receive on a 24/7 basis relate in one way or another to what we can, should, and/or are expected to do to be good parents. And let’s face it – keeping up with all of the modern-day parenting advice would be hard enough even if all of it was fact-checked for us. Unfortunately, this is not often the case, as much of what we hear, see and read is unfiltered, potentially unfounded, and confusingly contradictory.

Having spent much of my professional career as a pediatrician increasingly committed to making sense of pediatric and parenting advice in both of these worlds, I have found that what parents often want to know from me is simply how to filter the good from the bad and separate fact from fiction.

Knowing that you all are probably as busy as I am, I decided that this week I would distill down to as few words as possible the handful of things I consider to be some of the most well-founded, important things you can do as parents can do to make your kids smarter, safer and healthier. In other words, the following is my list of the “low-hanging fruit” of parenting.

Move more. I feel the need to say this because it’s painfully obvious that it has become incredibly easy for our children (and for us) to barely move in the course of any given day. Whether it’s walking instead of driving to school (or work) or taking an evening walk around the block, getting out of the car instead of rolling your way through drive-thrus, or signing up for organized sports, joining a gym, or participating in more vigorous daily exercise regimens – every step counts towards an healthier life style.

Use restraint. Literally speaking, I’m simply referring to the use of car seats and seat belts in motor vehicles. With motor vehicle crashes clearly identified as the number one cause of death in children, and the correct use of car seats and seatbelts clearly shown to have a huge impact on reducing motor vehicle-related injuries and deaths, taking the time to buckle up comes with a huge return on your parenting investment.

Read. For every parent who has ever asked my opinion on what they can do to help their children become smarter, excel in school, or head down a path of success, reading always factors in to my answer. Reading aloud to babies, toddlers, young children and teens alike not only fosters improved language skills, but also a love of reading that will serve children well for their lifetime. One of my favorite sayings to emphasize this point is that children spend the first few years of school learning to read, and the rest of their lives reading to learn.

Sleep. For parents of infants and young children, this conversation usually focuses on getting children to fall asleep, stay asleep, sleep in their own room, and do so without requiring repeated interventions. For parents of teens, the conversation often shifts to too little and too late. But regardless of your child’s age, it is becoming convincingly clear that instilling your child with good sleep habits is not only a good thing for your own chances of getting a good night’s sleep, but your child’s overall health and well-being.

Wash your hands…and while you’re at it, remember to cover your cough (preferably with your arm rather than your hand) and vaccinate. The fact of the matter is that while modern day science and research is continually coming up with new medicines, treatments and technologies to improve our families’ health and more effectively treat disease, the simple act of teaching our children to wash their hands (which includes committing to consistently doing so ourselves) remains one of the single most effective things we can do to limit the spread of disease. So is protecting against all of the vaccine preventable diseases.

Originally posted on Omaha World Herald’s Live Well Nebraska

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Applying the “Kohlrabi Principle” to Practical Parenting

I recently made it out to Midtown Crossing. This was actually the first chance I had to see it since it’s completion, and I was quite impressed with the family-friendly atmosphere, the Jazz on the Green’s outdoor festivities, the whole layout, the convenient free parking, and the wide array of stores and restaurants.

As a LiveWell Nebraska blogger, I also enjoyed the opportunity to spend time at the Omaha World Herald’s booth and meet those of you who chose to stop by and say hello. As is often the case, I was asked what I thought the secret was to getting people – parents and children alike – to change their ways and live healthier, safer lives. While this is clearly a subject I spend a lot of time thinking about, I don’t presume to have the one right answer. In fact, I don’t believe that there is one, single cure-all answer to the question of how to get people to change their behaviors. But for the sake of today’s blog, I’m going to go with kohlrabi.

That’s right, kohlrabi (pronounced “cole – rah – bee”)

For those of you who have never heard of kohlrabi, much less know what it means or how to pronounce it, you have to admit that the word itself has a way of catching your attention. Try teaching your preschooler the word, or better yet – reading aloud the ever-popular Eating the Alphabet book – and you’re sure to find that children are easily intrigued with an impressively wide range of fruits and vegetables.

Okay, so reading about (and hopefully popularizing) kohlrabi, along with other fruits and vegetables, is a big step in the right direction towards better health. But better yet is when you’re able to translate linguistic & literary intrigue into dietary practice.

This noble goal brings me back to the subject of kohlrabi. Prior to three years ago, I knew nothing about it beyond the fact that it had helped round out the “K” page of Lois Ehlert’s bestselling book. Until my 8-year-old son and I came across kohlrabi at the Village Pointe farmer’s market, it had never occurred to me to actually buy or try kohlrabi (or jicama or boysenberries, for that matter).

Before deciding to buy one, we first had to ask what one was supposed to do with a kohlrabi. Not unlike an artichoke, kohlrabi can admittedly be somewhat intimidating if one doesn’t know what to do with it. Fortunately, all it takes is simply cutting off the outer “rind” and cutting up the white, crunchy interior.

Billed by wikipedia as “a low, stout cultivar of the cabbage that will grow almost anywhere,” the taste and texture are said to be “similar to those of a broccoli stem or cabbage heart, but milder and sweeter.” My kids and I think it’s better described as more like the cross between a radish and a cucumber – with the crunch of a radish, but a more mild taste. Cut it up like a carrot stick and it can be dipped in ranch dressing or hummus. Dice it up and you can sprinkle it on a salad. Google it and you’ll find that you can also season, sauté, bake, or puree it.

So back to my initial conclusion that part of the answer to getting people to live healthier lives involves kohlrabi. No, your family’s discovery of the existence of kohlrabi won’t rival Alexander Fleming’s discovery of penicillin. But I am convinced that if we all committed to applying some basic “kohlrabi principles” like those I’ve listed below to how we feed our children (and ourselves), we might all be a bit healthier for it.

  • Read all about it. It’s no secret that I’m an outspoken advocate for early literacy and reading books to kids (and babies). And there’s certainly no shortage of books with positive, healthy messages. Eating the Alphabet will get you off to a good start, but there are many, many more that stand to get your children interested in a much broader range of fruits and vegetables. Check out How Are You Peeling?, for example, and you’ll see what I mean.
  • Paint a positive picture. Books can paint a positive picture, but so can you. Rather than taking a “you have to eat your vegetables” approach, remember to put a more positive spin on it. You’ve got plenty of shapes, sizes and colors to choose from and work with as you expand your family’s palette.
  • Reach for the unknown. Given that people don’t tend to buy what they don’t know, I like to think of this as taking the kohlrabi challenge. Whether you go to a local farmer’s market or take a closer look at what the produce department in your grocery store has to offer, challenge yourself and your children to find a fruit or vegetable you’ve never had or heard of before… and then buy it.
  • Challenge yourself in the kitchen. Like I said before, I am not a kohlrabi expert. I simply asked a few questions of a friendly kohlrabi farmer and made good use of Google. Fast forward three years and our refrigerator is frequently stocked with cut-up kohlrabi, which now plays a role in helping my family meet the latest MyPlate recommendations (which include the challenge of consistently filling half the plate with fruits and vegetables).

Originally posted on Omaha World Herald’s Live Well Nebraska

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The Importance of Early Literacy: Why We Need to Commit to Closing Nebraska’s Reading Gap

I recently learned the results of Nebraska’s first statewide reading assessment. I must admit that the test itself didn’t actually catch my attention until I received my own children’s scores in the mail. As a long-standing early literacy advocate and someone who read literally tens of thousands of pages aloud to my children even before they could read for themselves, I am proud to report that all three scored very well.

Unfortunately, I find it difficult to celebrate my own children’s reading success in light of how the rest of our state’s children scored. Sure, results released in August revealed that nearly 70 percent of Nebraska’s third through eighth grade and 11th grade public school students scored in a range that met or exceeded expectations, but that 70 percent doesn’t tell the whole story.

Last Friday, Joe Dejka and Paul Goodsell shared the rest of the story with Omaha World Herald readers in their article, Reading gap called troubling. In it, they paint a much more dismal picture, simply by offering a more detailed look at the test results: Fewer than half of Nebraska’s Hispanic, black and American Indian students can read proficiently – a number that is in stark contrast to the three out of four white students taking the same test. When poverty was factored into the equation, low-income students also were found to have scored significantly lower than their more well-to-do classmates (on the order of 53 percent compared to 80 percent, respectively).

So why should you or I find the results of Nebraska’s first statewide reading assessment so distressing? In addition to the obvious racial, ethnic and socio-economic disparities, the fact of the matter is that the ability to read matters. A lot. Learning to read, learning to love to read, and the ability to read well all play a fundamentally key role in children’s future school and life success. In fact, it is often said that children spend the first several years learning to read, and the rest of their lives reading to learn. Yet Nebraska is not the only state with a reading gap, as an estimated 34% of American children enter kindergarten without even the basic language skills needed to learn to read, and fewer than half of parents read to their young children daily.

Now for the good news: we already know what works when it comes to preparing America’s youngest children to succeed in school, thanks in no small part to the efforts of Reach Out and Read. By partnering with doctors who prescribe developmentally-appropriate books, encourage families to read together beginning at birth, and advise parents about the importance of reading aloud – this national non-profit organization now offers us all an effective, evidence-based model that reaches nearly 4 million children each year, with a particular focus on those living in poverty.

As a pediatrician who had the good fortune to train with one of the founders of Reach Out and Read nearly two decades ago and has championed the cause ever since, I hope you’ll not only commit to helping your own children learn to love to read, but also commit to helping close Nebraska’s reading gap.

The following are a few simple but important Reach Out and Read tips to help get all children started on the path to lifelong learning and success:

  • Host a book-themed baby shower.
  • Make reading books to your child a part of your daily routine.
  • Make reading fun: hold your child on your lap when you read stories together, point to the pictures, let your toddler fill in the ends of your sentences, and be willing to read the same book (or page) over and over again.
  • Ask your two-year old questions about the story.
  • Relate what you read to your child’s own experiences.
  • Visit reachoutandread.org to find out more about the developmental milestones of early literacy, recommended book lists, and information about Reach Out and Read programs right here in Nebraska.
  • Consider supporting organizations such as Reach Out and Read and play a role in helping all children reach their full potential.           

Originally posted on Omaha World Herald’s Live Well Nebraska