Olympian Brings Health Message to Kids

March 9th, 2010

“I want you to be able to do anything that you can dream,” an unfamiliar voice boomed over the intercom at Emerald Elementary School.  “To be successful in school and in life you need to take care of yourself by eating healthy, staying active, and getting enough rest.  Don’t worry if you have no idea of who I am.  You can ask your parents, maybe they will recognize my name,” laughed 1972 Olympic Gold Medalist Frank Shorter.

Olympic Gold Medalist Frank Shorter paid a surprise visit to congratulate winners of the T-shirt design contest for the Broomfield Rotary Frank Shorter Race4Kids’ Health.  During lunch, Frank joined students and was impressed with the fresh fruits and vegetables, milk, and healthy appetites children shared after playing outside.  Sarah Acker, BVSD Nutrition Services District Manager, understands how important it is for students to have healthy nutrition for both health and learning.  Dr. Marchioni, executive director of Healthy Learning Paths, commended Acker for the quality of the nutrition program at Emerald Elementary.

Frank Shorter with winners: Gavin DiFulvio, Garrett Garnhart, Laura Cardona, Sophia Maclean (not pictured Caleb Cook)

Frank Shorter with winners: Gavin DiFulvio, Garrett Garnhart, Laura Cardona, Sophia Maclean (not pictured Caleb Cook)

“Children must be well, so they can learn well,” explains Marchioni, “healthy nutrition and daily physical activity are key components to brain development for all children.”  This theme is what stimulated students’ creative juices as they prepared artwork for the T-shirt design contest.  Student contest winners included 4th graders from Emerald, Gavin DiFulvio and Garrett Garnhart, two home schooled students, Sophia Maclean and Caleb Cook, and one student from The Studio School, Laura Cardona.  Sophia Maclean’s first place design will appear on the back of race T-shirts and she will receive a $100 gift certificate on race day.

This race is not to be missed, so mark your calendars to participate in the first annual 5K Broomfield Rotary Frank Shorter Race4 Kids’ Health on Sunday, April 11th, at the Broomfield County Commons Park, 13200 Sheridan Blvd.  In addition to the USATF certified 5K course timed by Finish Line Timing as a Bolder Boulder qualifier, there is a fun family 1K walk/run, and for the first time in Broomfield a 50 foot diaper dash for kids two and under!  There are medals for a variety of age categories and plenty of fun and prizes for kids.  After the awards ceremony, Frank Shorter will host a runners’ clinic to help you improve your time for the Bolder Boulder.  “This race occurs at a perfect time,” comments Shorter, “as runners will have six weeks to make adjustments to improve upon their personal best.”

The race benefits Healthy Learning Paths, a 501(c)(3) nonprofit partnership of medical and educational professionals who recognize and teach the critical connections between wellness and learning for children’s success.  Proceeds allow Healthy Learning Paths to expand the Be Well, Learn Well© school wellness and other community programs.  “We need everyone to step or in this case, run up to the plate for kids’ health,” says Marchioni, “individuals or teams of 5 can register, but whether you run, walk, or crawl, the challenge here is to come out as a community and have some good clean fun!”

For race registration, medal categories, or to volunteer visit www.healthylearningpaths.org, www.Active.com or call 303.464.7191.

© 2010 Chris Marchioni, MD

CSAPs: Are They Healthy?

March 2nd, 2010

When April arrives, the anxiety-provoking CSAPs are history for another year.  Students, parents, and teachers celebrate the freedom of leaving CSAPs behind in the dust.  But I for one hate to see them slip by so quickly.  How can I feel remorse for abandoning this stressful time in the educational arena?

Well, consider this.  How many times do students hear, “We are not going to give much homework, so you can get a good night’s sleep.”  How often do parents receive a letter pleading, “Please, have your child eat a healthy breakfast before school.”  How often do principals remind teachers, “Let’s decrease stress levels, and be sure to make time for students to play outside.”  How often do parents receive support for encouraging children to make healthy choices?  And don’t forget during CSAPs, suddenly healthy breakfast foods appear at the start of school day, healthy snacks are offered throughout the day, and water bottles mysteriously stand at attention on every student’s desk.

For a few weeks, students, parents, teachers, and administrators share a common goal, success on the CSAPs.  However, the goal I see is supporting kids through healthy choices that directly impact educational success.  Without CSAPs, we rarely unite with these loud and clear messages—eat breakfast, drink water, have healthy snacks, get a good night’s sleep, exercise, and keep stress levels in check.  Suddenly, these words transform into essential life practices. To date, there are more than 200 studies that suggest physical activity supports learning.  The connection between healthy nutrition and brain development for learning in children has also been well established.  For a detailed report visit http://www.actionforhealthykids.org/resources/files/learning-connection.pdf.

What would happen if CSAPs occurred throughout the school year?  Would  children receive consistent messages of healthy learning through healthy living?  I admit year round standardized tests are not the solution, so what are our alternatives?  Is it possible for parents to receive weekly or monthly reminders of the importance of eating a healthy breakfast and adequate sleep?  What would happen if teachers offered extra credit to students who drink a daily water bottle? Imagine scheduled time for daily outdoor or indoor exercise.  Can healthy snacks and lunches become the routine at schools and at home?  Imagine parents, teachers, and principals working together to provide healthy choices, healthy environments, and reduce stress levels in and out of the classroom.  Finally, the medical profession must be involved in providing schools with accurate information when it comes to healthy behaviors.

To enhance learning in children, each of us must step up to the plate to promote healthy choices.  These practices extend beyond words and require regularly modeled behaviors at home and school.  For parents, that means educating our families and making healthy choices a priority, even when inconvenient.  For schools, that means modeling healthy practices and educating children about healthy choices, even when faced with change.  For health care professionals, that means serving as active advocates for healthy learning in children.

Remember as parents, educators, administrators, health care professionals,  community members, and leaders,  we play on one team.  Our team coaches  children to reach their full potential through health and educational successes.  Let’s commit to a collaborative partnership where we lead all children down the path to success, not only during CSAPs, but more importantly, every day of their lives.

©2010 Chris Marchioni, MD

Uniquely Wonderful Secret to Children’s Success

March 2nd, 2010

Have you ever wondered how to make a big impact on your child’s health and school success? Are you curious to know what secret books and latest technology are  needed for your child to excel? Can you even afford the innovative toys that will make children of all ages brilliant? Well, you can‘t order the latest success tools from the internet and forget the big box discount stores because even Wal-Mart doesn’t have this piece of equipment. What is it that makes a huge impact on your child’s school success? What will also decrease their chances of using drugs and alcohol? Something really quite simple, and uniquely wonderful—something called the family dinner.

Here are some dinner statistics to chew on:

  • Children not eating dinner with their families are 61 percent more likely to use alcohol, tobacco, or illegal drugs;
  • Children who eat dinner with their families nightly are 20 percent less likely to drink, smoke, or use illegal drugs;
  • Teens who share frequent family dinners are less likely to have sex at young ages, participate in fights, or be suspended from school;
  • Teens who eat dinner with their families are at lower risk for thoughts of suicide;
  • Children who eat with their families are more likely to eat healthier foods and more balanced meals; and
  • Family dining improves communication and family connections.

In the August 2004 issue of The Archives of Pediatric & Adolescent Medicine, a University of Minnesota research team reported frequent family meals led to improved nutrition, a decreased risk of unhealthy weight control practices, and decreased risk for substance abuse. Marla Eisenberg, ScD, MPH from the University of Minnesota summarized the findings, “The frequency with which a teen eats family meals appears to be associated with a variety of psychosocial and behavioral variables, including cigarette smoking, alcohol and marijuana use, grades in school, depressive symptoms, suicidal ideation and suicide attempts. We found family mealtime to be a protective factor in the lives of adolescents for nearly all of these variables, particularly among girls. Specifically, kids who reported eating more family meals per week reported significantly less substance use and significantly better academic and mental health than those eating fewer meals with family. These associations were apparent across the spectrum of meal frequency each additional meal per week conferred some additional benefit.”

Another study performed at Harvard and published in the March 2000 issue of Archives of Family Medicine showed that eating family dinners together resulted in children eating higher amounts of calcium, fiber, iron, vitamins B6, B12, C, and E. And that’s not all, these families also consumed less overall fat compared to families that only occasionally shared meals together. Similar results have been reproduced by a study at the University of Minnesota published in the Journal of the American Dietetic Association.  This study found that children who eat family dinners consume more fruits, vegetables and fewer snack foods compared to children who ate separately from their families.

Furthermore, children who regularly eat meals with their families do better in school. A study from the University of Illinois found children ages 7-11 years who did well in school and on achievement tests ate meals frequently with their families. A  Harvard Graduate School of Education study reported that young children who frequently shared in family meals had increased vocabulary, which helps with reading skills. A 1994 Lou Harris-Reader’s Digest national survey of high school seniors revealed higher scholastic scores among students who experienced frequent family meals. Surveying high-achieving teens also confirmed that students who regularly eat meals with their families are happier with life and had positive attitudes for their futures.

So what does all this information mean?  If you haven’t already, it is time to make family mealtime a priority for both health and educational successes in kids.  The younger this tradition starts, the sooner children reap both the health and educational rewards of this practice.  Families can have some fun with meal preparation, planning, and clean up by involving children.  With some assistance from parents, children of all ages can help in the entire meal process.

©2010 Chris Marchioni, MD

Cancer Prevention Starts in Childhood

February 5th, 2010

What if you had the power to prevent cancer for your child or for any child? What would such a miracle look like? Perhaps a combination of surgery, potent drugs, vaccines, and even some hefty prayers are included in the prescription. Just the thought of preventing cancer seems to demand a higher power.

Recently, the International Union Against Cancer (UICC) and the World Health Organization (WHO) announced that 40% of cancers worldwide are preventable. What does 40% look like? 12.4 million people who are diagnosed with cancer and 7.6 million cancer deaths world-wide could be prevented. The International Union Against Cancer (UICC) is the top international non-governmental organization committed to the global prevention and control of cancer.

According to the UICC, the powerful weapon to prevent over 12 million cancers requires one to:

• Stop tobacco use and avoid second-hand smoke,
• Limit consumption of alcohol,
• Avoid too much sun,
• Keep to a healthy weight through healthy diet and exercise, and
• Protect against infections that cause cancer.

This report focuses on nine infections that are linked to cancer, specifically: Hepatitis B virus; Hepatitis C virus (both associated with liver cancer); HPV-Human Papillomavirus (some strains cause cervical cancer); Epstein Barr virus (causes Burkitt’s lymphoma); HIV-Human Immunodeficiency Virus (Kaposi’s sarcoma and AIDS-related lymphomas); Helicobacter pylori (a bacterium that can cause stomach cancer); Liver flukes and cancer of the bile ducts; Schistosomiasis and bladder cancer; and HTLV-1 and adult T-cell leukemia. To learn more about these infections read the full UICC report at http://www.worldcancercampaign.org/templates/wcc/pdf/2010%20campaign/UICC%20Report%202010_eng.pdf

None of these things sound so difficult, startling, or even excessively expensive. For diseases like diabetes, high blood pressure and elevated cholesterol, medical research has shown for decades the importance of healthy eating and exercise. Evidence-based outcomes show healthy nutrition and exercise are crucial for cancer prevention as well.

Imagine children who no longer fear the claws of cancer piercing their futures. If we intervene today, there is a chance to spare many the pain and suffering that cancer keeps. Furthermore, if we follow these simple practices, consider the billions of dollars that could be saved and used in education, job creation, or research to find cures and preventions for the other 60% of people with cancer.

©2010 Chris Marchioni, MD

Healthy, Organic and Cheap School Lunches?

December 8th, 2009

Order Up

OAKLAND — On the combination plate of problems plaguing the USA’s public schools, few are as intractable as this: Can you serve fresh, healthful meals each day to millions of kids without breaking the bank, or must you resort to serving up deep-fried, processed, less expensive junk?

For more than a decade, big food thinkers have chewed on this, making it a cause.. read more

Healthy Learning Paths’ Executive Director, Chris Marchioni, MD:

“This is an interesting article. The concept of improving school lunch is long overdue. One of the most cost effective ways to bring students reasonably priced healthy food is utilizing local chefs and local products. It is ironic to me that we will spend more for a gallon of gasoline in this country than we are willing to spend on nutrition. Nutrition is directly related to health and children’s growth and development. It is one of the best investments we can make.”

Healthy Lessons at Broomfield School Aim to Change Lives

November 13th, 2009

When Dr. Chris Marchioni started practicing medicine, she naively thought she would not just be in the business of curing diseases, but preventing them. She learned, however, she only saw kids when they got sick or needed a physical.

In her 20 years of practice, she said she started “seeing a real shift in terms of the challenges children are going through … and saw a wider gap in terms of what parents understood about health care.”

A big part of the problem was insurance typically didn`t pay for prevention.

“It is not until someone`s diabetes is out of control that some insurance companies will pay for nutritional counseling,” she said.

A little education early on could prevent diabetes altogether at a fraction of the cost of a lifetime of insulin and medical care, but doctors tend to do what they`re paid to do, she said.

Sabrina Atencio, front, helps make a tray of celery, cream cheese and tomato snacks with Alex Najera, left, and Mike Gross and teacher Miki Novaria during Emerald Elementary School 2nd grader's  Healthy Learning Paths program by Dr. Chris Marchioni,  October 20, 3009 Staff photo/David R. Jennings

Sabrina Atencio, front, helps make a tray of celery, cream cheese and tomato snacks with Alex Najera, left, and Mike Gross and teacher Miki Novaria during Emerald Elementary School 2nd grader's Healthy Learning Paths program by Dr. Chris Marchioni, October 20, 3009 Staff photo/David R. Jennings

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Marchioni points to a recommendation by the American Academy of Pediatrics last year to prescribe cholesterol-lowering drugs to children as young as 8, when the problem could much more easily be addressed through diet.

So in 2005, she started Healthy Learning Paths to get medical professionals into schools once a month to teach about nutrition, exercise, sleep, stress and other aspects of healthy living.

“While they`re in Washington trying to figure out what to do with health care reform, we`re already doing something about it,” she said.

She started her pilot project at Emerald Elementary School because it was local and she could reach children in their formative years.

She started with zero funding, and as a Title I school, which typically has at least 40 percent of the student population qualifying for the free or reduced-price lunch program, it was easier to apply for grants. Plus, principal Larry Leatherman was completely on board with the idea.

“She connected with the preschool, and then it expanded and first grade got involved, then second grade got involved,” Leatherman said.

Now the entire school, with the exception of kindergarten, is participating.

“When they eat healthy foods, no matter what, kids are going to learn more,” Leatherman said.

In her program, Marchioni has students make healthy snacks, such as hummus or cut-up apples and bananas.

“So many times, parents say kids won`t eat fruits and vegetables,” Marchioni said. “Let me tell you, when we walk out of there, they`ve cleaned their plates.”

What`s even better, she said, is the information filters home to parents. (Marchioni does seminars for parents, as well.)

She also has kids dissect chicken wings when they were learning about bones and joints in their science classes. Except she doesn`t just teach them definitions, but rather how to keep joints healthy.

With seed money from the Broomfield Rotary Club, she was able to get a grant from the Colorado Health Foundation and Jared Polis Foundation to help pay the fees for professionals to visit the schools. She also has been hired to teach classes at Coyote Ridge Elementary, and got some money to do a program at Sanchez Elementary in Lafayette.

By the end of the year she hopes to have a blueprint to bring the program into more schools. So, she and other doctors will get to see more and more children before they get sick, so they can avoid some of those health-related problems they might develop when habits are much harder to fix.

By Dylan Otto Krider, Enterprise Staff Writer
11/11/09 Broomfield Enterprise

Help Me Help My Child

October 28th, 2009

“There can be no keener revelation of a society’s soul than the way in which it treats its children,” states Nelson Mandela, former president of South Africa. So how is our society’s soul? How do we treat our children?

A recent report from the Centers for Disease Control and Prevention shocked the world when it reported 1 in 50 infants in the United States were abused or neglected in 2006. Recent Colorado news revealed social workers’ caseloads for investigating child abuse reports have become overwhelming and too many adolescent deaths have occurred. Is this the best we can do for the youth of America?

Since children need continued care during all stages of development, it is our collective responsibility to provide support at home, in the community, and in the educational arena to help ensure a child’s success. Children are vital members of our community, city and country; so when they thrive, we all thrive.

What could be more important than helping children? Granted, advocating for a child’s best interest does present parents, grandparents, health professionals, teachers, and many others with some complex challenges. Whether the child has special learning or health needs, no one size fits all formula exists. However, while searching for strategies to support children, there is one simple request every parent should commit to memory. I first learned this phrase from an extraordinary school social worker, Samm Donelson. Imagine a cue that, whether you are in the classroom or on the athletic field, stimulates the collaborative spirit of everyone involved. This simple request rallies all parties to one common goal, the best interest of the child. What words could carry such power? “Help me help my child…Help me help my child.”

This genuine phrase grants permission to look at the needs of the child. Suddenly we are all on the same team, the child’s team. As a unified team, the chance for success increases greatly. Each team member brings unique expertise to the table, strengthening the final outcome. Each team member represents an engaged partner and a vital player in the success of the child. Each team member becomes a trusted partner that supports all other members. But it is naïve to think that all this happens without great effort.

There are several essential steps for a collaborative team to be created.Parents play a key role in the formation of this team. After all, parents are children’s most important advocates. Child advocacy requires parents to:

1 Establish your goals;
2 Define your message;
3 Take ownership;
4 Plan and prepare;
5 Gather information;
6 Connect with others;
7 Collaborate to problem solve; and
8 Communicate often.

As parents, we carry a huge responsibility for the crucial role of child advocacy. Children depend on every adult for support, mentoring, protection, and honest solutions. An effective advocate gives a child a chance for success. Each of us can make a difference in our community by advocating for children.

© 2009 Chris Marchioni, MD,
Executive Director, Healthy Learning Paths

Smiles and a Complex Problem

August 11th, 2009

Once again, dentists from all over the country donated their services to kids whose parents could not afford to take care of their dental needs. In my office alone, we provided over $6,500 worth of care on Feb. 6, 2009, so you can imagine the value of the care provided by thousands of dentists across the entire country.

This seems a lot better than any stimulus package. The problem is that these kids need lots of care. Why do these kids have more cavities than the general population?
At first, I thought it was directly related to the parent’s lack of funds. The answer is not so simple. Just because these parents can’t afford dental care for their kids does not explain the high numbers of cavities found.

You would think that with limited funds parents would have an interest in providing a healthy diet to their kids so they would not need much dental care. In talking to all the parents that day I found a significant lack of knowledge regarding a healthy diet. A healthy diet does not cost more; it just requires some basic understanding about nutrition.

Many of the parents claimed that their kids eat a healthy breakfast. They said they ate Froot Loops, Frosted Flakes, and Pop-Tarts. These cereals will make the child feel full but they have a very high sugar content. The sugar high lasts a few hours and then the kids are ready for a nap. High-sugar breakfasts can affect learning in school.

Many of the kids drink lots of pop. The acid in the pop and sugar combine to dissolve the enamel. Water is free and pop costs money, and yet pop is the drink of choice. Tap water is the healthiest thing a kid can drink.

Is it the educational level of the parents? Is it cultural? It’s hard to say. One thing for certain, is that in lower socioeconomic families there is a lack of understanding about nutrition. This alone is the cause for billions of dollars of dental care that is completely avoidable in a population that cannot afford the care.

How do we get these parents to buy an apple instead of a bottle of pop? How do we convince them to avoid fast food and sugary breakfast cereals?

Everyone must take responsibility to make sure these parents know what is healthy for their children’s teeth. They love their children like anybody else and want what’s best for them but simply do not have the nutritional knowledge. People with healthy teeth live longer and enjoy a better quality of life. Everyone, from the schools to the pediatricians must do a better job of educating the parents and the children about nutrition.

Wouldn’t it be great if every parent bringing their child to kindergarten could meet with the school nurse and get nutritional counseling? Instead of our tax dollars going to fund bonuses and corporate jets, wouldn’t it be better spent on programs to educate folks about nutrition? It would cost very little and would save billions.

© 2009 Mitch Friedman, DDS
Healthy Learning Paths Advisory Member

Your Children Are What They Eat

July 9th, 2009

Your child’s body is a very complex machine. The foods you choose for them affect their general health and their teeth. Dentists are concerned that children consume too many sugar sodas, sugar fruit drinks and other non-nutritious snacks. Sugar causes the bacteria to create acid which dissolves teeth. This large amount of sugar causes cavities in their teeth, obesity, and affects their ability to concentrate in school. It takes several hours for the acid to go away. If a child has, for example, Pop Tarts for breakfast, a mid-morning snack, a snack with lunch, a snack after school, and dessert with dinner, their teeth remain acidic almost all of their waking hours. Children aged 6 – 19 consume significantly more ounces of soft drinks each day than milk, which should be their principal source of calcium. Those sweetened drinks contain the equivalent of 10 teaspoons of sugar. Children should choose beverages that hydrate and contribute to good nutrition, such as unsweetened fruit juice, low fat milk, vegetable juice and most importantly, water. Children playing sports should not drink Gatorade, but should drink lots of water instead. As a parent, it is important to read food labels and choose foods and beverages that are low in sugar.

What can you do to maximize your child’s health?

  • Choose a healthy diet, rich in fruits and vegetables.
  • Make sure your child drinks plenty of water and no soda pop or sugar flavored beverages.
  • Limit the number of between meal snacks.
  • Watch them brush their teeth twice a day for two minutes at a time.
  • Teach them to floss their teeth.
  • Schedule regular dental visits for checkups and cleanings.

Remember that your children are more likely to eat healthy if you do. It’s important to be a healthy role model and set a good example. A healthy diet regimen and active lifestyle, practiced at an early age, will contribute to life-long health.

© 2009 Mitch Friedman, DDS
Healthy Learning Paths Advisory Member