Good afternoon, I am Dr Lata Bhat, a developmental Pediatrician in Delhi. We take care of developmental disorders in children like Autism, Hyperactivity, ADHD, learning and physical disability. Today I will talk about Autism.
Autism is a spectrum disorder that means there is a wide range of presentations.
Why did I choose to speak on this topic? The incidents are alarmingly high. It is a sort of epidemic and if not addressed, it can lead to a disaster.
The cause is Genetic. If one child has got Autism then the siblings also have the maximum chance to suffer from the same disease.
How does it affect the children?
Autism affects the communication of the child. It affects the speech, language as well as the non- verbal communications. Communication is the exchange of thoughts, ideas between the two or more people. Speech is delayed.
How do the parents or a care taker suspect the child?
Initially, the norms of the communication come first and then the speech.
Preterm Labor and Birth
Good Evening. I'm Dr. Lata Bhat. I'm a Neonatology and I take care of the developmental problems of children. So today I want to talk a bit about pre-term babies who're born before 36 weeks. Normal babies are born from 37-40 weeks of gestation after the mother becomes pregnant and babies who're born before 36 weeks have some problems. Babies who're born from 34-36 weeks donot have that much problem but those who're born before 34 weeks, especially those born below 28 weeks have lot of problems and especially babies who're less than 1.5kg or less than 1kg. But in good centers in India, like my center also, we do save babies, about 600 or 700 or 800gm babies and also thos born in about 25-26 weeks of gestation and there is a success rate of about 90%.
Now, globally about 15 million babies are born pre-term and out of this 25% are born in India. So imagine the burden of pre-term babies in India and the facilities that exist in India are abysmal as compared to the number of babies who're born pre-term, and we've to remember out of all the number of deliveries about 12.5% are born pre-term which is a huge number. About 27 million babies are born annually and out of this about 3.6 million babies are born pre-term.
So now considering the problem all the prospective parents and everybody should know what causes prematurity. Because however much educated a gynecologist maybe or a pediatrician maybe there is no full proof method to predict or prevent it but there are certain factors which contributes more to prematurity. So early recognition and timely transfer to higher center with better facilities is very important. Now in India it happens due to complex factors, it happens in poor people as well as rich people. Pregnancy in adoloscent people, whose womb is no yet ready to take babies or if the mother is underweight, there are recurrent infections in the mother, under-nutrition or impropoer nutrition, then substance abuse by the mother, in vitro fertilisation, if the mother has diabetes during pregnancy, mother has uncontrolled blood pressure during pregnancy, infections during pregnancy, especially urinary tract infection or genital infection, Sexually Transmitted Diseases.
These are the conditions where we can definitely predict that baby can be born pre-term, and also in case of multiple pregnancies, especially if the mother has twins or triplets then risk of pre-term birth is more. Now stress also leads to pre-term birth. In the current lifestyle there is stress, everybody is career oriented so we're facing a lot of infertility, people are taking treatment for infertility, having in vitro fertilisation that is also leading to pre-term birth. Now, once we know there are a lot of factors how do we prevent it. First is prevention then comes treatment. For prevention, as I told you before conception we've to think that mother's nutrition should be good, she should be well nourished, mother's age should be appropiate, she should not be a teenager or an adolescent, that is more than 22-23yrs of age. Then pregnancy planning, birth spacing, then we've to think about preventing sexually transmitted diseases, we've to give vaccines which are recommended for adoloscents, then genetic counselling, screening for diabetes, if there is substance abuse you've to stop it, stop smoking, prevent stress and all these things. And also proper ante-natal care by a proper gynecologist where they screen for everything and do regular ultrasound examination of the mother and they train the mother to handle the pregnancy well
Now, despite doing everything if we're not able to avoid pre-term labour then one has to plan to deliver at a center where there are facilities, there is trained new born consultant who'll be attending the delivery and they have all the facilities to take care of the baby after birth. And supposing if sill the baby is born in a center where there are no facilities then a proper transport should be arranged. We should not just pick up the baby and shift to a center because temperature mainatainance is very important, we've to take care the baby is getting continuous glucose, baby is receiving oxygen and is properly transported. Even during transport if these things are not taken care of the baby's brain development can be affected. If transient dip of oxygen, even for a few seconds or for few minutes if the baby is not receiving any glucose or if there is very rigorous transport the baby can suffer haemorrahage in the brain.
So new born babies, especially a pre-term babies can be very very delicate and so transport should be done in a proper manner and then once you've gone to a center where they're saving babies, you've to first maintain the temperature, take care of the breathimg, if require breathing support, if require oxygen then maintanance of blood sugar, prevention of infections, hen regular screening to lok for the eye problems, brain problems and once the baby survives at the time of discharge these babies may stay in a hospital for a long time and after discharge you should listen carefully to what the doctor is telling because a proper follow up is what will give a quality outcome in the long run. Because we just don't want to save lives and give them long term problems like hearing, speech, vision or physical disability.
All these are preventable and to a certain extent correctable. If you follow properly the pediatrician and if possible the developmental pediatrician. So that's very important. So the take home message is try to prevent pre-term birth by knowing the factors which cause it and if its inevitable get your delivery done in a center that has facilities to take care of the pre-term babies and after the baby survives follow up all the instructions given by your doctor and pediatrician.
So, if you've any further doubts related to a pre-term baby or any baby you can consult me through librate.com where we can chat or telephonic conversation or you can contact me at Child Developmental Clinic which is at Poorvanchal Plaza, Shop No-106, Mayur Vihar, Phase-2.read more
Here are Symptoms of ADHD and how to handle the Children suffering with ADHD.
Good afternoon, I am Dr. Lata Bhat. I am a pediatrician who is specially trained for newborn care and developmental problems of children. Today, I am going to talk about one of the conditions which is very common. It is known as ADHD- attention deficit hyperactivity disorder.
Many of you may have read about it in the newspapers or online. About 8-10% of schoolchildren have this problem. Now this is not a disease, so you need not be scared of this problem. All you need to know is to understand the kids and provide support and this is essential both by the parents and teachers. These kids have generally poor concentration, very easily distractible that means even if a door bell rings or a horn or if somebody is playing music or television or if somebody in the surroundings is talking and laughing their concentration gets distracted. They may or may not be hyperactive because the core component is lack of concentration which affects their studies. But they may be impulsive which means they may act without thinking. They may land up into frequent fights because of that. They may have certain behavioral issues which teachers and parents may find difficult to handle. They may have learning disability which can be because of lack of concentration or it can be specific learning disability.
Now, there is no need to get worried about it. All you need to do is to contact a developmental pediatrician, get the right assessment done. Then come to the management of these children. First and foremost, is how the parents and teachers handle the children are very important. They need a lot of attention, so kindly give it but it should be positive attention. Always praise and encourage for whatever good they do, never criticize. If there is a bad behavior, you first explain to them and then if it’s a very small kid you can sometimes just track them so that they get distracted from the bad behavior and calm down. There is something called household roles.
You can fix certain household roles, routines so that children can understand the do’s and dont’s which itself takes care of 50% of the problems. Still if they behave badly, you can count up to 10 and then there is something called time-out. Time-out means 1 minute per year of each, if it’s a 5 year old child then 5 minutes; it means that lights off, TV off, nobody is talking to them, physical, visual and verbal attention- all three are not given by anybody in the house and the child is made to sit in a corner. At the end of it, you hug the child and tell them that the child is very good but the behavior was bad so that the child does not lower his self-esteem because self-esteem of a child is supreme. Your behavior should always uplift the self-esteem of your child.
Secondly, what you have to remember is never criticize or compare him with any other child and all the adults should follow the household rules consistently. Coming to studies, they have a very short attention span. So set short targets for studies and give breaks in between. They need 1:1 attention for studies which means somebody has to sit with them while they are studying at home either the tutor or the parent. In school, the teacher should make sure that they are sitting in the front row, close to teacher, away from doors and windows and give them a little extra attention. Apart from this, you also need to remember that you have to decrease the TV, video, mobile and computer watching. These lead to hyperactivity. You also need to limit the amount of chocolates and fast food intake. Remember, by understanding the condition, you and the teacher can really make a difference to the child’s future.
For any other further information, you can contact me on lybrate.com.read more
Doctor in Palak Child Development Centre
Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Cleft Lip Treatment
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Patient Review Highlights
My child was suffering from excess fever 1 month ago. Earlier I thought that the issue is not that critical. But when I met Dr Lata Bhat, I got to know that my child is suffering from Pneumonia. I became really worried after knowing therbut the doctor helped me calm down and provided a critical care to my child. Now She is absolutely fine . I owe her a big thank. The critical care She provided really helped my child's quick recovery.
I found the answers provided by the Dr. Lata Bhat to be very helpful and well-reasoned. Got a call and dr was quite helpful Thanks a lot
Our experience with doctor was satisfactory...
A pediatrician manages a child's overall physical and psychological health condition. While most parents consult a pediatrician when the child falls sick, they miss the importance of regular visits to the doctor even if the child is seemingly healthy. There are recommended schedules which prescribe regular visits to the doctor from about a week after the birth of the child. The visits are more frequent up till the age of 6 or 7, after which a monthly visit is usually sufficient. The following is a list of reasons why your child should be taken to a pediatrician every month:
1. Documenting the rate of growth
The pediatrician measures the child's weight and height during every visit and charts them. This is important for comparison with the average rate of growth and pin pointing the problems in normal growth (if any) and the reasons for these problems. For example, if a 4 year old girl is in the 80th percentile for height, it means that 80% of the girls her age are shorter than she is and 20% are taller than she is. The rate of growth is an indicator of a child's general health.
2. Detecting deviations in developmental patterns
There are well-defined physical and emotional developmental patterns for children of all ages. For example, a child starts using signals to communicate by 4 months, or starts talking by the age of 2. A pediatrician can spot deviations from the standard patterns better than parents can. Apart from the measurement of height and weight, sometimes hearing, motor skills and vision tests are also conducted on your visit to the pediatrician to ensure that these basic systems and functions are developing properly.
3. Identifying reasons behind behavioral problems
Behavioral issues in children can be caused by a number of reasons - their inability to correctly express physical discomfort, bonding or attachment issues with the parents or caregivers, interactive problems with peers in school etc. Common behavioral problems are snoring, sleep walking, bed wetting, outbursts of anger, lack of social communication etc. The problems can be prevented from becoming complicated conditions if treated early.
4. Prevention of diseases
The schedule for all the required vaccinations is maintained by the pediatrician. Apart from immunization, regular visits to a pediatrician are important for pointing the beginning symptoms of certain diseases. Nutritional deficiencies, which are very common in children, can be diagnosed and addressed before they lead to health problems. Often parents become extremely apprehensive about the child's health- their queries can be answered and their worries can also be put to rest by these visits.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Cyclic vomiting syndrome (CVS) is characterized by periodic bouts of nausea and vomiting that happens at cyclical intervals. It affects all ages, but is more common in children. The condition is quite stereotypical in that there are paroxysms or bouts of vomiting that is recurrent and follows days of normal health.
There is no definite reason identified, but it is said to have a strong hereditary correlation. Studies have shown mitochondrial heteroplasmies (abnormal growth of mitochondria, which is a cellular component) to be one of the factors that can lead to CVS. The genetic correlation, however, is very difficult to establish, specifically because vomiting and nausea are common symptoms that occur with most conditions in children. And CVS is most commonly noted with conditions like infections and emotional excitement. Infection could be either tooth decay or sinusitis or anything else. Lack of sleep, anxiety, holidays, allergies, overeating, certain foods, menstruation – a host of factors have been shown to induce CVS. There is also a strong association with migraine and conditions that lead to excessive production of stress hormones.
The syndrome (a group of symptoms) usually has 4 phases:
Symptom-free interval phase: The child is completely normal in this phase, which happens in between bouts.
Prodromal phase: Prodrome is an indication that a disease or a condition is about to happen. In CVS, this is usually nausea and abdominal pain that can last from a few minutes to a few hours. Treatment in this phase can curb the disease. However, there could be some children in whom this may not manifest and the child may directly start with vomiting.
Recovery phase: As the nausea and vomiting begin to subside, which may take a couple of days, the child returns back to normal slowly. However, the lethargy and energy levels will take a couple of days to return to normal.
Treatment again depends on the severity and the phase at which it is being recognized. If a child has repetitive bouts, then the parent and the doctor would have identified a pattern to it.
If the causative agent has been identified, for instance, infection or migraines, then managing that takes care of the CVS also.
If identified during the prodromal phase, again it can be managed with suitable anti-emetic medications.
If identified after full onset, rest and sleep and medications to control nausea and vomiting are required.
Adequate hydration with electrolyte replenishment and sedatives can provide additional support. However, in most cases of childhood CSV, the pattern will be identified and that helps in better management, both the child/parent and the podiatrist.
Childhood obesity is a serious condition plaguing many adolescents and children these days. Obesity brings along with it a plethora of health scares such as high cholesterol, high blood pressure and diabetes, all of which at a point of time were confined only to adults. Obesity in children also results in depression and self-esteem issues. Too much of calorie consumption accompanied by a sedentary lifestyle and other hormonal or genetic factors contribute to obesity in children.
Overcoming Childhood Obesity-
Healthy Eating: Consider opting for vegetables and fruits over high-calorie and fatty foods such as crackers, cookies or other processed foods. Cut out on the intake of sweetened beverages that makes your child too full to grab other healthy foods. Encourage sitting together for a family meal and initiating interaction rather than turning on the TV or other electronic gadgets. Allow your child to decide his/her proportion of food and never over feed. This habit should be inculcated in the child since the formative years.
Engaging in Physical Activity: Make sure and talk your child into not spending more than two hours sitting glued to the TV set or the computer on a daily basis. Rather, egg him/her on to go out in the open and enjoy the day underneath the sun. Try and start building in your child the habits of exercising and staying active right from the beginning. This will go a long way in deciding your child’s health and overall fitness in the future. Remember! Morning shows the day. And it’s up to you to structure out your child’s ‘morning’.
Quick Tips For Parents-
Play time or physical activities in ways that your child enjoys, such as going for a walk or hike, playing at the park, playing sports, dancing or going for a bike ride (and join them!)
Healthy home-packed lunches
Drinking more water and eating whole vegetables
Eating when you are truly hungry, not when you’re bored, mad, stressed, etc.
Eating together as a family
Decreased meal sizes
Focus on health rather than taste
Too much screen time
Eating while watching TV or other screens
Negative food cues and triggers by removing them
Skipping meals if you are hungry
Eating if you are not hungry
Eating by the clock (you should eat when you’re truly hungry)
- Too much sugary drinks (sodas and fruit drinks)
In case you have a concern or query you can always consult an expert & get answers to your questions!
My baby age 14 week and vaccination centre today and Vaccine DTwp3 ,IVP3, Hib3 in vaccine name quadrovax date is expired. So I want no confirm side effects. Please use side effects na ho koi medicine explain to better my baby.
Your child needs complete care whether it is emotional, psychological or physical. A thorough evaluation of your child's body and mind is vital at nascent stages. Childs growth should also be checked regularly and monitored. Weight, height and head circumference should be checked and plotted in standard recommended graphs to see if these are normal otherwise timely action can be taken. Childhood vaccinations should be given at right time. These are advised by Paediatrician. If you observe any complaints by your little one that may require medical help, such as:
1. Frequent headaches
Much like adults, children too can experience headaches that last from 30 minutes to 3 hours. A range of primary or secondary headaches like, migraine, meningitis, sinusitis or tension may affect children due to neurological issues.
2. Blurry vision
If you observe either a vision developmental delay or near-sightedness and farsightedness in your child, it might be related to neurological issues.
3. Slurred Speech
If your child is 7-8 months and is not responding to sounds or cannot babble non-sense words, it calls for a neurological check-up.
4. Motor and Co-ordination Delay
Sometimes babies are unable to perform motor skill activities like crawling, walking or using fingers to grip or hold, such delay requires attention of the parent.
Check if your kid has become lazy and decreased his physical activities due to fatigue and tiredness suddenly of late.
6. Abnormal Movements
Common involuntary movements or tics like eye blinking, twitching of nose, grimacing or making sounds is in some cases overlooked. Tourette syndrome is an example of such a tic, which has been evaluated as a neurological issue.
7. Tremors or Seizures
Children are prone to febrile seizures (fits) or tremors along with fever that occur between 6 months and 5 years. These are signs of neurological issues that require an immediate check-up.
8. Numbness in Limbs
Neurological complications in your child’s infancy may also cause joint pain and numbness of arms and legs.
9. Behavioural disorders
A change in behaviour or attitude in your child is noticed if he/she is suffering from attention-deficit/hyperactivity disorder, school problems, sleep issues, intellectual disability or other neural conditions.
This symptom is tricky in children, as it may be confused with general tiredness by your human eye. It may be unheard of but many children face trouble in performing easy tasks. A neurological exam may identify the source for treatments.
An underlying problem to the nervous system can cause harm or impairment in the normal growth and development of your kid. Early diagnosis helps in correct care, recovery and prevention of long-term problems. You can opt for a routine neurological examination if you find such symptoms in your child. These exams check the functioning of your child’s brain, spinal cord, nerves that come from the brain and spinal cord and offers accurate diagnosis.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Constipation is a very common problem among toddlers and children. It takes place when the child's stool is dry, hard and unusually large, and the frequency of bowel movement is low and inconsistent. Although it is not a serious cause for concern, constipation in children should be recognised and treated early so that it does not develop into a chronic long-term ailment.
Constipation in children is seldom directly caused by any disease or medical disorder, which is known as idiopathic constipation and may be cause by a number of factors:
1. Diet: This is the primary cause of constipation in children. If the child's diet has low water and fibre content and heavily features sugar and processed foods, stool becomes hard and bowel movement gets restricted.
2. Deliberate Withholding: Often children may consciously avoid visiting the toilet, which may make them feel constipated. This may be due to embarrassment, especially in public spaces or they might be too engaged in playing to not go to the toilet, altogether. Some children do it out of fear when a previous toilet experience has been particularly painful.
3. Lack of Physical Activity: The digestive system is boosted through regular exercise. Lack of physical activity, thus, inhibits regular bowel movement.
4. Illness and Medication: Infections and illnesses, especially ones pertaining to the stomach cause the child to become constipated. Many medicines and supplements also affect the digestive system and can lead to constipation.
What are the ways to manage constipation in children?
Constipation in children is treated differently than in adults as their diets and patterns of bowel movement are dissimilar.
The primary treatments for constipation in children are:
1. Stool Softeners and Laxatives
The administration of bowel movement enhancing medication is the simplest way of treating constipation in children. There are various kinds of stool softeners and laxatives that are safe for children and must always be used under the supervision of a paediatrician.
2. Dietary Adjustment
Making changes to the child's diet by including high fibre foods (such as fresh fruits and vegetables, whole grain breads, cereals, etc.) can help cure constipation. Compelling the child to intake ample fluids in the form of water or milk is also necessary. Sugary drinks must be avoided.
If your child has become increasingly addicted to sweets and other sugary items, this addiction can lead to certain behavioral problems (like mood swings, irritability, anger, etc) in children. Moreover, a high sugar intake can lead to your child falling prey to serious diseases and conditions, including diabetes, obesity and cardiovascular diseases.
Here's what you can do to break your child's indulgent habits and wean him from ill-health causing culprits like cakes, ice creams, candies, chocolates and rich and creamy desserts etc.
1. Practice what you preach -
In order to develop healthy eating habits in your child, it is imperative for you as a parent to lead by example. When it comes to weaning your child from sugary foods and sweets, you yourself should limit your intake. So, if you tell your child to avoid sweets but love sweets yourself, you'd be setting a bad example by eating them yourself and not letting your child have them. The best thing to do is to be a role model to your child as children learn everything from their parents.
2. Curb consumption of sugar by deferring intake to a later date -
Instead of depriving your child completely, it would prove to be more useful to tell them that they could have sweets on some other day. This is because if you deny him his indulgence, your child would invariably go on an eating spree the moment an opportunity arises. A study on a group of restrained eaters and non-diet individuals revealed that restrained eaters were found to consume more food than the non-dieting individuals. Not knowing when they could have their favourite foods again, they went on an eating spree.
Make frequent yet small offerings of sweets while explaining to him the importance of moderation and why he/she shouldn't overindulge but space out sugar intake.
3. Try the 90/10 rule -
Teaching older children the 90/10 principle is another sure-shot way of breaking your child?'s addiction to sweets. The rule calls for 90% of the diet to be made up of healthy food with the remaining 10% being devoted to foods your child wants to indulge in such as junk food, sweets or foods with high sugar content. The total calorie intake that arises from consumption of about 10% or 1-2 fun foods is only about 100-200 calories everyday.
4. Present your child with healthy alternatives to sugary items -
The next time your child wants to indulge in his sugar craving, instead of giving a processed sugary food, give healthier sweet foods like dates, honey or a fresh sweet fruit.
Did you know that there are certain foods that increase your child's height naturally? Foods that are rich in essential nutrients such as Vitamins, Calcium, Zinc, Magnesium etc can prove to be highly instrumental in adding extra inches to your child's height. Read on...
1. Whole Grains - Whole grains are rich sources of Zinc, Magnesium and Vitamin B, which play a very vital role in promoting your child's growth during his/her budding years. Additionally, whole grains also contain calories and carbohydrates, which ensure the maintenance of proper weight in your child, imparting him/her with the requisite energy to go on throughout the day. Feed your child whole-grain breads, cereals and pastas to make him healthier and taller.
2. Milk - Milk contains calcium and Vitamin D, which help in bone development during the growing years of a child, besides increasing his/her physical strength. Milk also helps in assimilating different proteins making it one of the best foods to be consumed by your child for attaining a good height. Three servings of milk, or milk products such as cheese or yoghurt, each day will suffice your child's Vitamin D and calcium requirement.
3. Fruits and Vegetables - Fruits are excellent sources of Vitamin A, which is instrumental in ensuring an enhanced rate of bone growth in your child, consequently making him/her taller. You can include carrots, mangoes, sweet potatoes, spinach etc. in your child?s diet to aid his/her height growth. It's advisable to provide him/her with 3 to 5 servings of fruits and vegetables every day.
4. Eggs - To ensure that your child grows taller naturally, providing him/her with a protein rich diet is very crucial. Eggs contain ample amount of protein needed to keep your child energetic throughout the day and help him/her grow taller. One to two eggs per day is considered to be the ideal intake amount for a child.
5. Soybeans - Soybeans are rich sources of protein and help in enhancing the growth of bones and muscles of your child, which in turn adds to his/her height during the budding years. You can cook various soybean dishes or you can add ground soybean powder to the dough while making rotis to make soybean a part of your child?s diet.
Although a child's height is also dependent on his/her genes, a well balanced diet containing these super-foods will increase your child's chances of growing to the fullest to attain a good height.
Research shows that overweight children have a higher chances of developing chronic health problems such as hypertension, asthma, high cholesterol, and even cancer as they grow up. Apart from these health conditions, being obese can cause severe self-esteem problems as well. In short, obesity in children, more specifically childhood obesity, can affect the overall physical, mental and emotional health of your child.
Here are 5 easy ways to prevent your child from falling into the perils of obesity.
1. Develop healthy eating habits in your child
Encouraging your little ones to develop healthy eating habits is vital for maintaining optimum body weight. Instead of high sugar and high fat foods, a child’s diet should consist of fruits, vegetables and whole-grain foods (such as oats, quinoa and wheat). Proteins such as lean meats, lentils, beans and fish should be included in his/her eating plan as well. Most importantly, serving food in the right portion sizes will ensure your child is getting the right amount of nutrients, while preventing him/her from consuming empty calories. Inculcate these eating habits in them right from the time they are toddlers so that it stays with them as they get older.
2. Make your child avoid calorie-rich foods
Getting your child to avoid fatty, sugary and salty foods can also prevent him from tipping over the weighing scale. Present before your child low sugar and low fat alternatives that he/she would enjoy eating such as apples, bananas, carrots, etc.
3. Encourage your child to pursue physical activity
Try to encourage your child to engage in some form of physical activity for about 60 minutes every day. From brisk walking, swimming, dancing to skipping - your child could opt for any of these physical activities. Having your child lead an active life can see him/her enjoying a number of health benefits like respite from stress, strengthening of his/her bones and muscles and decrease in blood pressure, to name a few.
4. Put a limit on your child’s TV time
When it comes to the time that your child may spend before the TV, computer or other gizmos, it should be not more than half-an-hour per day. Instead, devise fun activities wherein your child as well other members of the family can take part in or ones in which your child does not need a company.
5. Ensure your child gets enough sleep
Lastly, a good night’s rest that lasts about 9-12 hours is vital for optimal weight maintenance. Studies reveal that children who slept for less than the required number of hours were more at risk of being obese. This is because less sleep causes fatigue, leading to a decrease in physical activity and therefore, use of energy. Hence, young kids need up to 8 to 10 hrs sleep but older kids need 6 to 8 hours sleep.