HENRY: Health, Exercise & Nutrition for the Really Young

Obesity is described as having excessive body fat. Obese children are above the normal weight for their height and age. The BMI or the body mass index is widely employed as a selection tool to measure overweight and obesity. The body mass index percentile is an ideal means to measure obesity and overweight in children since it looks at the weight of an individual relative to their height. Health specialists employ development charts to determine whether a kid’s mass falls into a healthy assortment for the kid’s sex, age and height. According to Sarafino, & Smith (2014), kids with a body mass index at/ or above the eighty-fifth percentile but less than the ninety-fifth percentile are regarded as simply being overweight. On the other hand, children who are at/ or above the ninety-fifth percentile mark may be categorized as being obese. Penn & Kerr (2014), believes that infancy obesity is rather disconcerting since the additional pounds of fat lead kids on the route of health concerns that were once considered adult issues- high cholesterol, diabetes and blood pressure. Most of the children with obesity end up being obese adults more so if both or one of the parents are obese. Kenney, Wilmore & Costill (2015), states that childhood obesity may lead to depression and low self-esteem. One chief approach to decrease childhood obesity is to advance exercise and eating habits of the whole family. Preventing and treating childhood obesity assists in protecting child’s health both now and into the future. One key strategy that can be used to address infancy obesity is the HENRY: Health, Exercise & Nutrition for the Really Young Programme. Cremonesini & Oben, (2016), defines HENRY as a distinctively and decidedly fruitful intercession to protect young kids from the emotional and physical consequences of obesity. HENRY has been widely successful because of its holistic strategy, identifying that responsive, confident, emotional well-being parenting are just as significant for healthy lifestyle as activity and nutrition (Nasrallah, 2015). It is only through evidence-based intervention that permit a good start for young children and babies by encompassing three key elements off the HENRY Programme. This documentation will determine how the HENRY Programme has been able to facilitate lifestyle change in families in a bid to curb the high rate of obesity among young children.

Summary of Nutritional Issues

It is essential to understand that not all children with additional pounds are obese or overweight. Some kids may have body frames that are larger than the average. In addition to this, children usually carry dissimilar amounts of body fat at different points of development (Rondanelli et al., 2016). According to Scully & Denis, (2017), approximately 1 out of 4 children in developed nations are obese or overweight. Young children that suffer from diabetes are at a greater risk of suffering from serious health issues including asthma, diabetes and heart disease. Obesity also takes an emotional toll on children and they are usually unable to keep up with other children and engaging in physical activities such as sports. Henry, Eyre, Caines, & Lawrence (2016), children with obesity may also suffer from depression, negative body image and low self-esteem. King, Burgess Quinn, & Osei, (2015), claim that the main cause of childhood obesity is the unhealthy lifestyle that the society has taken up. Most people take up too much calories from drinks and foods and do very little activities and this is the main contributor to childhood obesity. Study has revealed that alterations in digestive hormones can have an impact on the signal that lets you know that you’re full. A lot of factors that usually work in combination upticks a kid’s probability of becoming obese, they include:

Diet

Eating high-calories foods on a regular basis such as vending machine snacks, baked foods and fast foods may easily cause a young child to gain weight and become obese. In addition to this sugary desserts may cause weightiness gain and more indication points towards sugary drinks encompassing fruit squashes as causes of obesity in some children (Schulz et al., 2005). Socioeconomic factors- persons in some societies have restricted access to supermarkets and narrow resources, as a consequence, they prefer convenience foods that last longer and don’t spoil quickly, for instance cookies, crackers, and frozen meals (Speiser et al., 2005). Additionally, persons living in insecure and low income localities may not have a secure space to exercise. Lack of exercise- kids who fail to exercise on a regular basis are more probable to increase weight since they don’t burn up the calories they intake. Nasrallah (2015), claims that children spend a lot of time playing inactive accomplishments such as playing games or watching televisions, also contribute to the concern. Psychological factors- family, paternal and personal anxiety can up surge a kid’s risk of becoming obese. Some kids overindulge to deal with emotions such as fighting boredom or stress and also to cope with problem. Family factors- if a kid originates from a family of obese parents, they are likely to be obese or overweight. This is especially true if the child comes from an environment where high calorie foods are accessible and physical happenings such as exercise are not encouraged.

Summary of Current Intervention

The HENRY ‘Strength, Exercise & Nutrition for the Really Young Programme’ deal obesity in infant and past by assisting parents embrace an improved family styles. HENRY Programme works towards ingraining and establishing healthy living standards from the ages of one to 5 years, practices that will stay with practitioners, children, and parents for life (Ross & Wright, 2017). The program aims at reversing the current unhealthy lifestyles that the society has adopted and is suffering from, especially the high rates of obesity. One in every four kids is already overweight by the time they start school, so trying o instigate changes at this time may be too late. By pursuing chief areas such as emotional wellbeing, physical activity and eating patterns, HENRY aims at eradicating the causes of obesity at the roots (Willis et al., 2016). One of the pioneers of the HENRY program, Professor Mary Rudolph states that the scheme seeks to encourage positive parenting skills that will assists address activities and food issues and setting up healthy eating patterns that will remain with them for life. Sims-Schouten, & Maynard, (2016), claims that weight issues can be traced to a far younger age than was initially thought, overweight children are five time more probable to become during the course of their childhood. HENRY has been recognized by the Department of Health and the Department for Families, Schools and Children. HENRY is the initial and most effective chief programme to address the issue of obesity and overweight in the age bracket of between one to five years: 1. Rigorous testing indicates a substantial effect in improving healthy living practices and lowering obesity rates for the whole family, changes maintained over time, changes adopted are maintained over time (Szabo-Reed, 2015). 2. Participating families tend to make statistically important improvements in parenting efficacy and family lifestyle.

Implementation of the HENRY Programme

From Karlsson et al. (2015), in the last eight years, HENRY has established an association with the children’s service across Wales and England, NHS trusts and local health department which comprise: 1. Royal Society for Public Health-attributed training for healthcare practitioners who are working young families.

2. Peer support and community engagement.

3. Precautionary group programs to assist parents assume a healthier household lifestyle.

4. Directed group programs and one-to-one for kin of kids at a higher threat of obesity or those at present overweight.

Approximately twelve thousand practitioners have been trained and nearly eight thousand parents have undergone family programs. There is an astonishing 98 percent approval rating of the programs with parents rating them as either great (77 percent) or good (21 percent). Nearly 93 percent of families were leading very healthy lifestyles by the time the program came to a halt when likened to 21 percent at the onset of the program (Ballak, et al., 2015). By the time the program ended 42 percent of the kids and engaging families were eating vegetables and five times a day when linked to 21 percent at the start of the program and 95 percent of healthcare practitioners state that HENRY exceeded or meet their expectation (Montani, Schutz, & Dulloo, 2015).

The HENRY program has led to positive changes, including:

1. An uptick in intake of vegetables, fruits and water.

2. Decreased intake of foods high in sugar and/or fat.

3. More regular family mealtimes

4. Decreased screen time

5. An uptick in physical activates for the entire family

In Leeds, the HENRY program is a fragment of a city-wide obesity approach and delivered in kid’s centers throughout the city, obesity proportions at response stages have fallen from ten point three percent to eight point seven percent over a seven year epoch. Notwithstanding, the countrywide trends have stayed unchanged. The gap between obesity proportions at the age of five in the most deprived and least disadvantaged areas of Leeds is decreasing from a high of 13.8 percent to a low of approximately 9.7 percent in the most disadvantaged areas over a span of five years (McInnis, 2016).

How HENRY is run

The HENRY program is operated and delivered by professionals working in the initial years who have been accomplished by HENRY coordinators. Henry is occasionally operated in partnership with community and voluntary organizations and children’s centers (Baiocchi-Wagner, & Olson, 2016). With regards to the group program, children and parents attend on a weekly basis period at a specific community venue. On the other hand, the one-to one programs are conducted over a five to eight week program in a given family home.

Why the Focus on Toddlers and Babies

Kids are growing up in a rather obesogenic environment, specifically in lacking areas. Approximately one in every four children in the UK is obese or overweight by admittance to school increasing to a 1/3 by the end of the junior school. Scully & Denis, (2017), believes that research evidence is unequivocal ; in order to turn around the raising rates of obesity within the United Kingdom it is essential to apply these strategies at birth, if not before. From Rondanelli et al (2016), overweight toddlers and babies are five times more probable to be overheavy at the age of twelve as those fit weight in children. Also obesity during childhood usually tracks into adulthood at least 70 percent of obese kids go on to become obese grownups. Children with obesity are at a grander risk of grave long-haul health issues comprising Type 2 diabetes and cardiovascular issues. In addition to this they may also exhibits arteriosclerosis and fatty liver diseases, which were in the past unheard of in childhood health are now starting to manifest in childhood. The emotional burden that associates in obesity in childhood may be long-lasting and severe encompassing social exclusion, low-self-esteem and bullying.

Practitioners Training Confidence

1. Studies in the United States and the United Kingdom illustrate that the community and health professionals believe that they don’t have confidence and skills to operate effectively with parents regarding child obesity (Graf et al., 2014).

2. There are instances often report that they fail to get the help they require when they are worried about their children’s weight. Typically, their apprehensions have a habit of being dismissed or they are made to feel guilty if their child is obese or overweight (Johnson et al., 2016).

3. From a recent study by the Childhood Obesity Nationwide Support Team accentuated on the necessity for specific preparation of the staff in order to advance consultant self-confidence in educating on the issues of harmful weight (Roberts, 2014).

4. The customary strategy of addressing child obesity encompassing chiefly dietary advice is not effective in sustaining change to family lifestyle.

Core Content of the Service

Group Programme: individual sessions typically last two and a half hours, consisting of family time where children and parents enjoy a healthy snack and engage in physical activities and parent times where group members deliberate on the programme issues together while the kids attend playschool (Scioli-Salter et al., 2014). Members will explore a new topic every week through actions that leads to joint comprehending and concepts for approaches to sustenance changes. After each session, members are requested to set individual objectives for the week ahead. One-to-one programme: individual sessions usually last nearly an hour long and cover the same content to group programme. All individuals who take part receive a toolkit with info and resources to assist the development of their family and develop a healthier lifestyle (Roberts, 2014).

Innovation is A Better Start Partnership

Rosen (2014), state that Better Start Branford is working in conjunction with children’s centers community and voluntary organizations to deliver the Henry family programs to all families with children between ages of zero to four residing in the local area.

HENRY programme is in collaboration with Better Start Branford Innovators to undertake qualitative assessment comprising of observing sessions and undertaking attention group with parents who have already completed their HENRY program (Hunt & George, 2013). In addition to this, families are invited catch up session after week 8 training once they complete the final assessment questioners. Results that are being measured after the conclusion of the HENERY programme comprise of families reporting on self-efficacy; family eating behaviors, confidence in preparing healthy meals, the consumption of vegetables and fruits and highly sugary and fat foods (Derscheid et al., 2014).

Long-term consequences will be solely tracked for children and parents who are part of the Better Start Branford initiative encompassing the Body Mass Index at the ages of 2, 4 to 5 and 10 to 11 to assess the effect of the program on decreasing childhood obesity (Sarafino & Smith, 2014). Parents who successfully complete their HENRY program may choose to become Parent Champions where they volunteer to arrange community activities that promote healthy eating, motivate parents to attend HENERY session and support programme delivery (Gordon et al., 2003). The great deal about HENRY is that they don’t tell you what to do, they simply present you with ideas on how to curb obesity and the parent will select the most convenient method for them. HENRY strives for healthier lifestyle and this helps build confidence in parents as they take up roles to ensure they initiate activities bent on attaining healthier lifestyles for the family. In addition to this, HENRY is divided into group setting and this provides members with the opportunity to discuss and share tips on how best to ensure their families follow in order to lead a healthier lifestyle

Complications

Infancy obesity may have problems of a child’s emotional, social and bodily wellbeing.

Physical Complications

1. Asthma- kids who are obese or overweight may be more probable to have asthma.

2. Type 2 Diabetes- this is a critical disease that affects how a child’s body reacts to an increase in glucose levels in the blood stream

3. Sleep disorders- disruptive sleep apnea is a possibly grave disorder that a kid’s breathing recurrently starts and stops during sleep.

4. High blood pressure and High cholesterol- a poor food may root in your kid developing one or both of these disorders. These influences may add to the accrual of plaques in blood vessel such plaque may cause blood vessel to narrow and solidify which may result in a stroke or heart attack later in life.

5. Nonalcoholic fatty liver disease (NAFLD) - this type of illness typically sources no symptoms, lead to oily deposits to building up in the veins. This disorder may result in liver damage and scarring.

6. Metabolic Syndrome- this gathering of condition may put your kid at risk of health issues such as diabetes and diseases. Conditions comprise of high blood pressure, high triglycerides, high blood sugar, additional intestinal fat, little HDL cholesterol (Roth et al., 2004).

Emotional and Social complications

1. Depression- little self- esteem may develop overpowering spirits of hopelessness that may lead to despair in some kids who are big.

2. Being bullied and having low self-esteem- kids bully or usually tease overweight peers, who subsequently agonize a loss of self-confidence and an uptick of despair as a consequence.

3. Learning and behavior difficulties- kids suffering from obesity or being overweight tend to be more anxious and exhibit poorer communal assistances than normal-weight kids do. Obese or overweight children may end up acting up or withdrawing from society.

Prevention

Regardless of whether or not a child is becoming overweight or presently at health weight, I is necessary for guardians or parents to take measures to keep or put things on the right track, such measures may constitute:

1. Limiting a child’s intake of sugary beverages.

2. Offer plenty of vegetables and fruits.

3. Eat mealtimes as a family as usual as probable.

4. Limit eating at fast food eateries.

5. Modify helping of food proper for age.

6. Restrict screen time and encourage physical activities.

In addition to this, it is essential to ensure that a child sees a doctor for regular checkups at least once a year. During checkups doctors determine a child’s BMI which will be used to ascertain whether or not a child is overweight or obese and subsequently offer appropriate measures that ought to be taken to ensure they manage weight gain in the child (Chou, Grossman & Saffer, 2004).

Discussions

Encouraging parents to join and go to programs to avert obesity in their kids’ primary years is a test. This revelation is in conformance with writings assessing the challenges of employing parents to partake in populace-based programs in the nonexistence of health issues in their kids (Rudolf, Hunt, George, Hajibagheri, & Blair, 2010). Early childhood offers a prospect to intercede to set up healthy behavior that are crucial for optimal progression and development, notwithstanding the botch to entice parents to programs for instance HENRY is a risk to the viability and success of such programs. Zimmerman & Bell (2010), has established a theory-grounded intercession that particularly provided to paternities of young kids. The early-segment assessment of the optimization intercession is defined here encompassing the techniques to appraisal the preparedness of representatives to pay for any extra costs accepted by superfluous arrangement activities. In the long run, the true worth of he optimized intercession will be established following such discussion with the representatives (Lin et al., 2006). The enactment study will usually focus on the employment of intervention of known efficiency into regular policy and practice. To conclude HENRY is an effective strategy used to curb obesity rate and excessive weight gain in the really young by focusing on an entire lifestyle change for the entire family.

References

Baiocchi-Wagner, E. A., & Olson, L. N. (2016). Motherhood and Family Health Advocacy in Nutrition and Exercise:“Doing the Tradition”. Journal of Family Communication, 16(2), 128-142.

Ballak, D. B., Van Diepen, J. A., Moschen, A. R., Jansen, H. J., Hijmans, A., Groenhof, G. J., ... & Kersten, S. (2015). Corrigendum: IL-37 protects against obesity-induced inflammation and insulin resistance. Nature communications, 6, 6039.

Chou, S. Y., Grossman, M., & Saffer, H. (2004). An economic analysis of adult obesity: results from the Behavioral Risk Factor Surveillance System. Journal of health economics, 23(3), 565-587.

Cremonesini, L., & Oben, J. A. (2016). Interventions in infant obesity. Independent Nurse, 2016(11), 16-21.

Derscheid, L. E., Kim, S. Y., Zittel, L. L., Umoren, J., & Henry, B. W. (2014). Teachers’ Self-Efficacy and Knowledge of Healthy Nutrition and Physical Activity Practices for Preschoolers: Instrument Development and Validation. Journal of Research in Childhood Education, 28(2), 261-276.

Gordon, F. K., Ferguson, E. L., Toafa, V., Henry, T. E., Goulding, A., Grant, A. M., & Guthrie, B. E. (2003). High levels of childhood obesity observed among 3-to 7-year-old New Zealand Pacific children is a public health concern. The Journal of nutrition, 133(11), 3456-3460.

Graf, C., Beneke, R., Bloch, W., Bucksch, J., Dordel, S., Eiser, S., ... & Manz, K. (2014). Recommendations for promoting physical activity for children and adolescents in Germany. A consensus statement. Obesity facts, 7(3), 178-190.

Henry, F. J. (2016). Obesity in the Caribbean: A Case for Public Policies. J Nutr Disorders Ther, 6(194), 2161-0509.

Henry, F. J., Eyre, S., Caines, D., & Lawrence, B. (2016). Obesity and Food Economics in the Caribbean. Nutr Food Technol Open Access, 2(3).

Hunt, C., & George, J. (2013). Preventing child obesity: a long-term evaluation of the HENRY approach. Community Practitioner, 86(7), 23.

Johnson, P., Lim, S. Y., Woo, S., Miller, J., Skrepnek, G., & Henry, E. (2016). 885: PHARMACOKINETIC EFFECT OF OBESITY ON FENTANYL CONTINUOUS INFUSIONS IN CHILDREN. Critical Care Medicine, 44(12), 297.

Karlsson, H. K., Tuominen, L., Tuulari, J. J., Hirvonen, J., Parkkola, R., Helin, S., ... & Nummenmaa, L. (2015). Obesity is associated with decreased μ-opioid but unaltered dopamine D2 receptor availability in the brain. Journal of Neuroscience, 35(9), 3959-3965.

Kenney, W. L., Wilmore, J., & Costill, D. (2015). Physiology of Sport and Exercise 6th Edition. Human kinetics.

King, F. S., Burgess, A., Quinn, V. J., & Osei, A. K. (Eds.). (2015). Nutrition for developing countries. Oxford University Press.

Lin, J., Mamykina, L., Lindtner, S., Delajoux, G., & Strub, H. (2006). Fish’n’Steps: Encouraging physical activity with an interactive computer game. UbiComp 2006: Ubiquitous Computing, 261-278.

McInnis, K. A. (2016). The Houston Texans TwEAT Healthy program: using professional athletes as role models to prevent adolescent obesity (Doctoral dissertation).

Montani, J. P., Schutz, Y., & Dulloo, A. G. (2015). Dieting and weight cycling as risk factors for cardiometabolic diseases: who is really at risk?. Obesity reviews, 16(S1), 7-18.

Nasrallah, H. A. (2015). 10 Triggers of Inflammation to Be Avoided, to Reduce the Risk of Depression: Educating Our Patients about Adopting a Healthy Lifestyle-Not Smoking, Exercising, Eating Wisely, and So On-Might Lower Their Risk of Psychiatric Relapse. Current Psychiatry, 14(3), 6.

Penn, S., & Kerr, J. (2014). Childhood obesity: The challenges for nurses: It is vital that nurses understand the factors that can lead to weight problems and engage with young people and their families to promote healthy diets and lifestyles, say Sarah Penn and Joanne Kerr. Nursing children and young people, 26(2), 16-21.

Roberts, K. (2014). In Practice. Perspectives in Public Health, 134(6), 312.

Rondanelli, M., Klersy, C., Terracol, G., Talluri, J., Maugeri, R., Guido, D., ... & Perna, S. (2016). Whey protein, amino acids, and vitamin D supplementation with physical activity increases fat-free mass and strength, functionality, and quality of life and decreases inflammation in sarcopenic elderly. The American journal of clinical nutrition, 103(3), 830-840.

Rosen, L. D., Lim, A. F., Felt, J., Carrier, L. M., Cheever, N. A., Lara-Ruiz, J. M., ... & Rokkum, J. (2014). Media and technology use predicts ill-being among children, preteens and teenagers independent of the negative health impacts of exercise and eating habits. Computers in human behavior, 35, 364-375.

Ross, S., & Wright, C. (2017). Preschool growth and nutrition service–addressing common nutritional problems: a community based, primary care led intervention. London Journal of Primary Care, 1-5.

Roth, J., Qiang, X., Marbán, S. L., Redelt, H., & Lowell, B. C. (2004). The obesity pandemic: where have we been and where are we going?. Obesity, 12(S11). Rudolf, M. C. J., Hunt, C., George, J., Hajibagheri, K., & Blair, M. (2010). HENRY: development, pilot and long‐term evaluation of a programme to help practitioners work more effectively with parents of babies and pre‐school children to prevent childhood obesity. Child: care, health and development, 36(6), 850-857.

Salmon, J., Tremblay, M. S., Marshall, S. J., & Hume, C. (2011). Health risks, correlates, and interventions to reduce sedentary behavior in young people. American journal of preventive medicine, 41(2), 197-206.

Sarafino, E. P., & Smith, T. W. (2014). Health psychology: Biopsychosocial interactions. John Wiley & Sons.

Schulz, A. J., Zenk, S., Odoms-Young, A., Hollis-Neely, T., Nwankwo, R., Lockett, M., ... & Kannan, S. (2005). Healthy eating and exercising to reduce diabetes: exploring the potential of social determinants of health frameworks within the context of community-based participatory diabetes prevention. American Journal of Public Health, 95(4), 645-651.

Scioli-Salter, E. R., Sillice, M. A., Mitchell, K. S., Rasmusson, A. M., Allsup, K., Biller, H., & Rossi, J. S. (2014). Predictors of long-term exercise maintenance among college aged adults: role of body image anxiety. Calif J Health Promot, 12, 27-39.

Scully, M. A., & Denis, G. V. (2017). The Pediatric Obesity Epidemic and the Role of the Corporation: Why Work Conditions and Faith in Meritocracy Matter. In Adiposity-Omics and Molecular Understanding. InTech.

Sims-Schouten, W., & Maynard, E. (2016). CHAPTER TWO CHILDHOOD OBESITY, HEALTH AND EMBODIMENT: FROM INTERVENTION MODELS TO BODY-IMAGE AND BODY-BULLYING. Rethinking Social Issues in Education for the 21st Century: UK Perspectives on International Concerns, 26.

Speiser, P. W., Rudolf, M. C., Anhalt, H., Camacho-Hubner, C., Chiarelli, F., Eliakim, A., ... & Krude, H. (2005). Childhood obesity. The Journal of Clinical Endocrinology & Metabolism, 90(3), 1871-1887.

Szabo-Reed, A. N., Breslin, F. J., Lynch, A. M., Patrician, T. M., Martin, L. E., Lepping, R. J., ... & Gibson, C. (2015). Brain function predictors and outcome of weight loss and weight loss maintenance. Contemporary clinical trials, 40, 218-231.

Willis, T. A., Roberts, K. P. J., Berry, T. M., Bryant, M., & Rudolf, M. C. J. (2016). The impact of HENRY on parenting and family lifestyle: a national service evaluation of a preschool obesity prevention programme. public health, 136, 101-108.

Zimmerman, F. J., & Bell, J. F. (2010). Associations of television content type and obesity in children. American Journal of Public Health, 100(2), 334-340.