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Fast Fact
"Huffing," or inhaling volatile substances, is becoming increasingly popular among children, especially among 12- to 14-year-olds (Archives of Pediatric and Adolescent Medicine, 1998;152(8):781--786).
Alarmingly, about 20% of eighth-graders report having done it (International Journal of Addiction, 1993;28:1613--1621).
Besides sudden cardiac arrest (the most common cause of death from inhalants), huffing can kill quickly in a number of other ways. Motor vehicle accidents, falls, and other traumatic injuries are common and horrible. Others die from suffocation, burns, suicide (from the depression that can follow the high), and from choking--on their own vomit.
Huffing can kill the very first time children experiment with it. About 22% of those who die from huffing do so the first time they try it (Human Toxicology, 1989;8:261--269).
When huffing doesn't kill quickly, it damages the body each time--especially the brain. Huffing can cause memory loss, impaired concentration, hearing loss, loss of coordination, and permanent brain damage. Chronic use can cause permanent heart, lung, liver, and kidney damage as well.
Solvents (found in glues, paints, and polishes), fuels (such as butane), nitrites (found in deodorizers), and almost any kind of aerosol spray can be responsible.
Most huffing takes place with friends (although kids who sniff correction fluid in class when their teachers turn away are not uncommon). Be observant of your child and his or her friends.
Inhalants gradually leave the body for 2 weeks following huffing--mostly through exhaling. The characteristic odor is the biggest clue. Be on the lookout for breath or clothing that smells like chemicals. Look for clothing stains. Watch for spots or sores around the mouth.
Nausea, lack of appetite, weight loss, nervousness, restlessness, and outbursts of anger can all be signs of inhalant abuse. A drunk, dazed, or glassy-eyed appearance might mean your child is abusing inhalants right now.
If you suspect or discover that you child is huffing, get professional help. Treating inhalant abuse is very difficult and requires expert intervention. Withdrawal symptoms may last for weeks. The relapse rate without a long-term (2-year) program is very high.
Preventing huffing is far better than trying to treat an inhalant addiction. Talking with your child about it is more powerful than anything else (NIDA Research Monograph, 1988;85:8--29).
Start talking with your child about it now. Although huffing peaks between the ages of 12 and 15 years, it often starts "innocently" in children only 6 to 8 years old (Pediatrics, 1996;97:3).
Literally thousands of easily available substances can be inhaled, so you can't keep your child away from them. You can, however, educate and inspire.
For more information on huffing, I recommend visiting www.inhalant.org.
When I was a child and my family was gathered together for a meal, my father would sometimes look each of us in the eye and say, “All for one, and one for all.” We eagerly repeated this to each other, enjoying the sense of belonging, service, and support. Even when those words weren’t there, the meal together was a tangible expression of our connection. My childhood is now long gone. Life has been full of ups and downs, and it seems ever more complicated and busy. But the simple tradition of family meals has had a long impact. These days, when my family sits down to dinner, my wife and four children around the table, we like to clink our glasses together and declare, “All for one, and one for all!”
It’s hard to overestimate the enormous potential of families sharing meals together. Prepare to be inspired! Even without giving extra effort or conscious thought, family meals are associated with better nutrition, better health, better behavior, and happier children, parents (and grandparents). Experts today are wringing their hands about the obesity epidemic in children and depression in teens; citizens are concerned about violence; educators are distressed by falling school performance. I wish I could write a simple prescription for all families: find a way to enjoy as many meals together, especially at home together, as you can.
Dozens of scientific studies have demonstrated an impressive list of benefits associated with eating together as a family. But some people have correctly pointed out that in the earlier studies it wasn’t clear which was causing which. It made sense to suspect that eating together promoted the benefits, but it was also possible that the association found in the studies was because happier, healthier families were just more likely to eat together. The more recent studies have taken into account other measures of family connectedness and concluded that the benefits we will explore do indeed arise at the table together.
The nutritional benefits alone are dramatic. Getting kids to eat vegetables can be frustrating for many parents. As kids eat more meals at home with their parents, they naturally begin to eat more fruits, vegetables, whole grains, and healthy dairy products than their peers do. They are significantly more likely to achieve their nutritional needs. And they eat less in the way of deep-fried foods and drink fewer sugared and carbonated beverages. Increasing the frequency of family dinners is associated with substantially higher intake of several specific nutrients, including fiber, calcium, folate, iron, vitamins B6, B12, C, and E; and with lower average glycemic index; and with lower intake of saturated and trans fats. The benefits are even greater if kids are involved in mealtime preparation and cleaning.
Contrast a family-around-the-table meal at home to a meal at home with the television. The more often that children eat in front of the television, the more likely they are to get more of their calories from fatty meats, pizza, salty snacks, and soda; and the less likely they are to get them from fruits and vegetables. Children in high television-meal families also average twice as much caffeine consumption as do their peers. And meals out are even worse! The typical kids’ meal in many restaurants is a nutritional wasteland. Fast food meals more than twice a week are associated with increased obesity and type 2 diabetes. Simple family meals are an important strategy to improve nutrition, prevent obesity, and improve health. But they do so much more!
Youth who eat more family meals perform better in school. They spend more time on homework, get better grades, and spend more of their free time reading for pleasure. And they are happier. They are less likely to use alcohol, tobacco, or marijuana. They are less likely to engage in early sexual activity or to have eating disorders. Their self-esteems are higher, on average, and they are less likely to become depressed. Teens who eat many meals with their families are half as likely to think about suicide.
Even though this article focuses on parents and children, meals with grandparents are also very valuable for all concerned. The elderly, even senior citizens with dementia, enjoy many similar benefits, the more often they eat with their families or have family-style meals.
Each family meal can be a place of calm in the sea of busyness that roils around us. It can be an oasis of connectedness and simple joy. Family meals offer routine and consistency in the midst of change. They are opportunities to learn together about communication skills, manners, nutrition, and good eating habits. They build family identity and unconscious memories to last a lifetime. Family meals may also provide an important time to "check-in", during which parents can tune in to the emotional well-being of their children and each other.
Clearly, for most families where someone works or attends school away from home, many, many meals will be apart. But even enjoying 1/3 of your meals together represents enormous, gentle, lasting, quiet power. It’s not clear which meals together – breakfasts, lunches, or dinners – are most valuable. I suspect it would be different for different families.
An August 2004 study in the Archives of Pediatrics and Adolescent Medicine followed thousands of youth. About ¼ of them reported having family meals 7 or more times a week. About ¼ reported having family meals 2 times or less a week. Those who enjoyed 7 family meals a week demonstrated significant, measurable benefits such as those we have been discussing, including better grades, less depression, less suicide risk, and less substance abuse – even in families that were otherwise similar. Imagine how powerful it could be for our families to gather together around the table more often. And imagine how powerful it could be for our nation and for our world if we could double the number of families that get 7 meals together each week, and cut the number who get only 2 family meals in half. A quiet, tableside revolution!
When I pick my daughter up from middle school, usually the first question out of her mouth is, “What’s for din-ner?” Her refrain is so oft repeated that the boys often chime in or anticipate her question by a beat. Yes, she’s curious about the food choices, but her deeper questions are about our family evening. Who’s got what practice, rehearsal, game, or show? What are our evening plans? How and where will be together?
Tonight, as it happens, we’ll be driving to have dinner with my parents to celebrate my mom’s, twin sisters’, and nephew’s birthdays this week. All for one and one for all!
To find clues as to the best toys, turn off the TV, put away the passive-play toys, and watch your child. Many kids will begin to play spontaneously, using whatever is at hand; take note of what they choose to play with. Click here for more tips on toys for two-year-olds.
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