American Children and Adolescents Are Dehydrated

American Children and Adolescents Are Dehydrated

Pamela A. Popper, President

Wellness Forum Health


According to a recent study, American children and teens do not consume enough water, which affects both their physical and mental health status. Harvard researchers analyzed data from 4,134 children and adolescents between ages 6 and 19 participating in the National Health and Nutrition Examination Survey (NHANES). About half the  children were not taking in enough fluids of any type. Dehydration was 76.0% higher in boys than girls, and 34.0% higher in blacks than whites. Almost 25.0% of the kids reported drinking no water at all.

The bad news is that so many children are dehydrated. The good news is that this could be an easier problem to solve than many diet-related issues with children, since there is likely to be less controversy and argument about getting kids to drink more water. Here are a few ways in which kids could be helped to do better with minimal expense and disruption at school. 

First, all children could be given water bottles at school. This would cost a small amount of money, but if budgets are so tight that schools cannot spend $1.00 per child to make sure water intake is adequate, perhaps the PTA could step in to help.

Second, children could be allowed to drink water during the school day. It is appalling to me the number of children of members of Wellness Forum Health who are forbidden to drink water during the school day, and also forbidden to use the restroom except at specified breaks like recess (I assume that the reason water drinking is prohibited is to lessen the number of times children need to use the restroom during the day). While there are many reasons to keep kids from running around the school building during the school day, stopping them from using the restroom is not one of them.

Third, water could be served with meals at school. While it would be great if water replaced milk, the milk lobby won’t let that happen anytime soon, so water in addition to milk would be a step in the right direction.

Fourth, water could replace caloric beverages like milk, soft drinks, and sports drinks in the vending machines.  Some schools have already made this change. While schools have become reliant on revenue from vending machines, this does not mean that junk foods, including caloric beverages, need to be offered for sale. 

Last but not least, coaches could encourage kids to drink more water and require water bottles at practice. While many coaches push protein and sports drinks, most coaches would agree that kids need to drink more water and that water drinking is a good habit to form.

The result of this focus on water would most likely carry over to home. Kids who become used to drinking water at school would most likely also do so at home, which might encourage parents to drink more water too.

Kenney E, Long M, Cradlock A, Gortmaker S. “Prevalence of Inadequate Hydration Among US Children and Disparities by Gender and Race/Ethnicity: National Health and Nutrition Examination Survey, 2009–2012.”  Am J Public Health. 2015 Aug;105(8):e113-118

How Parents Can Pass On Anxiety to Their Children

How Parents Can Pass On Anxiety To Children

Pamela A. Popper, President

Wellness Forum Health

There are many misunderstandings about mental health. One is that chemical imbalances in the brain are the cause of conditions like ADHD, anxiety, and depression. This is a story that was invented by the psychiatry profession to save itself from extinction many years ago when the reputation of psychiatrists had been damaged beyond repair due to their practices. Psychiatrists were the doctors in charge of mental institutions, in which patients were confined, drugged, placed in insulin comas, and even received lobotomies. Rosemary Kennedy became a victim of psychiatry when she was lobotomized at the age of 23 due to violent mood swings.

While many in the psychiatry profession continue to promote the chemical imbalance theory, some have fessed up. Ronald Pies, former editor of Psychiatric Times says now that “In truth, the “chemical imbalance” notion was always a kind of urban legend—never a theory seriously propounded by well-informed psychiatrists.”[1] He also said that the chemical imbalance theory was a “little white lie.”[2]

Another myth is that psychological disorders are hereditary. It can seem that way since often many members of the same family are depressed or anxious. But genetics is not the cause – learned behavior is. A new Canadian study certainly shows this to be true.

The study included 398 offspring from the general population in Canada, 108 of whom had received a diagnosis of one or more anxiety disorders. The rate of anxiety disorders increased with age:

          14.1% of children younger than 9 years of age

          51.8% of children older than 15 years of age

There was no significant difference between male and female children.

The rate of anxiety disorders was lowest among offspring of two parents who did not have an anxiety disorder; higher in offspring with one parent with an anxiety disorder; and highest if both parents had anxiety disorders. The risk was even higher when a same sex parent had anxiety.

The authors wrote: “The risk of anxiety disorders in offspring of parents with anxiety disorders is well established.” In other words, this study is not an outlier. They noted that the same association holds true with offspring of parents with mood disorders

They also wrote: “It is likely that learning and modeling play a significant role. This theory has been suggested before by observational and experimental studies demonstrating that children model parents’ fearful responses and that overprotective parenting increases the likelihood of anxiety in children. Our finding is also in line with a children-of-twins study, which concluded that transmission of anxiety from parents to children is primarily environmental. Although the current study is the first to suggest that the transmission of anxiety is at least partially specific to the same-sex parent-offspring pairs, evidence exists that other complex features, including obesity, physical activity levels, and suicidal behavior, may be more often transmitted to the offspring from the same-sex parent than from the opposite-sex parent. [3]

The bottom line: We learn a lot of things from our parents while growing up – some good, some not so good. The good news is that we are not stuck with any of this. We can change our eating habits, our ideas about money and success, and even our mood states if we don’t like them. We are not stuck.        


[1] Pies, R.W.  “Psychiatry’s new brainmind and the legend of “Chemical Imbalance.” Psychiatric Times July 11, 2011

[2] Pies R.W. “Nuances, Narratives, and the ‘Chemical Imbalance’ Debate in Psychiatry.” Medscape April 15, 2014

[3]   Pavlova B, Bagnell A, Cumby J et al. “Sex-Specific Transmission of Anxiety Disorders From Parents to Offspring.” JAMA Netw Open 2022 Jul;5)7):e2220919 https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2794157