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To Make Children Healthier, A Doctor Prescribes A <br />Trip To The Park <br />by Sam Sanders <br />July 14, 2014 4:28 AM ET <br />Dr. Robert Zarr, second from right, leads a hike through a park in Washington, D.C. <br />When Dr. Robert Zarr wanted a young patient to get more exercise, he gave her an unusual <br />prescription: Get off the bus to school earlier. <br />"She has to take a bus to the train, then a train to another bus, then that bus to her school," says <br />Zarr, a pediatrician at Unity Health Care, a clinic that serves low-income and uninsured families in <br />Washington, D.C. So the prescription read: "Walk the remaining four blocks on the second bus on <br />your route to school from home, every day." <br />Kelssi Aguilar, his 13-year-old patient, wasn't exactly excited about the change at first. "He told me <br />about the four blocks and I told him it was a 40-minute walk and I was too lazy," she said. "I was <br />thinking, am I really doing this? I'm going to be late for school." <br />Kelssi was actually 10 minutes early the first day she tried the modified route. Kelssi has kept up the <br />walking. And Zarr says she's moved from obese to just overweight — which is very good. <br />About 40 percent of Zarr's young patients are overweight or obese, which has led the doctor to come <br />up with ways to give them very specific recommendations for physical activity. And that has meant <br />mapping out all of the parks in the District of Columbia — 380 parks so far. <br />The parks, mapped and rated based on facilities and in a searchable database by zip code, can be <br />linked to patients' electronic medical records. Zarr did it with help from the National Park Service and <br />volunteers from George Washington University's School of Public Health, park rangers and other <br />doctors. Zarr also received some funding for the project from the National Recreation and Park <br />Association, the National Environmental Education Foundation, and the American Academy of <br />Pediatrics. <br />Zarr writes park prescriptions on a special prescription pad, in English and Spanish, with the words <br />"Rx for Outdoor Activity" on top, and a schedule slot that asks, "When and where will you play <br />outside this week?" <br />But it's not just about the parks. It's about what the patients want, too. <br /> <br />