Healthy Eating for Children and Teens: How to Get Your Child to Eat Better

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This lecture covers dietary needs in children and teens. The lecture will include ways to cope with fussy eaters, myths about what foods are healthy/unhealthy, and how weight issues can affect self-esteem and future health problems.

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Healthy Eating for Children and Teens: How to Get Your Child to Eat Better

  1. 1. Open up and say…AHH! Children, eating and you Presented by: David Levine MD 4/29/14
  2. 2. "Eat food. Not too much. Mostly plants."
  3. 3. Pop Quiz, Hotshots! 1) Is 2% milk better than whole milk? - How much decrease in fat is this from whole milk, 98% or 1%? 2) Is there cheese is cheez wiz?
  4. 4. Which is worse? Salt, sugar or fat? - need to know about food in order to understand how to feed your child - need to know how food is manipulated in order to educate your child and protect them and their health
  5. 5. • Real, unprocessed food, sends signals to the brain that make you feel full fast • Processed foods (Coke, Doritos, etc..) don’t send the same signals so you end up consuming more! • and the food processors know and exploit this
  6. 6. Worry about predators…
  7. 7. Food and Family
  8. 8. Hopefully not this…
  9. 9. Nutrition • Prenatal • extremely important • you don't fix things with 9 mths of healthy eating after a lifetime of bad
  10. 10. Newborn/Infant • breast is best -but there is reality -different formulas -marketing vs. reality
  11. 11. Introduction of complementary foods • no right or wrong way to start • we all prefer sweets • some evidence to support meat early (iron) • not before 17 weeks (allergy) • Solids (finger foods) start with pincer grasp (9- 10mths)
  12. 12. One Year • switch to whole milk? • dairy (yogurt, cheese)>>milk • ok to continue breast • ever expanding diet
  13. 13. Toddlers • food rules • options/menu • don't reward with bad food for eating good food
  14. 14. • eating after the toddler period is determined very much by this developmental period and how you interact with the child Are YOU picky? • anxious about your weight? • dieting?
  15. 15. It’s good to play with food!
  16. 16. BMI • body mass index (wt for ht) • measured after 3 years of age • healthy weight/overweight/obese/morbidly obese • a child who is overweight/obese at 5 years of age is likely to have weight problems as an adult • not a guarantee
  17. 17. To organic or not to organic, that is the question.
  18. 18. • less pesticides • better for you? • more expensive, or is it? • the type of animal you eat may be less important than what THAT animal ate while it was alive
  19. 19. • -omega 6:3 ratio should be roughly 1:1 -grass fed is 1:1 -corn fed is 14:1 • heart disease risk? cancer risk? • THERE IS A DIFFERENCE!
  20. 20. Vegetarianism Vitamins can make this a non-issue in the US • should consult with a trained nutritionist to insure that there are no gaps, especially in children with growing bodies (different from adults) i.e. vit B12, fatty acids, iron • vegetarian vs vegan (too restrictive for child?) • leaner bodies, probably will live longer and healthier lives
  21. 21. Beef is Bad! (sorry hamburger lovers) • especially commercially produced • E. Coli 0157:H7 • -In and Out Burger (1980's) • byproducts fed to animal include bits from the same species -cannibalism -mad cow disease
  22. 22. Reading is fundamental...
  23. 23. Antibiotics
  24. 24. • superbugs - MRSA - E. Coli • overuse of ABX leads to resistance • all promoted and approved by your government and the FDA/USDA
  25. 25. What's a parent to do?
  26. 26. FOOD = HEALTH • top causes of death, most are food related - heart disease - cancers
  27. 27. • we all want what is best for our kids • so why do we place so little care on what they eat? • why do we not trust our own instincts when it comes to food? - internet? fad diets? mistrust of MD's? - lack of education/information from MD's?
  28. 28. Do we need these?
  29. 29. Maybe not…
  30. 30. • science has not yet provided concrete answers • many different theories exist • confusing to doctors and patients • epidemics of obesity and diabetes cannot be ignored • all of us have our biases (mine is added sugars) -added sugars will soon be noted on nutrition labels
  31. 31. A spoonful of sugar? • More like a few gallons - soda consumption has doubled since the 70’s - each person consumes about 40,000 gallons soda/yr = 60,000 calories = 3700 tsp sugar/person (about 22 tsp/day, goal is 5-10) - 5 tsp = 6oz Coke, one Twinkie, 1.5 Fig Newtons -How? Marketing and Conditioning (expect sweet, reject when not) - Beyonce, Taylor Swift, Lebron James….
  32. 32. • why does BK and McD's cost less than real food? - corn subsidies - business invades science (remember tobacco?) • lack of real oversight • lack of caring by government (more business than people)
  33. 33. Speaking of corn • High fructose corn syrup  Roughly the same sweetness of sugar, but way cheaper  More stable, keeps packaged goods fresher, longer  Worse than sugar? • May lead to increased trigylcerides, LDL and other heart disease markers (Fructose = Fat?) • Doesn’t mean table sugar (sucrose: ½ glucose, ½ fructose) is better
  34. 34. Obesity is the new smoking • it is costing us billions right now • may have peaked, but still a major problem • trying lots of different methods -none are proven to work
  35. 35. And a little about fat • Bliss points  Fat has none, just keep eating it  Usually don’t even know it is there
  36. 36. Don’t be so Cheesy! • Milk fat must go somewhere • Consumption has increased • Average person: sat fat increased by 200 gram/year • Finds it way into more foods as an additive (not high quality cheese, i.e. American cheese PRODUCT)
  37. 37. Prevention always trumps treatment
  38. 38. • harder than it looks • requires commitment • watch TV, or play • priorities! • Time?
  39. 39. What to do? • teach your kids • take them food shopping • cook with them • microwaving is NOT cooking! • your job is to provide, their's is to eat • young children can adjust their intakes, but cannot choose a well-balanced diet
  40. 40. • aim for 3 meals/day (age appropriate) • avoid sodas and teas -water -100% juice (in moderation) -milk (no more than 8 oz, low fat unless 12-24 mths) -routine use of vitamins NOT necessary • NO HIGH FRUCTOSE CORN SYRUP!
  41. 41. • EAT WITH YOUR KIDS! • don't get caught up in lower percentiles if your kids is happy and energetic • gaining wt on bad food is worse than being skinny or stable on healthy food • petition your school and elected officials for better food
  42. 42. Don't do this!
  43. 43. It isn't easy, but it is worth it

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