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Everything you ever wanted to
know about your child's nutrition...
        but were afraid to ask!
           David Levine MD
              Pediatrics
         Summit Medical Group
"Eat food. Not too much. Mostly plants."
Food and Family
Nutrition


Prenatal
-extremely important
-you don't fix things with 9 mths of healthy
  eating after a lifetime of bad
Newborn/Infant
-breast is best




-but then there is reality
Introduction of complementary foods
-no right or wrong way to start
-we all prefer sweets
-some evidence to support meat early (iron)
-not before 4 mths (?allergy)

Solids (finger foods) start with pincer grasp (9-
  10mths)
-baby led weaning?
One Year
-switch to whole milk?
-dairy (yogurt, cheese)>>milk

-ok to continue breast
-ever expanding diet
Toddlers

-food rules
-options/menu

-don't reward with bad
food for eating good food
-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 wt?
-dieting?
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 7 years of
  age if likely to have weight problems as an
  adult
-not a guarantee
To organic or not to organic, that is the question.
-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
grass vs. corn = natural vs. unnatural?
the science


-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!
Vegetarianism


-vitamins can make this a non-issue in the US
-should consult with a trained nutritionist to
  insure that there are no gaps
  - i.e. vit B12, fatty acids, iron

-vegetarian vs vegan (too restrictive for child)

-leaner bodies, probably will live longer and
  healthier lives
Beef is Bad!


-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
Reading is fundamental...
Antibiotics
- overuse of ABX leads to resistance

- superbugs
   - MRSA
   - E. Coli

- all promoted and approved by your
   government and the FDA/USDA
What's a parent to do?
FOOD = HEALTH


- top causes of death, most are food related
   - heart disease
   - cancers
-we all want want 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?
Do we need these?
Maybe.
- 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
Obesity is the new smoking


-it will cost us billions

-trying lots of different methods

-are we missing the real culprits?
Prevention always trumps treatment.
-harder than it looks
-requires commitment

-watch TV, or play

-priorities!
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
-aim for 3 meals/day (age appropriate)
-avoid sodas and teas
  - water
  - 100% juice (in moderation)
      - milk (no more than 16 oz, low fat unless
12-24 mths - debate)
-routine use of vitamins not necessary

NO HIGH FRUCTOSE CORN SYRUP
Don't do this!
-EAT WITH YOUR KIDS!

-don't get caught up in 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
It isn't easy, but it is worth it

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Everything You Ever Wanted To Know About Your Child's Nutrition

  • 1. Everything you ever wanted to know about your child's nutrition... but were afraid to ask! David Levine MD Pediatrics Summit Medical Group
  • 2. "Eat food. Not too much. Mostly plants."
  • 4. Nutrition Prenatal -extremely important -you don't fix things with 9 mths of healthy eating after a lifetime of bad
  • 5. Newborn/Infant -breast is best -but then there is reality
  • 6. Introduction of complementary foods -no right or wrong way to start -we all prefer sweets -some evidence to support meat early (iron) -not before 4 mths (?allergy) Solids (finger foods) start with pincer grasp (9- 10mths) -baby led weaning?
  • 7. One Year -switch to whole milk? -dairy (yogurt, cheese)>>milk -ok to continue breast -ever expanding diet
  • 8. Toddlers -food rules -options/menu -don't reward with bad food for eating good food
  • 9. -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 wt? -dieting?
  • 10. 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 7 years of age if likely to have weight problems as an adult -not a guarantee
  • 11. To organic or not to organic, that is the question.
  • 12. -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
  • 13.
  • 14. grass vs. corn = natural vs. unnatural?
  • 15. the science -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!
  • 16. Vegetarianism -vitamins can make this a non-issue in the US -should consult with a trained nutritionist to insure that there are no gaps - i.e. vit B12, fatty acids, iron -vegetarian vs vegan (too restrictive for child) -leaner bodies, probably will live longer and healthier lives
  • 17. Beef is Bad! -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
  • 20. - overuse of ABX leads to resistance - superbugs - MRSA - E. Coli - all promoted and approved by your government and the FDA/USDA
  • 21. What's a parent to do?
  • 22.
  • 23.
  • 24. FOOD = HEALTH - top causes of death, most are food related - heart disease - cancers
  • 25. -we all want want 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?
  • 26. Do we need these?
  • 28. - 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
  • 29. Obesity is the new smoking -it will cost us billions -trying lots of different methods -are we missing the real culprits?
  • 30.
  • 32. -harder than it looks -requires commitment -watch TV, or play -priorities!
  • 33. 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
  • 34. -aim for 3 meals/day (age appropriate) -avoid sodas and teas - water - 100% juice (in moderation) - milk (no more than 16 oz, low fat unless 12-24 mths - debate) -routine use of vitamins not necessary NO HIGH FRUCTOSE CORN SYRUP
  • 36. -EAT WITH YOUR KIDS! -don't get caught up in 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
  • 37. It isn't easy, but it is worth it