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.
- 1. Open up and sayAHH! Children, eating and you Presented by: David Levine MD 4/29/14
2. "Eat food. Not too much. Mostly plants." 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. 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. Real, unprocessed food, sends signals to the brain that make you feel full fast Processed foods (Coke, Doritos, etc..) dont send the same signals so you end up consuming more! and the food processors know and exploit this 6. Worry about predators 7. Food and Family 8. Hopefully not this 9. Nutrition Prenatal extremely important you don't fix things with 9 mths of healthy eating after a lifetime of bad 10. Newborn/Infant breast is best -but there is reality -different formulas -marketing vs. reality 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. One Year switch to whole milk? dairy (yogurt, cheese)>>milk ok to continue breast ever expanding diet 13. Toddlers food rules options/menu don't reward with bad food for eating good food 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. Its good to play with food! 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. To organic or not to organic, that is the question. 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. -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. 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. 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. Reading is fundamental... 23. Antibiotics 24. superbugs - MRSA - E. Coli overuse of ABX leads to resistance all promoted and approved by your government and the FDA/USDA 25. What's a parent to do? 26. FOOD = HEALTH top causes of death, most are food related - heart disease - cancers 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. Do we need these? 29. Maybe not 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. A spoonful of sugar? More like a few gallons - soda consumption has doubled since the 70s - 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. 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. 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?) Doesnt mean table sugar (sucrose: glucose, fructose) is better 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. And a little about fat Bliss points Fat has none, just keep eating it Usually dont even know it is there 36. Dont 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. Prevention always trumps treatment 38. harder than it looks requires commitment watch TV, or play priorities! Time? 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. 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. 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. Don't do this! 43. It isn't easy, but it is worth it