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Open up and say…AHH!
Children, eating and you
Presented by:
David Levine MD
4/29/14
"Eat food. Not too much.
Mostly plants."
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?
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
• 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
Worry about predators…
Food and Family
Hopefully not this…
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 there is reality
-different formulas
-marketing vs. 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 17 weeks (allergy)
• Solids (finger foods) start with pincer grasp (9-
10mths)
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 weight?
• dieting?
It’s good to play with food!
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
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
• -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, 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
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
Reading is fundamental...
Antibiotics
• superbugs
- MRSA
- E. Coli
• overuse of ABX leads to resistance
• 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 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?
Do we need these?
Maybe not…
• 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
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….
• 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)
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
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
And a little about fat
• Bliss points
 Fat has none, just keep eating it
 Usually don’t even know it is there
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)
Prevention always trumps
treatment
• harder than it looks
• requires commitment
• watch TV, or play
• priorities!
• Time?
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 8 oz, low fat unless 12-24 mths)
-routine use of vitamins NOT necessary
• NO HIGH FRUCTOSE CORN SYRUP!
• 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
Don't do this!
It isn't easy, but it is worth it

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

  • 1. Open up and say…AHH! 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..) don’t send the same signals so you end up consuming more! • and the food processors know and exploit 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. It’s 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.
  • 20. • -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!
  • 21. 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
  • 22. 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
  • 25. • superbugs - MRSA - E. Coli • overuse of ABX leads to resistance • all promoted and approved by your government and the FDA/USDA
  • 26. What's a parent to do?
  • 27.
  • 28.
  • 29. FOOD = HEALTH • top causes of death, most are food related - heart disease - cancers
  • 30. • 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?
  • 31. Do we need these?
  • 33. • 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
  • 34. 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….
  • 35. • 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)
  • 36. 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
  • 37. 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
  • 38. And a little about fat • Bliss points  Fat has none, just keep eating it  Usually don’t even know it is there
  • 39. 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)
  • 41. • harder than it looks • requires commitment • watch TV, or play • priorities! • Time?
  • 42. 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
  • 43. • 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!
  • 44. • 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
  • 46. It isn't easy, but it is worth it