A Dietitian’s Experience with Pediatric Obesity… El Paso, TX and Ogden, UT Pervasive bad habits What works.

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Presentation transcript:

A Dietitian’s Experience with Pediatric Obesity… El Paso, TX and Ogden, UT Pervasive bad habits What works

Disclosure Slide √ I have no conflicts of interest concerning this presentation

Breakfast 1 Cherry Pop-Tart 12 ounces orange juice Microwave sausage patty Lunch 16 ounces Mountain Dew 6 chicken nuggets Small French fries, 2.5 oz. Dinner 2 slices pepperoni pizza 12 ounce Coke Snacks 2 ounces Hot Cheetos 12 ounces Coke 2 drumstick ice cream cones 16 ounces SunnyD

The Damage: 2845 kcalories 117 grams of fat 186 grams of sugar 3524 mg sodium 11.2 grams fiber 63% kcalories from fat & added sugar Low vitamin/mineral content

Breakfast 8 ounces 1% milk 1 cup Cheerios 1 medium banana 1 ounce cheddar cheese 1 slice whole wheat bread Lunch Peanut butter & apple sandwich on whole wheat (2 T. pb, 1 small apple) 4 mini bell peppers 2 T. hummus 8 ounces 1% milk Dinner 3 oz. lean grilled hamburger mayo, mustard, ketchup White bun ½ cup grilled squash/tomato 10 homemade French fries Snacks 2 homemade oatmeal cookies 8 ounces 1% milk 1 cup baby carrots 2 T. Ranch dressing Kashi Trail Mix granola bar 2 clementine cuties

Much Better: 2256 kcalories 79 grams of fat 33 grams of added sugar 2422 mg sodium 38 grams fiber 37% kcalories from fat and added sugar High vitamin/mineral content

Calorie Density The problem with sugar and fat…

Cut out or cut back on SUGARY BEVERAGES Regular sodas Fruitades and fruit drinks Fruit juice Energy drinks (Rockstar, Monster, Red Bull) *Caution with caffeine content*

5-hour Energy1.9 fl. oz.208 mg Full Throttle16 fl. oz.200 mg Monster Energy16 fl. oz.160 mg Rockstar16 fl. oz.160 mg AMP Energy Boost Original 16 fl. oz.142 mg Red Bull8.4 fl. oz. 80 mg V8 V-Fusion+Energy8 fl. oz. 80 mg Ocean Spray Cran- Energy 20 fl. oz. 55 mg Glacéau Vitaminwater Energy 20 fl. oz. 50 mg Starbucks Refreshers 12 fl. oz. 50 mg Caffeine Content of Energy Drinks

Eat according to “Tummy Hunger” 3 Meals 2-3 Snacks Division of responsibility

Eat according to ChooseMyPlate.gov

¼ Animal Foods ¾ Plant Foods Calcium Source C O L O R F U N Meals

What is a Healthy Snack? C O L O R F U N Combinations Fruit & peanut butter Natural cheese on a “raft” Raw veggies & “quicksand” “Polka dot” yogurt

What is a Portion? Palm-sized portions work well for children (and adults) for many foods VS.

Portions? Poker chip: Checkbook: Golf ball: Compact disc: Computer mouse: Deck of cards: Baseball: Children’s portions are ¼-½ of adult portions or 1 Tbsp/year

Prepare and eat dinner together as a family at the table VS.

Limit FAST FOOD to once a week or less if at all

Allow ONE small treat/day. Homemade is best.

Are YOU a Good Role Model?

Resources Pediatric Tool Kit: prescription in color or black and white; BMI calculator, growth charts, pediatric weight management protocols, additional resources Interactive tools, trackers, recipes, meal and menu ideas For the kids: activities, recipes, games, etc.

References Dietary Guidelines for Americans, 2010 American Dietetic Association (2012) Complete Food and Nutrition Guide, 4 th ed. Hoboken, New Jersey: John Wiley & Sons, Inc.

Questions?