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The Downfall of a Girl’s Diet Dr Bob Murray Nationwide Children’s Hospital
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Childhood Obesity Now
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Children are Overweight and Undernourished Calcium Folate % Children Consuming Daily Recommended Intake Magnesium Vitamin A Vitamin C Zinc Iron Phosphorus Critical Age Data compiled by Dr. John Lasekan, Ross Labs from NHANES 1999-2000 and the Continuing Food Survey 1994-96, 1998 NHANES, CFSII data compiled by Dr. John Lasekan, Ross Labs Data compiled by Dr. John Lasekan, Ross Labs from NHANES 1999-2000 and the Continuing Food Survey 1994-96, 1998
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Missing Nutrients Missing Nutrients High School Students Males Vit A, Vit C, Vit E Magnesium, potassium Fiber Calcium Females Vit A, Vit C, Vit E Magnesium, potassium Vit B-6 Folate Thiamin Iron Phosphorous Zinc Fiber Calcium Clark, Fox, JADA 2009; s44
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The U.S. Dietary Guidelines Food intake is based on daily activity Meals and snacks –Vegetables –Fruits –whole grains –Low-fat milk and dairy –Quality proteins To make every calorie count, choose nutrient rich foods
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Activity Level Females Age (years) SedentaryPretty ActiveVery Active Calories 4-8 9-13 14-18 19-30 31-50 1,200 1,600 1,800 2,000 1,800 1,400-1,600 1,600-2,000 2,000 2,000-2,200 2,000 1,400-1,800 1,800-2200 2,400 2,400 2,200 a Activity = Calories
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What are the Right Amounts? 9 year old with moderate activity 1400 - 1600 calories –Breakfast 400 calories –Lunch400 calories –Dinner 500 calories –Snack200 calories 1500 calories
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Naturally Nutrient Rich the basics of nutrition
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Focus on fruits. Vary your veggies. Get calcium-rich foods. Make half your grains whole. Go lean with protein. Know the limits on fats, salt, and sugars. Naturally Nutrient Rich US Dietary Guidelines Current Children’s Diet
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Kids & Snack Foods Snack foods and drinks = 1/3 of daily calories 2/3 of this comes from added sugar ½ of the sugar comes from sweet drinks Which account for 10% of daily calories NHANES III, Kant Arch Ped Adol Med 2003; 157:789
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BeverageOuncesCalories Water, diet cola20 0 Milk, fat free 8 80 Orange juice 8110 Gatorade20130 Grape juice 8150 Snapple16220 Coke, 7-up20250 Biggie Coke32310 TCBY fruit smoothie20410 7-11 Big Gulp44410 McD’s Vanilla shake16580 Nutr Action Letter, June 2006
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BEVERAGE CONSUMPTION per person Source: USDA, NMPF gallons
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Milk’s Nutrients Calcium (30% DV*) Potassium (11% DV) Phosphorus (20% DV) Protein (16% DV) Vitamin A (10% DV) Vitamin D (25% DV) Vitamin B12 (13% DV) Riboflavin (24% DV) Niacin (10% DV)
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Calcium and Bone
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MyPyramid: Dairy products 3-a-Day = cups of fat-free or low-fat milk or dairy –2 to 8 years old2 cups per day –9 to 18 years old 3 cups per day 8 oz. milk 1 cup yogurt 1½ oz. natural cheese 2 oz. processed cheese
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Bone Grows Most in Teens 2 6 10 20 years Bone Thickness 1 m2 y18 y
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Kids Don’t Get Enough Calcium AgeMaleFemale 6-11 y44%58% 12-19 y64%87% >20 y55%78% BUT
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Too Many Children Avoid Dairy Low daily calcium –Take in only 400 mg –Need 1300 mg Reasons given –Feel bad tastelifestyle More broken bones Black et al, Am J Clin Nutr 2002; 76:675
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More Snacks, More Calories TotalMALESFEMALES 0 Snacks11%2156 kcal1501 kcal 1 Snack25%2391 kcal1812 kcal 2 Snacks26%2505 kcal1944 kcal 3 Snacks19%2916 kcal2136 kcal 4 Snacks18%3249 kcal2437 kcal Sebastian, J Adol Health 2008; 42:503 “GRAZING is the new norm”
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Snacks are Low Quality Food FOOD GROUPSSNACKS Grainschips, puffs, breads, cookies Vegetablespotato chips, pizza, french fries FruitsOJ, apples, non-citrus juices Milkwhite, flavored, frozen dairy Meat/beanshot dogs, lunch meats Oilscorn chips, puffs, potato chips Solid fatsfrozen dairy, cookies, milk Added sugarssoft drinks, fruit drinks, candies Sebastian, J Adol Health 2008; 42:503
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“Avoidance” is Not Enough Has created a wrong idea: Few “bad” nutrients = a good food
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Less fat, fewer calories, but NOT more nutrients Does it deserve this?
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Read the Whole Label
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The Baby with the Bathwater?
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Simple – Fun -- FREE Go to www.snackwise.org For Smarter Snacking
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NOT DIETS
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The Most Important Things Limit sweetened beverages Eat 5 servings per day of fruits & vegetables Eat a nutritious breakfast every day Limit portion sizes Have regular family meals Limit screens to a maximum of 2hrs No television in the bedroom Moderate to vigorous physical activity for 60 mins/ day
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