healthy eating for children enrique saguil, md
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Healthy Eating for Healthy Eating for ChildrenChildren
Healthy Eating for Healthy Eating for ChildrenChildren
Enrique Saguil, MDEnrique Saguil, MDwww.herbal411.comwww.herbal411.com
Deaths from “other stuff”in the US
1. Diseases of the heart 615,6512. Malignant neoplasms 560,1873. Cerebrovascular diseases 133,990
7. Diabetes 70,905
Obesity in the US• 72 million people• 1/3 of all adults (doubled in 80’s)• 1/5 of all children (tripled since
80’s)• 5-17 y/o -70% = 1 risk factor for
cardiov -39% = 2 risk factors ^
Obesity Trends* Among U.S. AdultsBRFSS, 1985
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
Obesity Trends* Among U.S. AdultsBRFSS, 1990
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
Obesity Trends* Among U.S. AdultsBRFSS, 1995
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
Obesity Trends* Among U.S. AdultsBRFSS, 1997
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20%
Obesity Trends* Among U.S. AdultsBRFSS, 2000
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20%
Obesity Trends* Among U.S. AdultsBRFSS, 2001
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
Obesity Trends* Among U.S. AdultsBRFSS, 2003
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
Obesity Trends* Among U.S. AdultsBRFSS, 2004
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
Obesity Trends* Among U.S. AdultsBRFSS, 2005
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Obesity Trends* Among U.S. AdultsBRFSS, 2007
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Obesity Trends* Among U.S. AdultsBRFSS, 2008
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Obesity Trends* Among U.S. AdultsBRFSS, 1985
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
Obesity Trends* Among U.S. AdultsBRFSS, 2008
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
What does this mean?• Current parents will outlast kids in the
next 3-4 decades
Diabetes complications Heart disease complications Cancers Strokes New generation will be the burden of our society
What is obesity?
• BMI of 25-29 (body mass index)=adults
• At of above the 95% for sex sp BMI=children
Formula:• BMI = [ Weight in Pounds ] x 703 (Height in inches) x (Height in inches)
example: 37lbs x 703 = (47x47)
37lbs x 703 = 2209
0.0167496 x 703 = = 11.8
Kidshealth.org• http://kidshealth.org/parent/food/weight/bmi_c
harts.html
enter -sex -birth month and year -height and weight -click enter -get percentage scale and graph
Picky eatersHabits start from infancy:Stay at home dads, daycareColic painLactose intolerantSoy sensitiveNipple confusion …..breast intolerant?
Expectations vs Experimentation
• Milk = white• Stage 1 = white or beige • Stage 2 = above occ. green or
orange• Childhood, preteen, teen = white,
beige -french fries, bread, cheese,
mcanything
Patience patients• Adults like feasting and advertisements• Treat the introduction to kids the same
way• Become “adventuresome”….Nancy Piho• Repetitive exposures (15x)• Positive comments• Start young and offer wide ranges of
temps and textures (no hot or spicy)
See what the child wants
• Never an urgency to “go solid”• Rice meal usually at 4 months….try cooked
veg or fruit (plants usually carry enzymes)• Hold on milk and dairy with family hx• Watch the choking hazards (chunks, hard
food, beans, corn, raisins..wait for molars)• Don’t run with scissors! (or food)
Still ok to feast• …..Rick Bayless• Caution especially in genetic
predisposition and environment (Pima Indians)
• With parents and children there has to be balance in feast and famine…..
…….study, play, exercise, computer, veggie/fruit, meat, junk/comfort, growth
Glycemic index• Measurement for carbohydrates• Based on absorption of glucose • Low good, hi bad
• Fast rise in sugar = redbull, amp, fullthr• Ask grandma if she enjoyed menopause
Johanna Burani, MS, RD, CDEAmerican Diabetes AssociationSouthern Regional Conference
Marco Island, FloridaMay 26, 2006
Practical use of the glycemic index
Glycemic Index (GI): Sample Graphs
Adapted from Good Carbs Bad Carbs Reprinted courtesy of Marlowe & Company.
Science break time!!• Candace Pert -Molecules of Emotion• Neurotransmitters in all cells• Eat, digest, relax, parasympathetic build, store, procreate!, (feel good.)• Think better throughout the day• Stress not as bad• Thinking clearer, more productive -(charlton heston)
Vs!• Fight or flight• Adrenaline, norepinephrine• Get away sabertooth guy! (ultraman)• Crash fast at the expense of
depleateing glycogen stores
• Hunt for Replenishment!
Feast hormones can be bad!
• The hunt hormones can lead you down a dark alley
• Runners carb up • Teens bing for more bull, throttle,
mickey, king…..• Which make you peak again and
soon hunt again….etc, etc ……..….obesity
Glycemic load• Gi for overall amount in a meal incorporates complexity of food mix of carb, fat and protein volume of food types
request a visit with a registered dietician!
NuVal• David Katz, MD• 1-100• Looks for overall nutrition• Independent evaluation• Available at Meijer!
• http://www.nuval.com/
Activity • David Katz …Activity Bursts in the
Classroom …..ABC’s
• More exercise less ritalin!
• http://www.davidkatzmd.com/abcforfitness.aspx
“Neuroendocrine parasympathetic
stroking”• Don’t go to the grocery hungry• Don’t wait to fix that leak• Don’t marry because your 30• Please the mind, calm the fire,
sequester the “hunt”
Family eating• Timing• Fun• Preparation involvement
(sort,color,wash)• Start early, add music• No text or tv• Ritualize (huddle?)
Nature deprived• Stimulate the brain and get away
from microwaves• Calm and increase serotonin,
oxytocin, dopamine• Avoid the bulls, throttles, mickey,
kings and center isles
Side bar: teens• Things probably compounded• Think of the chronic pain patient in
an insurance based world• Shrek says Ogres are like onions:
lots of layers• So take caution with the layers in a
teen and restrain the “sabertooth”
Nutritional depeation, allergies to food
• Low vit D causes bone pain, fms, crps thus person is probably hooked on fast
answers, (drugs, cigs, food)• Allergy to foods… wheat, milk will also
make a person feel depleated and intolerable and hook them on fast answers
Specialized tests• Spectracell intracellular nutrient• Immunolabs blood allergy panel• Labrix hormone analysis• Doctors data environmental toxin
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