it is the position of the american dietetic association that children ages 2 to
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It is the position of the American Dietetic Association that children ages 2 to 11 years should achieve optimal physical and cognitive development, attain a healthy weight, enjoy food, and reduce the risk of chronic disease through appropriate eating habits and participation - PowerPoint PPT PresentationTRANSCRIPT
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It is the position of the American DieteticAssociation that children ages 2 to
11 years should achieve optimal physicaland cognitive development, attain a
healthy weight, enjoy food, and reducethe risk of chronic disease through appropriate
eating habits and participationin regular physical activity.
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Task 1: Concept DiagramWhy is nutrition in kids important?
Groups of 4
Draw a concept diagram
Consider the ADA position and AAP article excerpt provided
Include possible consequences, causes, contributors
Most circles = Prize
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Pediatric Nutrition
Amanda Cuda, MD
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Objectives
Developed concept of pediatric nutrition
Reviewed pediatric malnutrition syndromes
Reviewed age specific recommendations
Explored health behavior counseling
Exposed to national and local resources
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Take Home
Inspiration
Choose Your Plate
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Task 2: Matching Malnutrition Syndromes
Use worksheetWork aloneMatch the description to diagnosis or syndrome
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Task 2: Answers
Marasmus Kwashiorkor Stunted Underweight Overweight/obese Anemia Rickets Scurvy Pellagra
• Starvation• Protein energy malnutrition• Low height for age• Low weight for height• High weight for height• Iron deficiency • Vitamin D deficiency• Vitamin C deficiency• Niacin deficiency
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Age Specific Nutrition
• Prenatal– Primordial prevention– Iron supplementation if anemia – DHA = Evidence Grade C
• Birth – 2 years– Exclusive breastfeeding for first 6 months– Transition to other food sources at 4-6 months – Iron supplementation if anemia at 12 months– Fluoride supplementation if not in water supply and
have teeth– Primordial prevention
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Age Specific Nutrition
• 2-5 years– Brushing = may not need fluoride any more– Most do not need multivitamin– Calcium, vitamin D, fiber in diet– Vitamin A supplementation considered in developing
countries– Primary prevention– DHA?
• 5-11 years, Adolescence– Primary prevention– Fiber
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http://www.choosemyplate.gov/healthy-eating-tips/ten-tips.html
http://www.healthychildren.org/English/ages-stages/Pages/default.aspx
http://www.eatright.org/kids/
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Task 3: Choose Your Plate
• Groups of 4• Menu from Pediatric Inpatient Nutrition Care• Bag of “food”• Task 3a: Order 3 meals by circling choices• Task 3b: Create a meal with food• Take 10 minutes• We will hear a sample
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Low hanging fruit
• Replace SSB with H2O• Avoid the “whites”• Eat on a kid plate• Eat together at home• Take out or fast food 1/week• Shop on outside of grocery store• 1 fruit, 1 veggie at every meal
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For Picky Kids
• Chocolate milk increased calcium• Presweetened cereals increased calcium,
folate, and iron• SSB, sugars, sweets, and sweetened
grains had a negative impact• More sugar consumed = fewer vegetables,
fruits, dairy, vitamin A, calcium, folate
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Role of the RD
Provide technical assistance andtraining to practitioners that provide
nutrition-related services tochildren and adolescents in health
and education settings.
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Nutrition Consults
• Lisa Lumpkin: 968-0547
• Janet Fabling: 4N/PICU
• Individual visits for kids
• Special needs over 18 years
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Objectives
Develop concept of pediatric nutrition
Review pediatric malnutrition syndromes
Review age specific recommendations
Explore health behavior counseling
Expose to national and local resources
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Task 4: Take Home Challenge
Apply 1 of the “low hanging fruit”
health behaviors for 1 month
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Questions?
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References
• Stang J, Bayerl CT; American Dietetic Association. Position of the American Dietetic Association: child and adolescent nutrition assistance programs. J Am Diet Assoc. 2010 May;110(5):791-99.
• Frary CD, Johnson RK, Wang MQ. Children and adolescents’ choices of foods and beverages high in added sugars are associated with intakes of key nutrients and food groups. J Adolesc Health. 2004;34:56-63.
• Ponza M, Devaney B, Ziegler P, Reidy K, Squatritio C. Nutrient intakes and food choices of infants and toddlers participating in WIC. J Am Diet Assoc. 2004; 104(suppl 1):S71-S79.
• World Health Statistics 2012, World Health Organization. http://www.who.int/gho/publications/world_health_statistics/EN_WHS2012_TOC.pdf
• Gidding etal. Dietary recommendations for children and adolescents: a guide for practitioners. Pediatrics 2006;117;544 DOI: 10.1542/peds.2005-2374