Transcript A Dietitian’s Experience with Pediatric Obesity…

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
Dinner
1 Cherry Pop-Tart
12 ounces orange juice
Microwave sausage patty
2 slices pepperoni pizza
12 ounce Coke
Snacks
Lunch
16 ounces Mountain Dew
6 chicken nuggets
Small French fries, 2.5 oz.
2 ounces Hot Cheetos
12 ounces Coke
2 drumstick ice cream cones
16 ounces SunnyD
The Damage:
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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
Dinner
8 ounces 1% milk
1 cup Cheerios
1 medium banana
1 ounce cheddar cheese
1 slice whole wheat bread
3 oz. lean grilled hamburger
mayo, mustard, ketchup
White bun
½ cup grilled squash/tomato
10 homemade French fries
Lunch
Snacks
Peanut butter & apple
sandwich on whole wheat
(2 T. pb, 1 small apple)
4 mini bell peppers
2 T. hummus
8 ounces 1% milk
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:
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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
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Regular sodas
Fruitades and fruit drinks
Fruit juice
Energy drinks (Rockstar,
Monster, Red Bull)
*Caution with caffeine content*
Caffeine Content of Energy Drinks
5-hour Energy
1.9 fl. oz.
Full Throttle
16 fl. oz.
Monster Energy
16 fl. oz.
Rockstar
16 fl. oz.
AMP Energy Boost
16 fl. oz.
Original
Red Bull
8.4 fl. oz.
V8 V-Fusion+Energy 8 fl. oz.
Ocean Spray Cran20 fl. oz.
Energy
Glacéau
20 fl. oz.
Vitaminwater Energy
Starbucks
12 fl. oz.
Refreshers
208 mg
200 mg
160 mg
160 mg
142 mg
80 mg
80 mg
55 mg
50 mg
50 mg
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
• COLORFUN
Meals
What is a Healthy Snack?
C O L O R F U N Combinations
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Fruit & peanut butter
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Natural cheese on a “raft”
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Raw veggies & “quicksand”
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“Polka dot” yogurt
What is a Portion?
Palm-sized portions work well for
children (and adults) for many foods
VS.
Portions?
Computer
mouse:
Golf ball:
Deck of cards:
Compact disc:
Checkbook:
Baseball:
Poker chip:
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
• www.mnaap.org/obesityclinicalresources.html
Pediatric Tool Kit: prescription in color or black and white;
BMI calculator, growth charts, pediatric weight
management protocols, additional resources
• www.choosemyplate.gov
Interactive tools, trackers, recipes, meal and menu ideas
• www.kidnetic.com
For the kids: activities, recipes, games, etc.
References
• www.mnaap.org/obesityclinicalresources.html
• www.choosemyplate.gov
• www.nal.usda.gov/fnic/foodcomp/Data/SR18/nutrlist/sr18list.html
• www.caloriecount.com
• Dietary Guidelines for Americans, 2010
• American Dietetic Association (2012) Complete Food and
Nutrition Guide, 4th ed. Hoboken, New Jersey: John Wiley &
Sons, Inc.
Questions?