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
Breakfast1 Cherry Pop-Tart12 ounces orange juiceMicrowave sausage patty
Lunch16 ounces Mountain Dew6 chicken nuggetsSmall French fries, 2.5 oz.
Dinner2 slices pepperoni pizza 12 ounce Coke
Snacks2 ounces Hot Cheetos12 ounces Coke2 drumstick ice cream cones16 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
Breakfast8 ounces 1% milk1 cup Cheerios1 medium banana1 ounce cheddar cheese1 slice whole wheat bread
LunchPeanut butter & apple sandwich on whole wheat (2 T. pb, 1 small apple)4 mini bell peppers2 T. hummus8 ounces 1% milk
Dinner3 oz. lean grilled hamburger mayo, mustard, ketchupWhite bun½ cup grilled squash/tomato 10 homemade French fries
Snacks2 homemade oatmeal cookies8 ounces 1% milk 1 cup baby carrots 2 T. Ranch dressingKashi 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 onSUGARY BEVERAGES
• Regular sodas• Fruitades and fruit
drinks • Fruit juice • Energy drinks
(Rockstar, Monster, Red Bull)
*Caution with caffeine content*
5-hour Energy 1.9 fl. oz. 208 mgFull Throttle 16 fl. oz. 200 mgMonster Energy 16 fl. oz. 160 mgRockstar 16 fl. oz. 160 mgAMP Energy Boost Original 16 fl. oz. 142 mg
Red Bull 8.4 fl. oz. 80 mgV8 V-Fusion+Energy 8 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 NMeals
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• 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?