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Diet & - Highlights. DISEASE. Major causes of death in Singapore, 2002. MOH Health Facts Singapore 2003. Adults should eat properly. But kids can eat what they want. Why bother about nutrition in children?. Childhood Nutrition...It may be more important than you think. Short term impact
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Diet &- Highlights DISEASE
Major causes of death in Singapore, 2002 MOH Health Facts Singapore 2003
Adults should eat properly. But kids can eat what they want. Why bother about nutrition in children?
Childhood Nutrition...It may be more important than you think • Short term impact • Growth and development • Weight status • Psychological well-being • Long term impact • Future eating habits • Risk of several diseases
Growth and Development • Good nutrition in childhood is important • Proper growth and development • Achieve maximum height potential • Malnutrition in early life can limit long term intellectual development
Poor nutrition in childhood can also lead to: • Dental Caries • Anaemia • Osteoporosis • Overweight or underweight • Overweight Well-nourished • Underweight Eat-all-you-like
Childhood obesity • Obese children are 30% more likely to become obese adults • Obesity in adults risk of heart disease, stroke, diabetes, some cancers, etc. • Regardless of adult weight, childhood obesity also predicted future adverse health conditions e.g heart disease, stroke and colo-rectal cancer
fibre • vitamin A • iron • calcium • fat • saturated fat • cholesterol • sodium National Nutrition Survey 1998 Diet of adult Singaporeans had:
Influence on future eating habits • Eating habits are formed during childhood and affects how the person eat when he or she grows up • Adult dietary habits are extremely hard to change • Childhood is an important period to teach proper eating habits
Obese children Poor eating habits in adulthood Obese adults • Poor growth & • development • Dental caries • Anaemia • Osteoporosis • Heart disease • Stroke • Some cancers Poor eating habits during childhood
Why school tuckshop? • Kids are spending more and more time in schools • Provider of 1 to 2 meals • Place where they can learn to cultivate healthy eating habits
Eat Least Fats, oils, sugar , salt Small amounts Meat & alternatives 2 - 3 servings Fruit 2 servings Eat Most Vegetables 2 servings Rice & Alternatives 5 - 7 servings Healthy Diet Pyramid
Immune Boosting Diet • No different from a well-balanced and varied diet recommended for general health • Different bioactive components from a varied diet work in synergy to provide different levels of protection • Protein – antibodies • Mineral – optimal functioning of immune cells • Vitamin C & E – reduce cellular damages from oxidative stress
Building up immunity • It takes time to build up immunity • We need to constantly maintain the immune system for maximum protection against pathogens • Hence, it is important to provide healthy foods to the children and cultivate healthy eating habits from young
AreasofConcern ! Sale of sweetened drinks with sugar >8% ! Inadequate vegetables being served ! Chicken served with skin/meat served with visible fat
Sweetened Drinks: a major school concern • Displaces foods with higher nutritional value • Potential role in obesity and energy imbalance • Bone health
Obesity Possible physiological mechanism involved? - Compensation for calories in liquid form is less complete than calories in solid form
Energy Imbalance • Each additional can/glass* of sweetened drink children consume every day increases: • risk of becoming obese by 60% • body mass index by 0.24kg/m2 (WHO Technical Report Series 916) * 1 can carbonated soft drink = 7tsp sugar (140kcal)
Calorie savings 320kcal x 5 = 1600kcal 1 kg of body fat = 7000kcal 7000/1600 = 1 month Calorie from soft drinks =320kcal Assuming child takes 2 cans, 5 days a week, he accumulates 1kg body fat in 1 MONTH!
Bone Health • Soft drink consumption was associated with decreased consumption of milk (calcium, vitamin B) and fruit juice (folate, vitamin C). • Maximising peak bone mass is important in the primary prevention of osteoporosis.
Conclusions……. • School canteen plays an important role in helping to cultivate healthy eating habits • Good nutrition during childhood has important impact on the health of the children and their health as adults
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