Healthy Nutrition for Kids

1. Healthy Nutrition for Kids Kerry K. Sease, MD, MPH New Impact: A Healthy Lifestyles Program

2. The Burden of Obesity • CDC reports that obesity is quickly approaching tobacco as the top underlying preventable cause of death • Obesity is related to the 10 leading causes of death • Rates of childhood obesity have tripled in the last 30 years >30% of children are overweight or obese >15% of children are “obese” >10% of children are “severely obese” • In 2006, The medical consequences of obesity accounted for 40% of the healthy care budget • Today’s children may be the first generation in 200 years with a shorter life span than their parents Centers for Disease Control, National Center for Health Statistics Health E-Stat August 2012

3. Why the increase in obesity? POOR NUTRITION (lifestyle choice) Prenatal Influences: SGA, Gestational DM, LGA – healthy pregnancy is important Early BMI/adipose rebound – pay attention to preschool years! Demise of family dinner “Processed” foods: High saturated fats, High fructose corn syrup Fewer Fruits and veggies LESS ACTIVITY (lifestyle choice) Lack of safe play areas Sedentary lifestyles: TV, video, computer (with associated advertisements) Diminished school PE requirements Sports for recreational athlete (obese, lower SES) less accessible *Genetics does not account for dramatic increase in prevalence*

4. South Carolina Data • SC ranks 9th worse in the nation in obesity! • >28% SC children 2-5 yrs are overweight or obese • 31.7% of SC high school students are overweight or obese • > 85% of SC high school students had not eaten fruits/vegetables five or more times in the last 7 days • 1 out of 3 children born in 2000 will develop Type 2 DM if the current trend continues • Poor diet • Lack of physical activity CDC, Division of Adolescent and School Health. The 2009 Youth risk Behavior Survey. CDC. Division of Nutrition, Physical Activity, and Obesity. 2012 PedNSS.

5. Greenville County Data • 48% adults are not meeting physical activity recommendations • 86% adults are not meeting fruit/vegetable recommendations We need to be better role models for our children!

6. Healthy Nutrition for Kids Jessica Menig, RD, LD New Impact: A Healthy Lifestyles Program

7. What is Go, Slow, Whoa? • Simple steps to create a healthy diet • All foods fit approach • Emphasizes the importance of moderation • Easy for all ages to follow

8. What are GO Foods? • Foods that are low sugar, low fat, high protein and high fiber. • Whole grain products, fat free dairy, fresh/frozen fruits and vegetables, calorie free drinks, lean protein sources, sugar free snacks, and small amounts of fat

9. What are SLOW Foods? • Healthy food that is a little higher in fat and sugar than GO Foods • Low fat dairy, healthy fats, fruits and vegetables with added sauces, white grains, peanut butter, nuts, whole eggs, healthier snack foods (i.e. granola bars, frozen yogurt, 100 calorie packs)

10. What are WHOA Foods? • Foods that are high sugar, high fat, little to no fiber and contain little health benefit  “Empty” Calories

11. Balancing Go, Slow, Whoa Whoa Foods: Limit these foods to 2-3 times per week. Slow Foods: Eat these foods sometimes, but less often than Go foods! Go Foods: Fill up on these foods first and most often!

12. Week at a Glance

13. What’s the difference?

14. Energy Balance Energy

15. Calories Eaten Calories Burned Weight Gain

16. Create a Balanced Diet Fried foods, sugary drinks, concentrated sweets, red meat, whole fat dairy, butter/dressings Fruits, vegetables, low fat diary, extra lean meats, whole grains

17. Modeling Good Eating Behavior “Children have never been very good at listening to their elders, but the have never failed to imitate them.” --James Baldwin