Nutritional counseling is key parental resource

Oct. 26, 2007
Stemming the tide against the epidemic of childhood obesity.

by Larry Kenigsberg

Parents want to make sure their children are healthy. Instilling good eating and exercise habits is critical to that process. Despite this, more than 17 percent of children between 2 and 19 are overweight, according to the Centers for Disease Control.

Lori Brizee, MS, RD, LD, CSP, of the BitWine Nutrition Advisors' Network, is a nutritionist who works with parents to ensure that their over- and underweight children reach and maintain a healthy weight.
Parents of overweight children should not put their children on diets.

"Singling out overweight children will only discourage them and make them feel stigmatized, punished, and deprived," Lori says. "Rather, it is important to establish healthy eating habits and regular exercise as a lifestyle for everyone."

Children have different nutritional needs than adults. Toddlers need approximately 37 to 41 calories per pound of body weight; their needs vary significantly over time, based on growth and physical activity. By adulthood, average needs are 14 to 16 calories per pound, depending on activity level.

"Children need a higher percentage of calories to come from fat until they are 2 years old," Lori continues. "We know that the risk for heart disease begins in early childhood, so after the age of 2, recommendations are for fat intake to decrease to about 30 percent of total calories, unless a child is not gaining weight well. Children growing well can be transitioned from whole milk or breast milk to nonfat or 1 percent fat milk. Children who are underweight should continue to have whole milk and have other heart-healthy fats such as canola oil or olive oil added to foods to increase caloric intake."

Protein needs in young children are not particularly high — .50g/lb age 1 and .43g/lb by age 4.

"If kids are meeting their needs for other nutrients, especially iron and calcium, they are meeting their protein needs, as foods high in these two nutrients are high in protein — any type of dark meat or fish is a great source of iron (e.g., beef, dark meat of chicken, pork, tuna, salmon), and dairy products and many soy products are excellent sources of calcium."

Calories from carbohydrates should be derived mostly from whole grains, not processed grain (most notably bread and pasta), and fruits and vegetables. Lori does caution against giving children under 2 years of age or who are not growing well a very high-fiber diet without adequate fat, as lots of high-fiber, low-calorie foods can fill young children without giving them adequate calories.
Increasing physical activity is just as critical as instilling good eating habits.

"Families should become more active together," Lori stresses. "Active parents help children be more physically healthy by modeling positive behaviors. Turn off the TV and computer, and play outside!"

Parents can consult with Lori or another registered dietician (RD) at BitWine Nutrition Advisors' Network via Skype. An RD will evaluate your family and child's lifestyle, eating, and physical activities and help you find ways to make positive, meaningful changes to benefit your children's and your health.