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?