Good nutrition and a balanced diet will help your child grow up healthy. Whether your kid is a toddler or a teen, you can take steps to improve nutrition and encourage smart eating habits. Five of the best strategies are:
Have regular family meals.
Serve a variety of healthy foods and snacks.
Be a role model by eating healthy yourself.
Avoid battles over food.
Involve kids in the process.
But it's not easy to take these steps when everyone is juggling busy schedules and convenience food, such as fast food, is so readily available. Here are some suggestions to help you incorporate all five strategies into your routine:
1.Family Meals
Family meals are a comforting ritual for both parents and kids. Children like the predictability of family meals and parents get a chance to catch up with their kids. Kids who take part in regular family meals are also:
more likely to eat fruits, vegetables, and grains
less likely to snack on unhealthy foods
less likely to smoke, use marijuana, or drink alcohol
In addition, family meals offer the chance to introduce your child to new foods and find out which foods your child likes and which ones he or she doesn't.
Teens may turn up their noses at the prospect of a family meal - not surprising because they're trying to establish independence. Yet studies find that teens still want their parents' advice and counsel, so use mealtime as a chance to reconnect. Also, consider trying these strategies:
Allow your teen to invite a friend to dinner.
Involve your teen in meal planning and preparation.
Keep mealtime calm and congenial - no lectures or arguing.
What counts as a family meal? Any time you and your family eat together - whether it's takeout food or a home-cooked meal with all the trimmings. Strive for nutritious food and a time when everyone can be there. This may mean eating dinner a little later to accommodate a child who's at sports practice. It can also mean setting aside time on the weekends, such as Sunday brunch, when it may be more convenient to gather as a group.
2. Stocking Up on Healthy Foods
Kids, especially younger ones, will eat mostly what's available at home. That's why it's important to control the supply lines - the foods that you serve for meals and have on hand for snacks. Follow these basic guidelines:
Work fruits and vegetables into the daily routine, aiming for the goal of 5 servings a day.
Make it easy for your child to choose healthy snacksby keepingfruits and vegetableson hand and ready to eat. Other good snacks include yogurt, peanut butter and celery, or whole-grain crackers and cheese.
Serve lean meats and other good sources of protein, such as eggs and nuts.
Choose whole-grain breads and cerealsso your child gets morefiber.
Limit fat intakeby avoiding deep-fried foods and choosing healthier cooking methods, such as broiling, grilling, roasting, and steaming.
Limit fast food and other low-nutrient snacks, such as chips and candy. But don't completely ban favorite snacks from your home. Instead, make them "once-in-a-while" foods, so your child doesn't feel deprived.
Limit sugary drinks, such as soda and fruit-flavored drinks. Serve water and milk instead.
By drinking milk, kids also boost their intake of calcium, which is important for healthy bones. That means 800 milligrams (mg) a day for kids ages 6 to 8 and 1,300 mg a day after age 9. To reach the 1,300-mg goal, your child could have:
1 cup (237 milliliters) of milk (300 mg of calcium)
1 cup (237 milliliters) of calcium-fortified orange juice (300 mg of calcium)
2 ounces (57 grams) of cheese (300 mg of calcium)
1 cup (237 milliliters) of yogurt (315 mg of calcium)
1/2 cup (118 milliliters) of cooked white beans (120 mg of calcium)
3. How to Be a Role Model
The best way for you to encourage healthy eating is to eat well yourself. Kids will follow the lead of the adults they see every day. By eating fruits and vegetables and not overindulging in the less nutritious stuff, you'll be sending the right message.
Another way you can be a good role model is by limiting portions and not overeating. Talk about your feelings of fullness, especially with younger children. You might say, "This is delicious, but I'm full, so I'm going to stop eating." At the same time, parents who are always dieting or complaining about their bodies may foster these same negative feelings in children. Try to keep a positive approach when it comes to food.
4. Don't Battle Over Food
It's easy for food to become a source of conflict. Well-intentioned parents might find themselves bargaining or bribing kids so they eat the healthy food in front of them. A better strategy is to give kids some control, but to also limit the kind of foods available at home.
Kids should decide if they're hungry, what they will eat from the foods served, and when they're full. Parents control which foods are available to the child, both at mealtime and between meals. Here are some guidelines to follow:
Establish a predictable schedule of meals and snacks.Kids like knowing what to expect.
Don't force kids to clean their plates.Doing so teaches kids to override feelings of fullness.
Don't bribe or reward kids with food.Avoid using dessert as the prize for eating the meal.
Don't use food as a way of showing love.When you want to show love, give them a hug, some of your time, or praise.
5. Get Kids Involved
Most kids will enjoy making the decision about what to make for dinner. Talk to them about making choices and planning a balanced meal. Some children may even want to help shop for ingredients and prepare the meal. At the store, help your child look atfood labelsto begin understanding nutritional values. In thekitchen, select age-appropriate tasks so your child can play a part without getting injured or feeling overwhelmed. And at the end of the meal, don't forget to praise the chef. School lunchescan be another learning lesson for kids. More importantly, if you can get them thinking about what they eat for lunch, you may be able to help them make positive changes. A good place to start may be at the grocery store, where you can shop together for healthy, packable foods.
There's another important reason why kids should be involved: It can help prepare them to make good decisions on their own about the foods they want to eat. That's not to say that your child will suddenly want a salad instead of French fries, but the mealtime habits you help create now can lead to a lifetime of healthier choices.
Overweight and obesity, influenced by poor diet and inactivity, are significantly associated with an increased risk of diabetes, high blood pressure, high cholesterol, asthma, arthritis, and poor health status.1
Type 2 diabetes, formerly known as adult onset diabetes, has become increasingly prevalent among children and adolescents as rates of overweight and obesity rise.2 A CDC study estimated that one in three American children born in 2000 will develop diabetes in their lifetime.3
Overweight children and adolescents are more likely to become overweight or obese adults;4 one study showed that children who became overweight by age 8 were more severely obese as adults.5
Early indicators of atherosclerosis, the most common cause of heart disease, begin as early as childhood and adolescence. Atherosclerosis is related to high blood cholesterol levels, which are associated with poor dietary habits.6
Osteoporosis, a disease where bones become fragile and can break easily, is associated with inadequate intake of calcium.7
Overweight Among Youth
Approximately 16% of children and adolescents ages 6–19 years are overweight.8
The prevalence of overweight among children aged 6–11 years has more than doubled in the past 20 years and among adolescents aged 12–19 has more than tripled. Current estimates indicate that rates have not begun to decrease. 8,9
While the prevalence of overweight and obesity has increased in all segments of the U.S. population, it is particularly common among minority groups.8
Prevalence of Overweight* Among Children and Adolescents
United States—1999–20028
Racial/Ethnic Group
Children
(Ages 6 to 11)
Adolescents
(Ages 12 to 19)
Male
Female
Male
Female
Black
(Non-Hispanic)
17%
23%
19%
24%
Mexican
American
27%
17%
25%
20%
White
(Non-Hispanic)
14%
13%
15%
13%
*BMI at the 95th percentile or higher
Diet and Academic Performance
Research suggests that not having breakfast can affect children’s intellectual performance.11
The percentage of young people who eat breakfast decreases with age; while 92% of children ages 6–11 eat breakfast, only 75–78% of adolescents ages 12–19 report eating breakfast.10
Eating Behaviors of Young People
Less than 40% of children and adolescents in the United States meet the U.S. dietary guidelines for saturated fat.10
Almost 80% of young people do no eat the recommended number of servings of fruits and vegetables.12
Only 39% of children ages 2–17 meet the USDA’s dietary recommendation for fiber (found primarily in dried beans and peas, fruits, vegetables, and whole grains).13
Eighty-five percent of adolescent females do not consume enough calcium.7 During the last 25 years, consumption of milk, the largest source of calcium, has decreased 36% among adolescent females.14 Additionally, from 1978 to 1998, average daily soft drink consumption almost doubled among adolescent girls, increasing from 6 oz to 11 oz, and almost tripled among adolescent boys, from 7 oz to 19 oz.15,10
A large number of high school students use unsafe methods to lose or maintain weight. A nationwide survey found that during the 30 days preceding the survey 13% of students went without eating for one or more days; 6% had vomited or taken laxatives; and 9% had taken diet pills, powders, or liquids without the advice of their physicians.12
References
1. Mokdad AH, Ford ES, Bowman BA, Dietz WH, Vinicor F, Bales VS, Marks JS. Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. Journal of the American Medical Association 2003;289(1):76-79.
2. Rosenbloom AL, Joe JR, Young RS, Winter WE. Emerging epidemic of type 2 Diabetes in youth. Diabetes Care 1999;22(2):345–354.
3. Venkat Narayan KM, Boyle JP, Thompson TJ, Sorensen SW, Williamson DF. Lifetime risk for diabetes mellitus in the United States. Journal of the American Medical Association 2003;290(14):1884–1890.
4. Ferraro KF, Thorpe RJ Jr, Wilkinson JA. The life course of severe obesity: Does childhood overweight matter? Journal of Gerontology 2003;58B(2):S110–S119.
5. Freedman DS, Khan LK, Dietz WH, Srinivasan SR, Berenson GS. Relationship of childhood obesity to coronary heart disease risk factors in adulthood: the Bogalusa heart study. Pediatrics 2001;108(3):712–18.
6. Kavey RW, Daniels SR, Lauer RM, Atkins DL, Hayman LL, Taubert K. American Heart Association guide lines for primary prevention of atherosclerotic cardiovascular disease beginning in childhood. Journal of Pediatrics 2003;142(4):368–372.
7. National Institutes of Health. Preventing osteoporosis… why milk matters now for female teens. News and Features 1997:23.
8. Hedley AA, Ogden CL, Johnson CL, Carroll MD, Curtin LR, Flegal KM. Prevalence of overweight and obesity among US children,
adolescents, and adults, 1999-2002. Journal of the American Medical Association 2004;291(23):2847-2850.
9. Ogden CL, Flegal KM, Carroll MD, Johnson CL. Prevalence and trends in overweight among US children and adolescents, 1999–2000. Journal of the American Medical Association 2002;288:1728–32.
10. United States Department of Agriculture. Continuing Survey of Food Intakes by Individuals 1994–96, 1998.
11. Pollitt E, Matthews R. Breakfast and cognition: an integrative summary. American Journal of Clinical Nutrition 1998;67(suppl):804S–813S.
12. Grunbaum JA, Kann L, Kinchen S, Ross J, Hawkins J, Lowry R, et al. Youth Risk Behavior Surveillance—United States, 2003. Mortality & Morbidity Weekly Report 2004;53(SS-2):1–95.
13. Lin BH, Guthrie J, Frazao E. American children’s diets not making the grade. Food Review 2001;24(2):8–17.
14. Cavadini C, Siega-Riz AM, Popkin BM. US adolescent food intake trends from 1965 to 1996. Archives of Disease in Childhood 2000;83(1):18–24.
15. United States Department of Agriculture. Continuing Survey of Food Intakes by Individuals, 1987–88, Appendix A.