News & Views on Child Nutrition
For Parents, Educators, and Health Professionals
by Connie Evers, MS, RD
Issue 63, April 2007

IN THIS ISSUE:
Free Kids Cooking Handout
The Basics: Iron
Part of the Problem OR Part of the Solution?
Updates from 24 Carrot Press
NEWS IN BRIEF
Simple Question convinces kids to eat more fruit
"More Matters" replaces "5 a day"
Research on portion size and mealtime calories
Recommended: Team Nutrition E-Newsletter

 

Free Cooking with Kids Handout

Click here to download a free parent handout. The sheet provides pointers on how to make cooking with kids a real adventure!

 

Note: The Basics is a new section of the newsletter that highlights an important nutrient, its functions and sources.

The Basics: Iron

A nutritional disease in need of a publicist, iron-deficiency anemia is second only to obesity as the most common nutrition disorder found in U.S. children.

It is estimated that 4% of 6-11 year-old children suffer from iron deficiency anemia.. The incidence is highest in teen girls, with approximately 9% of 12-15 year-olds and 16% of 16-19 year-olds presenting with iron deficiency anemia. Without enough iron reaching the brain, mental and behavior effects are often seen in these children and teens. Apathy, clumsiness, irritability, learning disorders, low energy level and poor school achievement may result when the body is not "pumped up" with iron.

Iron is crucial because it carries oxygen throughout the body. Best known for its role in blood, iron is part of the hemoglobin which makes up red blood cells. When iron is compromised, red blood cells lose their capacity to deliver oxygen to all body cells.

A simple blood test that measures the amount of hemoglobin in the blood can detect iron-deficiency anemia. (There are also additional tests that can detect iron depletion in the early stages, e.g. measurement of serum ferritin levels).

The following four groups are at particular risk for iron-deficiency anemia:

  1. Children from six months to four years of age are at risk because of rapid growth and sometimes limited food choices.
  2. Adolescents during their growth spurt may have difficulty keeping up with their body's high iron needs.
  3. Women in their childbearing years require more iron due to monthly iron losses caused by menstruation. Women typically do not consume the RDA for iron.
  4. Pregnant women have an especially high requirement for iron because of increased blood volume, the demands of the baby, and blood losses during childbirth.

The best food sources of iron are lean meat, fish and poultry. They contain a form of iron known as heme iron, which is easily absorbed by the body. Non-heme sources of iron are found in soybeans, lima beans, almonds, peanut butter, dried apricots, raisins, spinach, potato, peas, winter squash and fortified cereals. Vitamin C enhances the absorption of non-heme iron. To get the most iron from plant-based foods, include a vitamin C source such as citrus, broccoli, kiwi, strawberries, peppers or potatoes with meals.

Babies older than six months should receive an iron-fortified baby cereal. Baby cereals are formulated with a type of iron that infants can easily absorb. After age one, children should be eating a variety of iron-rich foods.

Iron overload is a condition caused by over-supplementation (and rarely, as the result of an inherited disease). In most cases, men should avoid supplements which contain iron. Keep all vitamin/mineral supplements out of the reach of children in order to prevent iron (and other nutrient) toxicity.

REFERENCES:

Killip S, Bennett JM, Chambers MD. Iron deficiency anemia. Am Fam Physician. 2007 Mar 1;75(5):671-8. Review. http://www.aafp.org/afp/20070301/671.html

Centers for Disease Control and Prevention. Iron deficiency-United States, 1999-2000. MMWR Morb Mortal Wkly Rep 2002;51:897-9.

A good review article from kidshealth.org can be found at http://www.kidshealth.org/parent/medical/heart/ida.html

 

Nutrition and Our Culture:
Part of the Problem OR Part of the Solution?

P.O.P. (Part of the Problem):

Diet soft drinks with vitamins (?!)
Sorry, nice try. But you can't make junk food healthy just by dumping in a few added vitamins and minerals. I won't even mention the company's name here because rumor has it, other soft drink companies are on the same track. The diet soft drink in question is hoping to appeal to health-conscious consumers and presumably, health-conscious moms who may feel better about allowing their children to drink soft drinks.

The latest product offers 15% of the daily value for niacin, vitamin B6 and vitamin B12 and 10% of the daily value for zinc and magnesium. These nutrients are not difficult to get if you stick with whole foods including whole grains for your B vitamins; meat, fish and beans for zinc; and beans and nuts for magnesium. Plus, when you eat actual whole foods, the entire choir of nutrients, fiber and other health-promoting natural compounds show up to sing!

Diet soft drinks replace more healthful beverages such as water and 1% or fat-free milk. The beverages also often contain caffeine and artificial ingredients. Not a healthy beverage, even with the added goods.

P.O.S. (Part of the Solution):

Project E.A.T.
Solid nutrition education has its basis in science and research, a point that is often overlooked. In order to develop effective programs and materials, it is essential to understand the myriad of factors that influence health behavior among young people. Project E.A.T. (Eating Among Teens) based at the Division of Epidemiology at the University of Minnesota has contributed enormously to the body of behavioral research regarding food choices and health behaviors among adolescents.

I highly recommend a visit to their website, where you can find out more about their research and read abstracts on many topics. You may never view family meals quite the same again!

Updates From 24 Carrot Press

  • Many of you have been calling and emailing regarding the new Leader/Activity Guide. The replacement for the guide is titled Nutrition Fun with Brocc and Roll and it will be rolling off the presses in June. The 64-page guide, packed with copy-ready nutrition activity pages, will be available for pre-order in May.
  • Did you know that nearly 14,000 elementary teachers in the Los Angeles Unified School District have a copy of How to Teach Nutrition to Kids? They are not alone, either. Thousands of schools throughout the country use this book as a resource for nutrition education in the classroom. 24 Carrot Press offers generous quantity discounts on the book. For orders exceeding 500 copies, please call us at 503-524-9318.
  • Fruit stickers are back in stock. You can order them by visiting the sticker page.

 

News in Brief

Simple Question convinces kids to eat more fruit
"Would you like fruit or juice with your lunch?" A recent study showed that when school-aged children were asked this question, 90% took the fruit serving and 80% of them actually consumed it! In the control school, only 60% of the students chose a fruit serving. As a result, nearly 70% of the children in the intervention school consumed a fruit serving at lunch, while fewer than 40% did so in the control school. Access the study at http://www.ijbnpa.org/content/4/1/6/abstract/

"More Matters" replaces "5 a day"
You are probably aware that the 2005 Dietary Guidelines and MyPyramid recommend that Americans eat way more than 5 daily servings of fruits and vegetables. The Produce for Better Health has revamped their 5-a-day message with the launch of the Fruits & Veggies—More Matters™ initiative. Find out more by visiting http://www.fruitsandveggiesmorematters.org/

Research on portion size and mealtime calories
A new study finds that regardless of age, children respond to larger portion sizes by eating more at mealtimes. Children ranging in age between 2 and 9 years were either given an age-appropriate entrée at the dinner meal, a portion-size twice as large as the age-appropriate portion or the opportunity to serve themselves. See the March 2007 issue of the journal Obesity for details.

Recommended: Team Nutrition E-Newsletter
A great resource for schools is the the Team Nutrition E-Newsletter. Team Nutrition resources developed by USDA and/or by State agencies and ideas for promoting healthy eating and physical activity are included in the newsletter. FMI, click here.

The information contained in this newsletter is not intended as a substitute for medical and/or nutrition advice. See your physician and/or registered dietitian for individual health and/or dietary concerns.

©2007 by Connie Evers, All Rights Reserved. There is a modest reprint fee for reproducing the material in this newsletter in either print or electronic publications. Please send an email to reprint@nutritionforkids.com for details and rates.

The FEEDING KIDS NEWSLETTER is published quarterly (January, April, August, and November) by 24 CARROT PRESS . To subscribe, click here.


Connie Evers, MS, RD, is the author of How to Teach Nutrition to Kids , Good for You! (©2006, Disney Press) and additional resources located at http://nutritionforkids.com.

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