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News & Views on Child Nutrition
For Parents, Educators, and Health Professionals
by Connie Evers, MS, RD
Issue 34, January/February 2001

IN THIS ISSUE:
Cold Weather Fitness Fun!
Nutrition 101: Minerals
NEWS IN BRIEF:
Dieting moms influence young daughters
TV watching and kids' food habits

 

 

Cold Weather Fitness Fun

Many areas of the country have been hit with cold, icy and generally miserable weather this year. Here are some suggestions for keeping kids active, fit and happy even on the most blustery days.

• Check to see if there's an "indoor park" in your neighborhood. Indoor parks typically feature a large space where young children can run around, navigate on wheeled toys and climb on play equipment. If your neighborhood doesn't have one, consider starting a cooperative program in a church basement, community center or other public space.

• Clear a space somewhere in your house, basement or garage where children can dance, move and play.

• Play "animal" relays. Children travel across the room and back while they act like an animal. You can play it as a guessing game (which animal am I?) or one person can call out different animals for the others to imitate. Kids are great at thinking up different animals (hop like a kangaroo, leap like a frog, slither like a snake, swim like a fish, etc).

• Play "marching band" with pots, pans kitchen utensils, bells, whistles and any other "noisy" items you find around the house.

• If you have a safe, uncluttered area in your basement or garage, allow kids to wheel around on their scooters or roller blades (protective equipment still needed!).

• For older kids and teens, encourage them to dance, do aerobics or follow along with exercise videos. If you have a video camera, encourage them to put on their favorite music and produce their own exercise video!

• Encourage older kids to develop an indoor "par course." Encourage them to be creative and feature "stations" for aerobic activity (e.g. Jump roping, running in place for 5 minutes, or aerobic dancing), strength training (canned goods work well as "weights"), and stretching.

• On snowy days, encourage kids to bundle up and go outside! Sledding, sliding, building and other snow play is great exercise and great fun!

 

 

In the March/April 2001
issue of the Feeding Kids newsletter, Nutrition 101
will focus on Water

 

 

 

 

 

 

 

 

 

 

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.

 

NUTRITION 101: Minerals
Fifth in a series of six nutrition primers

Minerals are essential nutrients needed in small amounts. Minerals are classified as major or trace, based on the weight of the mineral present in the body. Each of the seven major minerals in the body weigh at least 5 grams (about a teaspoon) while trace minerals are present in amounts less than 5 grams. There are seven major minerals and a dozen or so trace minerals. While some of the trace minerals are well understood, many are still being studied.

THE MAJOR MINERALS

The seven major minerals include calcium, phosphorus, sodium, chloride, potassium, magnesium and sulfur.

CALCIUM
Best known for its contribution to the formation and maintenance of bone, 99% of the body's calcium is present in bones and teeth. Because the bones continually grow and develop throughout childhood and young adulthood, it is important to have adequate dietary calcium in these bone-formative years. It is believed that peak bone mass is reached at about age 24. After that, bones will not get much stronger and denser, but continued high calcium intake will help to maintain them.

The disease osteoporosis is characterized by mineral loss from the bones, resulting in porous, fragile bones that break easily. Although low calcium intake is a major risk factor for the disease, other factors also make individuals susceptible. Age, race, gender, family history, exercise habits, smoking, excesses of alcohol, protein, caffeine and fiber, and a lack of calcium and vitamin D all contribute to adult bone loss. Elderly white women are the group at the highest risk for osteoporosis. It is important to prevent this disease by stressing positive, lifelong nutrition and health habits, especially for women.

The remaining 1% of the body's calcium is present in the blood and body fluids. Calcium plays vital roles in nerve transmission, muscle contractions, blood clotting, maintenance of normal blood pressure and as part of the "glue" that holds cells together.

Food sources of calcium include milk and dairy products, fish with bones (i.e. canned sardines and salmon), dark green vegetables such as broccoli and kale, and calcium fortified foods and beverages.

PHOSPHORUS
Eighty-five percent of the body's phosphorus is combined with calcium in the bones and teeth. The remaining 15% aids the cells in the use of energy nutrients, and is part of the genetic material. Phosphorus is widespread in the food supply so deficiency is rare. Dietary excess is common due to the high phosphorus content of soft drinks (particularly cola beverages).

SODIUM
This mineral regulates fluid balance inside and outside of the body's cells. Since sodium particles attract water, too much sodium can cause fluid retention. Sodium can also aggravate hypertension (high blood pressure) in susceptible people. A common recommendation for those diagnosed with hypertension is to reduce the amount of dietary sodium. (Obesity and alcohol also worsen hypertension. There is also evidence that potassium, calcium, and magnesium protect against high blood pressure. Thus, a balanced diet with plenty of fruits, vegetables and dairy is important in the management of high blood pressure).

A deficiency of dietary sodium is rare, since high amounts of this mineral pervade the food supply. Instead, health experts worry about excesses of sodium. Many experts recommend an upper limit of 2400 milligrams of sodium per day.

Salt (chemical name: sodium chloride) is 40% sodium. A teaspoon of salt provides about 2000 milligrams of sodium. But even without a salt shaker, most people greatly exceed 2400 milligrams each day due to the widespread use of salt and other sodium compounds in the food supply. Careful label reading is important to compare the sodium content of foods.

CHLORIDE
Chloride functions as part of the acid in the stomach (hydrochloric acid). The major source is table salt. Although deficiency is rare, an isolated incident happened several years ago when a infant formula manufacturer inadvertently omitted chloride. Because babies receiving the formula failed to grow and develop properly, legislation was passed which more strictly regulates the manufacture of infant formula.

POTASSIUM
This critical element is responsible for maintaining the heart beat, regulating fluid balance, and is important for proper nerve transmission and muscle contractions. Potassium is lost in sweat so heavy exercisers need to replace it through food or drink. Certain diuretics also cause potassium loss from the body. Fruits, vegetables and dairy foods are the best food sources of potassium. Especially rich sources are bananas, tomatoes, potatoes, sweet potatoes and oranges.

MAGNESIUM
Like calcium and phosphorus, most of the body's magnesium is present in the bones. The small amount present in the rest of the body is needed for the release of energy from the energy nutrients, relaxation of muscle fibers following contractions and the conduction of nerve impulses. Deficiency is most commonly seen in chronic alcoholism, where dietary habits and absorption of nutrients tend to be poor. Food sources include nuts, legumes, cereals, dark green vegetables, seafood, and chocolate.

SULFUR
Sulfur is present in all body and dietary proteins. There is no RDA for sulfur, since a diet adequate in protein will also contain ample sulfur.

THE TRACE MINERALS

Known trace minerals include iodine, iron, fluoride, zinc, selenium, chromium, copper, manganese, cobalt and molybdenum.

There are a number of elements that are suspected of being essential minerals, needed by the body in minute amounts. There is evidence that suggests a beneficial role of the elements arsenic, boron, nickel, silicon and vanadium in human health. Scientists continue to study these elements and have set an upper limit (UL) for toxicity for boron, nickel and vanadium.

While trace minerals are essential for life, they are extremely toxic when taken in large doses. The latest DRI report has set an upper limit for many of the following minerals.

IODINE
Iodine is part of thyroxin, a thyroid hormone that regulates the body's metabolic rate. The iodine of food reflects the soil it was grown in. The great plains region, for instance, has little iodine in the soil and goiters (enlargement of the thyroid gland) were once prevalent. Thanks to "iodized" salt, the goiter caused by iodine deficiency is very rare in the U.S.

IRON
Iron is an important part of two oxygen-carrying molecules in the body, hemoglobin and myoglobin. Hemoglobin is the oxygen carrier in red blood cells while myoglobin provides the oxygen reservoir for muscle cells. In iron-deficiency anemia, the red blood cells contain less hemoglobin and lose their ability to carry oxygen. A shortage of oxygen results in fatigue, apathy, pale skin and the inability to concentrate. A simple blood test that measures the amount of hemoglobin in the blood can detect iron-deficiency anemia. (There are also more complex tests that can detect iron depletion in the early stages).

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.

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.

FLUORIDE
This mineral plays an important role in the formation of teeth and bones. When fluoride intake is adequate, the crystalline deposits in bones and teeth are larger and more perfectly formed. Children in communities with adequate fluoride in the water have much lower rates of tooth decay than those without access to fluoride.

For those communities with a low fluoride concentration in the water, supplementation is recommended for infants and children. Supplements are not warranted in areas with fluoridated water since high intakes can result in mottling of the tooth enamel, which causes discoloration and brown spots on teeth.

ZINC
This amazingly diverse mineral is needed for wound healing, normal taste perception, sperm formation, fetal development, and proper growth and sexual maturation. Zinc is needed to properly utilize vitamin A and helps the reactions of over 70 enzymes in the body. Present in whole grains and animal products, the RDA for zinc can be difficult to achieve. Zinc is extremely toxic in high doses.

SELENIUM
An antioxidant that works with vitamin E to protect body cells from oxidation, selenium is also being studied for its possible role in cancer prevention. Selenium is widespread in foods and deficiency in the US is rare.

The remaining trace minerals all play vital, if not always well understood, roles in the body. Chromium works with the hormone insulin to control blood sugar, copper is important for the formation of hemoglobin, connective tissue, nerve coverings and skin pigment, cobalt is a component of vitamin B-12, and both manganese and molybdenum function as part of various enzymes in the body.

RECOMMENDED INTAKE OF MINERALS
Panels of nutrition scientists are given the task of devising recommended levels for essential nutrients. The last official compilation of the Recommended Dietary Allowances (RDA) was published in 1989. A major revision is currently underway to replace the RDA. The revised recommendations are called Dietary Reference Intakes (DRI) and reflect the collaborative efforts of both the US and Canada. For the most up-to-date reports and recommendations on minerals and other nutrients, see http://www.nal.usda.gov/fnic/etext/000105.html

 

 

 

News in Brief

DIETING MOMS INFLUENCE YOUNG DAUGHTERS
Moms who constantly diet are influencing their 5 year-old daughters ideas about dieting, according to a recent study published in the Journal of the American Dietetic Association. "Diet counseling directed at mothers should introduce the idea that maternal dieting may influence their daughters' emerging ideas and beliefs about dieting, and this argues strongly for the use of positive, health-promoting weight-loss strategies, such as increasing fruit and vegetable consumption and increasing physical activity, which may have positive effects on both mothers' and daughters' health and weight status," concluded the authors. SOURCE: Abramovitz BA, Birch LL. Five-year-old girls' ideas about dieting are predicted by their mothers' dieting. J Am Diet Assoc. 2000;100:1157-1163.

TV WATCHING AND KIDS' FOOD HABITS
Memo to parents: Turn off the TV at mealtimes! A recent study published in Pediatrics looked at the television viewing habits of 91 families with fourth through sixth graders. The researchers concluded that the dietary patterns of children from families in which television viewing is a normal part of meal routines may include fewer fruits and vegetables and more pizzas, snack foods, and sodas than the dietary patterns of children from families in which television viewing and eating are separate activities. Source: Coon KA, Goldberg J, Rogers BL, Tucker KL. Relationships Between Use of Television During Meals and Children’s Food Consumption Patterns. Pediatrics 2001;107(1). Access via the internet at http://www.pediatrics.org/cgi/content/abstract/107/1/e7

©2001, 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 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.


Connie Evers, MS, RD, is the author of How to Teach Nutrition to Kids, the companion LEADER/ACTIVITY guide and a number of additional resources located at http://nutritionforkids.com.

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