Nutrition in children

[vc_row][vc_column][vc_column_text]Importance of good nutrition in children

In Malta, our children have one of the highest BMI in the world, after USA. Although there is plenty of information at our fingertips, it can be difficult to conclude what a balanced diet and healthy lifestyle would look like for your unique child. In order to implement a sustainable and healthy lifestyle for your child, it is important to understand what good nutrition consists of, how it can affect childhood development, and the steps you can take to ensure your child is on-board with the diet.

 

How nutrition affects children?

A proper nutritional diet and healthy lifestyle can affect young children throughout the rest of their lives. During early development, children are highly impressionable and start to implement routines and tools that they carry with them into adulthood. Aside from habits and routines created, children who do not obtain proper nutrients as they develop, can suffer from physical and medical conditions. Some of the most common issues for malnourished children include obesity, osteoporosis, decreased muscle mass, changes in hair volume and texture, fatigue, irritability, and type 2 diabetes.

Overweight and obesity are a growing epidemic affecting children at an alarming rate. Overweight and obesity refers when children have excess body fat. Children who do not have a well-balanced diet and consume high amounts of fat, sugar, and processed carbohydrates are at risk of obesity. Obesity can lead to several health problems that can affect children for the rest of their lives including high blood pressure, type 2 diabetes, elevated cholesterol and emotional problems. Young children are highly impressionable and can be subject to body shame and emotional issues linked to the food they consume.

The choices that children and parents make early on regarding nutrition and lifestyle can affect children for the rest of their lives. As most people reach their peak bone mass at age 20, it is important to build muscle and bone mass during the early stages of childhood. Children who are overweight tend to have fatigue and irritability that can lead to depression. Children that are overweight have difficulty with physical activity. This can cause emotional isolation and can set the groundwork for poor social interactions and low self-esteem. Overall, a well-balanced and healthy nutritional diet is of utmost importance in developing children.

 

What is the best nutrition?

Nutrition for children is based on the same core principles as nutrition for adults. The five main food groups include grains, dairy, protein, vegetables, and fruit, and are generally a good starting point for any diet. The portions of each respective food group will depend heavily on age, genetic makeup, and physical activity. In other words, all children can eat the same type of foods but with different portion sizes.

Grains: can be split into two categories: whole and refined grains. Whole grains are more nutritious because they contain more vitamins and minerals therefore, whole grains tend to be a better option. Some examples of refined grains include cereal, tortillas, white bread, and white rice.

Vegetables: can be raw, cooked, dehydrated, canned, whole, juiced, or mashed and are separated into 5 subcategories including dark-green vegetables, starchy vegetables, red and orange vegetables, beans and peas, and other vegetables. The portion size of each will depend on which subcategory it belongs to considering that some vegetables are more nutrient dense and nutrient packed than others.

Fruit: Fruit can be canned, frozen, dried, pureed, or juiced. Due to the high sugar content of fruit, it is advisable to construct a dietary balance based on age, activity levels, and gender.

Protein and diary: The protein food group is made up of foods that are primarily protein sources such as meat, poultry, beans, peas, eggs, seafood, and nuts. It is advisable that meat and poultry sources be lean and low fat. All fluid milk products and products made primarily from milk belong to the dairy food group. This includes items such a milk, yogurt, and cheese. In recent years, dairy has been a controversial member of the food group and as such, many nutritionally comparable dairy alternatives have been provided with greater nutritional value. As such, this group also contains fortified dairy-alternative products such as soy, almond, and cashew milk and nut cheeses.

Lack of calcium absorption can lead to osteoporosis. Osteoporosis is a degenerative bone disease that results in porous, weak, and brittle bones. Contrary to popular belief, Calcium is not best obtained through traditional dairy milk. This is because the calcium provided in dairy milk is less bioavailable to developing bodies. It is best to obtain calcium through dark leafy greens like kale and broccoli.

Ideally, children start their day with breakfast in the morning, lunch at around lunchtime and dinner in the evening. Healthy snacks should also be included in between meals. These may vary according to the level of physical activities and any medical conditions such as waking up with heart burn, obesity, diabetes, picky eating, etc.

In conclusion, research shows that it is best to avoid battles over food and meals. Ideally, parents provide regular snacks and meals. Children can be picky and, at times, avoidant or inflexible. If your young child refuses certain foods, it is best to let it go and try again at another time. Chances are, they will start to warm up to the options provided. As previously mentioned, young children are developing their independence and opinions and, as such, they are subject to vary.

Based on the age and unique genetic makeup of your child, their diet and lifestyle may look different and have emphasis on certain nutritional guidelines during one age range and much different guidelines during another. If, in doubt about your child’s diet always seek professional advice from a dietitian.[/vc_column_text][/vc_column][/vc_row]

Kidney Stones Prevention

A healthy diet can directly reduce your risk for kidney stones. There is plenty of information on the web that is incorrect and not scientifically proven. This has led to misinformation and confusion about what a healthy kidney stone prevention diet should be.

What are kidney stones?

Kidney stones forms from a high concentration of calcium and oxalate in the urine which combines to form calcium oxalate. In other words, these two substances binds together to form kidney stones. Urine that is too acidic increases the risk of calcium oxalate kidney stones. Calcium and oxalate are more likely to bind in acidic environments. So, the kidney stone diet aims to increase urine pH to reduce the risk that calcium and oxalate will bind.

 

7 nutrition tips for kidney stones prevention
  1. Drink lots of fluids

The first diet goal for kidney stones prevention is to drink more fluids. The more urine you pee, the less concentrated calcium and oxalate there will be. As a result, it is less likely that a kidney stone will form. It is recommended to drink about 3L of fluid per day. Your daily fluid requirement may be different based on your body size, environment, gastrointestinal health and exercise schedule. Always seek advice form a dietitian about what is your fluid requirement. Drinking too much fluids can also lead to other health problems such as oedema. The best beverage choice is water and drinking 3L of tasteless fluid can be challenging for some people. Making water more “exciting” can help quite a bit. This can be done by infusing fruits or herbs with water in order to add a very lovely flavour without adding many calories or sugar.

  1. Limit Salt (Na)

Eating lots of salty foods will increase urine calcium and the risk for kidney stones. The extra calcium in the urine due to a high salt diet comes from our bones, putting them at risk of osteopenia. In addition, a high sodium diet is associated with increased blood pressure, which increases the risk of all sorts of health problems like kidney disease, heart disease, stroke and dementia. It is important to note that the majority of the salt we eat is already hidden in food. So, simply avoiding salt will not reduce sodium to our goal for most people. The key to a low sodium diet is to choose foods that are low in sodium in the first place. In other words, this means cooking with fresh, non-processed ingredients. Restaurants, commercially prepared and to-go foods are usually high in salt.

 

  1. Moderate amount of protein

A high protein diet will increase the urine calcium. In addition, high protein diets produce acid during metabolism. This acid is eventually excreted in our urine, which lowers urine pH and increases the risk of kidney stones. Similar to sodium, the extra calcium in urine from a high protein diet is taken from bone, putting the bones at risk of osteopenia.

  1. Eat enough Calcium

Calcium is a critically important piece of the kidney stones prevention diet. Previously, doctors told people with kidney stones to reduce calcium and dairy. This seemed to make sense since one of our goals is to reduce urine calcium.

However, we now know about the importance of calcium in stopping oxalate absorption in the intestines. Similar to how oxalate loves to bind with calcium in our kidneys and make kidney stones, they love to bind in our intestines as well. So, if calcium binds with oxalate before it is absorbed, the oxalate is excreted in our feces, instead in our urine. Studies have shown nearly a 50% reduction in kidney stones by adding dairy to the diet along with the low sodium and moderate protein considerations. It is important to note that for the latter to happen, we need to eat calcium when we eat oxalate so make sure to eat dairy with meals.

In addition, a diet high in calcium is critical for bone health. People who have a history of calcium kidney stones are more likely to experience bone fractures and weak bones. This makes sense, as all of that extra calcium in your urine comes primarily from breaking down bone.

 

  1. Reduce added sugars

Too much sugars in your diet will increase urine calcium. Therefore, sugar will increase the risk of kidney stones. In addition, high sugar intake is associated with an increased risk of heart disease and diabetes. Make sure to check the nutrition facts label for added sugar, as well as sodium. Try to find products with as little added sugar as possible. And, save sweet desserts for special occasions. Swap out ice cream after dinner for a lower sugar frozen yogurt or fruit.

  1. Reduce food containing oxalate

Reducing oxalate in the diet is perhaps the trickiest part of the kidney stone diet. Firstly, oxalate information found online is often conflicting, which results in frustration for people trying to follow a low oxalate diet. Foods which are high in oxalate include spinach, almonds, bran, rhubarb, raspberries and potato with skin.

  1. Eat fruit & vegetables

The final nutrition tip is to eat plenty of fruits and vegetables. How many? Aim for at least 2 servings of fruit and 3 servings of vegetables per day. Eating fruits and vegetables is associated with reduced risk of hypertension, heart disease, stroke, cancer and gastrointestinal conditions. For kidney stones specifically, they help make our acid less acidic in urine. Therefore, it is less likely to form calcium oxalate from an acid urine.

Putting all the pieces of a healthy kidney stone diet can be overwhelming so always seek the help of a dietitian. A dietitian will guide you step by step for a kidney stone diet so that it becomes relatively easy and healthy for you. Lastly remember that this diet will reduce your risk for kidney stones and further medical complications.