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Ruth Charles Consultant Paediatric Dietitian

Whole family nutrition, heart health & meal planning: f ocus on differing needs and limited budget. Ruth Charles Consultant Paediatric Dietitian. Ballinderry Clinic, St. Francis Hospital, Mullingar, Co. Westmeath. www.nutrikids.ie. Life ages and stages.

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Ruth Charles Consultant Paediatric Dietitian

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  1. Whole family nutrition, heart health & meal planning:focus on differing needs and limited budget Ruth Charles Consultant Paediatric Dietitian Ballinderry Clinic, St. Francis Hospital, Mullingar, Co. Westmeath. www.nutrikids.ie

  2. Life ages and stages Ruth Charles MINDI

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  4. Nutrient requirements Ireland Infants NEW RECOMMENDATION Vitamin D3supplement: Children 0-1 year: 5µg/200 i.u. Ruth Charles MINDI

  5. Nutrient requirements Ireland Ruth Charles MINDI

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  12. Food refusal • Common • Learned behaviour that’s repeated if the desired result is obtained • Keep trying! 10-15 new food exposures required before acceptance • Do you eat the food? Be a good role model. • Eating at the same time. Eating new foods together. Sitting together at the table. Ruth Charles MINDI

  13. Iron deficiency Anaemia Adults: Red meat 2-3 times a week Infants & children: Include red meat in the weaning diet from 6 months onwards Avoid giving tea Avoid too much formula/milk (>6oomls reduces appetite for other food) Follow on infant formulae Ruth Charles MINDI

  14. Bone health: Calcium (Phosphorus) • Dairy: 3-5 servings per day for children. 5 servings a day for teenagers. Pregnant/breastfeeding women 3 servings. • Serving= glass of milk (1/3 pint or 189 ml), 1 pot of yogurt or a matchbox-sized (1oz) piece of cheese. • There is relatively no difference in the calcium content between full fat, low-fat and skimmed milk. Ruth Charles MINDI

  15. Bone health Vitamin D Active form cholecalciferol D3 needed. Non Food sources: 5–30 minutes of sun exposure between 10 AM and 3 PM at least twice a week to the face, arms, legs, or back  Dietary sources: Most margarines Some fortified brands of soya milks, yogurts and desserts – check the label A few fortified breakfast cereals – check the label Dried skimmed milk Fortified yoghurts Eggs Oily fish: mackerel, herring, tuna, salmon Ruth Charles MINDI

  16. Dental Health Ruth Charles MINDI

  17. The facts Report of the National Taskforce on Obesity 2005 : 1 in 5 children were overweight Growing Up in Ireland - Overweight and Obesity Among 9-Year-Olds 2011 370,000 Irish Children are Obese. Girls Boys Overweight Obese Overweight Obese 11.6% 13% 10.5% 9.2% 1 in 4 nine year olds are overweight/obese. This number increases by 10,000 annually. The World Health Organization (WHO 1998) report shows that the prevalence of both adult and childhood obesity has reached epidemic proportions worldwide.

  18. The changing shape of Irish children Ruth Charles MINDI

  19. What is the Metabolic syndrome? • Your body becomes resistant to its own Insulin • Your own Insulin becomes ineffective Ruth Charles MINDI

  20. Waist circumference >37”M, >32”F Ruth Charles MINDI

  21. Low glycaemic index High glycaemic index Mixing a high with a low GI food reduces the overall GI Ruth Charles MINDI

  22. Heart Health Ruth Charles MINDI

  23. Heart Health Risk factors • Male • Family History • Smoker • Stress • Blood pressure • LDL cholesterol • Weight • Cardiovascular fitness Ruth Charles MINDI

  24. Making sense of cholesterol and triglycerides Ruth Charles MINDI

  25. What are “omega” fats? Cannot be made by the body Must be eaten: omega 3 & 6 Reduced risk of coronary heart disease: Reduce the stickiness of blood Thin the blood Protect blood vessel walls Reduce Triglycerides Reduce Inflammation Maintain healthy bone joints Ruth Charles MINDI

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  27. How healthy is your bowel? What’s normal ? What colour is normal? Ruth Charles MINDI

  28. Foods for gut and bowel health Ruth Charles MINDI

  29. Are you getting enough to drink? Water Milk Pure Juice Diluted squash (Alcohol) (Tea/Coffee) (Fizzy drinks) Ruth Charles MINDI

  30. Where are we getting our calories from? Ruth Charles MINDI

  31. Calorie quality: carbohydrate Ruth Charles MINDI

  32. Calorie quality: Fat • Saturated • Polyunsaturated/ • Monounsaturated • Oily fish 2-3 times per week. Ruth Charles MINDI

  33. Calorie quality: alcohol Low risk weekly guidelines for adults are: up to 14 standard drinks (980 kcals)in a week for women, and up to 21 standard drinks (1470kcals) in a week for men. 1SD=70calories Ruth Charles MINDI

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  35. At least one hour of moderate intensity every day Ruth Charles MINDI

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  39. Free resources • www.healthpromotion.ie • www.irishheart.ie/media/pub/kids/on_the_go_booklet_final.pdf • www.littlesteps.eu • www.fooddudes.ie • www.indi.ie • www.mabs.ie Ruth Charles MINDI

  40. Thank you www.nutrikids.ie

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