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Bethesda, MD 20892-3665. Telephone: (877)946-4627
or (202) 828-1025. Fax: (202) 828-1028. Website:
<http://win.niddk.nih.gov>
OTHER
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dnpabmi/Calculator.aspx>
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Tish Davidson, A.M.
Children’s diets
Definition
Because children grow at different rates and at
different times, it becomes harder to distinguish if a
child is overweight compared to establishing over-
weight in adults. To determine if a child is within an
un-healthy weight range, a doctor will use certain
criteria to measure a child’s height and weight. The
body mass index(BMI), expressed as body weight in
kilograms divided by the square of height in meters
(kg/m2), is a weight-for-height index. The BMI is the
standard obesityassessment in adults, and its use
within the pediatric population has limited research
to support its effectiveness is still considered the stand-
ard measure of overweight in children. The Interna-
tional Task Force on Obesity approved that BMI
provides a reasonable index of adiposity and provides
a reliable measure across pediatric age groups.
A children’s BMI score is the criteria used by med-
ical professionals to determine an un-healthy weight.
Any child who’s BMI falls between the 85th and 95th
percentile for age and sex should be evaluated for sec-
ondary complications of obesity, includinghyperten-
sionand dyslipidemias. An extensive change in BMI
would also call for evaluation and possible treatment of
the child. Although the degree of change that indicates
risk has not been defined, an annual increase of three to
four BMI units is thought to reflect concern due to
possible increases in a child’s body fat.
Origins for childhood diets
In the United States and elsewhere in developed
countries, the prevalence of childhood obesityhas
drastically risen in the past several decades.
Since the 1960s, the prevalence of obesity in chil-
dren has been assessed by several nationally represen-
tative surveys. These include the National Health
Examination Survey Cycles I to III and the National
Health and Nutrition Examination Surveys I to III.
Based on these surveys, the obesity among children is
Healthy snack foods for children
- Applesauce cups (unsweetened)
- Apples or pears and low-fat cheese
- Baby carrots and celery
- Bagels pizzas with tomato sauce and melted low-fat cheese
- Baked potato chips or tortilla chips with salsa
- Cereal, dry or with low-fat milk
- Cucumber or zucchini slices
- Dried fruits such as raisins, apple rings, or apricots
- Fresh fruit
- Fruit canned in juice or light syrup
- Fruit juice
- Fruit salad
- Frozen fruit bars
- Frozen grapes
- Low-fat chocolate milk
- Low-fat frozen yogurt with fresh berries
- Low-fat yogurt with fruit
- Nonfat cottage cheese with fruit
- Popcorn, air popped or low-fat microwave
- Pretzels (lightly salted or unsalted) and a glass of low-fat milk
- Raw vegetable sticks with low-fat yogurt dip, cottage cheese or hummus
- Rice cakes with peanut butter
- Smoothies with low-fat milk or yogurt and sliced bananas or
strawberries - String cheese and fruit (canned or fresh)
- Vanilla wafers, gingersnaps, graham crackers, animal crackers or fig
bars and a glass of milk - Whole-grain crackers or English muffin with peanut butter
- Whole-wheat crackers with cheese or peanut butter
(Illustrated by GGS Information Services/Thomson Gale.)
Children’s diets