Fortis hospital toi , 22nd dec 2011, pg 4

1
P r a t i b h a M a s a n d | TNN I f you thought your bonny boy only needs to get active to slim down, think again. Your over- weight child may be so defi- cient in micronutrients that his metabolism may be flawed; burning fat would be impossi- ble in such cases. In other words, being plump is not a measure of good nutri- tion. The bonny baby picture, say doc- tors, is a flawed proof of health. At present, obesity is considered the worst epidemic among India’s children. Around 14% of all Mumbai’s school- children are overweight or obese, ac- cording to a study done by Asian Heart Institute’s doctors and published in the British Medical Journal. Blame it on the children’s faulty eating habits or their sedentary lifestyle, but there is no denying that Mumbai’s children are growing obese. Worse, about 60% of Mumbaikars suf- fer from deficiency of essential mi- cronutrients. A study done earlier this year based on data collected by 198 nu- tritionists and dieticians from over 1,200 patients, including children, revealed that 81% of patients suffered from iron defi- ciency, 15% from vitamin deficiency and 3% from zinc deficiency. But what experts now want mothers to concentrate on is the concurrent epi- demic: inadequate intake of micronu- trients such as zinc, manganese or cop- per. Emerging research suggests that these micronutrients play a big role in maintaining the body’s digestive and hormonal systems in check. Research has shown that the deficiency of vita- min D and vitamin B12 could act as trig- gers for a host of diseases ranging from cancer to depression. India, especially Mumbai, is wit- nessing this micronutrient deficiency due to a host of socioeconomic rea- sons.“With children opting for more of junk and less of fresh foods, there is over-nutrition of macro nutrients like carbohydrates and fats, alongwith un- der-nutrition of micronutrients like vi- tamins, minerals and fibres,” said Dr Shilpa Joshi from the Indian Dietician Association. Micronutrients abound in fresh fruits and vegetables. “But since their shelf life is not long, these micronutri- ents can’t be added in today’s urban snacks,” said Dr Joshi. Rushed-for-time mothers have confessed in various sur- veys that packaged foods are easier to dish out for their children. Doctors are most worried that urban children are forsaking are vitamin B12 and B3. “There is an overall deficiency of nutrients which can cause an array of problems from graying and loss of hair and skin troubles to aches and pain in muscles and weakness in bones,” said nutritionist Vibha Kapadia. “The deficiency of vitamin B12 is most worrying, especially for children from vegetarian families since their source of the vitamin is only from milk and milk products which unfortunate- ly the children do not usually like to have,” she said. For children with micronutrient de- ficiency, it is a double whammy says Sonal Modi,nutritionist from the Dia- betes Endocrine Nutrition Management and Research Centre. “Junk food is high in salt, sugar and trans-fats. So children consuming these tend to be over-weight and obese and have chances of getting diabetes and heart problems earlier in life. But the deficiency of micronutrients makes them internally unhealthy. They are weak, do not have strong bones and muscles and even have low immunity because of which they end up falling prey to an array of season- al diseases,” she said. While there are pills to offset sever- al nutrient deficiencies, Dr Joshi cau- tioned, “People end up replacing the mi- cronutrients with tablets, but it is bet- ter to avoid the imbalance in nutrition right at the start.” S u m i t r a D e b R o y | TNN T here is limited research to prove if Mum- bai kids have a tougher time growing up in a cramped city with little clean air to breathe and limited room for recreation, but ex- perts are unanimous that children here are a tad more predisposed to certain ailments. Children growing up in Mumbai tend to have higher chances of developing asthma, allergies and auto-immune disorders. Dr Tanu Singhal, specialist in paediatric infectious diseases at Kok- ilaben Dhirubhai Ambani Hospital says, “The exposure to environmental pollutants and com- promised immunity combined with overcrowd- ing makes children extremely vulnerable”. Singhal says children are prone to respirato- ry problems, asthma, malaria, viral fever and stomach ailments. A senior paediatrician from Wadia Hospital echoes the view, saying these ail- ments together comprise more than 45% of what ails children in Mumbai. “Homes and classrooms are equally congested. There are no open grounds for to play or build immunity,” the doctor says. The doctor adds that studies show that ail- ments like asthma can occur at an early age, and in about 5-10% of children it turns severe later. “When parents ask for a solution, we suggest they change the lifestyle of child and inculcate healthy habits and diet,” the doc- tor says. A study of re- cent disease out- breaks in Mum- bai shows children bore the brunt of all, from swine flu to hand, foot and mouth diseases, mul- ti-drug resistant TB to common ailments like malaria and dengue. “Early exposure to these could hamper a child’s growth,” says Dr Om Sri- vastava, infectious disease consultant, Jaslok Hospital and Research Centre. “But we don’t know if those growing up in smaller cities are not suf- fering from a different set of problems,” he adds. But consultant paediatrician Dr Nitin Shah from PD Hinduja Hospital at Mahim refuses to put the entire blame on environment. “Why are children and adolescents complaining of nutri- tional deficiencies and rickets? Children are sim- ply not exposed to enough sunlight,” he says. He says children step out of air-conditioned homes, travel in AC cars, study in AC classrooms, adding, “Till a decade back, children as young as four to five never had such gross vitamin-D deficiency.” Paediatric urologist Dr AK Singal says lack of physical exercise and disregard for nutritional food is increasing ailments like kidney stones among kids. “Lifestyle changes have to be ur- gently brought in by parents,” he adds. Some parents have indeed made small changes. When Marookh S’s daughter had breath- ing problems at the age of 11 and was later di- agnosed with mild asthma, he bought a car so she didn’t have to take the school bus. “It is very painful to see your child gasping for breath,” Ma- rookh says. He plans to shift to a smaller town once his daughter completes her Class X exams. S u m i t r a D e b R o y & P r a t i b h a M a s a n d | TNN T raditional Indian snacks are fast losing out to ready-to-eat or junk food as mothers fight a daily battle with multinationals, doling out ‘quick food’ options clubbed with zesty marketing. Ex- perts lament the slow disappearance of homemade snacks, admitting it to be a multi-dimensional problem. The change has become apparent in the last five years or so, say city nutritionists. A plate of roti, sabji, dal, chawal and achar is being re- placed by pizza platter, or a tray of burger, fries and soft drinks. With multinationals offering everything from breakfast favourites like dosa, idlli, upma, vadas, parathas and pav bhaji to main course items like biryani, vegetarian and non-vege- tarian preparations in small tetra packs, many Indian households are opting for the ready-to-eat meals over the healthier home-cooked ones. Little wonder that the over Rs 4000-crore ready-to-eat packaged food market in India is growing at 20% annually. These food items, mostly moderately priced, are pre-cooked or ready-mix varieties that can be pre- pared in minutes. “It is increasingly becoming an option for women who do not want or have enough time to spend in the kitchen,” said director Dr B Sesikeran, National Institute of Nutrition, Hyderabad. Consequent- ly, Sesikeran says, more children are overweight at a very young age as their intake of sugar or salt gets too high for their me- tabolism. Kharghar resi- dent and parent Sonal Mukherji says that her 10- year-old daughter absolutely detests poha, upma or oth- er snacks made at home. “She loves eating out,” says the physiothera- pist, sheepishly admitting that she gives in to her daughter’s demand for chips or soft drinks almost everyday. Experts feel most parents blame children for dis- liking home food when they them- selves introduce kids to junk food at a very young age. Nutritionists point out that the child eats what the parents do. “Par- ents are the only role models for their child till the age of five. Thereafter, the child is no doubt exposed to birth- day parties and the media,” said Son- al Modi, nutritionist from Diabetes Endocrine Nutrition Management and Research Centre. “So if parents inculcate healthy eating habits, the child will learn accordingly and the damage could be less,” said Modi. The solution, experts say, could be in innovating home-cooked food. Purwa Duggal, HOD, nutrition therapy, at Fortis Hospitals, agrees. “Between school, homework and play, there is a strong temptation to grab snacks like potato chips if stocked at home. Stock non-fried varieties made from soy or ragi instead. Whole-grain rolls or breads can be combined with peanut butter, lettuce and vegetables to provide a homemade variety of ex- otic delicious sandwiches. Allow chil- dren to prepare their own combina- tions —they’ll love it.” Consulting dietician Jyoti Lal- wani says parents introduce their children to junk food without real- ising the child could soon develop a taste and later a habit for such food. “Thanks to junk food, the incidence of anaemia in schools is quite com- mon. Children as young as 6-7 years suffer from acidity, which was nev- er the case before,” she added. Modi says working women have little choice. “Since these foods are fast to deliver, working mothers end up choosing these over traditional snacks or food items. When these packages say they have added micro- nutrients, it looks very attractive to an urban mother and even takes a bit of guilt off her shoulder,” she said. A nutritionist with a civic hospi- tal argues changed shopping habits have majorly contributed to the change in eating habits. “Neigh- bourhood markets have been re- placed by supermarkets where ready- to-eat food packets are easy to grab.” Doctors say children over-eat, re- sulting in more calories and less nu- trition. Dr Shilpa Joshi of the Indi- an Dietician Association says, “Since these foods are tasty, children over- eat. But though they give instant en- ergy or calories, there is no satiety.” NOURISHMENT LOSES OUT IN QUICKFIX CRAZE Mumbai kids worse for the weather Junk the junk with innovations in kitchen speakout@timesgroup. com with ‘health and nutrition’ in the subject line Type SO <space> Q1/Q2 <space> YES or NO <space> your views and name. SMS to 58888 EMAIL SMS Cheesy pizzas, delectable burgers and chilled colas make for a great birthday party, but can wreak havoc with children’s health if part of their daily diet. Even the pasta that goes straight from the packet-to-plate in minutes or juice- out-of-the-box does little to help. Children, heavily influenced by advertisements or peers, usually pester their parents for ‘fast-food’. Hard-pressed for time, the latter give in. How do you think parents can wean away their children from tempting junk food to tasty but healthy meals? Q1. Should parents teach children to eat healthy from an early age? Q2. Should parents replace what kids want with what they need? JOIN THE DISCUSSION You can also share your views in the ‘Mumbai’ or the ‘Specials’ sections of timesofindia. indiatimes.com. Or log on to ‘The Times Of India’ page on Facebook MUMBAI FOR KIDS Nutrient Platter (Source: ‘Dietary Guidelines for Indians’ manual of the National Institute of Nutrition, Hyderabad) Basics Of A Balanced Diet Calcium Food Items | Milk and milk products Potassium & Magnesium Food Items | Cereals, nuts, dry fruits, broccoli, cabbage, sprouts, cauliflower Protein Food Items | Milk and dairy products, fish, legumes, meat, nuts, dry fruits Iron Food Items | Fish, cereals Vitamin A Food Items | Carrot, broccoli, sweet potato, spinach, pumpkin, cheddar cheese, egg, papaya, mango, apricot, peas, milk Vitamin B Food Items | Cereals, meat, liver, lentils, potatoes, banana, chilli pepper, whole grains, beans Vitamin C Food Items | Citrus fruits (orange, lemon, amla, sweetlime), broccoli Vitamin D Food Items | Cereals, fish, eggs Vitamin E Food Items | Nuts, dry fruits Carotene Food Items | Raw tomatoes, mango, papaya, dried apricots & peaches, broccoli, cabbage, cauliflower, leafy vegetables (spinach, methi), cooked tomatoes, carrots, sweet potato, pumpkin, onion and garlic It is parents who usually introduce the child to fast food Mumbai’s Kids Are Bingeing On All Forms Of Junk — Food That’s Ready In A Jiffy But Jeopardises Their Health Over Time. Little Wonder That Today’s Children Are Far More Obese & Hence Vulnerable To Diseases Eating Better, Healthier Give children cereal with milk, but add crushed dates instead of sugar to sweeten it Give children bread preparations like sandwich, subs or toast only once a week, substituting white bread with brown or whole-wheat bread Shallow fry cutlets instead of deep-frying them. Moreover, make the cutlets with less potatoes and more vegetables. You can also roll them into rotis to make frankies Include uttappam, idli or dosa in the child’s snack menu at least once a week Make tachos with cornflour instead of maida and bake them Steam dahi vadas and add freshly prepared chutneys. You can include spinach in the chutney, so that kids get the nutrition without knowing they are eating spinach Source: Nutritionist Vibha Kapadia Studies show that children bear the brunt of an outbreak of any disease in the city FOOD GROUPS GRAMS PER PORTION Infants (0-6 months) 1-3 yrs 4-6 yrs 7-9 yrs 10-12 yrs Cereals & 30 0.5 02 04 06 10 millets Pulses 30 0.25 01 1.0 02 02 Milk & 100 04 05 05 05 05 milk products Roots & 100 0.5 0.5 01 01 01 tubers Green leafy 100 0.25 0.5 0.5 01 01 vegetables Fruits 100 01 01 01 01 01 Sugar 5 02 03 04 04 06 Fat/oil 5 04 05 05 06 04 K K Choudhary TIMES CITY THE TIMES OF INDIA, MUMBAI | THURSDAY, DECEMBER 22, 2011 HEALTH, NUTRITION & EMOTIONAL WELL-BEING | EDUCATION & CAREERS | TECHNOLOGY & LIFESTYLE | SPENDING & INVESTING | PARENTING | EXTRA-CURRICULAR ACTIVITIES Health & Nutrition >> I take great care to ensure that my children don’t eat any junk food. They are especially not allowed to have any form of colas or sodas. I think it is up to parents to ensure that their children don’t get hooked on to fast foods, inculcating good eating habits at an early age is essential Farah Khan | DIRECTOR & CHOREOGRAPHER The entire foundation and blue- print of a child’s mental and physical health profile is formed in childhood. When the foundation is strong, the future will automatically be healthy. But children are losing out on a balanced diet as parents are imitating food habits from the rest of the world Naini Setalvad | OBESITY & HEALTH CONSULTANT As a parent, one strongly influences the amount of fast food a child consumes in his formative years. Encourage children to opt for grilled varieties rather than fried varieties when eating out. Eating fruits should be a family norm. Chocolates and desserts may be restricted to celebrations and festive occasions Purwa Duggal | HOD-NUTRITION THERAPY, FORTIS HOSPITALS Kidney stones among children have increased 20-30% in a few years, and colas, fries, burgers, pizzas have a direct role to play. Processed food intake must be controlled. Lack of any physical activity is also responsible for many health problems in kids Dr A K Singal | PAEDIATRIC UROLOGIST

Transcript of Fortis hospital toi , 22nd dec 2011, pg 4

Page 1: Fortis hospital   toi , 22nd dec 2011, pg 4

Pratibha Masand | TNN

If you thought your bonny boyonly needs to get active to slimdown, think again. Your over-weight child may be so defi-cient in micronutrients thathis metabolism may be flawed;burning fat would be impossi-

ble in such cases. In other words, beingplump is not a measure of good nutri-tion. The bonny baby picture, say doc-tors, is a flawed proof of health.

At present, obesity is considered theworst epidemic among India’s children.Around 14% of all Mumbai’s school-children are overweight or obese, ac-cording to a study done by Asian HeartInstitute’s doctors and published in theBritish Medical Journal. Blame it onthe children’s faulty eating habits ortheir sedentary lifestyle, but there is nodenying that Mumbai’s children aregrowing obese.

Worse, about 60% of Mumbaikars suf-fer from deficiency of essential mi-cronutrients. A study done earlier thisyear based on data collected by 198 nu-tritionists and dieticians from over 1,200patients, including children, revealed that81% of patients suffered from iron defi-ciency, 15% from vitamin deficiency and3% from zinc deficiency.

But what experts now want mothersto concentrate on is the concurrent epi-demic: inadequate intake of micronu-trients such as zinc, manganese or cop-per. Emerging research suggests thatthese micronutrients play a big role inmaintaining the body’s digestive andhormonal systems in check. Researchhas shown that the deficiency of vita-min D and vitamin B12 could act as trig-gers for a host of diseases ranging fromcancer to depression.

India, especially Mumbai, is wit-nessing this micronutrient deficiencydue to a host of socioeconomic rea-sons.“With children opting for more ofjunk and less of fresh foods, there isover-nutrition of macro nutrients like

carbohydrates and fats, alongwith un-der-nutrition of micronutrients like vi-tamins, minerals and fibres,” said DrShilpa Joshi from the Indian DieticianAssociation.

Micronutrients abound in freshfruits and vegetables. “But since theirshelf life is not long, these micronutri-ents can’t be added in today’s urbansnacks,” said Dr Joshi. Rushed-for-timemothers have confessed in various sur-veys that packaged foods are easier todish out for their children.

Doctors are most worried that urbanchildren are forsaking are vitamin B12and B3. “There is an overall deficiencyof nutrients which can cause an arrayof problems from graying and loss ofhair and skin troubles to aches and painin muscles and weakness in bones,” saidnutritionist Vibha Kapadia.

“The deficiency of vitamin B12 ismost worrying, especially for childrenfrom vegetarian families since theirsource of the vitamin is only from milkand milk products which unfortunate-ly the children do not usually like tohave,” she said.

For children with micronutrient de-ficiency, it is a double whammy saysSonal Modi,nutritionist from the Dia-betes Endocrine Nutrition Managementand Research Centre. “Junk food ishigh in salt, sugar and trans-fats. Sochildren consuming these tend tobe over-weight and obese and havechances of getting diabetes andheart problems earlier in life. Butthe deficiency of micronutrientsmakes them internally unhealthy.They are weak, do not have strongbones and muscles and even have lowimmunity because of which they endup falling prey to an array of season-al diseases,” she said.

While there are pills to offset sever-al nutrient deficiencies, Dr Joshi cau-tioned, “People end up replacing the mi-cronutrients with tablets, but it is bet-ter to avoid the imbalance in nutritionright at the start.”

Sumitra Deb Roy | TNN

There is limited research to prove if Mum-bai kids have a tougher time growing upin a cramped city with little clean air to

breathe and limited room for recreation, but ex-perts are unanimous that children here are a tadmore predisposed to certain ailments.

Children growing up in Mumbai tend to havehigher chances of developing asthma, allergiesand auto-immune disorders. Dr Tanu Singhal,specialist in paediatric infectious diseases at Kok-ilaben Dhirubhai Ambani Hospital says, “Theexposure to environmental pollutants and com-promised immunity combined with overcrowd-ing makes children extremely vulnerable”.

Singhal says children are prone to respirato-ry problems, asthma, malaria, viral fever andstomach ailments. A senior paediatrician fromWadia Hospital echoes the view, saying these ail-ments together comprise more than 45% of whatails children in Mumbai. “Homes and classroomsare equally congested. There are no open groundsfor to play or build immunity,” the doctor says.

The doctor adds that studies show that ail-ments like asthma can occur at an early age, andin about 5-10% of children it turns severe later.“When parents ask for a solution, we suggest

they change thelifestyle of childand inculcatehealthy habitsand diet,” the doc-tor says.

A study of re-cent disease out-breaks in Mum-

bai shows children bore the brunt of all, fromswine flu to hand, foot and mouth diseases, mul-ti-drug resistant TB to common ailments likemalaria and dengue. “Early exposure to thesecould hamper a child’s growth,” says Dr Om Sri-vastava, infectious disease consultant, JaslokHospital and Research Centre.“But we don’t knowif those growing up in smaller cities are not suf-fering from a different set of problems,” he adds.

But consultant paediatrician Dr Nitin Shahfrom PD Hinduja Hospital at Mahim refuses toput the entire blame on environment. “Why arechildren and adolescents complaining of nutri-tional deficiencies and rickets? Children are sim-ply not exposed to enough sunlight,” he says. Hesays children step out of air-conditioned homes,travel in AC cars, study in AC classrooms, adding,“Till a decade back, children as young as four tofive never had such gross vitamin-D deficiency.”

Paediatric urologist Dr AK Singal says lackof physical exercise and disregard for nutritionalfood is increasing ailments like kidney stonesamong kids. “Lifestyle changes have to be ur-gently brought in by parents,” he adds.

Some parents have indeed made smallchanges. When Marookh S’s daughter had breath-ing problems at the age of 11 and was later di-agnosed with mild asthma, he bought a car soshe didn’t have to take the school bus. “It is verypainful to see your child gasping for breath,” Ma-rookh says. He plans to shift to a smaller townonce his daughter completes her Class X exams.

Sumitra Deb Roy &

Pratibha Masand | TNN

Traditional Indian snacks arefast losing out to ready-to-eator junk food as mothers fight

a daily battle with multinationals,doling out ‘quick food’ optionsclubbed with zesty marketing. Ex-perts lament the slow disappearanceof homemade snacks, admitting it tobe a multi-dimensional problem.

The change has become apparentin the last five years or so, say citynutritionists. A plate of roti, sabji,dal, chawal and achar is being re-placed by pizza platter, or a tray ofburger, fries and soft drinks. Withmultinationals offering everythingfrom breakfast favourites like dosa,idlli, upma, vadas, parathas and pavbhaji to main course items likebiryani, vegetarian and non-vege-tarian preparations in small tetrapacks, many Indian households areopting for the ready-to-eat meals overthe healthier home-cooked ones.

Little wonder that the over Rs4000-crore ready-to-eat packaged foodmarket in India is growing at 20%annually. These food items, mostlymoderately priced, are pre-cooked orready-mix varieties that can be pre-pared in minutes. “It is increasinglybecoming an option for women whodo not want or have enough time tospend in the kitchen,” said directorDr B Sesikeran, National Institute ofNutrition, Hyderabad. Consequent-ly, Sesikeran says, more children areoverweight at a very young age astheir intake of sugar or salt gets toohigh for their me-tabolism.

Kharghar resi-dent and parentSonal Mukherjisays that her 10-year-old daughterabsolutely detestspoha, upma or oth-er snacks made athome. “She loveseating out,” saysthe physiothera-pist, sheepishlyadmitting that she gives in to herdaughter’s demand for chips or softdrinks almost everyday. Experts feelmost parents blame children for dis-liking home food when they them-selves introduce kids to junk food ata very young age.

Nutritionists point out that thechild eats what the parents do. “Par-ents are the only role models for theirchild till the age of five. Thereafter,the child is no doubt exposed to birth-day parties and the media,” said Son-al Modi, nutritionist from DiabetesEndocrine Nutrition Managementand Research Centre. “So if parentsinculcate healthy eating habits, thechild will learn accordingly and thedamage could be less,” said Modi.

The solution, experts say, couldbe in innovating home-cooked food.

Purwa Duggal, HOD, nutritiontherapy, at Fortis Hospitals, agrees.“Between school, homework and play,there is a strong temptation to grabsnacks like potato chips if stocked athome. Stock non-fried varieties madefrom soy or ragi instead. Whole-grainrolls or breads can be combined withpeanut butter, lettuce and vegetablesto provide a homemade variety of ex-otic delicious sandwiches. Allow chil-dren to prepare their own combina-tions —they’ll love it.”

Consulting dietician Jyoti Lal-wani says parents introduce theirchildren to junk food without real-ising the child could soon develop ataste and later a habit for such food.“Thanks to junk food, the incidenceof anaemia in schools is quite com-mon. Children as young as 6-7 yearssuffer from acidity, which was nev-er the case before,” she added.

Modi says working women havelittle choice. “Since these foods arefast to deliver, working mothers endup choosing these over traditionalsnacks or food items. When thesepackages say they have added micro-nutrients, it looks very attractive toan urban mother and even takes abit of guilt off her shoulder,” she said.

A nutritionist with a civic hospi-tal argues changed shopping habitshave majorly contributed to thechange in eating habits. “Neigh-bourhood markets have been re-placed by supermarkets where ready-to-eat food packets are easy to grab.”

Doctors say children over-eat, re-sulting in more calories and less nu-trition. Dr Shilpa Joshi of the Indi-an Dietician Association says, “Sincethese foods are tasty, children over-eat. But though they give instant en-ergy or calories, there is no satiety.”

NOURISHMENT LOSES OUT IN

QUICKFIXCRAZE

Mumbai kidsworse for

the weather

Junk thejunk with

innovationsin kitchen

[email protected] with ‘health and nutrition’ in the subject line

Type SO <space> Q1/Q2<space> YES or NO <space>your views and name. SMS to58888

EMAIL

SMSCheesypizzas,delectableburgers andchilled colasmake for agreat birthday party, but canwreak havoc with children’s healthif part of their daily diet. Even thepasta that goes straight from thepacket-to-plate in minutes or juice-out-of-the-box does little to help.

Children, heavily influenced byadvertisements or peers, usuallypester their parents for ‘fast-food’.Hard-pressed for time, the lattergive in. How do you think parentscan wean away their children fromtempting junk food to tasty buthealthy meals?

Q1. Should parents teach childrento eat healthy from an early age?Q2. Should parents replace whatkids want with what they need?

JOIN THE DISCUSSIONYou can also share your

views in the ‘Mumbai’ or the

‘Specials’ sections of

timesofindia. indiatimes.com.Or log on to ‘The Times OfIndia’ page on Facebook

MUMBAI FOR KIDS

Nutrient Platter

(Source: ‘Dietary Guidelines for Indians’ manual of the NationalInstitute of Nutrition, Hyderabad)

Basics Of A Balanced Diet CalciumFood Items | Milk and milk products

Potassium & MagnesiumFood Items | Cereals, nuts, dry

fruits, broccoli, cabbage, sprouts,

cauliflower

ProteinFood Items | Milk and dairy

products, fish, legumes, meat, nuts,

dry fruits

IronFood Items | Fish, cereals

Vitamin AFood Items | Carrot, broccoli, sweet

potato, spinach, pumpkin, cheddar

cheese, egg, papaya, mango,

apricot, peas, milk

Vitamin BFood Items | Cereals, meat, liver,

lentils, potatoes, banana, chilli

pepper, whole grains, beans

Vitamin CFood Items | Citrus fruits (orange,

lemon, amla, sweetlime), broccoli

Vitamin DFood Items | Cereals, fish, eggs

Vitamin EFood Items | Nuts, dry fruits

CaroteneFood Items | Raw tomatoes, mango,

papaya, dried apricots & peaches,

broccoli, cabbage, cauliflower, leafy

vegetables (spinach, methi),

cooked tomatoes, carrots, sweet

potato, pumpkin, onion and garlic

It is parentswho usuallyintroduce

the child to fast food

Mumbai’s Kids Are Bingeing On All Forms Of Junk — Food That’s ReadyIn A Jiffy But Jeopardises Their Health Over Time. Little Wonder ThatToday’s Children Are Far More Obese & Hence Vulnerable To Diseases

Eating Better, Healthier� Give children cereal with milk, but add crusheddates instead of sugar to sweeten it

� Give children bread preparations like sandwich,subs or toast only once a week, substitutingwhite bread with brown or whole-wheat bread

� Shallow fry cutlets instead of deep-frying them.Moreover, make the cutlets with less potatoesand more vegetables. You can also roll them intorotis to make frankies

� Include uttappam, idli or dosa in the child’ssnack menu at least once a week

� Make tachos with cornflour instead of maidaand bake them

� Steam dahi vadas and add freshly preparedchutneys. You can include spinach in the chutney,so that kids get the nutrition without knowingthey are eating spinach

Source: Nutritionist Vibha Kapadia

Studies show thatchildren bear the brunt of anoutbreak of anydisease in the city

FOOD GROUPS GRAMS PER PORTION

Infants (0-6 months) 1-3 yrs 4-6 yrs 7-9 yrs 10-12 yrs

Cereals & 30 0.5 02 04 06 10millets

Pulses 30 0.25 01 1.0 02 02

Milk & 100 04 05 05 05 05milk products

Roots & 100 0.5 0.5 01 01 01tubersGreen leafy 100 0.25 0.5 0.5 01 01vegetablesFruits 100 01 01 01 01 01Sugar 5 02 03 04 04 06 Fat/oil 5 04 05 05 06 04

K K Choudhary

TIMES CITYTHE TIMES OF INDIA, MUMBAI | THURSDAY, DECEMBER 22, 2011

HEALTH, NUTRITION & EMOTIONAL WELL-BEING | EDUCATION & CAREERS | TECHNOLOGY & LIFESTYLE | SPENDING & INVESTING | PARENTING | EXTRA-CURRICULAR ACTIVITIES

Health & Nutrition>>

I take great care to ensure thatmy children don’t eat any junkfood. They are especially notallowed to have any form of colasor sodas. I think it is up toparents to ensure that theirchildren don’t get hookedon to fast foods,inculcating good eatinghabits at an early age isessential

Farah Khan | DIRECTOR

& CHOREOGRAPHER

The entire foundation and blue-print of a child’s mental andphysical health profile is formed inchildhood. When the foundation is

strong, the future willautomatically behealthy. But childrenare losing out on a

balanced diet asparents are imitating

food habits from therest of the world

Naini Setalvad | OBESITY

& HEALTH CONSULTANT

As a parent, one strongly influencesthe amount of fast food a childconsumes in his formative years.Encourage children to opt for grilledvarieties rather than fried varietieswhen eating out. Eating fruits shouldbe a family norm. Chocolatesand desserts may berestricted to celebrationsand festive occasions

Purwa Duggal | HOD-NUTRITION

THERAPY, FORTIS HOSPITALS

Kidney stones among children haveincreased 20-30% in a few years,and colas, fries, burgers, pizzashave a direct role to play. Processed

food intake must becontrolled. Lack ofany physical activityis also responsible formany health problems

in kids

Dr A K Singal | PAEDIATRIC

UROLOGIST