Kutty Smart DIET IAP 23 - Diet management in children, Pediatrics

Kutty Smart DIET IAP 23 - Diet management in children, Pediatrics. International Obesity day celebration

1. IAP Kerala Action Plan 2023

2. R- DIET Joint Coordinators Dr.Anju Kanmani Dr.Arun Mammen Dr.Manu Muraleedharan Dr.Siva Prasad P S Dr.Rehna T Dr. Ajith Subash State President IAP Kerala –Dr.Jose.O State Secretary IAP Kerala –Dr.Krishna Mohan R State Convenor -Dr.Ananda Kesavan T M State Coordinator –Dr.Venkiteswaran M N State Vice President- Dr Sankar VH State Treasurer – Dr Ranjith P

3. Modern and Busy world Changing lifestyles Lack of joint family Both parents are not at home Poor interaction Diet Habits Over influence of e- media

4. New life styles- New diseases Lack of confidence Obesity, DM,HT…. Early onset of adult diseases Disharmony in Family ..……Are we late to intervene?

5. Back to School!

6. DIET Programme D iet and D rug I nteraction and I mmunization E xercise and E nvironment T echnology and e- Media

7. Diet Decrease in breast feeding habits Skipping the breakfast Fast food Addicted to “outside” food

8. Malnutrition Vs Mall Nutrition

9. Breakfast: The Brain Food Brain food improves performance in studies Improves physical activities Does not contribute to overweight High sugar breakfast causes a high sugar level which dips fast, making more hungry and you eat more sugary food

10. Avoid carbonated drinks

11. Is our Children taking adequate Fruits and Vegetables?

12. Junk Food-What is it? “ foods which contains little or limited presence of proteins, vitamins, phytochemicals, minerals and dietary fiber but are rich in fat , salt and sugar and high in energy that are known to have negative impact on health if consumed regularly or in high amounts”

13. “ JUNCS” FOODS: A NEW TERMINOLOGY J - Junk foods (foods high in fats, especially saturated and trans-fats, sugars and salts, and foods lacking in micronutrients/minerals) U - Ultra processed foods N - Nutritionally inappropriate foods. C - Caffeinated/colored/carbonated beverages S - Sugar sweetened beverages

14. Trends towards Obesity Avoid junk food Avoid too much rice Exercise Avoid mobile watching

15. How to improve? Breakfast is the brain food No tuition in the morning Use of green leafy vegetables Avoid carbonated drinks Cultivate vegetables in our backyard?

16. Drug Abuse

17. Magnitude of Substance Abuse increasing !!! Drug Addiction related Suicide

18. Clinical Features Poor academic performance Restlessness Apathy ( no emotion reaction) Lack of interest in maintaining good appearance Too much of liking for privacy Unusual need for money, demands money, if not given

19. Clinical Features Lying Avoidance behavior Withdrawn behavior Avoiding responsibility No eye to eye contact maintained Irregular timing

20. Prevention

21. Saying “NO” to drugs Stay away from people and places where drugs are used Say NO firmly Give good reasons why you choose not to use drugs State the consequences Walk away

22. Prevention.. Provide treatment for comorbid conditions like depression Engage the whole family in rehabilitation Provide school opportunities like sports

23. Activities to get the “Feel Good” Dancing Yard work, like gardening or tree trimming Walking or jogging Swimming Recreational sports

24. Interaction and Communication Lack of social interaction and communication Lack of face to face conversation Our children could not perform in interviews, or cope up with stressful situations Parents are keen on sending them for Entrance Examinations rather than facing the real life exam!

25. No interaction with family members

26. Joint Family to Nuclear Family

27. Sitting together! Talking together!! Dining together!!!

28. They can face Entrance Exam, but not able to face the real Exam of Life…

29. Enjoy Holidays Enjoy holidays with family Don’t sit in front of TV on holidays Picnic spots are around us While foreigners are visiting Kerala , we are sitting in front of TV!

30. Immunization Immunization coverage in Kerala is going down Old vaccine preventable diseases are back again Can we implement compulsory immunization card before school admission?

31. Spread good news about vaccination Polio eradicated from India “DPT diseases” are reduced MMR will prevent congenital anomalies

32. Exercise: Children have no time for exercise or they don’t want to do so. There are no grounds in schools, and no period for PT The only exercise is carrying overloaded schoolbags

33. Increasing incidence of Non-communicable diseases in Kerala Diabetes Coronary Heart Disease Hypertension Hypercholesterolemia Obesity and….

34. Kerala is the Capital in 2035 Of DM,HT,CAD,….. Our children, between 5-15yrs! Do you want to intervene?

35. Childhood onset of adult disease ………… Low back ache in the young

36. The one and only Exercise!

37. Can we hope do any thing to reduce our childrend’s work load and tension ? The mental abilities of all children are not alike nor does their tastes in subjects First access the mental abilities of children by the age of about 8 years and categorize them to 3 groups and give curriculum & examinations according to their mental ability Rather than teaching all children the same curriculum and giving them the same examination and allowing others to write for!

38. E nvironment Friendly Don’t waste water Keep our surroundings neat and clean Avoid Air pollution, water pollution, Noise Pollution Avoid plastics Plant more trees in schools and public places Protect our mother earth

39. Pollution and Deforestation

40. Tecnology and e-media: Our children are spending more time in front of TV and e-media than in school .

41. THE MEDIA JUNKIES

42. Cartoon Network Currently TV watching is the number one after-school activity chosen by children ages 6-17. Cartoon Network was the preferred channel by 89% No children watched any Educational Channels/Programs 41

43. Beneficial effects of Media Easy learning Educational Enrichment Opportunities to view or participate in discussions Exposure to arts and recognition of talent Entertainment

44. Effects of e media over viewing: Sleep Patterns Interpersonal Relationships Sexual Behaviors Attention span Mood swings/ Aggression Health Status (obesity, diabetes) Use of Drugs, Alcohol,Tobacco 48

45. Factors compounding problems Obesity Eye problems Headache Lack of physical exercise Poor concentration Poor social contact Anti-social Development

46. Media Limits Children’s Time Playing Praying Reading Communication skill Spending time with peers and family Loss of ability forIMAGINATION

47. Healthy TV viewing On the same eyelevel Give rest to your eye in between Don’t keep it in the bedroom Don’t watch it alone Don’t view it in dark room less cartoon programmes! Encourage educational programmes Create discussion based on TV programmes

48. Steps to be taken to limit the media influence Watch what your children are viewing. Allow them to spend only half to 1 hour per day watching TV. Set condition limits, for e.g. no TV, video games before homework is complete. Do not allow TV in the children’s bedrooms. Turn off TV during mealtimes. 54

49. Reading habits : The world of competitions Newspaper reading Help him to make a library of his own Books of good moral quality Encourage him by asking questions

50. Mobile Hazards

51. Adverse effects Hyperactivity High risk from driving accidents Hearing loss Sleep disorders Loss of social skills Inability to think and reason clearly Loss of contact with their surroundings

52. Mobile-make us Immobile! Don’t give it to children below 10 th Std Give simple, basic models Don’t allow them take it to school Social interaction and communication are lost

53. Prevention of Mobile Hazards . Buy mobile phones from reputed companies. Faulty mobile phones should be repaired soon by qualified service profesionals Avoid using mobile phones during driving

54. Summary…. Exclusive breast feeding up to 6mo Breakfast is the Brain food No tuition in the morning Encourage intake of fruits and vegetables –the real fast food No to unhealthy foods and drinks “ Decision is Yours”

55. You can take decisions… Sit together, talk together and eat… Compulsory immunization card at the time of school admission No TV viewing after 6pm Encourage exercise Avoid overloaded bags Restrict mobile use