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Ask the Nutritionist

Got Nutrition Questions?

What foods are healthy? What is the best way to achieve a healthy weight? What are good nutritious snacks that kids actually like?

We asked SuperKids Nutrition Founder, Registered Dietitian, and Creator of the Super Crew ®, Melissa Halas-Liang, MA RD CDE, and her winning team of nutrition and health experts to provide us with the answers to frequently asked nutrition questions that parents and educators demand to know. This team represents a diverse, nationally recognized group of Registered Dietitians and nutrition professionals who specialize in Childhood, School, and Family Nutrition. They provide nutrition resources, services and fun educational activities to help schools and communities to be their best.

Keep in mind that in some states 1 out of 3 children is overweight or obese. It could be that your child is at a healthy weight for him or her personally. The same weight on one child may appear too thin or too heavy on another child.

At your child's wellness visits, the physician documents his or her height and weight on a growth chart. If your child is growing on the same growth curve (the percentile is similar as previously documented), your child may be genetically thin. Your child may have a high metabolism or may be very active, but not necessarily unhealthy.

Be careful about demanding "clean your plate" after meals or making comments such as "you're too thin." Bargaining with kids or offering rewards for additional bites can also take the pleasure out of eating and make kids overeat when their bodies may be saying "stop." Remember, children are not adults, so they don't need to finish adult-size portions.

However, if your child is suddenly dropping weight, talk to your health care provider. It could be that his/her activity level has increased substantially or he/she could be going through a growth spurt. If you're offering healthy foods, your child is probably able to regulate his/her food intake. If your child is complaining about being hungry, consider trying dried fruit, nuts, or avocado slices as snacks, which will provide him/her with a healthy source of nutrient-dense calories.

It's also good to be aware when a child consistently shows negative attitudes about food and eating, as this can signal a budding eating disorder. Some key signs of eating disorders, which can begin early in some children, include: over-awareness of portion sizes or calorie content, fear of weight gain, avoidance social gatherings where food is present, or avoidance of certain food groups.

It depends. Some chicken nuggets include the skin, added salt, and batter that can contain twice as much saturated fat .However, chicken nuggets made of white meat chicken breast and baked in the oven instead of fried can be quite healthful. So it's important to read the ingredient list and food label and then prepare foods in the healthiest ways possible.

To save money and ensure healthfulness, try making your own nuggets by cutting up chicken breast (without the skin), dipping chicken pieces in egg whites, and rolling in seasoned bread crumbs. Again, be sure to bake, not fry, to avoid unhealthy saturated fat. Kids like the appeal of bite-size pieces. Pair them with a salad full of bite size grape tomatoes, or serve healthier sweet potato fries (they do exist, just be sure to read the labels), and a yummy low-fat salad dressing.

Teach your children limits. Discuss with them how healthy foods work in the body to create strong bones, a healthy brain, lasting energy, and immunity against diseases. Kids need most of their calories to come from foods that nourish their bodies. Healthy foods protect your child's DNA, which contains an important list of directions that tells your body what to do.

For parties and gatherings, volunteer to bring in a fruit platter with a flavored yogurt dip. Kids like bit-size pieces of fruit like grapes, pineapple triangles, watermelon, and apples (dip in orange juice first to prevent browning). To save on costs, ask another mom or two to help you split the cost or divide the fruit. Other great party snacks include:

  • Healthy food art –create an edible holiday scene with fruit, veggies, cheese, and crackers
  • Whole grain crackers and low-fat cheese
  • Pita and red peppers cut into interesting shapes and served with hummus or another fun dip
  • Watermelon is great for cookie cutter shapes too!
  • 100% juice pops made in small Dixie cups. Create your own, healthier version of a classic treat!
  • Non-food party favors
  • Mini-muffins in place of larger iced cupcakes
 

5. How bad is high fructose corn syrup for my kids?

If you read food labels, you may be surprised by just how many foods contain sugar or high fructose corn syrup.

Also try to choose products that do not have sugar listed as one of the two first ingredients. Sugar is not always listed as "sugar," but can have different names, including:

  • Sugar (also known as white table sugar)
  • Fructose, glucose, sucrose
  • Corn sweetener
  • Corn syrup
  • High fructose corn syrup
  • Dehydrated cane juice
  • Fruit juice concentrate
  • Honey
  • Invert sugar
  • Maple syrup
  • Molasses
  • Raw sugar
  • Dextrose

Be sure to avoid added sugars in products not intended to taste sweet, such as tomato sauce, soups, breads, or frozen waffles. Whenever possible, choose foods that contain natural sugars such as fruit juice.

Although not all nutrition professionals agree that some types of sugars are better than others, I recommend choosing food sweetened with sugar instead of food sweetened with high fructose corn syrup (HFCS). Recent research shows a considerable correlation between high fructose corn syrup and obesity. Because of the way it is digested, high fructose corn syrup does not stimulate insulin secretion, a process that tells your body that calories have been consumed. When insulin is not secreted, overeating is more likely. And this can result in weight gain over time.

Even though sugar is a better choice, keep in mind that too much sugar of any kind introduces lots of calories, but few nutrients, into the body. It's better to enjoy sweet treats that are naturally sweet, high in fiber and complex carbohydrates such as fruit salad and healthy versions of desserts like apple pie with whole wheat crust.

 

 

6. I got a note from my daughter's school telling me she is overweight. What am I supposed to do now, put her on a diet?

Kids are rarely prescribed a diet, unless their weight puts them at a critical or immediate health risk. Changing the types of foods that the child eats and adjusting the portions are better steps to preventing or treating overweight. These approaches work best for growing children, emotionally and physically.

Encourage your child to eat a healthy breakfast, to eat regular meals, and to engage in exercise most days of the week. Some research shows that, especially for teens, dieting can be counterproductive and can increase the risk of eating disorders and weight fluctuations.

It's best to help children create healthy eating patterns for a lifetime rather than teaching them to deny themselves needed nutrients or to ignore their body's hunger signals. To help young children build a healthy relationship with food and to help your family avoid food struggles, focus on helping your child makes small changes, such as:

  1. Help your child feel good about him/herself, no matter his/her shape or size, and model good health behaviors. Focus on choosing healthier foods, increasing fruits and vegetables, whole grains, beans, and lean proteins. Encourage more exercise by getting your child involved in sports, cycling (with a helmet and no head phones), dancing, playing outside, or any other activity he/she enjoys. Get moving as a family by taking family walks, playing tag, creating your own games, or hiking together. Be prepared to make several suggestions for food choices and exercises - kids can be reluctant to change at first. Do your best to stay positive and remember that change can happen, but it progresses in small steps.
  2. Evaluate the family diet: Give your family's diet an honest look. Start with the pantry. Are sugar cereals, soda, potato chips, crackers (made with enriched white flour), and cookies staples in your home? Look in your freezer – is it packed with packaged frozen meals, French fries, pizza bites, and ice cream? If so, start by creating a staple make-over list, substituting some of these foods for foods for healthier ones.
  3. Healthy Pantry staples include:
  4. Canned pineapple in its own juice, mandarin oranges (great in salads, too), natural, unsweetened apple sauce, baked blue corn chips, salsa, bean dip, low-sugar cereals (100% whole grains on the ingredient list), whole grain crackers, and low-fat popcorn.
  5. Healthy Freezer Options include:
  6. Frozen fruit such as bananas, cherries, mango, peaches, berries. Frozen veggies such as broccoli, petite peas, edamame in its pod (kids like to pop them). Homemade frozen soups, homemade leftovers, chicken breast, whole wheat bread, or whole wheat pizza crusts make good meal starters.
  7. Fresh Options
  8. Pre-washed romaine, spring mix, salad, broccoli slaw, shredded cabbage, baby carrots, sugar snap peas, raw cauliflower and raw broccoli, jicama, sweet potatoes (great for baked fries with seasoning and low fat sour cream).
  9. Fresh fruit: bananas (when they get too ripe, peal and freeze for smoothies), apples, oranges, berries, pears, Asian pears and kiwi.
  10. If your kids frown at fruits and vegetables, try buying them as fresh as possible (at the farmers market). The fresher they are, the most taste and nutrients they retain.
  11. Other helpful tips Include:
  12. Eat as many family meals per week as possible, sitting down, with television off.
  13. Limit fruit juice to no more than 6 ounces a day. Ideally choose water, milk, or 100% juice over artificially sweetened beverages. Avoiding liquid calories is a good choice for an overweight child; although low-fat milk can still be included as a good lean source of protein and calcium.
  14. Be a good role model by not bringing too much junk into the house and choosing healthy foods for you as well.
  15. Talk positively about food, for example, "choosing the fruit salad over the cookies today will help you have more energy so you'll feel good at dance class and can study for your test."
  16. Limit TV and video games to no more than 2 hours a day. Don't put a TV in a child's room; research has clearly demonstrated that it's correlated with obesity later in life. When choosing video games, consider dance revolution or games that involve movement. Kids need 60 minutes of physical activity a day for healthy growth, muscle and even brain development! And did you know exercise helps with improving your memory?
  17. A serving of fruit can be included at each meal time to help curb sweet cravings and fuel up with a good source of complex carbohydrates and fiber. Fruit consumption is also associated with better overall health.

7. My child eats a lot throughout the day and is still very think. How can I beef him up?

Keep in mind that in some states 1 out of 3 children is overweight or obese. It could be that your child is at a healthy weight for him or her personally. The same weight on one child may appear too thin or too heavy on another child.

At your child's wellness visits, the physician documents his or her height and weight on a growth chart. If your child is growing on the same growth curve (the percentile is similar as previously documented), your child may be genetically thin. Your child may have a high metabolism or may be very active, but not necessarily unhealthy.

Be careful about demanding "clean your plate" after meals or making comments such as "you're too thin." Bargaining with kids or offering rewards for additional bites can also take the pleasure out of eating and make kids overeat when their bodies may be saying "stop." Remember, children are not adults, so they don't need to finish adult-size portions.

However, if your child is suddenly dropping weight, talk to your health care provider. It could be that his/her activity level has increased substantially or he/she could be going through a growth spurt. If you're offering healthy foods, your child is probably able to regulate his/her food intake. If your child is complaining about being hungry, consider trying dried fruit, nuts, or avocado slices as snacks, which will provide him/her with a healthy source of nutrient-dense calories.

It's also good to be aware when a child consistently shows negative attitudes about food and eating, as this can signal a budding eating disorder. Some key signs of eating disorders, which can begin early in some children, include: over-awareness of portion sizes or calorie content, fear of weight gain, avoidance social gatherings where food is present, or avoidance of certain food groups.

8. How bad are chicken nuggets?

 

It depends. Some chicken nuggets include the skin, added salt, and batter that can contain twice as much saturated fat .However, chicken nuggets made of white meat chicken breast and baked in the oven instead of fried can be quite healthful. So it's important to read the ingredient list and food label and then prepare foods in the healthiest ways possible.

To save money and ensure healthfulness, try making your own nuggets by cutting up chicken breast (without the skin), dipping chicken pieces in egg whites, and rolling in seasoned bread crumbs. Again, be sure to bake, not fry, to avoid unhealthy saturated fat. Kids like the appeal of bite-size pieces. Pair them with a salad full of bite size grape tomatoes, or serve healthier sweet potato fries (they do exist, just be sure to read the labels), and a yummy low-fat salad dressing.

9I'm usually folding laundry while my young child eats dinner and she won't sit still. Nothing works! What can I do? She doesn't seem to want to eat dinner.

Your child may see you doing an activity and feel like he/she is missing out. Try to eat as a family whenever possible. Family meals create the opportunity to sit and be together, share stories and concerns, and, as kids grow older, to learn about what problems or challenges they may be facing. If your children see you standing, they are less likely to stay focused on their meal. It's not always possible to eat as a family, but try to commit to eating together a few days a week. Eating together now, when possible, may make life easier later!

It's also important to note that your child may not be hungry at meal time due to too much grazing or snacking throughout the day. Be sure your child is not filling up too close to meal time. Pay attention to when and what he/she is eating. In addition, sometimes small children aren't comfortable at the table. Help little ones sit up straight by giving them a booster seat or a support (a box or step stool, for example) to support their feet if needed.

10. Between all the birthday parties, holidays, Halloween, and school celebrations it seems like my kid is always having junk. What can I do to break the junk food cycle?

Teach your children limits. Discuss with them how healthy foods work in the body to create strong bones, a healthy brain, lasting energy, and immunity against diseases. Kids need most of their calories to come from foods that nourish their bodies. Healthy foods protect your child's DNA, which contains an important list of directions that tells your body what to do.

For parties and gatherings, volunteer to bring in a fruit platter with a flavored yogurt dip. Kids like bit-size pieces of fruit like grapes, pineapple triangles, watermelon, and apples (dip in orange juice first to prevent browning). To save on costs, ask another mom or two to help you split the cost or divide the fruit. Other great party snacks include:

  • Healthy food art –create an edible holiday scene with fruit, veggies, cheese, and crackers
  • Whole grain crackers and low-fat cheese
  • Pita and red peppers cut into interesting shapes and served with hummus or another fun dip
  • Watermelon is great for cookie cutter shapes too!
  • 100% juice pops made in small Dixie cups. Create your own, healthier version of a classic treat!
  • Non-food party favors
  • Mini-muffins in place of larger iced cupcakes

11. I always hear about fiber. What foods are high in fiber and why do my kids even need it?

Fiber is important for more than just regular bowl movements. It can also reduce the risk of blood clots, decrease inflammation, and lower cholesterol (a growing problem in kids).

Good sources of fiber include fruits, vegetables, beans, and whole grains. Lentils are also jammed packed with fiber and contain diabetes and heart disease-fighting compounds.

Foods that are considered to be high in fiber contain at least 5 grams per serving. Foods with a good source of fiber have 2.5 to 4 grams per serving. But don't be fooled by some cereals that add extra fiber but don't actually contain that much whole grain. Read the ingredient list and look for the words "whole" such as whole oats, whole wheat, and whole rye. If the package lists "enriched" or "bleached" flour as a primary ingredient, it's not a source of health-promoting ingredients for your family or child.

Try replacing traditional pasta with some whole grain pastas, such as whole wheat pasta or a whole wheat blend pasta, spelt, quinoa spaghetti (pronounced keen-wa), Japanese buckwheat noodles (also known as soba noodles) or whole wheat pasta.

12. My in-laws have been telling me my child is "chunky." He's just solid, built strong. I don't want to be too strict on food choices, they're only young once and I want him to enjoy his childhood. What should I do?

Unless your in-laws (or parents, friends, etc.) happens to be a medical doctor or dietitian, you should seek real medical advice. Talk to your doctor and get his/her honest opinion. Even healthy kids can go through a chunky stage, but still remain within a normal growth pattern. It's important to look at family history and track weight and height on a growth chart with your physician. If the physician is concerned, you can ask for a referral to see a Registered Dietitian to help you plan quick, healthy meals and snacks.

Evaluate your diet. Are the majority of the food choices your family makes healthy? I usually recommend aiming for about 90% of your food choices and calories to be healthy for your body and 10% to be "fun" calories. Keep in mind that even reduced fat ice cream has calcium, which is good for your bones. Start including more fruits, vegetables, whole grains and beans in your diet. If you haven't made the switch to low-fat or skim milk, or reduced-fat or low-fat cheese, start to gradually make these changes.

If you have young children it's important to know that overweight prevention should start at age four. By the age of six, children of overweight mothers are fifteen times more likely to be obese than children of lean mothers. Looking at today's adult statistics of overweight and obese adults, three out of 4 teens will become overweight or obese adults. This is not a vanity problem, rather a health problem as kids are being diagnosed with diseases such as type 2 diabetes and high cholesterol. Heart disease, sleep apnea, and other problems are also increasing in young adults. Talking to your physician can help you determine whether you should be concerned now and try to prevent weight or health problems later. You want to be careful not to create an unhealthy relationship with food for your kids, which is correlated to eating disorders in tweens or teens.

13. How can I save on costs when preparing meals, but still keep our family's diet healthy? It's so expensive to feed families these days.

There are a lot of ways to save on costs today while preserving the integrity of your diet. Quiche is a great low cost meal that can be made more healthful by adding veggies and low fat cheese, and using a whole wheat crust. . It's a great source of protein and calcium. Another low-cost meal is a chicken, vegetable-rice casserole made with reduced-fat soup, California frozen vegetables, brown rice, chopped onion and leftover chicken or canned white meat chicken.

Here are some other cost-saving tips:

  • Buy produce that is in season. For example, buying apples locally when they are in season is less expensive, and much more environmentally friendly, than buying ones that have been shipped across the country.
  • Be sure to go grocery shopping with a list and to coordinate the list to your family's weekly menu so you don't fall prey to impulse items.
  • Avoid buying too many snack foods, even if they are on sale.
  • Always compare unit price stickers on different brands of the same food. Sometimes the ingredients are almost identical, and no-name brands offer good cost savings.
  • Choose dry beans over canned beans, and don't forget brown rice – it costs less in bulk and offers a good source of complex carbohydrates, fiber, vitamins and minerals.
  • When you see a healthy staple on sale, stock up - just don't over-stock to avoid expiration before use.

14. What can I give my child for breakfast when she says she's not hungry?

Sometime kids just aren't hungry when they're leaving for school really early in the morning. If they have a long bus ride, consider packing a meal to eat during the ride. Healthy whole wheat English muffin pizzas or half a sandwich are good options. You can also make a waffle sandwich with low fat Greek yogurt (won't ooze out), nuts, and fruit. Banana or apple slices with peanut butter or fruit smoothies are also good on the go. Granola bars are a popular choice for a mid-morning snack that kids can keep in their backpacks and eat when they become too hungry. (*Just check for nut content in granola bars and obey your school's nut-containing foods policy designed to protect allergic children.)

Remind your kids of the benefits of breakfast: higher energy, better test scores, and an energetic start to the day.

 

About SuperKidsNutrition: Melissa Halas-Liang is the founder and Editor in Chief of SuperKidsNutrition.com, a website offering expertise and services from a diverse group of national experts who share a passion and commitment for good nutrition. Her purpose is “to save the world one healthy food at a time™”. Melissa is also the author of the Super Crew children’s books which provide fun reading adventures designed to motivate kids to try fruits and vegetables to become strong, smart and healthy.

Halas-Liang is a Registered Dietitian and Certified Diabetes Educator with a Masters degree in Nutrition Education and holds a Certificate of training for Childhood and Adolescent Weight Management. Melissa has over 15 years of diverse experience in nutrition management, counseling, clinical trials, teaching, media and writing and currently serves as Co-President of the Los Angeles District of the California Dietetic Association.

SuperKids Nutrition experts provide trusted, evidence-based and reliable nutrition information and resources to help improve the lives of children and their families. It has become an amazing child nutrition resource that provides easy-to-read, credible information for parents and healthcare professionals, as well as engaging tools to educate children on the importance of eating healthy.

conditioning and expert coaching aren't enough to push you to be your best.Good nutrition must be a key part of your training program for you to succeed.

 
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