Healthy Childhood: Responsible ParentingHealthy Childhood: Responsible Parenting
• Dr. Elizabeth K E, Ph. D, MD, DCH, FIAP, FRCPCH (Lon.)
• Senior Consultant, Ananthapuri Hospital,
• Former Prof & Head & Superintendent,
• State President, Indian Academy of Pediatrics, 2016
• National President, IAP Pediatric & Adolescent Nutrition, 2017 & 2018
What is Parenting? What is Kudumbam/ Family?
Malayalam -What is Kudumbam? - Koodumbam Inpam
English- What is Family? - Father & Mother I Love you
Whom do you Love most? Reflect on yourself & Analyze your answer…..
The Three Pathways Ahead for every Newborn Baby, Why?
Life Cycle Approach The 1st 1000 days concept: – day of conception to 2nd birthday ( 270 days + 730 days)
• ‘You are What You Eat’
Brain connections/ wiring of neurons from birth to 2nd birthday
Eliz
N- Nutrition
I- Immunization
S- Stimulation & Support
Where are normal children? Are Pillow shaped children the rule of the day??
Human Evolution & Nutrition Transition... Hunter -Sufficiency,
Early Farmers-Scarcity
Healthy Transition → Healthy eating
10-20% obese infants, 40% obese children & 60-80% obese adolescents→ adulthood obesity
Country/City Year Prevalence
Global 2004 10
USA/UK 2000 20
Australia 1995 20
India/Chennai 2002 22
India/Delhi 2004 16
India/Delhi 2006 29
Let us open eyes against obesity & NCDs
National Nutrition Monitoring Bureau (NNMB) Technical Report No. 27, NIN, ICMR,2017
STOP OBESITY SOLUTIONS
Control Parental Obesity
Junk Food- Michael Jacobson, 1972,
HFSS- High Fat, Salt, Sugar
HFSSP- High Fat, Salt, Sugar & Preservatives/ Pesticides/Additives
SOFAS- Solid fat (Trans fat), Added Sugars
JUNCS- Junk (HFSSP), Ultra processed, Nutritionally inappropriate, Colas/Carbonated/Colored Drinks, Sugar sweetened Drinks
JUNCS+ 3 S- Sleep deprivation, Screen addiction, Sedentary Lifestyle
Healthy Eating – The Plate Method & The Rainbow Revolution – GYOR veggies & fruits
Learn to Read Food Labels
Breakfast is Brain’s Food
16
Frugal dinner
like Pauper
Weekly Iron Folic Acid Supplementation (WIFS) for Anemia free Pink India
Vitamin A Prophylaxis Program for Underfive children
Is Vitamin D Deficiency a lifestyle related Disease?
Deficiency of the
sunshine Vitamin Deficiency → Rickets, Osteomalacia, Osteopenia • Excess can → Hypervitaminsosis A
Neural tube defect & Folic acid can prevent this in a large majority
• Periconceptional folic acid starting one month prior to pregnancy
• Primary and secondary prevention of birth defects
Monitor Child’s growth using a Growth Chart (Ensure 1Kg weight gain by 6 weeks immunization, another I Kg at 2nd dose, near doubling at 3rd dose, tripling at MR dose, 10 Kg at 1 yr. & quadrupling by 2 yrs. of age)
For Adults, height (cm)- 100 is the ideal weight + Kg, Monitor your BMI using this chart (Ideal Green zone)
IMMUNIZATION
Where are you going to my pretty maid, I am going for milking, so she said….
Cow pox material used for Small pox vaccine
MEDICAL CARE
• Super specialist
Family Health
Age – Appropriate Play
Innovative & Ongoing Behavioral Change Interventions • Self Weighing & Self Monitoring
• Family Activities & Exercise
• Finland Model - Baking Industry & Family Reforms
• Pekka Puska 1972- the mantra of lower salt, lower fat and sugar & more vegetables to individual family tables followed by Bakers
• Fat Tax in some countries
• Thailand Model- Group Exercise
• Michael Obama- Salad Bars to Classrooms
• Compulsory PT periods
Prohibit Toys linked to Packet food
NIMFES & Child Survival Package
Are We Ready for a Change?
Remember 108 - ‘TLC’ – Tender Loving Care 1 hr. Exercise, 0 Junk food, 8 hrs. Sleep
Catch them Young,
Whom do you Love most? Analyze your answers…..
The Person who answered ‘ myself ‘ is the winner today