Baltimore Sun Sunday

Taming a child’s sweet tooth

- By Dr. Nimali Fernando American Academy of Pediatrics Dr. Nimali Fernando is a practicing pediatrici­an and the founder of the Doctor Yum Project, a nonprofit organizati­on that provides cooking instructio­n and nutrition education to families.

“Can I have a treat?” “I want candy!”

Sound familiar?

The U.S. Department of Agricultur­e’s Dietary Guidelines for Americans recommends children (and parents) limit added sugar to less than 10% of their daily calories. However, the average American diet is so high in sugar that kids can easily exceed that limit many times over without realizing it. On average, children and young adults between ages 2 to 19 years consume a whopping 17 teaspoons of added sugar each day, on average. And taking in excess sugar can fuel cravings for even more sweet foods or drinks.

Are you ready to break the cycle of excess sugar for your family? Here are six tips to tame your child’s sweet tooth in a world of sugary treats.

1. Take stock of sugar: The nutrition label on foods display total sugars. This includes natural sugars, like those found in an apple, and added sugars used to enhance the flavor of foods. Added sugars include sucrose and dextrose, and sweeteners that are packaged as stand-alone products like honey, table sugar and syrups.

The label also breaks out how much added sugars a product contains, often in grams. It also provides context with USDA dietary guidelines, which limit added sugars to no more than 50 grams in a 2,000-calorie daily diet. So if a product contains 25 grams of sugar, it would list 50% on the label. Products are considered low in added sugars if the daily value is 5% or less, and high if it is 20% or more. 2. Learn to spot “sneaky” sugar: Many foods marketed as “health foods” can actually have a lot of added sugar. Always check the labels on sports drinks, smoothies, protein and granola bars and yogurt; some can have as much as four to five teaspoons of added sugar per serving. Whole fruit makes a great substitute for these and can count for dessert, too. If your kids balk at first, melt some dark chocolate and let your kids dip — what kid doesn’t love to dip? Dark chocolate actually contains 70% cocoa and has less than half the sugar of milk chocolate.

3. Keep beverages simple:

Stick with milk and water as your child’s main beverages. While 100% fruit juice can be an acceptable part of a healthy diet, offer it in age-appropriat­e moderation. That means no juice for children under 12 months of age, no more than four ounces per day for 1- to 3-year-olds, and only four to six ounces for 4- to 6-year-olds.

Know that it can be challengin­g to limit sweet beverages once kids get used them, though. Offer alternativ­es to juice by placing sliced fruit into water to give it some flavor without the excess sugar. Also, avoid letting your child sip on juice (or any other sugar-containing liquid) for long periods. 4. Avoid rewards with sugar: Far too often kids are rewarded for good behavior with sugary treats. In the quest to coax kids to eat better, parents may reward “one more bite of peas” with a sweet treat. While this kind of reward may work in the short term, it becomes a problem when children learn to expect it for appropriat­e behavior.

Far too often, we celebrate holidays, birthdays and other special occasions

5. Change the culture:

with sweets. This makes it hard to avoid them. However, kids value other “treats” just as much as sugary ones. With some creativity, many of the sugary celebratio­ns can be reinvented with new, healthier traditions.

We may like our kids to stay away from sugary treats as much as possible, but we also want them to learn an important skill: how to balance all the available choices when they are able to make food decisions for themselves. Keeping sugary treats under lock and key — or banning them all together — may also fuel an unhealthy craving for sugar. Show your children that an occasional dessert or sweet treat can be part of a balanced diet; model that behavior yourself!

6. Find balance:

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