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Sugar and children, the dietician responds

Posted by Elin Oresten on

How should you think about giving sugar to your children?

It is common knowledge that children should not eat too much sugar. But it is not easy to relate to when sugar is a large part of our society and is found in various forms in all kinds of food. We have invited Pediatric dietitian Sara Ask to answer common questions about children and sugar.

  • Children need nutritious food
    Growing and developing children require calories and nutrients. Foods and drinks high in added sugar are high in calories but low in nutrients. It simply leaves less room for nutritious foods.

  • Hidden sugar
    You may not realize that even some "regular" foods contain a lot of sugar. This often includes various types of fruit yogurt, yogurt drinks, cereals, juices, rice snacks, and the like. It is unnecessary to accustom children to the idea that everything should taste sweet and to focus primarily on breakfast, which can easily become a real sugar bomb.

  • Limiting sweets completely can have a negative effect
    The bigger goal is for the child to have a healthy and enjoyable relationship with food. Completely limiting sweets can create a sense of deprivation and can lead to an obsession in the child. "Indulging" every now and then can help children not see sugary foods as forbidden fruit or as a reward for a specific behavior. Children who are very rarely given sweets tend to eat more when the opportunity arises.
How long should children avoid sugar?

  • Children 0-1 years
    Avoid added sugar completely during the first year (e.g. candy, ice cream, soda and juice).
  • Children 1 year and up
    Limit added sugar, but small amounts can be included in food and on selected occasions.
  • No need to avoid natural sugar
    Natural sugar is found in things like fruit and dairy products. These foods contain other good nutrients, unlike sweets, which don't contain much nutrition at all.

Reference: "Good food for children" - Swedish National Food Administration

Sweet tastes and taste preferences
  • Children's preference for sweet tastes is influenced by the degree of sweetness they are exposed to in food
  • Even sweeteners can affect children's taste receptors and make them more likely to like sugar.
  • Children have a natural taste preference for sweet (natural instinct)

    Reference: Fidler Mis, N., Braegger, C., Bronsky, J., Campoy, C., Domellöf, et al. (2017). Sugar in Infants, Children and Adolescents.

This is how you as a parent can think about children and sugar
  • It's not always best to avoid sweets completely
    Limiting sweets completely can create a sense of deprivation and lead to obsession in children. "Indulging" occasionally can help children not see sweets as forbidden fruit, or as a big deal.
  • Don't use sugar as a bribe or reward
    Avoid offering sweets as a reward, or as part of a punishment. The problem is that interest in food can remain cool while the desire for sweets is reinforced.

  • Teach your child to appreciate other flavors
    Small amounts of added sugar can be included in children's food, but it is unnecessary to accustom children to everything tasting sweet. First, let them taste other flavors to learn to appreciate them.

  • Limit access to sweets
    Remember that you as a parent decide how often you want to buy desserts or sweets, for example. Your child cannot eat things you don't have at home.

    References: "Good food for children" - Swedish National Food Agency and Sara Ask (child dietitian)
Pediatric dietitian Sara Ask answers questions about sugar and children

How does sugar affect children?

"Partly it increases the risk of caries, partly it only provides "empty" energy, that is, no vitamins or minerals. A child who covers a large part of his energy needs with sugar risks either getting too little nutrition, or getting too much energy overall, resulting in obesity. This in turn can lead to health problems.

However, there is no research that supports that children are speeded up by sugar, but rather it seems to be the context (a children's party, for example) and the parents' expectations that come into play."

How much sugar can a child eat?

"According to nutritional recommendations, both children and adults should have a maximum of 10 percent of their energy needs covered by added sugar, i.e. the type of sugar that is not found naturally in, for example, fruit and berries but is added to make a product sweeter than it already is. For a preschool child, this corresponds to about 2 tablespoons of sugar a day, for a primary school child about 3 tablespoons and for middle school children 3–4 tablespoons a day."

What if my child eats more sugar than that sometimes?

"The recommendation is not set because we know that something terrible will happen if a child eats 3 tablespoons a day instead of 2 on some days, but because the chance that the child will get enough nutrition decreases if sugar constantly makes up a larger part of the energy intake. Research available today does not indicate that sugar in reasonable amounts in itself is dangerous to health. Health is neither created nor destroyed by a single nutrient, but by the many factors that contribute. It is important to look up and see the whole picture."

How can you think about natural sugar?

"Chemically and energetically, there is no difference between the sugar in, for example, an apple or in a spoonful of granulated sugar, but the body breaks down and uses the sugar in the same way regardless of where it comes from. However, the body benefits significantly more from the apple because, unlike granulated sugar, it also contributes vitamins, minerals, fiber, antioxidants and other protective plant substances."

How can you think about hidden sugar?

"The important thing to achieve a reasonable sugar intake is to avoid the obvious sources of sugar - not to skim through ingredient lists for so-called hidden traps. It is not the sugar in the taco seasoning, herring marinade or bouillon cube that is the problem, but large amounts of candy, soda and other sugar-sweetened drinks. But breakfast can also become a trap if there are a lot of sugar-sweetened foods: sweet yogurt, sweet cereals, jam, sweet bread, sweet drinks, for example."

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Benefits of eating the same food the whole family

Make picked food at home

Children love to imitate, by eating the same food it facilitates learning and makes mealtime a positive experience of togetherness. As a parent you don't have to feed but can sit next to and enjoy the food.

Picking food gives children the opportunity to explore a variety of textures and consistencies at their own pace. This can lead to a healthier relationship with food and a greater enjoyment of eating. By offering different textures and flavors, the child gets a broader taste palette, and there is a greater chance that the appetite will continue even during the naturally picky period that usually comes around two years. Research shows that children who are introduced to a more varied diet from the start eat more variety and more vegetables later in life.

  • Promotes exploration and independence at mealtime.
  • Develops early chewing skills.
  • Simplifies family meals and strengthens community.

Why finger food ?

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Promotes exploration and independence at the meal
Develops early chewing abilities
Simplifies family meal time and strengthens the community

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Encourage the joy of eating by letting your child explore flavors and textures on their own. Start the food adventure today - we are here for you and your child through messes, discoveries and challenges.
 
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Common questions about picking food

Finger food is a way of offering food where the baby/child eats themselves either with their hands or with a spoon.

Finger foods give children the opportunity to explore a variety of textures and consistencies at their own pace, from an early age. This can lead to a healthier relationship with food and greater enjoyment of eating.

Make sure your baby shows signs of being ready for solid foods. She should be able to sit up in a chair on her own, be able to bring objects to her mouth on her own, and show an interest in food. Maybe your baby is reaching for your food or looking at your plate with fascination, then there is probably interest!

Consider offering foods that are fairly soft but easy to grasp. For example, sweet potato sticks, slices of liver pâté, cooked broccoli or omelette/pancake strips. Sandwiches with butter and/or liver pâté are also perfect for practicing motor skills. Slippery foods that are difficult to grasp can be rolled in seeds or sandwich crumbs. For example, avocado or banana. But in general, it is good to offer the baby what the rest of the family eats as often as possible.

Small babies don't have a pincer grip so it's big pieces that matter at first. The pieces should be longer than the palm of their hand because small babies (6 months) often can't open their palm on request. It may feel scary but it's actually safer with bigger pieces than smaller pieces when it's a small baby! If they take too big bites they spit it out again.

Read more here.

Many people worry about how their children will be able to chew finger foods without teeth. The good news is that it goes very well. Young children process food with their tongue, palate and toothless jaws.

Children only get molars when they are a little older (over 1 year old) and waiting to introduce solid foods until then can have negative consequences for the child's eating development.

Children don't learn to chew by eating puree, they learn to chew by practicing chewing different textures in their mouths.

Read more here.