How To Limit Sugar Intake For Kids In The Festive Season

limit sugar intake for kids

With festive season around the corner I am sure many of you are worrying about your child’s sugar consumption in the coming months. 

October to January are difficult months to navigate as parents. Festivals, weddings, and celebrations all around equal sugar is on the table all-the-time.

I found the last festive season very tricky to handle myself. We had Diwali followed by my brother’s wedding and the festivities that followed and then back home Hanukkah celebrations and more weddings!

There were times I could not control any of what my son was eating and other times I felt like I aced it. Well, that’s parenting in a snippet, isn’t it?

But some of what helped me can help you build your own Family Plan Of Action for the coming Holiday Season

Before we look at how one can limit sugar intake for kids this festive season, let us first take a look at what the guidelines for sugar consumption say.

When sugar and problems arising with excessive sugar consumption are spoken about it is important to note that doctors and scientists are talking about “added sugars” and not about sugars that are naturally present in whole fruits and dairy products.

What is added sugar?

Added sugar is any sugar that is added to foods during preparation, processing or at the table.

This includes fruit juice concentrate, honey, maple syrup, jaggery the seemingly healthy alternatives to white sugar.

To understand more about the different names of sugars and hidden sugars in everyday foods do read my post on sugar and childhood obesity.

What does The American Academy of Pediatrics recommend

The AAP recommends we aim for less than 25 grams (about 6 teaspoons) of added sugar per day for children 2 years of age and older. 

and avoid serving food and drinks with added sugar to children under 2 years of age.” Source 

If you are wondering what 6 teaspoons/25 grams of sugar a day looks like let’s take an average day with some popular food choices seen in most modern homes today. (Note: These calculations of sugars are estimates I made by looking at some well-known brands available in the market. These can change depending on the choices you make for your family. Use these sugar/day calculations as a tool to get an idea of what an average family consumes without much thought and maybe a starting point to reading labels, switching brands, or making more foods at home from scratch.]

Breakfast : Teaspoon of jaggery/honey to your child’s morning porridge. = 4.9 gm sugar

Morning Snack : Teaspoon of sugar to your child’s milk. = 4 gms

If you add any chocolate-flavored milk powders available in the supermarket, well then, that’s at least 6-8 gms sugar in one serving size. 

Lunch: Let’s say you add a flavored yogurt from the market to your child’s meal on the side. That’s another 8-9 gms of sugar. Or a tablespoon of ketchup as a dip, that’s 3-4 gms of sugar.

Evening Snack: Packaged granola bar. That could again be anywhere for 8-10 gms of added sugar in the form of straight-up sugar, or glucose, honey, palm sugar, corn syrup, high fructose corn syrup, etc.

Dinner: Pasta made in some store-bought sauce, could be another 4-6 gms of sugar per serving.

These are examples of foods one would eat daily without thinking much. 

Here is a great article listing how much sugar popular milk powder brands contain.

When young children consistently eat a diet high in sugars they not only risk gaining weight and developing lifestyle disorders earlier in life but also face issues like dental caries, trouble paying attention, suppression of immune system, change of preference to more highly palatable food over a fresh home-cooked meal.

But, you may ask,

Does it matter so much?

We are only letting it slide in the festive season.

For those of us who may think, it’s okay it’s only the festive season, we must consider that the festive season lasts a whole 4 months of the year, and if you live in India, you know that the festive season is all year round. There is always something to celebrate.

If sugar is so easily hidden in everyday food and most of us bust the daily limit without even considering sugar, imagine the kind of impact sugar has on those tiny bodies when they eat mithai, cakes, cookies, chocolates, barfi, ladoos, without much thought?

Instead of leaving the decision up to our children maybe we need to take a few steps together as families to build a healthier relationship with foods. To show our children what healthful eating looks like and no, this does not mean we overtly restrict celebratory foods.

It simply means taking a hard look at what we are exposed to and what comes on our family table. Focus on love and appreciation for the family over mindless consumption, be it food or other consumeristic celebration trends that are now a thing.

HOW TO LIMIT SUGAR INTAKE IN KIDS DURING THE FESTIVE SEASON

Make a plan

If you have a young child, remember you are in control. Children ages 0-3 years rarely understand what festivities are taking place and the significance of the food in front of them. An easy way to take control of the situation is to simply carry your child’s food to parties or cook separate meals/no-sugar options for the child if you are hosting. 

I found it very easy to do this when our son was a toddler. When you carry your child’s food people rarely interfere and your child hardly notices anything more than all his favorite foods packed by mommy.

Use these early years to your advantage and delay introducing addictive foods like juices, cakes, chocolates and cookies etc.

Once the child is older it is important to set the expectations before the holiday season starts. Discuss what happens during festive season and what types of foods he may find on such occasions. Then depending on the child’s age, you can be honest and explain the effects of over-consumption of sugar and your motivations as a parent in ensuring that all of you sail through the festive period without a sugar-overload. 

We want our children to participate in these beautiful celebrations and traditions without hurting their long-term health. Decide on what all of you look forward to eating, it could be grandmas’ special ladoos or Christmas cookies. You can definitely skip on adding to the family Christmas menu with your own special cake when there is other yummy preparations made by Grandma. Instead, maybe you can bring some savory food to the family gathering. 

Expect moments throughout the holiday season when your child will overeat. Let the child eat. I can assure you after overeating on candy/cake the child is himself not going to feel too good. Let him experience this. The moment will help him make better choices as he grows older.

Educating children about health and nutrition must be an all-year practice, focus more on the benefits the child will feel as he eats healthily over shaming the child for his choices.

At other times depending on the situation being honest works.

I remember how our mom used to help us ration candy my brother and I used to receive at parties. She used to scan through our loot once home and let us decide which ones we absolutely wanted for ourselves. The rest she would take away and then she would remind us to eat a few of the candy throughout the week and not binge eat.

Now, this may not work for all kids, but honestly, we never felt deprived and almost always ended up eating a few candy and then being over it.

Another strategy that could work especially on Halloween is to swap a few of the candy the kids get back with other non-food things they like. This could be stickers, pens, pencils, or new erasers. You can make a new family tradition. Some parents call this the “Switch Witch”. When you come back home from your walk around the neighborhood you swap a few of the candy you don’t particularly like with the “Switch Witch” and get what you like in return.

It’s the festive season, make sure to allow your children some indulgences without making too much of a deal about the food. This will only lead to the child feeling shamed for his choices. 

Celebrate with New Family Traditions

Which brings me to an important point. Shift focus away from foods to family traditions and rituals. Use this time of the year to talk to your children about the importance of the festival, tell them the stories about the festivals.

Create new family traditions that focus on family and celebration. Make Diwali about going out to see the lights in your neighborhood. Or start a new family tradition where you celebrate the festive season in a soup kitchen helping those in need.

Growing up, when we had our extended family visit us on festive occasions all the kids would spend the afternoons practicing a skit that we would perform for our family in the evening. All our attention and focus each year was on our skit more than food. 

Celebrate with Whole Foods

Whenever possible try and bring whole foods back on the family table at festivals.

Fruits and nuts can be on the family celebration table alongside all the other festive foods.

Gift fruits and dry fruits instead of chocolates and cakes. Most children love fruits, try and find out what fruit the host’s children love, and make a beautiful basket of fruits and homemade goodies.

Our children are learning about food and food relationships through us. This simple act of removing excess packaged foods from the table shows them that Whole Foods are also celebrated on these occasions.

Replace sugar-loaded desserts with naturally sweetened sweet treats. You can try some of the recipes from my snack book. I have used the chia pudding recipe on Diwali, energy bar recipes as a food gift to hosts, or as a snack in our son’s holiday-themed snack box for school, and the no-bake brownie is one of my Hanukkah party dessert options.

Switching out some of the traditionally sugar heavy foods with such wholesome treats are great for nourishing those little bodies alongside indulging in the festive fun.

When switching recipes is not an option try and reduce the amount of sugar that goes into the family’s favorite recipe or replacing with no added sugar options like sweetening with bananas, or dates for example.

Make healthy choices yourself

You have heard me say this before, we are role models for our children. Instead of lecturing your children on how many cookies they ate, think about how your child sees you consume cookies. Does he get a chance to see what balance looks like? Do you have a healthy relationship with your food?

Becoming a mother brought into focus the language I use around food and how my view of foods as good or bad affects my child’s perception too. It has been a learning process for me to think about my food choices, taught me to love food and my body and put my focus on creating beautiful memories for us as a family instead of hard and fast rules.

We need to check our own consumption patterns before we preach to our children and make healthier choices together as a family. Ultimately, children follow the same eating habits and patterns as their family.

What are your concerns around sugar intake in kids and the holiday season? Are there any specific situations you dread? Let us discuss in the comments below how we can navigate the holiday season without a sugar over load.

Sugar And Childhood Obesity

Teaspoon of sugar

A recent study published in the New England Journal of Medicine, highlighted that in 2015 India had the second highest obese children in the world. What has led to this increase in obesity in young children in India? Where have we gone wrong? Are our cultural notions that obese kids are healthy to blame or the growing urbanization and adoption of western diets to blame? Scientists think it’s both.
Sugar has a considerable cultural relevance in India. In the land of festivals, sugary sweets are everywhere. How aware are we as parents about the effects of sugar consumption on our kids?

Let’s dive into this topic and look at some important points to be considered.

What is sugar?

Sugar is a carbohydrate found naturally in most plants, but mainly in sugar cane and sugar beets.

Simple sugars or monosaccharides are glucose, galactose and fructose. Whereas disaccharides are combinations of two sugar molecules. Examples of disaccharides are lactose, maltose and sucrose.

Many of the foods we eat contain naturally occurring amounts of sugars; especially dairy, fruits and some vegetables. When experts talk about reducing sugar content, they don’t mean the naturally occurring ones.  They’re referring to added sugars.

What is added sugar?

The words added sugars and free sugars are used interchangeably, but there are slight differences in their definitions.

  • Added sugars are sugars and syrups put in foods during preparation or processing or added at the table.
  • As per the World Health Organization (WHO) Guidelines: “Free sugars include monosaccharides and disaccharides added to foods and beverages by the manufacturer, cook or consumer and sugars naturally present in honey, syrups, fruit juices and fruit juice concentrates.”

Point to note here is that, the definition for added sugars does not include honey, fruit juices or fruit juice concentrates. The definition for free sugars is therefore more apt, encompassing all known sugars.

Recommendations for sugar

The WHO recommends reducing the intake of these free sugars to less than 10% of total energy intake in both adults and children.

In fact recently in view of the rising obesity levels and related disorders globally, WHO’s expert panel recommended decreasing sugar intake to 5% of total calorie intake to combat obesity. [1]

The American Heart Association (AHA) recommends no more than six teaspoons of added sugar to be consumed by children 2 to 18 years of age. [2]

The AHA also recommends that added sugars should not be included at all in the diet of children under the age of 2 years.

Where are these added sugars?

Well most parents think sugars are only found in sweets and pastries. But that is not the case, with rapidly changing diets and dependence on heavily processed foods, hidden sugars are everywhere.

You can find sugars in everything from baby cereals, purees, granola bars, ketchup, mayonnaise, pasta sauces, cheese spreads, nut bars, peanut butter, yogurts, breads, cured meats and healthier looking versions of toddler snacks labelled from fruit concentrate.

As mothers it becomes important to learn to read labels. Look for the following words on packaging:

  • Sucrose
  • Maltose
  • Lactose
  • Dextrose
  • Fructose
  • Mannitol
  • Sorbitol
  • Xylitol
  • Glucose Syrup
  • Corn Syrup
  • High Fructose Corn Syrup
  • Disaccharides
  • Molasses
  • Invert sugar
  • Honey
  • Jaggery

These are all names for SUGAR!!

How do sugars affect my child?

Sugar intake contributes to accumulation of body fat, hypertriglyceridemia, insulin resistance, metabolic syndrome, diabetes, fatty liver, high level free fatty acids. [3]

It is important to mention here that Indians already have higher NEFAs (Non-Esterified Fatty Acid), insulin resistance, hepatic steatosis and dysglycemia compared to Caucasians. [4]

To add to this, Indians are increasingly consuming traditional Indian sweets along with sugar sweetened beverages, and westernized sugar-loaded food items, which are now easily available due to globalization.

Children are not far behind, the consumption patterns of sweets and beverages are rapidly changing among the children in our country. Sugar sweetened beverages and sugar containing high calorie foods are easily available around school premises.

A study conducted on 1800 school children aged 9-18 years and their mothers from four cities in India: Delhi, Bangalore, Pune and Agra in 2013 showed a high consumption pattern of sweetened food items among children and their mothers.

The study highlighted the role of mothers in deciding the food choices of children and reported a strong association between the dietary intake of children and their mothers for all the studied sweetened food items [5]. The study also showed that any food or food preparation was considered “healthy” if it was “hygienically” prepared. Furthermore, the results showed that the consumption of food among children is influenced by television advertisements, peer pressure and the fashion for consuming westernized foods.
Sugar and our kids picture of icecreams

Think about this

Nutritionally sugar provides only “empty” calories (1 gm of sugar gives 4 calories). It lacks the natural minerals which are present in the beet root or sugarcane.

When we say it’s okay to consume 6 teaspoons or 24 grams of sugar per day, we have to consider the following:

  • 1 tablespoon of ketchup contains 4 grams of sugar
  • 1 small 100gm/3.5 oz container of flavored yogurt contains upto 13 grams of sugar.

These make up just the sides of a single meal. This is where our role as parents really kicks in.

How to avoid too much sugar consumption?

  • Many Indian mothers add sugar even to savory dishes like poha, upma, sabzis and curries. This can be avoided.
  • Enjoy foods with natural sweeteners like jaggery and honey in moderation.
  • Always leave the house prepared. You don’t want a last minute hunger tantrum on your trip where you give in and provide your child with biscuits and sweets. Carry theplas, parathas, boiled sweet potato, vegetable/non-vegetarian patties, wraps, chappatis, fruits or your child’s favourite snacks.
  • Many times mothers prefer packaged foods including bottled beverages at restaurants as they are concerned about hygiene. Again offering coconut water or bottled water instead of sugary drinks can suffice.
  • Always stick to whole foods instead of packaged foods. Labels can be deceiving, not all products may have complete breakdown of added sugars. Look for the “Carbohydrates (of which sugars)” figure in the nutrition label to see how much sugar the product contains for every 100g: Less than 5 gram of sugar per 100 gram of product is considered low in sugar.
  • Offer your child fruit over fruit juice, fruit rollups and fruit pouches.
  • Food pouches for kids are a new trend. But many experts suggest limiting the use after first year of baby’s life. They contain high amounts of sugar, don’t teach the child about the real texture of foods and may lead to tooth decay. These are okay for travel or occasional consumption but definitely not as a replacement for everyday meals.
  • Lastly, it is important to educate our kids on nutrition. What is good food? Why is it important for the body? Also to lead by example, kids learn everything from their parents. It’s best when we model good eating and healthier lifestyle to them.

In conclusion

The intention of this post is not to showcase sugar as the devil that needs to be avoided at all costs instead it is to educate and increase awareness about our knowledge of sugar. Many of us know too much sugar is bad for our health but how many of us are truly aware how much we end up consuming in a day through a seemingly healthy diet.

We owe our children knowledge of good nutrition so we can raise a healthier generation for tomorrow. Stick to home cooked whole foods and leave processed packaged foods for rare occasions. Let’s teach our children how real food looks and tastes like. These minor changes in our perspectives and daily eating habits will impact our children in a great way. My own love for nutrition and good home cooked food was instilled in me by my grandfather. There is no greater gift you can give your child than the gift of good health.

Resources:

1] World Health Organization. WHO Opens Public Consultation on Draft Sugars Guideline. (2014). [online] Available at: http://www.who.int/mediacentre/news/notes/2014/consultation-sugar-guideline/ en/ [Accessed on 06 Jul. 2017].

2] Children should eat less than 25 grams of added sugars daily. (2016). [online] Available at: http://newsroom.heart.org/news/children-should-eat-less-than-25-grams-of-added-sugars-daily [Accessed 6 Jul. 2017].

3] Gulati, S. and Misra, A. (2014). Sugar Intake, Obesity, and Diabetes in India. Nutrients, 6(12), pp. 5955-5974.

4] Misra, A., Ramchandran, A., Jayawardena, R., Shrivastava, U. and Snehalatha, C. (2014). Diabetes in South Asians. Diabet. Med, 31(10), pp. 1153-62.

5] Gulati, S., Misra, A., Colles, S.L., Kondal, D., Gupta, N., Goel, K., Bansal, S., Mishra, M., Madkaikar, V., Bhardwaj, S.(2013). Dietary intakes and familial correlates of overweight/obesity: A four-city study in India. Ann. Nutr. Metab, 62, pp. 279–290.

6] Hubbard, M.D, S. (2013). The Kid’s Doctor: Pass on those fruit and veggies in a pouch. Chicago Tribune. [online] Available at: http://articles.chicagotribune.com/2013-07-03/lifestyle/sns-201307021400–tms–premhnstr–k-n20130703-20130703_1_pureed-baby-food-fruit-and-veggies-apples [Accessed 6 Jul. 2017].

7] The Indian Express (2017). India has second highest obese children in world: Study. [online] Available at: http://indianexpress.com/article/lifestyle/health/india-has-second-highest-obese-children-in-world-study-4702274/ [Accessed 6 Jul. 2017].