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The authors of the above Clinical Report wish to acknowledge that this report was inspired by the research conducted by Dr. Dianne Neumark-Sztainer and colleagues at the University of Minnesota. The five points outlined for pediatricians to use to help prevent obesity and eating disorders are based on the ideas published by Dr. Neumark-Sztainer in her paper entitled “Preventing Obesity and Eating Disorders in Adolescents: What can health care providers do?” (Ref 49).
Neville H. Golden MD, FAAP, Marcie Schneider MD, FAAP, Christine Wood MD, FAAP (Lead Authors, on behalf of the Committee on Nutrition, Committee on Adolescence and Section on Obesity Executive Committee)
mentioned in this article is the disproportionate effect on minorities with regards to eating disorders and obesity. However, in pediatrics, there is a battle constantly being fought with eating habits and that which children are offered in school. For many low income families, they can't afford more food, and they rely on school for breakfast and lunch. In every discussion I had with families with regards to what is offered, it has always been the same; carbs, carbs, carbs. It is either pizza, burgers, hot dogs, pasta/cheese, or just another heavy carb meal. They are offered chocolate milk as a staple beverage. Minimal amounts of fruits and/or vegetables are offered. The issue is the families may indeed try to change their home eating habits, no longer having sodas, stopping or at least minimizing juices/sugary beverages, and decreasing carbs (ie rice, pasta), but they can't control the school foods being offered. This needs to be addressed as a separate but equally important component, often out of the control of the parents' hands for financial reasons, which often again effects the children most vulnerable.
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