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Managi= ng your child’s Anxiety
Xavier Sevilla M.D.FAAP
Board Certified Pediatrician
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3D"anxiety
Everyone has anxiety sometimesR= 30;
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Normal Anxiety
lBabies: Separation Anxiety around 7-9 months then resolves by the end of the 1st year
lPreschool Children 3-6 y&nbs= p; :  fantasy and reality= Monsters, Darkness, Scary costumes
lSchool Aged Children: Fire drills, storms, <= span style=3D'position:absolute;top:65.5%;left:14.79%;width:81.83%;height:6.0%'= >burglars
lMiddle School and Teenagers:  Social acceptance, acade= mic or athletic performance
l
------=_NextPart_01C8778A.5700EDD0 Content-Location: file:///C:/23B622F9/anxiety_files/slide0051.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Nutrition for your Child
When Anxiety becomes a problem..
lNot based on what causes worrying but on how this interferes with normal life
<= span class=3DBB style=3D'position:absolute;left:-4.57%;top:.3em'>l#1 Men= tal Health problem in America
<= span class=3DBB style=3D'position:absolute;left:-4.57%;top:.3em'>l13% of= all children 
------=_NextPart_01C8778A.5700EDD0 Content-Location: file:///C:/23B622F9/anxiety_files/slide0052.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Nutrition for your Child
What causes anxiety ?
lGenetic: 7x more common if parents are anxious
lEnvironmental: death in the family, divorce, moves, trauma.
lModeling and Learning:  parents on dea= ling with stress
–
------=_NextPart_01C8778A.5700EDD0 Content-Location: file:///C:/23B622F9/anxiety_files/slide0047.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Nutrition for your Child
3D"anxiety
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3D"anxiety
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fLeERw7u4jxyR35FXMZ4YA/UVyLeMbpm3NYWbN3JaYk/+RKP+Ewuf+gdZfnN/wDHK82VByd1scrp ts65flOVG0+qkr/KpDNOy7TNIynqGO4fkc1xv/CY3P8A0DrL85v/AI5R/wAJhc/9A6y/Ob/45SWH l3F7N9zqJrCxuP8Aj406ym/37OM/yAp9rp9jZaVrDWljbWpeKEN5EezP7z61yn/CYXP/AED7L85v /jlMuPG19FYXUUVlZIJ1QOQJCcBsjq5rWjTnGS10LhGSe5//2Z== ------=_NextPart_01C8778A.5700EDD0 Content-Location: file:///C:/23B622F9/anxiety_files/slide0039.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Nutrition for your Child
Nutrition confusion…
lJapanese eat very little fat and have fewer heart attacks than Americ= ans. But Mexicans eat a lot of fat and still have fewer heart attacks than Americans. lItalians drink a lo= t of red wine and have fewer heart attacks than Americans. But Chinese drink very little red wine = and still have fewer heart attack= s than Americans. lGermans drink a lot of beer and eat sausage but su= ffer fewer heart attacks than Americans
<= span style=3D'visibility:hidden'>l
Conclusion :Eat and Drink what you like. Being American is what kills you !!=
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Hot topics in Child Nutrition
1. Antioxidants
2.Omega 3 Fatty Acids
3.Probiotics
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Antioxidants
lWe need food to produce energy
lOxygen and glucose =3D energy and oxygen radicals. =
lEach cell has about 100k episodes of oxidative stress per day
lOxygen radicals can damage our DNA, cell membranes. Antioxidants “mop up” free radicals.
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The seven colors of antioxidants
lEach group of pla= nts has a combination of biologically active chemicals. <= /span>
<= span class=3DBB style=3D'position:absolute;left:-4.57%;top:.3em'>lSome p= roduce a characteristic color
l<= /span>Using the color of the fruit or vegetable  we can identify the several active phytochemicals.
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An apple a day …
lBioactive Compounds:
<= span class=3DHBB style=3D'position:absolute;left:-10.05%;top:.3em'>lQuer= citin
<= span class=3DHBB style=3D'position:absolute;left:-10.05%;top:.3em'>lEpic= atechin
<= span class=3DHBB style=3D'position:absolute;left:-10.05%;top:.3em'>lChro= genic acid
<= span class=3DHBB style=3D'position:absolute;left:-10.05%;top:.3em'>lP-co= umaric acid
<= span class=3DHBB style=3D'position:absolute;left:-10.05%;top:.3em'>lPhlo= ridzin
<= span class=3DHBB style=3D'position:absolute;left:-10.05%;top:.3em'>lPect= in
lFunctions:
<= span class=3DHBB style=3D'position:absolute;left:-10.05%;top:.3em'>lAnti= oxidant
lDecreases Bad Cholesterol
<= span class=3DHBB style=3D'position:absolute;left:-10.05%;top:.3em'>lAnti- cancer
<= span class=3DHBB style=3D'position:absolute;left:-10.05%;top:.3em'>lAnti= -mutagen
<= span style=3D'font-size:83%'>lDecreases tumor growth
lDecreases stickines= s of platelets ( Heart attack)
<= span style=3D'font-size:83%;visibility:hidden'>l
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Red Group
<= span class=3DBB style=3D'position:absolute;left:-4.41%;top:.3em'>lTomato= es, Pink Grapefruit, Watermelons
<= span class=3DBB style=3D'position:absolute;left:-4.57%;top:.3em'>lAll co= ntain Lycopene
lProtec= ts against Prostate cancer and it is important in the health of the lungs and heart
l
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Yellow / Green Group
lSpinach, Collard Greens, Turnip greens, Yellow corn, Green peas, Avocado, Honeydew melon
<= span style=3D'color:#60CD3F;mso-color-index:4'>lCarotenoids : Lutein and zeaxanthin
lReduce cataracts and macular degeneration
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Orange Group
lCarrots, Mangos, Apricots, Cantaloupes, pumpkin, winter squash, sweet potatoes.
<= span style=3D'color:#FF9900'>lAlpha carotene =
l<= /span>Protects the skin against free radicals ( skin cancer)
<= span class=3DBB style=3D'position:absolute;left:-4.53%;top:.3em'>lGets c= onverted to Vitamin A in the body
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Orang= e / Yellow group
lPineapple, Orange= s, Tangerines, Peaches, Papayas, nectarines
<= span style=3D'color:#FFCC00'>lBeta Cryptoxanthins=
l<= /span>Prevents heart disease, promotes communication between  neurons.
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Red/ = Purple Group
lBeets, Eggplant, = red grapes, red wine, prunes, Berries ( blueberries, Strawberries,= raspberries, red apple.
<= span style=3D'color:#990033'>lAnthocyanins
lPreven= ts Alzeimer’s, improve Brain Function
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Green= Group
<= span class=3DBB style=3D'position:absolute;left:-3.86%;top:.3em'>lBrocol= li, Brussel sprouts, Cabbage, Asparagus
<= span style=3D'color:#006600'>lSulforaphane and Isocyanate
<= span class=3DBB style=3D'position:absolute;left:-4.57%;top:.3em'>l Cancer inhibitors
<= span style=3D'visibility:hidden'>l
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White= / green group
lLeeks,  Scallions, garlic, celery, pears,= white wine, endives, chives, onions family.
<= span style=3D'color:#99FF66'>lQuercetin, kaempfer= ol.
<= span class=3DBB style=3D'position:absolute;left:-4.57%;top:.3em'>lGeneral anticancer agents
<= span style=3D'visibility:hidden'>l
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What in the world is this ?
Amyl acetate, amyl butyrate, amyl valerate, anethol, anisyl formate, benzyl acetate, benzyl isobutyrate, butyric acid, Cinnamyl valerat= e, congnac essential oil,diacetyl,dipropylketone,ethyl acetate, ethyla= myl ketone, ethyl butyrate, ethyl lactate, ethyl methylphenlglycidate, ethyl intrate, ethyl propionate, ethyl valerate, heliotropin, hudroxy-phenyl 2 butanone, a ionine, isobutylanthrannilate, isobutyl butyrate,lemon essential oil, maltol, 4-methylacetonephenone, methylanthranilate, methyl benzoate, methyl cinnamate, methyl heptidine carbonate, methyl naphthyl keto= ne, methyl salicylate, mint essential oil, neroli essential oil, nerol= in, neryl isobutyrate, orris butter, phenethyl alcohol, rose, rum ether, gamma undercalactone, vanillin solvent
Answer :   Natural Strawberry Flavorin= g !
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Is it worth it to eat organic ?
lWe encounter 3000-4000 artificial chemicals a day.
lUniversity of Washington Study 2003
lDiet appears to be the primary exposure to pesticides= 3;
lLevels 6x higher in children eating “conventional produce” than organic
lConsuming organic produce represents a relatively simple= means for parents to reduce their children’s exposure to pesticides.
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The Dirty Dozen…
1.<= /span>Peaches and Nectarines
2.<= /span>Apples
3.<= /span>Pears
4.<= /span>Strawberries
5.<= /span>Green Beans
6.<= /span>Grapes
7.
7.
7.<= /span>Raspberries
8.<= /span>Spinach
9.<= /span>Potatoes
10.= Tomatoes
11.= Cantaloupe
12.= Cherries
13.
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Omega 3 Fatty acids
<= span class=3DBB style=3D'position:absolute;left:-4.57%;top:.3em'>lPolyun= saturated Fat
<= span class=3DBB style=3D'position:absolute;left:-4.57%;top:.3em'>lNot ju= st fuel. Biological regulator
lCannot= be manufactured by the body, must obtain it from food. = lOmega = 3 ( EPA, DHA, alpha linolenic acid) and Omega 6 fats.
<= span class=3DBB style=3D'position:absolute;left:-4.34%;top:.3em'>lBalance between Omega 3 and Omega 6
l
<= span style=3D'visibility:hidden'>l
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Omega 3  vs.  Omega 6
<= span class=3DHBB style=3D'position:absolute;left:-10.05%;top:.3em'>lFish= , Flax seed
= lHighly Concentrated in the brain ( 50% of the fat in the retina and 50% of the fat in the brain.
<= span class=3DHBB style=3D'position:absolute;left:-8.84%;top:.3em'>lJapan= 60% O3 40% O6
<= span class=3DHBB style=3D'position:absolute;left:-10.05%;top:.3em'>lMedi= terranean 50:50
<= span class=3DHBB style=3D'position:absolute;left:-9.09%;top:.3em'>lDecre= ase inflammation
lMeat, Commercial= cooking oils, eggs, poultry ,hydrogenated fats.  lAmerican diet 80% = O6 and 20% O3
<= span style=3D'visibility:hidden'>l
<= span class=3DHBB style=3D'position:absolute;left:-9.56%;top:.3em'>lPromo= te inflammation
<= span style=3D'visibility:hidden'>l
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Health effects of Omega 3 s
<= span style=3D'font-size:71%'>lLowers High Blood Pressure :
<= span style=3D'font-size:71%'>lDecreases bad chole= sterol increases good cholesterol.
<= span style=3D'font-size:71%'>lPrevent Heart disea= se and abnormal blood clots.
<= span style=3D'font-size:71%'>lProtects against st= roke ( decreases clots).
<= span style=3D'font-size:71%'>lDecrease symptoms f= or Rheumatoid Arthritis.
<= span style=3D'font-size:71%'>lImprove Osteoporosis.
<= span style=3D'font-size:71%'>lReduction of Depres= sion and aggressiveness.
<= span style=3D'font-size:71%'>lFewer swings in Bip= olar disorder
<= span style=3D'font-size:71%'>lImprovement in atte= ntion and motivation in ADHD
l
<= span style=3D'font-size:71%;visibility:hidden'>l
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Health Effects of Omega 3s  ( cont.)
l= Helpful in treating psoriasis acne
lReduction in symptoms of Inflammatory Heart = Disease
lImprovement in symptoms of asthma in children
lReduce the risk of macular degeneration =
lDecreased risk of developing Colon, Breast <= span style=3D'position:absolute;top:79.25%;left:14.79%;width:81.83%;height:6.0%= '>and Prostate cancers
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Omega 3 rich food
lFISH, FISH, FISH…
lWhat about mercury…
lSafe Fish:  Sockeye salmon, sardines, herring, scallops, tilapia, shrimp= and cod.
lAvoid: Shark, King Mackerel, Tilefish, sword fish.
lFlax seed oil (very unstable) cannot heat. Body can use only 25%  of what we inge= st.
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Probiotics
l1900 Eli Metchnikoff noticed bulgarian peasants who drank sour milk lived longer         ( l. bulfaricus)
lGut: not sterile
l4-5 lbs of live bacteria in the gut
lMore bacteria in the gut than cells in the body = ;
lGut Flora the most important organ for immunity.
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Probiotics
lBreast milk very h= igh on lactic bacteria and bifidobacteria. lForms Fermented foods: yogourt, sour milk (kefir) sauer krout (Centr= al and Northern Europe) , kombucha ( Ethiopia), kimchi (Korea)&#= 13;
<= span style=3D'visibility:hidden'>l
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Health Effects of Probiotics
lDiarrhea : Reduces diarrhea by 1 day
–Lactobacillus GG  10 billion per day
lIncrease of the risk of developing asthma with antibiotic courses in the first year
lAtopic Disease ( asthma, eczema)  cu= t down the risk by half if given to the mother before delivery and then continued for 6 months:
–Lactobacillus GG  10 billion per day
l
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Health Effects of Probiotics
<= span class=3DBB style=3D'position:absolute;left:-4.57%;top:.3em'>lHelp w= ith lactose intolerance
<= span class=3DBB style=3D'position:absolute;left:-4.57%;top:.3em'>lPreven= tion of Colon Cancer
<= span class=3DBB style=3D'position:absolute;left:-3.83%;top:.3em'>lPreven= tion of Respiratory infections in Children
<= span class=3DBB style=3D'position:absolute;left:-4.57%;top:.3em'>lPreven= tion of Teeth Decay in children
<= span style=3D'visibility:hidden'>l
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Prebiotics
<= span class=3DBB style=3D'position:absolute;left:-4.57%;top:.3em'>lNon di= gestible carbohydrates
lStimul= ate the growth of existing probiotic bacteria. lHigh concentrations in breast milk ( oligofructose and inulin) lFoods containing Prebiotics:  bananas, onions, asparagus, raw oats, raw barley
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