Kids Can Be Taught to Eat Healthy Foods, Study Finds

The Nemours Foundation


June 3, 2005

When it comes to making their own choices for meals and snacks, kids will choose hot dogs, chips, candy, and soda every time, right? Not necessarily. A recent study by the National Heart, Lung, and Blood Institute (NHLBI) suggests that simply educating kids about good nutrition can help them develop smart eating habits.

According to the NHLBI (part of the National Institutes of Health), providing kids with the knowledge and education to make healthier dietary choices is key. Of course, educating kids about healthy eating and helping them apply that knowledge can be difficult. That's why the institute classified food into three groups:

  • The Go group, which includes heart-healthy foods that should be eaten every day because they are low in saturated fat and cholesterol (such as low-fat milk and whole-grain cereals)
  • the Slow group, which includes foods that should only be eaten a few times a week (for example, waffles and pancakes)
  • the Whoa group, which includes foods that should be eaten only once in a while because they are high in saturated fat and cholesterol (for example, French fries and doughnuts)

Given the choice between potato chips or asparagus, a kid probably will find the chips the tastier option. So, although the Whoa group is packed full of foods that are the least healthy and most likely to cause weight problems, the trick is to teach kids balance in selecting their diet. That means the Whoa group isn't completely off limits but should be recognized as foods that aren't too healthy and should be eaten only occasionally.

The Facts

It's well documented that kids and adults in the United States are struggling with overweight and obesity. Consider these facts:

  • The government estimates that there are 9 million 6- to 16-year-olds in the country who are overweight.
  • Research shows that snacks, desserts, and pizza make up one-third of American kids' diets.
  • Overweight kids who have trouble kicking the bad nutrition/minimal exercise habit often grow into adults at risk for heart disease, diabetes, asthma, and many other health conditions. In fact, studies show that atherosclerosis (hardening of the arteries), the leading cause of heart disease, starts in childhood.

The Study

Over 3 years, researchers at the NHLBI used the Go, Slow, and Whoa approach and tracked the eating habits of 595 8- to 10-year -olds, all of whom had high blood cholesterol levels at the start of the study. Half of the kids, along with their parents, received special nutrition education and were shown how to keep their diet low in saturated fat and cholesterol.

After 3 years, the study showed that those kids and parents who had received nutrition education had developed healthy eating habits and were making healthier choices than their peers. Specifically, the study showed that these kids chose more Go foods and fewer Whoa foods (except for pizza). And on average, they ate fewer snacks and desserts. However, kids in both groups still didn't eat a lot of fruits and vegetables.

Researchers concluded that the fact there were more selections made from the Go group indicates that, with the proper education and guidance, kids can and will make nutritious choices when it comes to eating and snacking.

The Influence of Parents

So where can kids get good information about healthy eating? There's no better place than home. Like other important lessons in life, it's vital to teach kids how to stay healthy and fit and to guide them away from the food choices that might be harmful to their bodies in the long run.

Provide a good example by following the Go, Slow, and Whoa approach. Be sure to give your child choices, and be sure to stock plenty of Go group foods he or she likes. And remember, the Whoa group isn't entirely off limits - make sure your child knows that foods from this group are occasional treats.

Food Group GO SLOW WHOA
(Almost Anytime) (Sometimes) (Once in a While)
Vegetables Almost all fresh, frozen, and canned vegetables without added fat (such as butter) or sauces All vegetables in added fat or salt Any vegetable fried in oil, such as French fries or hash browns
Oven-baked fries
Avocados
     
Fruits All fresh and frozen fruits 100% fruit juice Fruits canned in heavy syrup
Canned fruits packed in juice Fruits canned in light syrup
Dried fruits
     
Breads and Cereals Whole-grain breads, pitas and tortillas White bread and pasta that's not whole grain Doughnuts, muffins, croissants and sweet rolls
Whole-grain pasta Brown rice Taco shells Sweetened breakfast cereals
Hot and cold unsweetened whole-grain breakfast cereals French toast, waffles, and pancakes Crackers that have hydrogenated oils (trans fats)
Biscuits
Granola
     
Milk and Milk Products Skim and 1% milk 2% milk Whole milk
Fat-free and low-fat yogurt Processed cheese spreads Full-fat cheese
Part-skim, reduced-fat, and fat-free cheese Cream cheese
Low-fat and fat-free cottage cheese Yogurt made from whole milk
     
Meats and Other Sources of Protein Beef and pork that has been trimmed of its fat Lean ground beef Beef and pork that hasn't been trimmed of its fat
Extra-lean ground beef Broiled hamburgers Fried hamburgers
Chicken and turkey without skin Ham Ribs
Tuna canned in water Canadian bacon Bacon
Fish and shellfish that's been baked, broiled, steamed, or grilled Chicken and turkey with the skin Fried chicken
Beans, split peas and lentils Low-fat hot dogs Chicken nuggets
Tofu Tuna canned in oil Hot dogs
Egg whites and substitutes Peanut butter Lunch meats
Pepperoni
Nuts Sausage
Whole eggs cooked without added fat Fried fish and shellfish
Whole eggs cooked with added fat
     
Sweets and Snacks Ice milk bars   Cookies, cakes, and pies
Frozen fruit-juice bars Cheesecake
Low-fat frozen yogurt Ice cream
Low-fat ice cream Chocolate candy
Fig bars Chips
Ginger snaps Buttered microwave popcorn
Baked chips
Low-fat microwave popcorn
Pretzels
     
Butter, Ketchup, and Other Stuff That Goes on Food Ketchup Low-fat creamy salad dressing Butter
Mustard Low-fat mayonnaise Margarine
Fat-free creamy salad dressing Low-fat sour cream Lard
Fat-free mayonnaise Salt pork
Fat-free sour cream Gravy
Olive oil Regular creamy salad dressing
Vegetable oil Mayonnaise
Oil-based salad dressing Tartar sauce
Vinegar Sour cream
Cheese sauce
Cream sauce
Cream cheese dips
     
Drinks Water 2% milk Whole milk
Fat-free and 1% milk 100% fruit juice Regular soda
Diet soda Sports drinks Sweetened iced teas and lemonade
Diet and unsweetened iced teas and lemonade Fruit drinks with less than 100% fruit juice
Source: U.S. National Heart, Lung, and Blood Institute, National Institutes of Health