Dr. Leah Alexander, M.D., F.A.A.P. began practicing pediatrics at Elizabeth Pediatric Group of New Jersey in 2000. She has been an independently contracted pediatrician with Medical Doctors Associates at Pediatricare Associates of New Jersey since 2005. After graduating from Kalamazoo College and Michigan State University College of Human Medicine, she completed her pediatric residency at Overlook and Morristown Memorial Hospitals. She is board certified in General Pediatrics. Outside of the field of medicine, she has an interest in culinary arts.
ELSE: A Novel alternative in Children’s Nutrition
Ensuring that a child has a balanced, healthy diet can be a challenge for parents. Every family situation is different, but a variety of factors can prevent children from eating nutritious foods. Some families live in communities where access to fresh food markets is limited. Instead, fast food establishments and convenience stores are the only local food sources. Other families live in areas of food shortages due to climate effects, civil unrest, or poverty. In other cases, it is simply that a child has developed taste preferences for high fat, sweetened, and salty foods due to introduction during the toddler years. Whatever the reason, a report by The United Nations Children’s Fund (UNICEF), “State of the World’s Children 2019,” shows some startling statistics (source):
- 1 in 3 children under the age of 5 are either undernourished or overweight, resulting in stunting of growth, muscle wasting, and obesity
- 1 in 2 children suffers from “hidden hunger,” deficiencies in vitamins and essential nutrients
- 1 in 5 children aged 5 to 19 are considered overweight (BMI >19)
The World Health Organization’s analysis provides similar results (source). Children worldwide are not consuming the proper nutrients in their diets.
A healthy diet is important for optimal growth and cognitive development. Calcium absorption for maximum bone density, increase in muscle mass, and brain maturation occurs throughout childhood. If the appropriate nutrients are lacking, these important milestones are affected. Iron, in particular, is important for brain function; research has shown reduced academic achievement in the presence of iron deficiency (source). Unfortunately, children are not consistently eating enough of the right kinds of foods. According to the Centers for Disease Control and Prevention (CDC), calories from added sugars and fats contribute to 40% of the daily caloric intake for children aged 2 to 18 (source). The primary sources of these calories come from soda, fruit drinks, desserts, pizza, and whole milk. Based on this, it is clear that improvements need to be made regarding global child nutrition.
The WHO recommends a balanced diet of grains or tubers (i.e. potatoes, yams), legumes, vegetables, fruits, and proteins (source). Vegetables and fruits provide essential vitamins, minerals, fiber, plant protein, and antioxidants. These all lower the risk of obesity, heart disease, type II diabetes, and some forms of cancer. A diet with adequate protein is important for both muscle and tissue building. How much of each food group a child should eat varies by age, gender, and amount of physical activity (source). When too much or too little are consumed, the risk of health-related illness increases.
A Pediatric Perspective
In clinical practice, I have witnessed a variety of childhood eating habits. In the best scenario, some children seem to naturally be “healthy eaters,” enjoying any food put on the plate. Other kids prefer only fruits, therefore, missing the nutrients vegetables would provide. Then, there are children who will only eat a few foods from each food group. While some of these “selective eaters” have a diagnosed developmental disorder or autism, many do not. Additionally, there seems to be a preference for what I call the “Kid Junk Food Trifecta”: chicken nuggets, macaroni and cheese, and pizza. The chicken nuggets are typically from a fast-food establishment, the macaroni is the “boxed” version, and, by pizza, it means only dough, sauce, and cheese. Although there are many theories as to why children may refuse healthy foods, research has shown an association of food marketing with unhealthy food choices. Advertisers promote products that are kid-friendly but often low in nutritional value (source). When seen often enough, children find the advertised food to be more appealing, choosing it over healthier options.
Efforts to Improve the Current Trends in Child Nutrition
In order to address the UNICEF concerns about stunted growth during the early childhood years, nutritional beverages have been developed by infant baby formula companies. In theory, by offering a supplement with vitamins, proteins, fats, and carbohydrates, parents have another way to provide essential nutrients. Creative marketing has convinced many parents that these products are nutritious and beneficial. Examining the ingredients, however, there are some concerns. The second or third ingredient is often sugar. While this added sugar may give an appealing taste to the product, it can promote tooth decay and obesity. It also increases the likelihood of developing type II diabetes later in life. Although it may not have been the intention of the developers, the high sugar content of these beverages puts them in the category of a “sugary drink,” something the American Academy of Pediatrics discourages (source). The CDC agrees, stating that no more than 10% or 200 calories of one’s total daily calories should come from sugar (source). The currently available nutritional beverages contain 12-18% sugar, much more than is recommended. Fortunately, there is a much better option, ELSE.
Else Plant-Based Kids Nutritional Drink
ELSE stands out as a unique supplemental beverage for 3-12 year-olds. It has the essential vitamins and nutrients that many children lack in their usual diets. Unlike competitor products, ELSE contains no milk or soy proteins, also making it ideal for kids with such allergies. Those who follow a vegan diet will find this aspect appealing as well (some versions of the competitor product contain tuna oil). There are no artificial flavors in ELSE. As an added bonus, ELSE contains the essential fatty acids docosahexaenoic acid (DHA) and arachidonic acid (ARA). Although most important during the first 2 years of life, there is growing evidence of the benefits of DHA in older children and adults (source).
There are some special situations where ELSE may be beneficial. For example, children with inflammatory bowel disease often eat less due to abdominal pain, and their bowel inflammation impairs nutrient absorption. ELSE could be a source of nutrients that are difficult for these children to get. Young cancer patients suffering from anorexia during chemotherapy treatments may benefit from this product as well. In situations of food scarcity, such as during a natural disaster, ELSE could be a temporary, supplemental source of nutrition.
The WHO has set goals for child nutrition with the hope of meeting them by 2025. They seek to lower the rates of stunted growth under age 5, to reduce childhood wasting to less than 5%, and to stop the rise of childhood obesity (source). A healthier nutritional supplement such as ELSE may be just the product needed to help achieve these goals.
The content and advice provided in this article is for informational purposes only and is not a substitute for medical diagnosis, treatment, advice for specific medical conditions. Always consult a pediatrician to understand the individual needs of your child.