The North Carolina Pediatric Society

NCPS NEWS
February 2005
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Practicing Prevention: A Mandate for Better Bone Health

Recent Surgeon General's Report Sounds Call to Action

For years, doctors have recommended milk, cheese and yogurt to patients as a way to build strong bones.  But with the recent release of the Surgeon General’s Report on Osteoporosis and Bone Health, many practitioners are now realizing most Americans haven’t followed their advice. The report, released in October of 2004, is the first ever devoted to bone health and clearly states that most Americans do not consume enough calcium to prevent osteoporosis.  With more than one in 10 Americans diagnosed with or at risk for developing this disease, the report calls for lifestyle changes to reverse these trends: regular physical activity and daily consumption of calcium- and vitamin D-rich foods.

Laura Simpson, a Greensboro-based dietitian with the Southeast Dairy Association, says pediatricians in particular should think of osteoporosis as a pediatric disease with geriatric consequences
. “Pediatricians can be the first line of defense by talking to parents about the importance of calcium and vitamin D and asking parents what their children are drinking each day,” she said. “Studies show that children who don’t drink milk consistently fail to get enough calcium and vitamin D in their diets.”

Simpson adds that knowing how much milk to recommend is just as important for preventing disease and reducing risk of fracture. “Through age eight, kids need three servings of dairy a day, but from ages nine to 18, they need four,” Simpson adds. “It can be as simple as choosing cereal with milk for breakfast, a carton of yogurt with lunch and string cheese for a snack.”


These types of bone-building snacks are exactly what dietitians throughout North Carolina are working to make available in schools. Concerned over the details of the Surgeon General’s Report, Simpson and her colleagues collaborate with child nutrition directors across the state to make school milk more appealing. She helps them display milk more attractively, trains workers on how to keep it cold, and encourages offering a variety of flavors in kid-appealing plastic packaging.  Simpson says this is the only way to reverse declining milk consumption among children. She also notes many local schools are offering milk in vending machines instead of sodas and hopes these changes will help reverse the alarming trends detailed in the recent report. 

For additional information, visit:

Surgeon General’s Report on Bone Health
www.surgeongeneral.gov/library/bonehealth

National Dairy Council
www.nationaldairycouncil.org

3-A-Day for Stronger Bones
www.3aday.org

 

Other Articles:
District IV Update
Dental Varnish
Practicing Prevention
In Memoriam
CCHI
New Members

 

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