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Caffeine: An Unhealthy Choice for Kids

 

Whether it is an adorable little girl belting out a catchy pop tune or hip teens doing hip things, children see countless images every day encouraging them to consume caffeinated drinks. Unfortunately, children are responding to the messages by drinking more caffeine at an earlier age than ever before, much to the concern of parents and child health experts.

St. Louis Children's Hospital registered dietitian Marilyn Tanner worries about caffeinated beverages taking the place of milk, juice, water and other more healthy drinks. In fact, when soda replaces milk at mealtime, not only do children miss out on that serving of calcium, but the phosphoric acid and sugar in soda trigger additional loss of this bone-nourishing mineral. "Children who drink soda should definitely drink extra milk or have other dairy products," Tanner says. "There is nothing nutritious to a growing child in the sugar, water and caffeine combination of soda." Tanner recommends that caffeinated sodas be a rare treat for preschoolers and elementary-age children.

She also worries that the documented diuretic effects of caffeine can cause children to become dehydrated. "Caffeinated soda actually makes you more thirsty," she says. "It can be very dehydrating and should never be thought of as a replacement for water."

Caffeine in any of its forms – soda, coffee, tea or chocolate – is a mildly addictive stimulant. In both adults and children, low doses will increase arousal and focus, while high doses can lead to jittery, restless behavior, a loss of efficiency and an upset stomach. But what is considered a moderate amount of caffeine for an adult body can be a super-sized amount for a child. "Parents need to be aware of the ever-increasing portion sizes available," Tanner says. "A small soda isn't so small any more."

Lynn Blackburn, Ph.D., St. Louis Children's Hospital pediatric neuropsychologist, is familiar with the vicious cycle of sleep problems and morning fatigue resulting from too much caffeine. "Depending on how much caffeine is being consumed, it can factor in to a child's ability to get a good night's sleep and focus the next day." A jolt from a couple of late-morning Mountain Dews and a chocolate donut brings on the jitters. After school, a long nap followed by more caffeine sets up another sleepless night. In the morning, they again deal with fatigue.

The good news, says Dr. Blackburn, is that while caffeine is addictive, its withdrawal symptoms, such as headache, irritability and fatigue, only last a day or two. "It is also important to address the lifestyle issues that led to the caffeine use," Dr. Blackburn says. "Hectic schedules and easy access to soda, coffee and chocolate contribute to its overuse and dependence."

Fortunately, all it takes is commitment and a little creativity to keep kids from developing a caffeine dependence. By feeding children only nutritious foods during their preschool years, when you have the most control over what they eat, experts agree that parents can help children develop a connection between what they eat and how they feel. At home, reinforce the fact that by avoiding addictive substances, like caffeinated drinks, they won't need to be bothered by the headaches and irritability that comes with their withdrawal. Then, present them with an enticing smoothie made with orange juice and fresh fruit or a refreshing carbonated water and fruit juice combination. For older kids, turn them on to relaxing herb tea or milk mixed with strawberry syrup. Very soon, they will realize that "the real thing" is actually the healthy thing.

Source: 1997-2002, St. Louis Children's Hospital

 

©2003 Dr. G. S. Don Morris. All rights reserved.
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