Many people are born with a "sweet tooth." Soon after birth,
babies show a preference for sweet solutions (such as breast
milk). Most adults also naturally seek and enjoy sweets. Many
parents worry about their kids eating sugar, candy, and desserts.
A common misconception is that eating sugar is harmful or shows a
lack of self-control. As long as they are eaten in moderation,
sweets are not bad. The body and brain needs sugar to function.
Sugar is naturally present in most foods except meat. Lactose is
the type of sugar found in milk, fructose is the sugar in fruits,
and maltose is the sugar in grain products. Sucrose, the sugar
refined from sugar cane and sugar beets, has no greater adverse
effect on body function than any of the other sugars. Any food
where sucrose, fructose, glucose, corn syrup, honey, or other
sugars are listed as the first ingredient on the packaging can be
defined as sweets.
Side Effects of Sugar
The main risk associated with sugar is increased tooth decay. This
is the only permanent harm caused by eating too much sugar. This
risk can be greatly reduced if your child drinks fluoridated water
and brushes his teeth properly after eating foods that contain
sugar. Foods that cause the most dental cavities are those that
stick to the teeth (for example, raisins and caramels).
Your child is at greatest risk of tooth decay if he falls asleep
or walks around with a bottle of sugary liquid in his mouth (such
as fruit juice, Kool-Aid, or milk). Constant access to a sippy cup
filled with a sugary drink can also cause tooth decay.
If your child eats a lot of sugar all at once, he may have a
temporary fall in his blood sugar level about 2 to 4 hours after
eating the sweets. This fall in blood sugar may cause sweating,
hunger, dizziness, tiredness, or sleepiness. This reaction is
brief and harmless and is relieved by the passage of time and by
eating a food containing some sugar, such as fruit juice. These
symptoms do not occur after eating a normal amount of sweets; nor
do they occur in everyone.
Myths About Sugar
Eating sweets is basically not harmful. Candy does not cause
cancer, heart disease, or diabetes. The following are some common
issues many parents are concerned about.
- Obesity
Obesity is caused by overeating in general and is not
specifically related to eating sweets. In fact, fatty foods
contribute much more to obesity than sugary foods because
fatty foods have twice the calories of sugary foods per given
amount. Studies have found that lean people tend to eat more
sugar than overweight people.
- Hyperactivity
Extensive research has shown that sugar does not cause or
worsen hyperactivity. In fact, consuming a lot of sugar such
as a 12-ounce soft drink (containing 10 teaspoons of refined
sugar) may cause a relaxed state or even drowsiness.
- Junk food
The term "junk food" has led to considerable confusion in our
country. Some people consider any kind of sweet or dessert to
be junk food. They claim that these foods lack nutritional
value. While that is true for some sweets (candy), it is not
true for others (such as peach pie). Eating sweets in
moderation is not harmful.
Recommendations
Note: These guidelines may not apply to children who have
diabetes.
- Allow sugar in moderation.
In general, eating any food in moderation is healthy. Eating
too much of any one kind of food is unhealthy.
It is probably a good idea to avoid giving your child sweets
before he is 1 year old. If sweets are included in your
child's diet too early, they may interfere with the child's
willingness to sample new foods that are unsweetened.
- Don't forbid sugar completely.
Some parents forbid sweets in hopes of preventing a preference
for them. However, because this preference is present at
birth, we have little influence over it. Forbidding sweets
completely may increase a child's fascination with them and
cause candy binges. With candy and other sweets so readily
available in stores and vending machines, sugar consumption
can't always be monitored. A taboo against sugar becomes
unenforceable as a child grows older. If a parent makes an
issue of it, it becomes an unnecessary battle.
- Limit the amount of sweets you buy.
The more sweets there are available at home, the more your
child will eat. Try to purchase breakfast cereals and cookies
in which sugar is not the main ingredient.
- Limit the amount of sweets your child eats.
While one candy bar is fine, eating an entire bag of candy is
unacceptable. Try to eliminate binging on candy and sweets.
You can best do this by setting a good example. Make
exceptions and allow extra candy on Halloween and other
holidays, birthdays, and at parties. The worst that could
happen is your child could become extra sleepy or have a mild
stomachache.
- Allow sweets for desserts.
Sweets cause physical symptoms only if they are eaten in
excess. As long as they are eaten after a well-balanced meal,
they cause no symptoms. An acceptable dessert can be just
about anything, including cookies, cake, or even a candy bar.
- Discourage sweets for snacks.
Candy, soft drinks, and other sweets are not good choices for
snacks. Because very little else is eaten with a snack,
consuming mainly refined sugar alone may cause some rebound
symptoms several hours later. Teach your child that if he has
a soft drink or Kool-Aid as a snack, he should eat something
from the grain or fruit food groups along with it. An
occasional sweet drink containing a sugar substitute is fine.
Keep plenty of nutritious snacks and drinks (such as fruits
juices, yogurt, graham crackers, oatmeal cookies, and popcorn)
on hand, and set a good example yourself. Most cookies are OK
for snacks because the main ingredient is flour.
- Insist that the teeth are brushed properly after eating
sweets.
Unless you encourage this good habit, a "sweet tooth" can
become a decayed tooth.
Special Benefits of Sugar
Giving candy occasionally as a reward is not harmful. The joy of
eating sweets is natural and is not increased by this practice.
Candy and other sweet treats are a powerful incentive. Whether we
like it or not, the best motivators are always things children
crave. Candy is inexpensive and offers a child many choices. Using
sweets as a reward may bring a breakthrough with a negative child
who doesn't respond to other approaches. In such cases, use star
charts and praise simultaneously for improved behavior and
continue to do so after the use of candy as a reward has been
phased out.
Sugar can be useful in helping a finicky eater try an essential
new food. Some children who have breast-fed until almost a year of
age will not accept any cow's milk products. One way to help them
make this transition is to sweeten cow's milk with something such
as corn syrup. When the child is drinking enough cow's milk,
gradually phase out the sweetener.
Some children will take bitter medicine more easily when it is
mixed with something sweet, such as Kool-Aid, chocolate pudding,
or pancake syrup.
Call Your Child's Healthcare Provider During Office Hours If:
- Your child frequently binges on sweets.
- You find yourself repeatedly nagging your child about sweets.
- You think your child has a problem with sugar.
- You have other questions or concerns.
Written by B.D. Schmitt, MD, author of "Your Child's Health," Bantam Books.
This content is reviewed periodically and is subject to
change as new health information becomes available. The
information is intended to inform and educate and is not a
replacement for medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
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