08/10/2012
1.
My presentation is based on my work as an
educator, clinician, researcher and
colleague.
2.
My passion is derived from a goal to
represent ‘best’ practice delivering
evidence-based science in order to aid in
decision making and excellence in services
provided to our clients.
3.
I am not here today representing the
College of Dental Hygienist’s of Ontario.
Understanding Today’s Teenage Dietary
Trends
By
Jennifer Turner, RDH
Demonstrate an increased awareness and
knowledge of pop and energy drinks.
Distinguish our role as dental professionals
to educate within the dental office on
trends in today’s population.
Analyze the “Teenager of 2012”.
Discuss why “fat is the new normal”.
What is different for the teenagers today than
when we were teenagers?
◦ Parents
◦ Money
◦ Spare Time
◦ Jobs
◦ Need to fit in
◦ Work Ethic
◦ Adverting/Media/Magazines/TV
What are the current trends in our
population in 2012?
Fast food trends
Decreased family meals
Altered nutrition
◦ < Zinc
◦ < Vitamin C
◦ < Calcium
Kaplowitz G., Florman M.,Aaronson S., Dangers of Soda Pop, Acad Dent Therapeutics and Stomotology.
www.osteoporosis.ca
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08/10/2012
Why is fat the new normal?
Statistics Canada reported that 3 out of 10
children/adolescents are overweight or
obese.
Teenagers are at risk for:
◦
◦
◦
◦
Do You Know How Food
Portions Have Changed in 20
Years?
High Blood Pressure
Type 2 Diabetes
Heart Disease
Stroke
What kinds of conversations are you having
with your patients regarding pop
consumption?
Are there any Treatment Plan modifications
for a patient who has a high sugar intake
with pop?
Does it matter that it is in the form of liquid
consumption?
2. Weight Gain
Studies have tied diet pop to weight gain to
an increased risk of obesity.
How could a zero calorie drink put you at
risk of obesity?
Many people think because of the zero
calories in the diet pop they can eat more
food.
National Heart, Lung, and Blood Institute
Obesity Education Initiative
1. Kidney Damage
Those that drink at least 2 cans or more of
diet pop have 30% less reduction of kidney
function.
The thought is that the sweeteners used in
diet pop may scar the kidney tissue over
time.
Evidence is still being researched to prove
kidney damage in diet pop.
3. Tooth Enamel Damage
Pop is hard on tooth enamel.
Diet pop eliminates the sugar but the not
the acid content of pop.
Phosphoric and Citric Acid are in many
pops.
If you can’t kick the habit of diet pop try
drinking it through a straw.
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08/10/2012
4. Bone Loss
The phosphoric acid in the pop causes
calcium in your bloodstream to be excreted
more quickly through urine.
Your bones then give up some of their
calcium in order to keep the bloodstream
calcium level constant.
What is an energy drink?
What is a sports drink?
Are they healthy?
-
-
What about H20?
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Red Bull was the first company to start the
energy drink craze in the US.
It still remains the best selling energy drink
today.
Red Bull is the litmus test against which all
other energy beverages are judged against.
Energy drinks were introduced in the US
market in 1997.
Fastest growing market in the US for
beverage sales.
Over 500 new kinds of energy drinks
marketed last year.
People actually think that energy drinks are
good for them and that it is healthy.
Monster is a favorite with consumers for
selling a beverage twice the size of a Red
Bull for the same price.
Monster drinks have way more sugar,
taurine and caffeine than Red Bull, unless
you get the Monster Lo Carb, which is a less
powerful beverage.
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08/10/2012
The 5-hour Energy Drink has recently risen to
become another industry favorite. . It is
packed with 2000 percent of the daily value
of vitamin B6, 8,333 percent of the daily
value of vitamin B12, and 100 mg of caffeine.
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Monster $2.79, Size 18.6 oz, Servings 2.3
Calories 90, Carbs 22, Sodium 200mg
5 Hour Energy Orange $2.49, Size 2 oz,
Calories 4, Carbs 0, Sodium 10 mg
Red Bull $2.89, Size 8.3 oz, Servings 1,
Calories 110, Carbs 28 g, Sodium 200 mg
Is known to increase energy, has some antifatigue components, supposedly relieves
stress, and increase memory.
Ginseng is nothing that’s naturally created
by your body, so having this in your drink
certainly won’t hurt. 200mg/day seems to
be the standard dose, but you can safely
take up to 2700mg. Rare side effects such
as diarrhea and headache have been
reported.
Teenagers can become intoxicated by the
caffeine in the energy drinks after
consuming 2-5 drinks per day.
Energy drinks are understudied, overused
and can be dangerous for teenagers.
The media has teenagers wanting to drink
energy drinks because they look cool.
Taurine is an amino acid that your body
naturally produces. It helps regulate
heartbeat, muscle contractions, and energy
levels. Usually your body makes enough
that you don’t need to supplement. It’s
thought, but not proven, that under “stress
conditions” like illness, physical exertion, or
injury, the body does not create enough
and supplements can help. Taurine in the
past was banned by some countries from
being used as a supplement.
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08/10/2012
Guarana comes from plants native to South
America. Amazonians have used it for a
long time to increase alertness and energy.
It’s more dense in caffeine than coffee
beans (3-4% vs 1-2%).
It’s not just called “caffeine” because it
contains a couple other things:
theobromine and theophylline. They’re
found in coffees and teas and are known
stimulants.
This is the primary boost ingredient and
potentially the most dangerous.
Caffeine interferes with intestinal calcium
absorption, energy drinks may cause
problems for strong bone development if
this is a primary drink for the teenager.
Large amounts of sugar in the energy
drinks can cause dental decay and lead to
weight gain.
With weight gain comes an increased risk of
weight related conditions, such as HBP and
Type 2 diabetes.
Glucose is the body’s preferred fuel. That is
why you get hyper with a lot of sugar.
Some people do respond differently to the
version of caffeine in guarana compared
with regular caffeine.
Some people report that guarana works
better, while others believe it doesn’t have
as good of stimulating effect.
Make a withdrawal schedule instead of
abruptly stopping the energy drinks.
Withdraw over a 3 to 5 day period by
cutting the caffeine from a quarter to a half,
until you are at no energy drinks.
The teenager will be irritable, crank,
headaches, nausea and have insufficient
sleep during this period.
However, too much sugar intake has been
linked to diabetes and can spike insulin
levels which can often lead to a “crash”
feeling after about an hour or so.
One Rockstar energy drink can have 63
grams of sugar which is the same amount
in two regular size Snickers candy bars!
Which snack would you rather pick?
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08/10/2012
Teenagers who consume energy drinks are
calling them the new high that is equivalent
to marijuana.
Teens assume that the caffeine in these
drinks will allow them to get by on only 6 to
7 hours of sleep instead of the 9 hours they
should be getting.
How do we feel with 3 to 4 hours less sleep
per night?
Stomach upset
Irritability
Sleep disruption
Blood pressure
changes
Heart arrhythmias
Behavioural pattern
changes
The risk of
cardiovascular
complications
increase when
energy drinks are
combined with
other drugs or
stimulants.
Teenagers believe that they will get a quick
lift and get more energy to give them
improved performance and concentration.
Teenagers can stay up all night, studying,
dancing or partying.
Drink of choice for a “Rave” is Monster or
Red Bull.
What kind of toothpaste are we
recommending to our patients and why?
Do you know how abrasive the toothpaste
you are using is?
How can we advise people to switch
toothpastes?
Age of first alcohol use.
Age of first drug use.
Age of first sexual experience.
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08/10/2012
63% binge
drinking teens
become pregnant!
Unwanted &
unprotected
sex
Increased risk
STI
40% of traffic
fatalities
amongst 16 –
19 y.o. involved
alcohol
Many people state “if I have a drink then I
have the urge to smoke, it just goes hand in
hand”.
How do we help teenagers from starting to
smoke?
Motivation
No system
Not enough time
Inadequate technique
Interdental cleaning
Conversations with teenagers and parents.
Visual posters in your operatory.
Office newsletters.
Pamphlets in the waiting room.
Follow up on oral hygiene education from
previous appointment.
Encouraging regular recall/re-care
appointments.
jturner@therdhnetwork.com
www.therdhnetwork.com
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