Children on adult diets: is it harmful? Is it healthful?

Physicians and parents are very concerned about providing children with the best nutrition and optimal diets. The pursuit of better health is one of the prime reasons for individual food choices. Often the main determinant in selecting food is a desire for a healthful diet that will foster longevity and prevent the devastating consequences of chronic degenerative disease. However, unlike nutritional deficiencies, which undoubtedly afflict those who consume an inadequate diet, the underlying causes of these chronic disorders are complex and poorly understood. Thus, no one can predict at present what the effects of the current recommendations will be, particularly when implemented in childhood. By implying that such nutritional strategies against chronic diseases of middle adulthood are necessary and should be applicable to the population at large, including growing children, health officials have shaken confidence in our Western diets and may have created a widespread fear of food. Strict adherence to low-fat, low-cholesterol diets in childhood may result in nutritional growth failure, while long-term benefits in reducing coronary heart disease may not be accomplished for the majority of the population who may not need marked dietary changes. Moderation is the theme for adequate nutrition in childhood.