Heart Health Month for Kids: Little Hearts, Big Bites

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Image: A child makes a heart with their hands

February is Kids’ Heart Health Month

We all have hearts–both physically and hopefully, emotionally! Even though heart disease is more commonly a disease of the aged, we can certainly employ various health-enhancing behaviors in our children to foster heart-healthy habits to support us down the road. 

While there are children born with congenital heart disease and defects, most children do not suffer from heart disease as adults know it. However, habits and behaviors we form in childhood can certainly bleed into adulthood and cause disease. Children CAN suffer from hypertension (high blood pressure), but this is normally seen in older teens with risk factors (high salt intake, inactivity, poor nutrition habits) or secondary to another health condition, like kidney disease. Your child’s pediatrician will check their blood pressure at every checkup.

Some children, even those who are very young, can suffer from high cholesterol. Though this is usually due to familial (genetic) hypercholesterolemia, diagnosis and treatment are still warranted. Older teens can suffer from diet-induced hypercholesterolemia.

Sodium Intake

From the smallest eaters, you can help your children keep a heart-healthy lifestyle that will serve them well into adulthood. High salt (sodium) intake is a risk factor for hypertension. Though not usually a concern in babies and young children, oversalting food can lead to an intolerance of unsalted foods and potentially create a bad habit down the line.

While a scant amount of salt while cooking is definitely necessary (nobody likes unsalted broccoli), instead of a salt shaker on the table try a spice blend like MRS DASH, black pepper, paprika, cayenne, or other fun spices. “Processed” foods often have a long shelf life largely owing to the sodium content of the food, so we try to only allow 1-2 of these foods per day. Fresh fruit, vegetable, and unsalted nut/seed/legume intake can actually help with sodium metabolism because of other mineral content, so there’s your 87th reason to have your kids fill up on unprocessed plants. 

Image: A teaspoon of coarse sea salt

Omega 3s

Omega-3 fatty acids, a type of unsaturated fatty acid, is highly associated with various health benefits–notably against heart disease. It’s never too young to pump up your child’s intake of omega-3 fatty acids. Our intakes tend to be unfavorably balanced with omega-6 fatty acids and meager in omega-3s. From a small age, acclimating children to sardines and anchovies (bones removed), salmon, mackerel, herring, trout, and seafood like shrimp and scallops is a great low mercury way to harness a lot of omega-3s. Though plant-based omega-3s exist in seaweed, walnuts, and olive oil, they are poorly absorbed by human bodies. 

Image: A fresh cut of salmon

Fiber

Dietitians are always on about fiber. With good reason! Fiber intake is associated with many positive health benefits. Notably, it tends to have a favorable effect on cholesterol, which is a risk factor for heart disease. Childhood is a wonderful time to foster good fiber habits. There are multiple kinds of fiber–from fruits, vegetables, legumes, tubers, nuts, seeds, whole grains and starches, and NOT from synthetic sources like processed foods, bars, etc. Oats in particular have a specific fiber, beta-glucan, which seems to help move cholesterol along in the body and is an excellent breakfast/snack choice for kids. Current recommendations for fiber range from 15 grams for 5-year-olds to 25 grams for 15-year-olds, though you can certainly exceed this number if you start gradually and titrate intake up in order to avoid unpleasant gastrointestinal distress. 

Movement

Little hearts need to beat! A daily movement routine is a key soldier against heart disease. Whether it’s walking, running, active play (tree climbing counts), or an organized sport, making movement part of daily life is key to fostering a healthy and long-term relationship with moving one’s body. This is why screen time should be limited, because it often displaces time spent moving around.

Sugar Intake

While a bit of sugar is part of growing up, sugar intake can easily top 100 grams (or more) per day from added sugars (those not naturally present, like in dairy products/fruits) even from “healthy” (marketed) foods. Start reading labels and becoming sugar-conscious. There is no need to be sugar-fearful or overly sugar-lenient. It’s a matter of the threshold that works for you and your family. Added sugars ARE associated with heart disease risk (among other things), but I would rather a teaspoon of honey than a teaspoon of an artificial sweetener any day.

Image: Bottled fruit and veggie beverages on a grocery store shelf

In any case, Kids’ Heart Health Awareness Month should really be every month. May all of your family’s hearts beat for many decades to come!

Now it’s YOUR turn! What are some of your family’s heart-healthy habits?

Updated February 2025

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Monica Moreno
Monica Auslander Moreno, MS, RDN is the founder of Essence Nutrition, a group practice of 11 registered dietitians who work with pediatrics and adults. Monica oversees all of Essence’s private client work while managing Essence’s corporate wellness programming, speaking engagements, consulting services, school wellness programming and marketing. She is the dietitian for the Miami Marlins and is the and Ocean Reef Resort and Club. Monica has spoken at national nutrition and wellness conferences and delivered hundreds of nutrition presentations over her career and been featured in various national print and media publications. She is a member of the Academy of Nutrition and Dietetics, Nutrition Entrepreneurs Dietetics Practice Group, Integrative Nutrition Dietetics Practice Group, Collegiate and Professionals Sports Dietitians Association, and Weight Management Dietetic Practice Group. She has been a member of the Junior League of Miami since 2011, is the Diversity Liaison for the Florida AND, and is a past co-chair and current board member of Jewish Community Services of South Florida’s Young Alliance. She has a one toddler and one geriatric Cavalier King Charles Spaniel. Instagram: @eatlikemonica Essence Website: www.essencenutritionmiami.com Appointments: [email protected]

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