Currently browsing child nutrition posts

OK to Salt a Child’s Food? I Disagree

Last updated on September 18th, 2016 at 05:44 pm

don't-salt-kids-foodI am a fan of the health and wellness articles in the New York Times (NYT). Their reporting is based on scientific studies and evidence – but the articles are engaging and bring the science down to a more readable level. So, this post is a departure for me, because I disagree with a recent NYT article, by Rachel Rabkin Peachman, on whether it’s ok to salt a child’s food.

The basic argument of the article is that using a little bit of salt on your child’s food isn’t going to add that much sodium – especially compared to how much is hidden in processed foods. And that if adding a bit of salt to healthy but bitter foods, like broccoli, gets kids to eat more of these – then it’s probably worthwhile.

But I strongly disagree.

So What’s the Problem?

First of all, salt intake is MUCH too high in most countries, and this causes serious health issues. In the US, adults and children consume around two to three times more salt than is recommended, most of which is added to foods during processing. The Harvard School of Public Health highlights that these excess salt levels lead to high blood pressure and heart disease – as well as stomach cancer and osteoporosis. Nation-wide salt reduction efforts in the UK, starting in 2003, resulted in a 15% drop in salt consumption and very significant drops in blood pressure, stroke and heart attacks.

And these issues are not just adult concerns. Both the American Heart Association and the American Academy of Pediatrics say that factors leading to high blood pressure and heart disease begin in childhood. Studies have shown that about 15% of kids already have high blood pressure.

Starting in Childhood is Key

Research shows that most food preferences are developed in childhood and are difficult to shift. I’ve seen this first-hand through my own research dissertation for my Masters in Public Health. My project involved qualitative focus group interviews with employees of companies who offer a home delivery service for fresh produce as part of their wellness program. The people I met with struggled to eat the recommended levels of fruit and vegetables – even if they wanted to. Many cited that not growing up eating a large amount and variety of produce set habits that are tough to break and limited their knowledge about healthier cooking and eating.

Ms Peachman’s article states that children who learn to like bitter vegetables with toppings like salt, will like the veggies even after the salt is taken away. Personally, I VERY much doubt that. The study they cited as evidence didn’t use salt, but rather cream cheese – plus another New York times article published in 2011 points out that babies fed higher levels of sodium prefer salty foods when they are older. Again, both the American Heart Association and the American Academy of Pediatrics (AAP) recommend taking the salt shaker off the table – and trying to reduce the sodium kids get through processed food. Kids will learn to prefer less salty food. That’s advice I believe – and how we operate in our house. Now the whole family generally finds that processed and restaurant foods taste too salty.

What to Do Instead?

So, without adding salt, what CAN you do to help kids learn to like certain healthy vegetables that may not be so appealing at first bite? The AAP recommends using other things to alter or boost taste – like herbs, spices and lemon juice.

We do all those in our house. Pepper always gets put on the table, along with Mrs Dash – a salt-free topping. And I use herbs and spices like basil, oregano, rosemary, thyme and cumin. I also brown steamed vegetables, like Brussels sprouts and cauliflower, in a frying pan with a bit of butter or olive oil to add to the taste. Another good option is a little bit of Parmesan cheese sprinkled on veggies – or cooked onions or leeks mixed with veggies like broccoli. See the end of this article for more resources for getting kids to eat veggies.

The point is, there are healthier ways to help kids get used to vegetables – ones that can become lifelong habits without concern.

Tips for Getting Kids to Eat Veggies

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Very Overweight Children: Advice for Parents

Last updated on September 12th, 2016 at 03:59 pm

If your child is very overweight, there’s lots you can do to help them become a healthy size as they grow.

advice for very overweight childrenIf your child is very overweight, there’s lots you can do to help them become a healthy weight as they grow.

Very overweight children tend to grow up to be very overweight adults, which can lead to health problems such as type 2 diabetes, heart disease and certain cancers.

Research shows that children who achieve a healthy weight tend to be fitter, healthier, better able to learn and are more self-confident.

They’re also less likely to have low self esteem and be bullied.

As a parent, there’s lots you can do to help your child become a healthier weight. Getting them to be more active and eat well is important.

Here’s practical advice to help you.

Listen to your child’s concern about their weight. Overweight children often know they have a weight problem and they need to feel supported and in control of their weight. Let them know that you love them, whatever their weight, and that all you want is for them to be healthy and happy.

Steps for Success

Here are five key ways to help your child achieve a healthy weight. You can read this whole page or click on the links below to go directly to the topic you want to know about:

If your child has a medical condition then the advice in this article may not be relevant and you should check first with their GP (*pediatrician) or hospital doctor.

Be a Good Role Model

One of the best ways to instill good habits in your child is to be a good role model. Children learn by example. One of the most powerful ways to encourage your child to be active and eat well is to do so yourself.

Set a good example by going for a walk or bike ride instead of watching TV, or surfing the internet. Playing in the park or swimming with your children shows them that being active is fun.

  • Any changes you make to your child’s diet and lifestyle are much more likely to be accepted if the changes are small and involve the whole family. Here are 10 ways to get healthy as a family.
  • If you’re not sure what activities you’d like to try as a family, use this What’s your sport? tool to find out what you’re best suited to.

Get Active

Very overweight children don’t need to do more exercise than slimmer children. Their extra body weight means they will naturally burn more calories for the same activity.

All children need about 60 minutes of physical activity a day for good health, but it doesn’t need to be all at once. Several short 10-minute or even 5-minute bursts of activity throughout the day can be just as good as an hour-long stretch.

For younger children, it can take the form of active play, such as ball games, chasing games like “it” and “tag”, riding a scooter, and using playground swings, climbing frames and see-saws.

For older children it could include riding a bike, skateboarding, walking to school, skipping, swimming, dancing and martial arts.

If your child isn’t used to being active, encourage them to start with what they can do and build up to 60 minutes a day. They’re more likely to stick to their new activity levels if you let them choose the type of activity they’re comfortable with.

Walking or cycling short distances instead of using the car or bus is a great way to be active together as a family – and you’ll save money too.

Child-size Portions

Try to avoid feeding your child large portions.

A good rule of thumb is to start meals with small servings and let your child ask for more if they are still hungry.

Try not to make your child finish everything on the plate or eat more than they want to. And avoid using adult-size plates for younger children as it encourages them to eat oversized portions.

Beware of high-calorie foods. Calories are a measure of the energy in food and knowing how many calories your child consumes each day and balancing that with the amount of energy they use up in activity will help them reach and stay at a healthy weight.

Eat Healthy Meals

Children, just like adults, should aim to eat five or more portions of fruit and vegetables everyday. They’re a great source of vitamins, minerals and fibre.

Getting 5 A DAY shouldn’t be too difficult. Almost all fruit and vegetables count towards your child’s 5 A DAY including fresh, tinned, frozen and dried. Juices, smoothies, beans and pulses also count.

Discourage your child from having too many sugary or high-fat foods like sweets, cakes, biscuits, some sugary cereals and soft drinks. These foods and drinks tend to be high in calories and low in nutrients.

Aim for your child to get most of their calories from healthier foods such as fruit and vegetables, and starchy foods like bread, potatoes, pasta and rice (preferably wholemeal). And switch sweet drinks for water.

Less Screen Time and More Sleep!

Help your children to avoid sitting and lying around too much, as it makes it more likely for them to put on weight.

Limit the amount of time your child spends on inactive pastimes such as watching television, playing video games and playing on electronic devices.

There’s no hard and fast advice on how much is too much, but experts advise that children should watch no more than two hours of television each day – and remove all screens (including mobile phones) from their bedroom at night.

It also helps children stay trim if they sleep well. It’s been shown that children who don’t have the recommended amount of sleep are more likely to be overweight. The less children sleep, the greater the risk of them becoming obese. Lack of sleep can also affect their mood and behaviour.

Getting Support

If you’ve received a letter about your child’s weight after they were measured in school you can use the contact number on the letter to speak to a health worker and get more information about what you can do and what support is available in your area (*UK-specific advice).

Your GP (*pediatrician) or practice nurse can give you further advice.

They may also be able to refer you to a local weight management programme for children, such as those run by the Weight Management Centre, MEND and More Life.

These programmes are often free to attend through your local health authority (*in the UK), and typically involve a series of weekly group workshop sessions with other parents and their children.

At these workshops you’ll learn more about the diet and lifestyle changes that can help your child to achieve a healthy weight.

Editor’s Note: *clarification provided for our US readers.





 

Study: Possible Fast-food Link to Child Asthma and Eczema

Last updated on September 12th, 2016 at 04:01 pm

“Fast food and takeaways linked to surge in child asthma and allergies,” reports The Guardian.

fast-food-link-child-asthmaAlong with many other papers, it reports on a study attempting to shed light on one of the enduring medical mysteries of recent times – what explains the sharp rise in allergic conditions that has occurred during the past few decades?

Researchers wanted to investigate the theory that changes to traditional diets in the developed world since World War Two may be partially responsible.

This was an international survey looking at the links between diet and three allergy-related conditions in adolescents and children:

  • Asthma
  • Eczema
  • Rhinoconjunctivitis (stuffy or runny nose and watery eyes)

The researchers found frequent fast-food consumption (three or more times a week) was significantly linked with an increased risk of what the researchers defined as severe asthma, severe rhinoconjunctivitis or severe eczema. In contrast, consumption of fruit at least three times per week was significantly associated with a decreased risk of severe asthma. However, these associations are not proof of direct cause and effect.

It is possible that there are other underlying factors associated with both diet and risk of these allergic conditions, which could explain the associations seen, such as socioeconomic status.

Whatever the evidence, encouraging your child to eat fresh fruit and vegetables regularly (at least five portions a day) is a good idea.

Where did the story come from?

The study was carried out by an international team of researchers. It was funded by a number of organisations, including the BUPA Foundation and Glaxo Wellcome International Medical Affairs, as well as by a number of New Zealand-based funding bodies.

The study was published in the peer-reviewed journal Thorax.

The results of this study were widely and accurately reported in the media, although reports didn’t make it clear that cause and effect cannot be implied from this study.

What kind of research was this?

The International Study of Asthma and Allergies in Childhood (ISAAC) study is a multicentre, international, cross-sectional study.

In this part of the study, the authors aimed to determine whether there was an association between food intake over the past year and current and severe symptoms of the following allergic conditions:

  • Asthma
  • Eczema
  • Rhinoconjunctivitis

The study involved a group of children aged six and seven years old, and a separate group of adolescents aged 13 and 14 years old.

Cross-sectional studies are good for determining prevalence: in this case, the results of the study can provide us with information on the number of children with symptoms of asthma, rhinoconjunctivitis and eczema, and on the diet of the children.

However, this study design has some limitations (see conclusions) and to determine a link, a cohort study would be needed. However, even a cohort study could not show whether fast food was actually causing the development of asthma, as fast-food intake could be a marker of many other factors, such as socioeconomic status, which could be the real cause of any association seen.

A randomised controlled trial would be required to prove causation, though such a trial would have both practical and ethical issues (obviously few parents would be happy to find their child had been placed in the ‘kebab and cheeseburger’ group).

What did the research involve?

This international study included 319,196 adolescents aged 13 to 14 years, and 181,631 children aged four to seven years. Information on the diet and clinical symptoms of asthma, rhinoconjunctivitis and eczema were collected using questionnaires. Questionnaires were self-completed by the adolescents and were completed by the parents of the children.

Clinical symptoms included:

  • Asthma: Wheezing or whistling in the chest in the past 12 months. If wheezing affected speech, occurred more than four times in the past 12 months, or caused sleep disturbance more than one night per week, then it was defined as severe symptoms.
  • Rhinoconjunctivitis: Sneezing or runny or blocked nose when not suffering from a cold/flu, and itchy watery eyes in the past 12 months. Symptoms were defined as severe if the nose problems were accompanied by itchy watery eyes and were reported as interfering with daily activities ‘a lot’.
  • Eczema: An itchy rash in the past 12 months. Symptoms were defined as severe if sleep disturbance was reported at least once per week.

The diet questionnaire asked questions on the average weekly consumption over the previous year (never/occasionally, once or twice per week, at least three times per week) of the following foods:

  • Meat (presumably home-cooked meat dishes as opposed to fast food)
  • Seafood
  • Fruit
  • Vegetables (green and root)
  • Pulses (peas, beans, lentils)
  • Cereal
  • Pasta (including bread)
  • Rice
  • Butter
  • Margarine
  • Nuts
  • Potatoes
  • Milk
  • Eggs
  • Fast food, such as burgers

The researchers then looked to see if there was an association between the food consumed and the clinical symptoms reported.

The researchers adjusted for a number of factors that they had also collected information on, as it was thought they could partially explain any association seen (confounders).

These included exercise, television watching, maternal education, maternal smoking in the first year of life and current maternal smoking. Gender, region of the world, language and per capita gross national income were also adjusted for.

What were the basic results?

  • For adolescents; milk, fruit, and vegetables were found to be ‘protective’ foods.
  • Fruit intake at least once or twice per week or at least three times per week was associated with a reduced the risk of current wheeze, severe asthma, rhinoconjunctivitis and severe rhinoconjunctivitis.
  • Milk was associated with a reduced risk of current wheeze when consumed once or twice per week, and severe asthma when consumed at least three times per week. Milk consumption once or twice per week was associated with a reduced risk of rhinoconjunctivitis and severe rhinoconjunctivitis. Drinking milk once or twice per week or at least three times per week was associated with a reduced risk of eczema, and when consumed once or twice a week, with severe eczema.
  • Eating vegetables was associated with a reduced the risk of current wheeze when eaten at least three times per week, and of severe rhinoconjunctivitis and severe eczema when eaten once or twice per week.
  • Butter, fast food, margarine, pasta, potato, pulses, rice, seafood and nuts were associated with an increased risk of one or more conditions when eaten once or twice per week or at least three times per week, without being associated with a reduced risk of any conditions.
  • An increased risk of all three conditions (current and severe) was associated with eating butter, fast food, margarine and pasta at least three times per week. In some cases, an association was seen if the foods were eaten once or twice per week.
  • The greatest increase in risk was associated with eating fast food at least three times per week. Eating fast food at least three times per week was associated with an increased risk of current wheeze, severe asthma, current rhinoconjunctivitis, severe rhinoconjunctivitis, current eczema and severe eczema.
  • For children; eggs, fruit, cereals, meat, milk, nuts, pasta, potato, pulses, rice, seafood, and vegetables were found to be ‘protective’ foods, and were associated with a reduced risk of at least one condition without being associated with an increased risk of any condition.
  • Eating eggs, fruit, meat and milk at least three times per week was associated with reduced risk of all three conditions (current and severe).
  • Fast food was found to be a ‘risk factor’ food. Eating fast foods once or twice per week or at least three times per week was associated with an increased risk of current wheeze and severe asthma. Eating fast foods at least three times per week was associated with an increased risk of current rhinoconjunctivitis, severe rhinoconjunctivitis, and severe eczema.

How did the researchers interpret the results?

The researchers conclude that their results “suggest that fast-food consumption may be contributing to the increased prevalence of asthma, rhinoconjunctivitis and eczema in adolescents and children. For other foods, the picture for adolescents and children is less clear. However, in concordance with international dietary recommendations, diets that have a regular consumption of fruit and vegetables are likely to protect against asthma, allergic disease and other non-communicable disease”. The researchers also suggest that further exploration of this association is needed.

Conclusion

This cross-sectional study found that for both adolescents and children, fast-food consumption was associated with an increased risk of what the researchers defined as severe asthma, rhinoconjunctivitis and eczema. Consumption of fruit at least three times per week, by contrast, was associated with a decreased risk of severe asthma.

Although eating a balanced diet including the recommended daily intake of fruit and vegetables has many health benefits, there are limitations to this study, some of which were noted by the authors.

These limitations include:

  • The cross-sectional study design meant that the children were not followed over time, so we don’t know the order of events. For example, we can’t say whether consumption of fast food occurred before the development of asthma or whether children/adolescents with asthma ate more fast food.
  • Diet and symptoms over the whole year were either self-reported or reported by the parents of the children. This means that they may be subject to recall bias.
  • Not all confounders could be adjusted for and it is possible that there are other underlying factors associated with both dietary habits and risk of these allergic conditions. For example, the researchers only adjusted for socioeconomic status at the country level, rather than at the individual level.
  • Diagnoses of asthma, rhinoconjunctivitis and eczema – in particular what the researchers defined as ‘severe’ cases of these conditions – were not confirmed by medical records, so we don’t know whether they were entirely accurate.

Despite these limitations, this was an impressive and wide-ranging study (involving more than half a million children from across the world) whose results suggest that the possible association between diet and allergy deserves further investigation.

Analysis by Bazian. Edited by NHS Choices. Follow Behind the Headlines on Twitter.

Summary

‘Teenagers more likely to have severe asthma and eczema if they eat fast food more than three times a week,’ The Guardian reports. The claim is based on wide-ranging research looking at the dietary patterns of children across the world.

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The Facts about Iron Deficiency and Teen Girls

Last updated on April 2nd, 2023 at 07:44 pm

Only 60% of teenage girls have the recommended amount of iron in their diet. A lack of iron can make you feel tired, faint and breathless. It can also make it difficult to concentrate, which makes studying and taking exams more difficult. But it’s easy to get more iron into your diet.

Registered dietitian Azmina Govindji explains why iron is so important for girls and young women, and how to get more iron into your diet.

Why is it so important for teenage girls to get enough iron?
“Girls start their periods when they go through puberty, which is usually during the teenage years, and with blood loss comes iron loss. It’s important to ensure you have adequate iron from a variety of foods to avoid the unpleasant physical effects of iron deficiency, such as tiredness and breathlessness.”

How do you know if you’re short of iron?
“Symptoms of iron deficiency include tiredness, feeling faint, and breathlessness, but iron deficiency can only be diagnosed through a blood test. If you believe you may be low in iron because you’re feeling tired and lethargic, speak to your GP (*pediatrician or family doctor) or a registered dietitian. If your blood iron levels are found to be low, you may be prescribed a supplement.”

Should all teen girls take an iron supplement?
“No. You can usually get all the iron you need by eating a healthy balanced diet. Only take an iron supplement if you have been advised to by your GP (*pediatrician or family doctor) .”

iron-deficiency-and-teen-girlsCan you recommend some easy tips to get more iron into your diet?
“Iron-containing snacks include dried fruits such as apricots and raisins, and unsalted nuts. Keep these foods in your bag and you’ll have healthy iron-rich treats when you’re feeling peckish (*hungry). Red meat is a very rich source of iron, although you don’t need to eat it every day. Most breakfast cereals are fortified with iron, so they’re a great addition to your daily routine.”

Checklist of iron-rich foods

  • Red meat (beef, lamb, pork) is rich in iron that is easily absorbed. As a general rule, the darker the meat, the more iron it contains
  • Poultry contains some iron, and the leg meat is richer in iron than the breast meat
  • Fish contains some iron, especially oily fish (such as mackerel and sardines) and molluscs (such as mussels)
  • Green leafy vegetables, such as watercress and kale
  • Baked beans
  • Boiled or poached egg
  • Wholemeal bread
  • Fortified breakfast cereal
  • Dried figs and apricots
  • Raisins
  • Sesame seeds

Meal ideas

If you’re concerned that you’re not getting enough iron in your diet but don’t know where to start, try some of our meal plan ideas:

Breakfast

  • Fortified breakfast cereal with lower-fat milk
  • Poached/boiled egg on wholemeal toast with baked beans and a grilled tomato

Lunch

  • Sardines on wholemeal toast
  • Chicken salad with watercress, tomatoes, raw carrot and new potatoes
  • Bean salad with chickpeas, red kidney beans, onion, garlic, lemon juice, cucumber and tomato
  • Pitta bread with houmous, red pepper and celery

Dinner

  • Beef or vegetable stir fry with spring greens and cashew nuts and brown rice
  • Spaghetti bolognese with beef or lamb mince (*ground beef or lamb) and salad (or soya mince and lentils for a vegetarian option)

Snacks

  • Dried fruit, such as apricots or figs
  • Almonds
  • Small bar of dark chocolate
  • Small fruit flapjack

Read More Articles About Food and Diet

Editor’s Note: *clarification provided for our US readers.

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From www.nhs.uk

Making Healthy Packed Lunches for Your Back-to-School Kid

Last updated on August 22nd, 2016 at 04:33 pm

Thanks to Jamie Oliver, school dinners have had a radical overhaul. But what about the lunchboxes we pack for our children?

Making healthy packed lunchesIt’s just as important to make sure the lunchbox your child takes to school provide a healthy, balanced lunch as when they eat at home.

This means plenty of foods that contain the nutrients that children need, and fewer foods that are high in sugar and saturated fat.

You can learn the healthy foods basics in Good food and diet.

Packing the Lunchbox

A balanced packed lunch should contain:

  • Starchy foods. These are bread, rice, potatoes and pasta, and others.
  • Protein foods. These are meat, fish, eggs, beans and others.
  • A dairy item. This could be cheese or yoghurt.
  • Vegetables or salad, and a portion of fruit.

Starchy foods are a good source of energy, and should make up a third of the lunchbox. But don’t let things get boring. Instead of sandwiches give kids bagels, pitta bread, wraps and baguettes. Use brown, wholemeal or seeded bread, not white bread.

Get ideas for healthy starchy foods.

Children often like food they can eat with their fingers, so chop up raw veggies such as carrots or peppers, and give them houmous or cottage cheese to dip the veggies in. Breadsticks and wholemeal crackers are great finger foods and they can be spread with low-fat soft cheese or eaten with reduced-fat cheddar and pickles.

Replace chocolate bars and cakes with fresh fruit, dried fruit.

Vary the fruit each day and get them to try new things, like kiwi or melon.

Unsalted nuts are a great snack food for children to have at home, but it’s best to leave them out of your child’s packed lunch. Many schools ban nuts to protect pupils with a nut allergy.

Here are more ideas for healthy food swaps.

You could also make up a tasty fruit salad. Be inventive and encourage your children when they try something new.

Making Healthier Food

It may take a while for your children to get used to a healthier lunchbox. But it will be worth it for their health, so keep trying.

You can help by eating a wider range of foods at home, as a family. For ideas on how to introduce more fruit and vegetables into your family’s diet, read 5 A DAY and your family.

Reading supermarket food labels can help you to buy healthier foods for your child’s lunch, and for family meal times. Learn more in Buy healthier food.

Save chocolate and cakes for occasional treats. Remember to praise your child when they’ve tried something new, to show your encouragement.

You can find lots of ideas for healthy lunches at Change4Life: healthy lunchbox ideas.

Lunchbox Ideas

There are more ideas for healthy packed lunches from the Children’s Food Trust.





A Perfect Picnic for Family Health and Fun

Last updated on July 11th, 2016 at 12:27 am

Picnics are a great British tradition and a good way for you and your family to eat a healthy meal together.

If you combine a picnic with some physical activity – such as games or a brisk walk – you can have a healthy and fun day out that doesn’t have to cost much.

perfect-picnics-for-family-healthYour Picnic Basket

So, what’s going in your picnic basket?

Start with foods that contain carbohydrates (carbs), as these are an important source of energy. Foods that have carbs include breads, pasta and potatoes.

Choose wholegrain or wholemeal varieties where possible. For example, try wholegrain bread for your sandwiches. A wholemeal pasta salad also works well in a picnic.

Next, think about including protein, which is not only filling but helps to promote growth and repair in our bodies. Protein can come from lean meat in sandwiches, such as turkey or chicken breast, as well as from beans and pulses in salads.

Don’t forget to bring plenty to drink. Take a flask of water or 100% fruit juice without added sugar, instead of a bottle of sugary, high-calorie fizzy drinks.

Find out more about healthy eating.

Get Your 5 A DAY

A picnic is a great chance for the whole family to hit their 5 A DAY fruit and veg target.

Try a multicoloured salad with peppers, tomato, cucumber, carrot and lettuce.

Swap sugary and high-calorie treats, such as chocolate and cakes, for a fruit salad. Also, why not pack a piece of fruit for each member of the family to eat while on the move?

Fruit juice also counts towards your 5 A DAY, but it only counts as one portion no matter how much you drink. Fruit juice can be high in sugar, so look out for the ones without added sugar.

Get more 5 A DAY ideas in 5 A DAY and your family.

Get Active

Once you’re outside, use the opportunity to get active. Physical activity is important for the health of children and adults, and is a great way to spend time together.

A picnic is always welcome after a brisk walk, bike ride or energetic ball game.

When lunch is over, try playing a gentle game of frisbee or badminton.

Anything that raises your heart rate counts. It could be something as simple as a game of tag.

Find more ideas for getting active with your kids.

Stay Sun Safe

Remember to protect yourself and the children from the sun while you’re outside.

Use a sunscreen with a sun protection factor (SPF) of at least 15. Learn more about sun protection.

Bites and Stings

Don’t let wasps or midges ruin your day out. Make sure you pack the insect repellent and cover up if necessary.

Find out what the 10 UK insects that bite or sting are. If you or someone else gets bitten or stung, find out how to treat insect bites and stings.

 





 

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