CLINICAL AUDIT: DATE-BASED SNACK IN CHILDREN

Abstract

Background: Excessive refined sugar consumption in children contributes to obesity, dental caries, and unhealthy dietary habits. Children frequently present to outpatient clinics with lollipops, candies, chips, and packaged juices. Dates, rich in natural sugars and fiber, may provide a safe alternative.

Objective: To assess the feasibility, acceptance, and behavioral impact of a date-based natural snack as a replacement for refined sugar confectionery among children aged >3 years attending a pediatric OPD.

Methods: A prospective clinical audit was conducted over 6 weeks in a pediatric outpatient department. Children aged 3–10 years were observed for consumption of refined sugar snacks. A soft, portion-controlled date-based snack was introduced as a voluntary positive reinforcement alternative. Acceptance rate, parental feedback, and behavioral changes were recorded.

Results: Among 100 children assessed, 78% presented with refined sugar snacks at baseline, primarily lollipops, packaged juices, toffees, and chips. Following introduction of the date-based snack, 85% accepted the substitution. On follow-up visits, 60% of children demonstrated reduced presentation of refined sugar snacks. No adverse events were reported.

Conclusion: Date-based snacks are a feasible, safe, and acceptable behavioral replacement for refined sugar confectionery in pediatric outpatient settings. Larger controlled studies are recommended.