Healthy isn?t something you are or aren?t. It?s a hundred little things: eating a banana, walking in the park, putting a bandage on a boo-boo, playing tag, reading up on ways to keep you and your family well and safe. It?s a balance between living well and taking care, and you can start right where you are.
A blog by Christina Elston
Healthy isn't something you are or aren't. It's a hundred little things: eating a banana, walking in the park, putting a bandage on a boo-boo, playing tag, reading up on ways to keep you and your family well and safe. It's a balance between living well and taking care, and you can start right where you are.


Archive for the ‘Nutrition’ Category

What Would Batman Eat?

Wednesday, November 7th, 2012

Fast food can be an unfortunate fact of family life. And while the drive-through does now offer some healthier options, kids aren’t exactly lining up to choose apple slices over fries. They might, however, if they thought that’s what their favorite super hero would do.

Cornell University researchers asked 22 children ages 6-12 attending the same summer camp whether Batman, Spiderman, and other figures they admired would choose apple fries or French fries. They then gave the children themselves the same choice to have with their lunch.

Kids who thought that super heroes would choose the apples were more likely to choose apples themselves. And overall, kids were more likely to choose the apples after they had been asked about the superheroes. On a day when they weren’t asked about Batman’s eating habits, just two of the 22 chose apple fries. But that number jumped to 10 kids when the Justice League entered the picture.

The take-away message for parents: Before you hit the drive-through, pick up the Bat Phone!

The research appeared in a recent issue of Pediatric Obesity.

 

Trick or Treat? A Little Candy = A Lot of Sugar

Monday, October 29th, 2012

Those fun-size candies we all love to hand out (and munch) at Halloween time might bring a smile to your face, but they can also add a lot of unwanted sugar to your family’s diet.

• 19 pieces of Candy Corn = 140 calories, 8 teaspoons of sugar

• One fun-size Butterfinger = 100 calroies, 2 ½ teaspoons of sugar

• One fun-size pouch of M&M’s = 70 calories, 2 ½ teaspoons of sugar

• One fun-size Twix bar = 125 calories, 2 teaspoons of sugar

• Two rolls of Smarties = 50 calories, 3 teaspoons of sugar

• One Tootsie Roll POP = 60 calories, 2 ½ teaspoons of sugar

• One half-ounce pouch of gummy bears = 43 calories, almost 3 teaspoons of sugar

In all this little handful, which would be easy enough to eat at one sitting, packs nearly 24 teaspoons of sugar and more than 588 calories – enough to take the place of a meal for many kids. “While a few treats are OK – Halloween comes once a year, after all, and you want the whole family to have fun – parents really need to limit the amount of candy their children can have,” says Robert Riewerts, M.D., Regional Chief of Pediatrics at the Southern California Kaiser Permanente Medical Group.

A few suggestions for parents:

• Feed them first. A healthy and hearty meal before trick-or-treating makes it less tempting to dip into the candy bag along the way.

• Step it up. Take advantage of the walk around the neighborhood trick-or-treating provides. Play some games, power walk, or hop from house to house to give everyone some extra exercise.

• Savor the stash. Let your children have two or three pieces of candy per day – maybe one at lunch and another after dinner – and stash the rest out of reach and out of sight.

• Trade it in. Find a local dentist participating in the Operation Gratitude candy buyback program, which will send the treats to troops deployed overseas. Reward their donation with a book or other small gift. Find our more here: http://www.halloweencandybuyback.com/

• Set a good example. Keep your hands off the kids’ candy.

 

Student Athletes and School Lunches: Are They Hungry?

Thursday, October 18th, 2012

Jessica Donze Black, Project Director of the Kids' Safe and Healthful Foods Program at the Pew Cheritable Trusts, says that for most kids the new school lunch rules offer more than enough calories.

Which are you more likely to find in today’s school cafeterias, chubby kids chowing down on junk food or student athletes desperate for enough lunch to get them through volleyball practice without fainting?

The YouTube video parody “We Are Hungry” made by a group calling itself Nutrition Nannies suggests the latter, and has generated more than 990,000 views and plenty of media attention.

The changes to school lunches this year that sparked the outcry originated with the USDA, which updated standards for the federal school lunch program for the first time since 1995. During the 17 years since the last update, childhood obesity has continued to be a hot-button issue, and the guidelines seem designed to address the problem. They require lunches to include more fruits and vegetables, more whole grains and low-fat dairy and fewer fats. They also cap calories at 550-650 per meal in elementary schools, 600-700 in middle school and 750-850 in high school.

Critics of the new policy say the one-size-fits-all meals aren’t providing enough food for student athletes, who often go straight from school to training sessions and practice.

Some nutrition experts, meanwhile, contend that for most students the new guidelines provide plenty of nutrition and calories, and that the few who are active enough to require more have plenty of options.

“It’s important to note that calorie counts in school lunches have not changed dramatically in terms of what kids were served in previous years,” says Jessica Donze Black, R.D., director of the Kids’ Safe and Healthful Foods Project at the nonprofit Pew Charitable Trusts. The last national study to assess the school lunch program found high school students receiving around 787 calories per meal, which is in the range of what they are being offered now. “The difference is that now these calories are coming from healthier food,” she says.

Donze Black cites a study from the health research organization Bridging the Gap, which found that only one in three high school students participate in interscholastic sports. “Among the minority that are athletes, a healthy snack before or after practice combined with a healthy breakfast, lunch and dinner will provide plenty of food for them throughout the day,” says the dietician and mother of three.

She notes that schools can provide after-school snacks for students through the National School Lunch Program or offer a-la-carte foods during lunch. And students can also bring snacks from home. “With one in three children in our country overweight or obese, we can’t keep feeding all kids like they’re athletes in vigorous training,” Donze Black says.

For parents, she suggests keeping an eye on what is going on in the cafeteria. Read the school lunch menus, talk with your kids about what they are eating, and check out the cafeteria during lunchtime if you can. “Many factors can contribute to kids responding negatively to a school lunch – lack of time, long lines, chaos among friends – all frequent complaints that have little to do with healthy nutrition standards,” she says.

 

U.S. Kids Eat As Much Salt As Adults

Tuesday, September 18th, 2012

Children in the United States consume as much salt every day as adults do, and this extreme sodium intake is sending their risk for high blood pressure through the roof. The biggest threat is to kids who are overweight or obese.

Researchers from the U.S. Centers for Disease Control looked at the diets of more than 6,200 children ages 8 to 18 participating in a national survey, and compared daily sodium intake with the children’s weight and blood pressure data, all gathered between 2003 and 2008.

The children in the study averaged 3,387 milligrams of salt intake per day, which is around the same amount adults over age 20 consume – and well over government recommendations of 2,300 mg or less for children over age 2. Around 37% of the children were overweight or obese and 15% had high blood pressure or pre-hypertension.

The biggest impact from sodium intake seemed to be to overweight and obese kids. For every 1,000 mg increase in daily salt consumed, risk of high blood pressure increased 74% among these children, but only 6% among kids who were normal weight. Other studies have come to similar conclusions, and some scientists believe overweight children are more sensitive to sodium because of excess amounts of the hormone insulin (which the body uses to process sugar from food we eat) circulating in their bodies.

The study’s authors say that high blood pressure – which puts kids at risk of cardiovascular disease later in life – is especially worrisome in children because it often goes undetected. To get an accurate blood pressure reading in a child, a doctor must use the appropriate size blood pressure cuff, and must consider the child’s gender, age and height. Many do not take these extra steps.

Experts recommend that all children reduce their sodium intake, but say this is difficult because 75% of the salt Americans consume comes from packaged, processed or restaurant food. A family’s best defense is to cut the amount of processed foods kids eat, read food labels and avoid adding salt to foods. These healthy habits can reduce salt intake, calories, and risk of gaining weight and developing high blood pressure.

The study appears in the Oct. 12 edition of Pediatrics.

Is Organic Food Really Healthier?

Wednesday, September 5th, 2012

Is it worth throwing down twice the cash for that organic chicken breast, carton of milk or basket of berries? Maybe, but not because your family will get more nutrients.

Researchers from Stanford University’s Center For Health Policy looking to settle the question of whether organic meat, eggs, dairy and produce are really healthier than conventional foods sifted together data from more than 200 of the best studies they could find on the topic. They found many studies comparing nutrient levels or levels of contamination with things like bacteria and pesticides, and a few short-term studies of people consuming organic versus conventional diets. They didn’t find any long-term studies on how eating organic food impacted people’s overall health.

Taken together, the studies didn’t show any difference in the levels of nutrients between organic foods and conventional foods, nor was there any difference in protein and fat content between organic and regular milk. Levels of the nutrient phosphorus were higher in organic produce, but phosphorus deficiency is too rare for this to make a big health impact, the study authors concluded.

Pesticide levels were a different story, with organic produce showing a 30 percent lower risk of pesticide contamination (though organic foods are not necessarily 100-percent pesticide free). And organic chicken and pork were less likely to be contaminated with antibiotic-resistant bacteria, because these animals are not exposed to antibiotics as traditionally farmed chickens and pigs are. Though researchers noted that pesticide levels in all the foods fell within allowable government safety limits, and that it isn’t clear whether either the reduced pesticide or bacteria levels offer health benefits, it is still a clear choice for consumers.

The study was published in the Sept. 4 issue of Annals of Internal Medicine. Lead author Dena Bravata, MD, also pointed to other reasons families might want to choose organic, such as concern about animal welfare and the effects of conventional farming practices on the environment. And – as anyone who has bitten into a juicy organic plum can tell you – when it comes to taste, the difference is clear.

Breast Milk For Tiniest Babies May Need a Little Help

Friday, August 17th, 2012

Mama’s milk clearly reigns as the best diet for all babies, and its benefits are especially important to babies born early or at very low birth weight (VLBW). VLBW and preemie babies fed breast milk are less likely to get infections, including a sometimes-fatal illness that kills intestinal tissue.

But because they haven’t been in the womb long enough to store up a normal stockpile of protein, calories, iron, calcium and vitamins, these early, tiny infants grow better when doctors supplement their mothers’ milk with some extra nutrients.

Researchers from the University of Iowa looked at birth records of VLBW babies (babies weighing less than 1,250 grams at birth) born between 2003 and 2005. All stayed in the hospital two to three months after birth, and all received supplements. The study found that all of the babies grew within the normal range, but that those receiving more than 75% human milk (and 25% supplement) grew more slowly than those fed less human milk and greater amounts of supplements.

The researchers recommend that care providers pay special attention to the amount of protein and calories these tiny babies receive, so that they get all the benefits of mother’s milk, but still grow as they should.

The study was published Aug.17 in the journal BMC Pediatrics.

Brain Food Begins At Birth

Wednesday, August 8th, 2012

Kids who eat a healthy diet from an early age have a slightly higher IQ than those who don’t. That’s the finding from a study out this week in the European Journal of Epidemiology.

Scientists from the University of Adelaide in Australia reviewed the diets of more than 7,000 children at ages 6 months, 15 months and 2 years and recorded their IQs at age 8. They found that children who were breastfed at 6 months and then fed a healthy diet rich in legumes (peas, beans, nuts), cheese, fruits and vegetables had IQs two full points higher than those whose diet regularly included sweets, soft drinks, chips and other junk foods during the first two years.

“While the differences in IQ are not huge, this study provides some of the strongest evidence to date that dietary patterns from 6 to 24 months have a small but significant effect on IQ at 8 years of age,” lead study author Lisa Smithers, Ph.D., said in a statement. “It is important that we consider the longer-term impact of the foods we feed our children.”

Rats Fed Processed Sugar Get Stuck In the Maze

Wednesday, May 16th, 2012

Everyone knows sugar is bad for the body, but new research from UCLA shows it’s bad for the brain as well. Scientists also believe that omega-3 fatty acids can help counteract the learning and memory disruptions created by processed sweetener.

Researchers fed rats a solution of water spiked with high-fructose corn syrup. The animals drank the sweetened substance for just six weeks, but Americans consume it all year around – more than 40 pounds on average – as an additive to everything from ketchup to baby food. Half the rats were also given omega-3 supplements.

Before starting their experimental diet, the rats practiced navigating a maze with visual landmarks to help them find their way to the only exit.

After six weeks of fructose, the rats who didn’t receive omega-3s were slower in the maze, and had trouble remembering the route they had learned. They also showed signs of resistance to insulin, which controls blood sugar and regulates brain signals. Omega-3s are necessary to help brain cells transmit signals to each other, making learning and memory possible, and supplements seemed to protect those chemical connections in the brains of some of the rats.

Though this study was in rats, rather than humans, lead author Fernando Gomez-Pinilla, a UCLA neurosurgeon, suggests people should minimize their processed fructose intake as much as possible (fructose found naturally in fruits, which also contain antioxidants, fiber, and other important nutrients, is fine) and choose snacks like fresh berries and Greek yogurt. And as a nutritional insurance policy (and to counteract those moments of weakness in the ice cream aisle), boost intake of omega-3-rich foods like salmon and walnuts or take a daily supplement containing 1 gram of DHA.

 

Broccoli and Eggs During Pregnancy Could Program Healthier Babies

Friday, May 11th, 2012

Boosting intake of a nutrient called choline during pregnancy could be the key to decreasing babies’ chances of hypertension and diabetes – for life. That’s the finding from a small study published last week out of Cornell University.

Choline, an essential nutrient similar to the B vitamins, is used in many chemical reactions in the body and is especially important to the central nervous system. It is present in breast milk and routinely added to infant formula, though not common in prenatal vitamins.

Researchers followed a group of 26 third-trimester pregnant women for 12 weeks, providing all of their meals and beverages and monitoring their choline intake. Half of the women consumed the recommended 450 milligrams daily, while the other half took more than double that amount, 930 mg.

Babies born to women taking the higher amount of choline had 33 percent lower concentrations of the hormone cortisol, which is produced in response to stress and raises the body’s blood sugar level, than those whose mothers took less choline. Marie Caudill, Ph.D., RD, associate professor of nutritional sciences at Cornell and lead author of the study, believes the choline impacted the genes involved in cortisol production in the babies, and that the effect should be permanent.

“We would expect that a 33 percent reduction in cortisol concentrations would be enough to [reduce] risk of stress-related diseases throughout life,” says Caudill. “However, we did not follow the babies to assess whether this reduced response to stress was maintained. Additional studies are needed to replicate our study findings and to assess whether this early nutritional manipulation results in changes that last throughout life.”

During pregnancy, Caudill says that choline is especially needed to remove fat from the liver and transport it to other areas of the body, such as the placenta. And animal studies have consistently shown that boosting choline levels in the mother improves lifelong brain function in her offspring.

“We know that there is a high demand for choline during pregnancy and that most women are not consuming the recommended intake levels of 450 mg per day,” says Caudill.

Dietary sources of choline include:

• Egg, 1 large:  125 mg

• Beef steak, 3 oz:  110 mg

• Salmon, 3 oz: 95 mg

• Pork, loin chop, 3 oz:  95 mg

• Chicken breast, 3 oz: 75 mg

• Beef ground, 85% lean, 3 oz: 70 mg

• Milk, 1% low fat, 1 cup: 45 mg

• Baked beans, canned, ½ cup: 40 mg

• Yogurt, low fat, 8 oz: 30 mg

• Broccoli, cooked, ½ cup: 30 mg

• Cauliflower, cooked, ½ cup: 24 mg

Caudill says the boosted choline levels reached by some women in her study were achieved with the help of supplements, and that reaching 930 mg per day would be difficult through diet alone. If further research bears out her findings, supplements could be especially helpful for women experiencing anxiety, depression or even preeclampsia during pregnancy. And while further study is needed to test its potential benefits to Baby, she says there is no harm in mothers taking choline supplements now, as long as they stay below the 3,500 mg per day upper safe level established by the Institute of Medicine.

The study was published online in The Journal of the Federation of American Societies for Experimental Biology.

Study Questions Whether Pacifiers Hamper Breastfeeding

Monday, April 30th, 2012

On the advice of the World Health Organization and the American Academy of Pediatrics, hospitals across the U.S. have been discouraging pacifier use in their newborn units because of concern that it might hinder breastfeeding. But a new study from Oregon Health & Science University Doernbecher Children’s Hospital found that when pacifiers were removed, exclusive breastfeeding at the hospital actually declined.

Researchers looked at feeding data on 2,249 infants in the hospital’s Mother-Baby Unit between June 2010 and August 2011. They found that 68 percent of those born after the hospital implemented a no-pacifier policy in December 2010 were breastfed exclusively, compared with 79 percent of those born before pacifiers were removed. And the number of breastfed infants being fed supplemental formula jumped 10 percent after pacifiers were eliminated.

Authors of the study, presented at the Pediatric Academic Societies annual meeting April 30 in Boston, are not claiming that removing pacifiers caused the decline in breastfeeding, but are hoping their findings will spark dialog and further research into the relationship between breastfeeding and pacifiers.