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.


Posts Tagged ‘Nutrition’

Can the Neighborhood Make Kids Fat?

Thursday, April 12th, 2012

With nearly 18 percent of school-aged children and adolescents in the U.S. now classified as obese, health experts and organizations have increasingly been pointing to nurture, rather than nature, as a possible culprit. Specifically, they’ve been looking at where kids live for clues about why they’re getting fatter. And a study out this week suggests they’re right.

Researchers have found that children living in walkable neighborhoods with plenty of parks (with high-quality play equipment), lots of grocery stores and few fast-food outlets are almost 60 percent less likely to be obese than those living in areas without these perks.

A team from the Seattle Children’s Research Institute evaluated the nutrition and physical activity environments of neighborhoods in King County in Seattle, Washington, and San Diego County, California from 2007 to 2009. They then assessed the weight of 730 children ages 6-11, plus one parent for each, living in those neighborhoods.

They found that 16 percent of children living in the poorest nutrition and activity neighborhoods were obese – a figure in line with the national average – but just 8 percent of kids in active neighborhoods with access to healthier foods were obese.

“People think of childhood obesity and immediately think about an individual’s physical activity and nutrition behaviors, but they do not necessarily equate obesity with where people live,” says lead study author Brian Saelens, Ph.D. “Everyone from parents to policymakers should pay more attention to zip codes because they could have a big impact on weight.”

The study appeared April 10 in the American Journal of Preventive Medicine.

Big Changes in the School Cafeteria

Wednesday, January 25th, 2012

Editor’s Note: Here’s a guest post from Deirdre Wilson, a colleague of mine and Senior Editor at Dominion Parenting Media.

School cafeteria food is getting a major facelift. For the first time in 15 years, the USDA has raised the standards for school meals eaten by nearly 32 million American kids each week day. It’s just one part of the Healthy, Hunger-Free Kids Act championed by First Lady Michelle Obama in her Let’s Move campaign to combat childhood obesity.

“As parents, we try to prepare decent meals, limit how much junk food our kids eat, and ensure they have a reasonably balanced diet,” the First Lady says in a statement about the new guidelines. “And when we’re putting in all that effort the last thing we want is for our hard work to be undone each day in the school cafeteria. When we send our kids to school, we expect that they won’t be eating the kind of fatty, salty, sugary foods that we try to keep them from eating at home. We want the food they get at school to be the same kind of food we would serve at our own kitchen tables.”

The new school meal regulations call for:

 

• Fruits and vegetables in school meals every week day;

• A significant increase in whole grain foods;

• Only fat-free or low-fat milk;

• Portion sizes limited to a total calorie count appropriate for the age of the kids served; and

• More focus on reducing saturated and trans fats and sodium.

 

The rules are based on recommendations from a panel of experts convened by the Institute of Medicine; they were also modified to take into account more than 130,000 public comments submitted when the regulations were first proposed. They won’t be easily implemented, however; the new standards are expected to cost $3.2 billion over the next five years, the USDA says, and are just one of five major parts of the Healthy Hunger Free Kids Act. Among the improvements still to come are:

 

• New restrictions on what can and can’t be sold in school vending machines;

• Increased federal funding for school meals (an additional 6 cents a meal) based on how much a school improves its meal program; and

• Training and support to help schools comply with the new rules.

 

The rules will affect the National School Lunch and School Breakfast programs, the Summer Food Service Program, and supplemental food assistance programs, including the one for Women, Infants and Children (WIC).

– Deirdre Wilson

For Healthy Babies, Eat Your Cereal

Tuesday, January 10th, 2012

It’s as easy as eating a bowl of cereal, and if all women of childbearing age did it, hundreds of California babies would be born healthy – rather than with defects of the brain and spinal cord that can cause serious disability or death.

That’s the message from the California Dept. of Public Health this week as they focus on getting women to add enough folic acid to their diets to prevent these birth defects, called neural tube defects (NTDs). Folic acid is a B vitamin needed by every cell in the body for growth and repair. When women have at least 400 micrograms of folic acid in their daily diet (about the amount in a bowl of fortified cereal) they reduce their risk of having a child born with NTDs by 50 to 70 percent.

Waiting until you’re pregnant, or planning to become pregnant, isn’t an option. Around 45% of births in California are unplanned, and NTDs develop during the early months of pregnancy, often before a woman knows she’s going to have a baby. The only way to be sure there’s enough folic acid in your diet at the right time is to start now.

NTDs are the most common birth defect in California, impacting one in 1,480 pregnancies, and about 400 babies a year. And less than 50 percent of non-pregnant women reported consuming folic acid regularly in a statewide survey.

For more information about preconception health, visit the Every Woman California website, www.everywomancalifornia.org.

Commercial Cuisine: Dippers Or Fries?

Friday, October 7th, 2011

dippersIf you’re wondering whether it matters that your kids see all those fast-food commercials on TV, and whether telling them to eat healthy makes a difference, the answers are “yes” and “probably,” suggests a study out this week from Texas A&M International University.

Researchers there showed 75 children ages 3 to 5 two cartoons interrupted by a one-minute commercial for either McDonalds French fries or apples slices with dipping sauce (Apple Dippers). After TV time, the kids sat down with their parents and were allowed to choose a coupon for either product. Parents either guided their children by saying, “You should choose the one that is healthiest,” or remained neutral by saying, “You should choose whichever one you want more.”

Kids chose the coupon for French fries at rates of:

• 71% when they saw a French fry commercial and their parents remained neutral.

• 55% when they saw a French fry commercial and their parents spoke up for a healthy choice.

• 46% when they saw an Apple Dipper commercial and their parents stayed neutral.

• 33% when they saw an Apple Dipper commercial and their parents told them to choose the healthiest option.

Lead author Christopher Ferguson, Ph.D., whose primary area of research is videogame violence, says he was surprised at the power commercials had to influence the children in this study. He says the media are often wrongly blamed for social problems, and that he began the research skeptical about the power of advertising over children – especially if their parents were there to offset its influence. “Although parents were indeed able to blunt these effects somewhat, it was not to the extent we had speculated,” he says.

This could be at least in part because parents in the study were given only one chance to persuade their children to pick the healthier product. Consistent, long-term messages about healthy eating might have more impact than that one suggestion in the lab, Ferguson notes. And while older children might have a better shot at ducking an ad’s persuasive power, Ferguson points out that commercials can even influence adults.

Still, rather than trying to ban commercials targeted at kids or create ads for fresh broccoli, Ferguson suggests people focus on advocating for a middle ground. “Anyone who thinks that children are going to go to McDonald’s to eat turnips is kidding themselves,” he says. “But I think there are ways to make reasonably healthy options ‘fun’ even if a little indulgent.” He calls Apple Dippers a good compromise between “god-awful options and those that simply taste god-awful.”

“Of course it will all come down to marketing,” he ads. “Restaurants will offer us the food we buy. If we want McDonald’s to offer healthy food items, we, as consumers, have to actually buy them.”

Health-E Books: Eddie Shapes Up

Wednesday, September 28th, 2011

eddie-shapes-up1Apparently Ed Koch, mayor of New York City from 1978-1989, was a chubby kid. And while he finally overcame being “more than just a little overweight” in high school, the pain and embarrassment stayed with him.

With the help of his sister Pat Koch Thaler and illustrator Jonathan Hoefer, Koch has re-imagined his childhood experience for kids in Eddie Shapes Up (Sept. 2011, Zagat).

The story begins with young Eddie huddled under the covers, trying to convince his mom to let him stay home from school – and avoid heading out to the playground at recess. His mom says he has to go, and even after noticing that his pants are fitting a little tight, Eddie chooses a bagel with butter over cereal and fruit for breakfast, and requests plenty of cookies in his lunch.

At school, Eddie can’t keep up with the other kids on the playground, and they tease him and call him names. His two best pals, both leaner and more fit than Eddie, offer advice about good eating and invite Eddie out for a bit of healthy exercise. Eddie backs off the cookies, takes up jogging and jump rope, and by the end of the book is out there holding his own in a game of dodge ball – much to his pals’ delight.

The book portrays Eddie, through the illustrations and the text, as a likeable kid with a serious but fixable problem. Kids will understand Eddie’s love of cookies, and that he prefers books to soccer games. So they’ll also understand that all it really takes to change things for Eddie is a few more fruits and vegetables, and some fun time outdoors with his friends.

His transformation isn’t dramatic – say, from couch potato to soccer star – but realistic. The kid who wants to skip recess and eat extra cookies becomes a kid who can dodge a ball and asks his mom for an apple. He’s not skinny, but he’s thinner, stronger, and happier. And his story would be an inspiration to any kid with a few pounds to lose.

Food Habits Lead To Mindless Eating

Friday, September 2nd, 2011

popcorn1To keep yourself from shoveling in calories you don’t need, take a look at where and when you’re used to eating. That’s the message from a new USC study that found people used to eating in a given environment will keep eating – even if the food doesn’t taste good.

Psychologists gave people about to enter a movie theater buckets of either just-popped or week-old popcorn. People who said they don’t usually eat popcorn at the movies ate less if their popcorn was stale than if it was fresh. People in the habit of eating popcorn during a film ate the same amount – even if their popcorn was a week old.

When the experiment was moved to a meeting room, a space not usually associated with popcorn, everybody ate less if their popcorn was stale.

We might think we eat because food tastes good, but once we’ve formed an eating habit, like eating at the movies, we stop paying attention to the taste and just keep on eating, the researchers concluded.

But you don’t have to give up your showtime treat. The researchers also found you can interrupt your mindless eating by switching to your non-dominant hand. Left-handed gummy worms anyone?

The study appears in the current issue of Personality and Social Psychology Bulletin.

From Pyramid to Plate

Thursday, June 2nd, 2011

myplate-green300x273The government today said farewell to a staple of nutrition education – the Food Pyramid – and replaced it with something a bit closer to home. The new My Plate symbol is designed to send simple messages about healthy eating that should be as easy to understand as the plate in front of you.

“When Mom or Dad comes home from a long day of work, we’re already asked to be a chef, a referee, a cleaning crew,” said First Lady Michelle Obama at the unveiling of the new symbol this morning. “So it’s tough to be a nutritionist, too. But we do have time to take a look at our kids’ plates. As long as they’re half full of fruits and vegetables, and paired with lean proteins, whole grains and low-fat dairy, we’re golden. That’s how easy it is.”

Filling half your plate with produces is a major departure from the pyramid, which emphasized grains at the foundation of a healthy diet. Switching to fat-free or low-fat milk and making half your grains whole grains are other cornerstones of the new plan.

In another update, the U.S. Department of Agriculture is asking families to show how they’re putting the new plan into action by tweeting photos of their own dinner plates with the hash-tag #MyPlate.

Find more info at www.ChooseMyPlate.gov.

An LAUSD Food Fighter

Wednesday, April 27th, 2011
Food advocate Jennie Cook has a letter-writing campaign in full swing. She's hoping to spur changes at LAUSD.

Food advocate Jennie Cook has a letter-writing campaign in full swing. She's hoping to spur changes at LAUSD.

Parents of LAUSD: Jennie Cook would like you to do two things. Write a letter, and have lunch with your child – in your school cafeteria.

Cook, a self-described “food advocate,” ran a restaurant for 11 years and has been a caterer for 25. She doesn’t have kids in the Los Angeles Unified School District. In fact, her kids are now grown. But she’s belly-deep in the fight to bring healthier food to the district’s approximately 690,000 students, and her cause has new clout with the arrival in town of British chef Jamie Oliver and the current season of his Food Revolution television show.

“I have a deep-seated passion to save the world,” she tells me, “and I know food is the answer.” Cook has been involved in school food in various ways, including work with the Garden School Foundation and RootDown L.A. And last July, at an LAUSD school board meeting where renewal of the district’s meat contracts was on the agenda, she met a pediatrician named Rebecca Crane. Together they founded FoodForLunch.org, which is now conducting a letter-writing campaign with the goal of convincing the district to make seven changes to its food policy. Read on …

Tips For Kid-Friendly Mediterranean Eats

Thursday, March 17th, 2011

Here’s a guest post from Dena Herman, Ph.D., of  the UCLA School of Public Health. She is a pediatric dietitian and Co-Director of the National Children’s Study for the Los Angeles-Ventura Study Center (NCS-LAVSC). Her concern about growing rates of childhood obesity and the challenge families face in improving their diets inspired these tips:

dena-hermanThe percentage of overweight children in the United States has reached epidemic numbers. In fact, one third of our nation’s kids are carrying too much weight as a result of a poor diet high in unhealthy fats and simple sugars and a sedentary lifestyle. Besides these much talked-about causes, experts believe there could be other, less obvious factors that influence the development of, obesity, but also diabetes, high cholesterol and high blood pressure. Although more research is being done to gain a better understanding about these diseases, improving our children’s diet and helping them increase their physical activity will significantly reduce their chances of becoming obese and, if their Body Mass Index (BMI) is already high, will help them reach a healthy weight.

One of the best ways to improve our childrens’ diet is by following the Mediterranean diet, which consists in consuming healthy fats such as olive oil and nuts, lean meat, fish, whole grains and plenty of fruits and vegetables. Although these guidelines are widely known, most parents find it difficult to convince kids to consume these products because they are not as popular among their peers and parents do not always have the tools to prepare fresh foods tastefully. Nonetheless, there are plenty of ways to use these nutritious options to create delicious, quick meals and snacks that the little ones will enjoy. The following are a few tips to get you started:

- orange Encourage kids to eat fresh fruit instead of drinking fruit juice for a better source of fiber, which is often lacking in their diets. Have cubes of melon, grapes and other fruit choices easily available when kids come home from school and are hungry for a snack. In the summer, place fruit cubes in the freezer for a refreshing afterschool snack or blend up some fruit and freeze it as popsicles! You can also try giving kids “crudités,” which are cut-up vegetables consumed raw. Not only does the name sound cool but, when served with a creamy bean dip made from cannellini beans, these veggies will have them asking for more. Good options include grape tomatoes, baby carrots and sugar snap peas.

- Get the kids involved in what they eat and make your own trail mix. Ask kids to choose a few of their favorite nuts, seeds and dried fruits on the next grocery shopping trip. Home-made trail mixes are great for lunches and snacks, and packed with healthy omega-3 fatty acids that are excellent for healthy brain function and getting homework done quicker.

- fishFish is brain food – that is why they travel in schools. Try to include fish as part of a healthy family dinner at least twice a week. Fish such as mahi-mahi, cod or halibut make great choices. Experiment with flavorful Mediterranean marinades using herbs like oregano, basil and garlic as well as fresh lemon or orange juice. You can also slice and bread the fish into sticks and bake it in the oven – instead of frying it – for a healthy, kid-friendly dish.

- Sandwiches are easy school meals but they can get tiresome. Rev up the flavor and interest by spreading homemade pesto or tapenade instead of mayonnaise on crusty, whole-wheat, toasted bread. Finely slice, marinate and grill chicken or turkey breasts for a tasty alternative to deli meats.

- cupcake Who needs cupcakes for school birthdays? Surprise the kids by making delicious fruit skewers with a variety of fruits – and yes, you can dip the strawberries in dark chocolate for a phytonutrient punch they won’t forget. If your kids can’t pass without the cupcakes or other sweet treats, look for healthier, less processed options or dig for a lower-fat, lower-sugar recipe alternative and bake a limited amount.

- Work with your children’s tastes but try to expand their palates. If your kids’ favorite foods are pizza and pasta, try creating healthier versions of their favorite meals by making substitutions and adding vegetables or fruits. For example, substitute pepperoni in pizzas for barbecue chicken and add fresh tomatoes and garlic. Peas and pearl onions add taste and dimension to plain pasta but don’t forget to add the parmesan cheese. Eating meals as a family offers the opportunity for children to learn and experience new foods as well as eating memories they will never forget.

Remember, the goal is not to eliminate all treats and favorite foods from your children’s diet, but to teach them healthier habits, including moderation. If you have a busy schedule that does not allow you to make dishes from scratch, most supermarkets have a wide variety of healthy options, such as pre-cut vegetables and fruits or whole-wheat pizza crust, that will help you save time in the kitchen. For additional resources and ideas, ask your pediatric dietitian, visit an official healthy eating website (e.g., www.eatright.org) or just have fun with it and experiment! Your children’s health will benefit enormously.

Break Your Fast

Friday, March 11th, 2011

kleinmanIt’s National School Breakfast Week, and whether your kids eat at school or at home, pediatrician and nutrition expert Ronald Kleinman, M.D., chief of pediatric gastroenterology and nutrition at Massachusetts General Hospital thinks it’s important that they eat.

Health-E: What do you eat for breakfast?

Dr. Kleinman: My favorite breakfast is scrambled eggs with whole-grain toast, some type of fresh fruit, fresh orange juice and a glass of 1%  milk, and I usually have some or all of those foods. Parents should think about a healthy cereal (Cheerios, oatmeal), fresh fruit, yogurt and lowfat or fat-free milk. An egg and toast is a great idea as well, along with fruit and milk.

Do you ever skip?

I do occasionally skip breakfast, because very early meetings often have me running out of the house to be on time without first having something to eat. I do feel better, however, when I start the day with a good breakfast.

Why does the body need breakfast? What happens physiologically when you skip?

Dissect the name and you literally get the phrase, “break fast.” That’s exactly what breakfast does, it breaks your overnight fast after you sleep. There can be 12 hours between a child’s dinner and breakfast and when you skip, you’re not breaking that fast. When you’re in the state of fasting, your metabolism slows down and breakfast helps wake it up. That’s why people who eat breakfast tend to have healthier body weights.

Furthermore, eating breakfast gives you the fuel to power through your day. Ever notice how difficult it is to focus when you’re hungry? Starting the day off with nothing is bad news for growing boys and girls, especially considering all the data that show little ones who eat breakfast have better attention spans, perform better in school and have fewer absences and tardies. Lastly, breakfast is one of the three main eating events of the day and provides essential nutrients growing bodies need.

What makes up a good breakfast? What are the components?

A good breakfast should include cereal, toast or a muffin that is whole grain-rich, fruit and lowfat dairy foods (such as milk or yogurt). Eggs are rich in nutrients as well and are an excellent breakfast food. Some examples of meals that provide this important mix are breakfast cereal with skim milk and berries, with a hardboiled egg on the side; Greek yogurt topped with granola and diced peaches; or a vegetable frittata with a slice of toast.

Besides skipping breakfast, what are some mistakes people make with their morning meal, or when feeding their kids?

With such busy lives, I think parents don’t cook as much at home as they did in the past and rely too much on restaurant food, where they don’t have as much control over whether the foods purchased are as healthy as they should be for growing boys and girls. A little planning can really go a long way if parents plan out family meals ahead of time. Whether eaten at home or packed for on-the-go, simple meals prepared at home are excellent healthy options for the whole family.

What’s the fastest “good breakfast” you know?

Whole wheat toast with peanut butter and banana slices, washed down with a glass of lowfat or skim milk. It’s perfect for at home or on the go!