Archive for August, 2009

Kids gain more weight in the summer

Around the country, school kids are breathing easier—summer vacation is here. But maybe the change in season should alarm parents and health professionals. A recent journal article indicated that students gain more weight when they are not in school. This was especially true for those at the most risk of obesity— Hispanics, blacks and already overweight children.

I’ve heard many say that the study findings surprised them. After all, there’s so much pressure on schools today to improve the nutrition environment. As health professionals, how can we help parents, especially when they are concerned about their child’s weight? I’ve outlined five strategies that can help:

1. Schedule meals and snacks
Ellyn Satter’s work provides the best sensible advice on feeding children of all ages, from picky eaters to overweight children. Structuring times for meals and sit-down snacks is critical because it allows for children’s nutritional needs to be met. It also means children learn to trust that their food needs will be met; that allows them to rely on their own body’s cues for satiety. Children do have smaller stomachs so snacks are important. As a busy parent, I know it’s great to have the whole family on the same timetable to avoid being a short order cook! Who has time for that?! I’m not a particularly structured person but as my kids have grown, I have really come to fully appreciate the wisdom in this advice, both for the kids and for the parents. What do you find with clients or your own family?

2. Offer snacks that pack a nutrition punch
With kids consuming significant calories as snacks, parents should view snacktime as a chance to serve nutrient-rich foods, especially food groups that kids don’t get enough of (like dairy, fruits, vegetables and whole grains).  Feeding expert Ellyn Satter again offers parents practical guidelines so that they know which decisions they need to make and which decisions to allow children to make.

In a healthy division of feeding responsibility, parents decide:
• what foods are offered
• when food  is offered
• where food is offered

Kids then determine how much to eat—and whether to eat at all.

3. Watch Liquid Calories
Kids today drink more sugar sweetened beverages, according to one study published last year in Pediatrics. From NHANES 1988-2004 data, on a typical day, four out of five teens (84%) drink beverages such as soda, fruit drinks and sports drinks, sipping an extra 356 calories a day. It’s not just the older kids though. Children as earlier as two are part of this alarming trend. In fact, the largest increase was among school-aged children, ages 6-11, which increased consumption about 20%.

When children are thirsty, parents should offer water between meals and snacks. In fact, to help prevent tooth decay, the American Academy of Pediatrics recommends parents only offer water or milk in between meals.

The Dietary Guidelines for Americans recommend children ages 9-18 get 3 servings a day of calcium-rich dairy foods. As a dietitian, I find it’s hard to achieve that without milk. For children who aren’t really milk drinkers, parents might serve chocolate milk with snacks. Any parent knows that kids drink more milk when it is flavored. NHANES data show that kids who drink flavored milk don’t consume any more sugar or total fat than non-milk drinkers.

Research also indicates that kids who drink milk are as lean or leaner than those who drink little milk.

4. Get kids moving
Plan active family outings like a walk after dinner or a stroll in the park. Let kids play outside with friends. Gather a group for some double-dutch Play a game of kickball. A pedometer might make a game out of moving more. One way to encourage children to be more active is to limit screen time—time in front of a television, computer or video game. The American Academy of Pediatrics suggests a limit of two hours total a day, as discussed on MayoClinic.

5. Make family meals a priority
In all cultures through the ages, families have shared food at mealtimes. Today’s lifestyle threatens that bond. Yet, kids who eat more often with their families are less likely to have a weight problem. In fact, family mealtimes offer lots of social and psychological advantages that go even beyond better nutrition. This is tradition worth holding on to, yet as a mother, I know it’s hard to stick to but I keep trying because I know it’s so critical. Anyone have tricks that make it easier?

Lana Frantzen: Nutrition communications director, proud Texan and foodie at heart

Hello, I’m Lana Balvin Frantzen, a proud Texan and foodie at heart.  I am the nutrition communications director for Dairy MAX, the local dairy council of Texas, New Mexico, and Oklahoma and I am part of the Dairy Health & Wellness Team at the National Dairy Council

 
I earned my doctorate in nutrition from Texas Woman’s University and a master of science in nutrition from the University of the Incarnate Word in San Antonio, TX.  My bachelor of arts degree was in psychology from the University of Texas in Austin.  Nutrition and psychology are intertwined in so many ways so I’m thankful I chose those degree majors.  I am a member the American Dietetic Association as well as the practice group, Latinos & Hispanics in Dietetics and Nutrition, Texas Dietetic Association, and the San Antonio Dietetic Association.

My Father is Peruvian and my Mother is Mexican-American.  So I grew up in a Latino home full of culture and wonderful food, hence, my love for all cultures and cuisines.  I especially embrace the cultural differences that shape our lifestyles and behaviors.  I have been particularly interested in investigating the cultural and environmental influences of obesity on Hispanic children. 
 
Growing up in San Antonio, TX has been very enlightening since unfortunately this city has a disproportionate number of obese and type 2 diabetic Hispanic children and adults.  My Father is a retired podiatrist and during his years of caring for his patients, he saw many amputations, a potential end result of uncontrolled type 2 diabetes. 
 
There is a lot of work that needs to be done to turn the tide on this trend.  My dissertation topic was on the influence of breakfast consumption patterns on micronutrient intakes and body mass index of low-income Hispanic children.  I am dedicated and passionate about working towards solutions.  I enjoy taking our never-ending flow of nutrition research and translating the results into practical need-to-know information that everyone can use to improve their lives. 
 
Please come along with me to learn more about how dairy can be part of the solution to a well-balanced lifestyle and nutrient-rich diet.

¡Deseandoles a todas una buena salud!  Wishing everyone good health!

My thoughts on ADA Leadership Institute meeting

Last month, I attended the ADA’s annual Leadership Institute in my dual role as DCMADA president and representative for NDC who is one of six ADA Partners.   In my opinion, this is THE best meeting ADA hosts. It is attended by some 250 ADA leaders including representatives from all state affiliates and ADA dietetic practice groups. 

The meeting this year focused on four aspects of leadership including adaptability, innovation, risk taking and empowerment. 

 When I heard that I immediately thought of farmers, and I had the opportunity to present briefly on the leadership role of American’s dairy farmers (below).  Let me know what you think.

Dairy Council Digest receives award for publication excellence

For the eighth consecutive year, the Dairy Council Digest health professional newsletter has been the recipient of the APEX award for publication excellence.  The 2009 APEX award was given to consultant writer, Lois McBean, MS, RD, on behalf of the National Dairy Council (NDC) for the May/June 2008 issue titled, Dairy Protein Benefits for Physically Active People

Find this and other archived issues on the National Dairy Council website, www.nationaldairycouncil.org.

As manager of this newsletter for the past nine years, I am very proud of its long history and  the expertise of Lois McBean, who has written this publication consistently, accurately, and creatively since 1979. The first issue of the Digest was published in August 1929 on “Butter a Protective Food.”

How many of you read the Digest regularly or use it for educational purposes?  I’d love to hear from you. 

Sign up here to receive an e-mail alert announcing the posting of the next Dairy Council Digest.   

Adam Drewnowski’s new science-based definition for nutrient density

Have you ever walked down the grocery aisle and felt overwhelmed by the stars, spots and symbols found on or next to foods to indicate “healthier for you” options?  As an educated consumer I find myself wanting more information.  I try to understand why this food gets a “healthier for you” symbol and this food does not.  Also, why does this brand of food have a different symbol than this brand of food?  What criteria are being used to determine a food is worthy of a symbol?  Which symbols should I be following as guideposts for my purchase decisions (if at all)?

 
The Food and Drug Administration held a Public Hearing in September 2007 to discuss this very issue of front-of-package symbols.   The FDA indicated that there has been a trend for various manufacturers, retailers, trade organizations, and health organizations to develop symbols to indicate the nutritional quality of food products but insufficient information exists to understand what nutritional criteria is and how were they selected to determine a food’s nutritional quality. 
 
The FDA was also interested in understanding how consumers interpreted the presence of a symbol associated with a product.  The concept of nutrient density is a long standing nutrition concept that I taught in every Nutrition 100 college course but the exact definition has not been developed.   When I was in college I learned that nutrient density was defined as “the amount of nutrients per calorie of food.”  
 
The 2005 Dietary Guidelines Advisory Committee indicated in their technical report that a science based definition of nutrient density should be developed.  The manuscript, published in the August issue of the Journal of Nutrition, has taken an objective and systematic approach to developing a definition of nutrient density. 
 
Nutrient Rich Foods CoalitionDrs. Adam Drewnowski and Victor Fulgoni developed the Nutrient Rich Foods (NRF) Index by validating hundreds of combinations of nutrients against the gold standard of diet quality, USDA Healthy Eating Index.  This systematic approach allowed them to select the final NRF index by identifying which combination of nutrients best correlated with diet quality. 
 
This research showed that focusing only on the nutrients to avoid (fat, sugar, sodium) to classify the nutritional quality of the food is much less effective in improving diet quality as compared to a total nutrient package approach (both the beneficial nutrients and nutrients to avoid).  This is a key point because many of the current systems focus on the nutrients to limit in the diet and these data show that this approach is only half as good at improving diet quality.
 
My call to action for all nutrition educators is to be proactive in fully understanding these nutrient profiling systems.  I recommend that the following set of guidelines be used to evaluate the various systems and make your own judgments.  The Nutrition Reviews article entitled “Nutrient Profiling of Foods: Creating a nutrient-rich food index” is an excellent article that highlights criteria that should be used when creating any nutrient profiling system. 
 
Below are guidelines that should be used to help evaluate any system: 
 
Objective- Based on accepted nutrition science & labeling practices. 
Simple- Based on published daily values & meaningful amounts of food
Balanced- Based on nutrients to encourage & nutrients to limit (total nutrient package)
Validated- Against the USDA’s Healthy Eating Index (HEI), an objective measure of a healthy diet
Transparent- Based on published algorithms & open-source data
Consumer-driven- Likely to guide better food choices & more healthful diets

Teresa Wagner: “changing lives, one child at a time”

As a registered dietitian employed by the National Dairy Council for seven years, I have had the opportunity to be involved in many initiatives advocating for children’s health. Because of my passion in this area, I have decided to blog about my experiences to motivate others to advocate on behalf of child health and build grass roots effort such as the dad who once told me, “You are changing lives one child at a time.”

A consultant in dietetics in Fort Worth, TX for many prior years, my endeavors largely centered around pediatric and neonatal nutrition. I currently work with many professional athletes, physicians and other dietitians driving programs that educate the public towards building a healthier future for our children by empowering them to eat smart and move more. These changes can be accomplished by making Nutrient Rich Foods more available and appealing in schools and encouraging 60 minutes of active play daily.

My recently published article in Texas Family Physician entitled “Support the Change You Wish to See,” contains pivotal information in supporting nutrient rich foods and 60 minutes of active play in children’s lives. Because of my passion in this area, I have decided to blog about my experiences to motivate others to advocate on behalf of child health and build grass roots effort such as the dad who once told me, “You are changing lives one child at a time.”

You can find out more about me by reading my bio in the Meet Our Authors box, and I invite you to follow my blogging on The Dairy Report.

Let the blogging begin!

This is my first attempt at blogging and my opportunity to introduce myself and what I hope to accomplish.

For those of you who do not know me, I work for the National Dairy Council in the U.S. I oversee dairy farmer’s investment in research (nutrition and product) and how we work to translate that science. So, I will be writing about nutrition issues. It could be a new research study that just came out, a new educational piece, a new book, a story on nutrition that appeared somewhere, a regulatory issue, new products related to nutrition and health, etc.

Obviously, I will focus on dairy food and ingredient related issues. My hope is to alert you to new information and provide my point of view on various topics. I hope to provide an opportunity for dialogue, as well.

What are my qualifications?

I have a bachelor’s degree in nutrition science from Michigan State University, with a master’s and Ph.D. in nutrition from The Pennsylvania State University. I spent over 6 years at Kraft Foods and 17 years with the National Dairy Council. I am an Adjunct associate professor at the University of Illinois in the department of food science and nutrition. I have published peer-reviewed scientific papers, serve on the editorial boards of scientific journals, and am an active member of several scientific societies. I like to cook and eat, and luckily exercise. To read my full bio, click here.

Welcome to our blog, from Karen Kafer

Hello, I am Karen Kafer, a registered dietitian (RD) and Vice President of Health Partnerships-Nutrition Affairs for the National Dairy Council (NDC). Welcome to our blog!

I have spent my 30-year career in food and nutrition communications having worked in health care as a clinical dietitian, as the host of a TV cooking show called “Lighten Up”, in product and marketing communications with Kellogg Company, and then as a health professional communications consultant in Washington, DC, prior to joining the NDC just over a year ago to lead our health professional outreach and education. 

I have long had a passion for public private partnerships and collaborations that help advance public health, so I greatly enjoy working on behalf of America’s dairy farmers with leading health and nutrition organizations, including the American Academy of Family Physicians (AAFP), American Academy of Pediatrics (AAP), American Dietetic Association (ADA), National Hispanic Medical Association (NHMA), National Medical Association (NMA), School Nutrition Association (SNA) and the National WIC Association (NWA).  By working in collaboration and speaking with one voice, we can help the public make small steps that can bring about big changes in public health.  

I am enthusiastic about being a regular contributor to The Dairy Report, to sharing insights and information from the many health and nutrition meetings I attend, as well as news from our partner organizations that may be helpful in translating science and recommendations into practical application for other health professionals and their clients.   

Lastly, I am an avid volunteer and have served on a number of Foundations.  Just this month it is my honor to begin my term as President of the D.C. Metro Area Dietetic Association(DCMADA).

Barbara Baron: The native New Yorker’s perspective

I am a registered dietitian with 25 years experience. I have worked with food and nutrition issues on the front line both in the hospital. As a clinical dietitian at The Hospital for Special Surgery, I specialized in orthopedic and rheumatic diseases and continued nutrition counseling and lectures on rheumatic diseases, osteoporosis, weight reduction, and heart disease in the NY metro area.

While working full time, 15 of those years were and still are spent teaching good eating habits to the boys in my family – two teenage  sons, ages 15 and 13, who want bigger muscles and stronger bones, and well– a 40 something year old husband who wants the same as his teenage sons.

I enjoy/love working for our dairy farmers as the Ambassador to National Dairy Council (NDC) and as Vice President of Nutrition Affairs for The American Dairy Association & Dairy Council, Inc. [The local, state and regional unit of NDC that covers NYS, NJ and PA]. At home, I also hold the title, VP for Nutrition Affairs – admittedly- sometimes I do get over-ruled.  As VP -on all levels, I review nutrition science with the experts, outline dairy benefits to my colleagues, kitchen test them with my personal/top eating machines, and provide healthy eating tips for my fans (consumers).

As a native New Yorker I was born and raised in Brooklyn, NY. Married a man from the cheese state of Wisconsin — someone up there knew dairy was in my destiny! I then transplanted to New Jersey because my “cheese head” needed to plant dairy’s best friends – corn, cucumbers, peppers, tomatoes & basil in a real garden rather than a house planter.

Let me introduce myself: Stephanie Cundith on weight management, child nutrition and sports nutrition

As a registered dietitian and nutrition spokesperson for the National Dairy Council and Midwest Dairy Council, I’m excited for the opportunity to post on The Dairy Report.  With degrees in journalism and dietetics, the desire to write about nutrition is in my blood!  And, amidst so much online discussion  about health and nutrition, I am eager to jump into the conversation with credible, science-based posts, including the most recent breaking news on dairy nutrition and details on the many benefits of dairy.  

With a professional focus on weight management, child nutrition and sports nutrition, I’ll be sharing some great information on how dairy supports overall health for people of all ages.  In addition to working full-time for the dairy council, I am the mother of a young son.  I know a thing or two about juggling the responsibilities of work and family, while still finding time to make health and nutrition a priority.  I look forward to sharing my strategies for success. 

Working with a variety of audiences, including media, dietitians, family physicians, pediatricians, and consumers, equips me with a broad understanding of the types of information and resources people are in search of as they work to build a healthier lifestyle.  This insight, no doubt, will be beneficial as I select my next post.   Be on the lookout for more! 

In good health,

Stephanie