Thursday, October 23, 2014

Something to think about before you MAKE your kids finish their meal

Especially if you have boys at home (or are planning for children) and you have stead fast rules about finishing your plate you might want to read this. We discuss with patients all the time that infants (up to 2-3yrs) have an internal shut off when it comes to eating and as we grow we find ways to rationalize and stop listening to those signals it to eat more. This article confirms those behaviors. 

20-Oct-2014

Contact: Sandra Hutchinson
s3.hutchinson@qut.edu.au
61-731-389-449
Queensland University of Technology
@qut

Hungry or not, kids will eat treats

Even though they are not hungry, children as young as three will find high-energy treats too tempting to refuse, new QUT research has found.

In a study of three and four year olds, 100 per cent of children opted for a sweet or savory snack despite eating a filling healthy lunch only 15 minutes prior.

Nutrition researcher Holly Harris, from QUT's Institute of Health and Biomedical Innovation, said the results highlighted the health risks for children frequently confronted with an abundance of energy-dense, high-calorie foods.

Ms Harris's study, published in the journal Eating Behaviors, looked at young children's eating habits in the absence of being hungry and how parental feeding control impacted those behaviours in both girls and boys.

"Of the 37 children who took part in the study, all children displayed eating in the absence of hunger, even though more than 80 per cent reported being full or very full just 15 minutes earlier," Ms Harris said.

"An impaired ability to respond to signs of feeling full and being unable to self-control food intake in an environment where children are frequently faced with high-energy foods is likely to have undesirable ramifications on a child's energy balance and weight status."

Ms Harris said pressure by mothers to eat was also positively linked to higher levels of snack food intake in the absence of being hungry, but this was a result found only with boys.

"Mothers who reported that they typically pressured their boys to eat during meal times, had boys who also ate more snacks when they were no longer hungry," she said.

"This adds weight to the argument that boys' and girls' eating behaviours may be influenced or expressed in different ways.

"For example, in boys it may be that controlled feeding practices such as encouraging boys to finish everything on their plate may compromise their ability to determine their own hunger.

"Therefore they may be more likely to eat and overeat in the presences of highly palatable snacks.

"So forcing boys to eat their breakfast, lunch of dinner may impact their ability to self-regulate their snack food intake as well."

She said when mothers pressured their girls to eat it did not have the same impact on their child's snack consumption.

Ms Harris said people were born with a capacity to self-regulate their food intake.
"Infants will not consume energy in excess of what their body requires. Internal hunger and satiety signals are relayed to the brain and tell infants when to stop and start eating," she said.

"But as we grow older, we become increasingly aware of the abundance and rewarding value of food and in turn our ability to respond appropriately to our appetite may diminish.

"In a society which constantly promotes over-consumption from convenient, energy-dense foods a susceptibility to respond to environmental food cues over appetite cues may lead to an imbalance in energy and food intake and undesirable weight gain.

"Preserving this ability to self-regulate energy intake early in life may be the key to resisting environmental stimuli to eat, later in life."
###
The paper available here is co-authored by Dr Kimberley Mallan, Dr Smita Nambiar-Mann and Professor Lynne Daniels.
Media contact:
Sandra Hutchinson, QUT Media (Tue, Wed), 07 3138 9449 or media@qut.edu.au
After hours, Rose Trapnell, 0407 585 901
http://www.eurekalert.org/pub_releases/2014-10/quot-hon102014.php

Tuesday, October 21, 2014

Roast Chicken

Roast chicken is one of those items that can be very scary for people to make for fear of drying it out or the skin not being perfectly crisp. There aren't a lot of steps involved in making one your great grandmother would be proud of, and once you put it in the oven you set the timer and forget about it. I always use a free-range, antibiotic free chicken because they usually come in the right size (without having to comb through the cases of whole chickens) and the flavor is far richer then a 'run of the mill' chicken. Bell and Evans has chickens like this, usually the grocer also has a store brand that fits the parameters, for those of you Whole Foods Market lovers (GASP!) they have a variety from Amish raised chickens to family farm chickens from Alabama. Although the weight of the chicken may seem small, I assure you that it is enough chicken for 4 people (be they all adults or a mix of ages) and remember, you should NOT be eating more then 6oz meat at a time anyway ;p

*1 - 3.5-4lbs free range, antibiotic free chicken (if you get one larger then 4lbs it won't cook right at this temp and time allotment, the closer to 3.5lbs you can find the better)
*kosher or sea salt and fresh ground pepper

1. Heat the oven to 450 degrees. Cover a roasting pan with tin foil to decrease clean up. Then place a roasting rack in the pan.
2. Rinse the chicken inside and out - if there was a bag inside the chicken of organs remove that.
3. Dry the chicken with paper towels inside and  out.
4. Liberally salt and pepper the inside and outside of the chicken.
5. Cross the legs of the chicken and secure to help evenly cook the chicken. To do this, decide which flap of skin between the drumstick and the large hole to the inside of the chicken is bigger. Cut a slit in that piece of skin about 1/2" long. Take the drumstick on the same side as the slit skin and pull it towards the other drumstick. Then take the opposing drumstick and cross it over the top of the other one, pushing the end of the drumstick through the slit you created, this will hold the legs in a sort of 'Indian style' place so that the breast the of the chicken cooks evenly.
6. Place chicken on the roasting rack and place pan in the oven. Set timer for 55 minutes. LEAVE THE CHICKEN ALONE, don't baste it, don't rotate it, don't even open the door! When the timer dings it is all done. Remove from oven and let sit for 5 minutes before carving, if you want to baste it with the juice in the pan, now is the time to do it.

***Make sure your vent or fan is running when you take the chicken out there will be a lot of heat and some smoke rushing out of the oven and you don't want it to fill your house!

`Remember to fully wash down your sink with antibacterial soap after washing the chicken to decrease the risk of illness.

ENJOY!!

Wednesday, October 8, 2014

Cocotein - Protein Drink

A patient brought me in this protein drink to try that she is totally in love with. It is a nice alternative to all the 'dessert' flavors that protein drinks tend to come in, which cause a sweetness overload to the pallet. Coconut is not my most favorite flavor in the world and so I found this tolerable when diluted by 50% with water, otherwise the coconut completely  overwhelmed me, so for a coconut lover this is for you! I found the consistency also a little thick and almost sticky. If you are a looking for a refreshing beverage this is not it. (It should be noted, that I also find the texture of coconut water to be slightly 'sticky' as well, so if you like that you are looking at the same type of texture but just slightly thicker).

It is made with whey protein isolate, which is almost 100% available to your body for absorption and it is lactose free, gluten free and aspartame free (it is sweetened with sucralose or Splenda).

Cocotein can be found at the following places for the following approx prices:
Amazon: varies
Vitamin Shop: case of 12-16oz bottles $41
BodyBuilding.com: case of 12-16oz bottles $35
Luckyvitamin.com: 1 bottle $3
Vitamin Shoppe: 1 bottle $4.30

CHEERS!!

Wednesday, September 24, 2014

Sporting events should ditch nutritional supps and sports drinks sponsorship

22-Sep-2014


Contact: Emma Dickinson
edickinson@bmj.com
44-020-738-36529
BMJ-British Medical Journal
@bmj_latest

Potentially misleading public about health benefits of these products which remain unproven

Such sponsorship could mislead the public into thinking these products work well and/or are good for health—for which there is no strong scientific evidence—suggest Simon Outram and Bob Stewart of the Institute of Sport, Exercise, and Active Living, in Melbourne, Australia.
Two years ago, research published in BMJ Open reached similar conclusions.*

Outram and Stewart accept that nutritional supplements and rehydration drinks don't compare with the unhealthiness of fast food, tobacco, or alcohol, all of which have been associated with major sporting events.

But the very fact that these products are marketed as beneficial or essential for sporting prowess and/or general health, when the evidence has so far failed to substantiate these claims or justify their cost, is likely to make it harder for the public to judge the value of these products objectively, they suggest.

"Successful sponsorship campaigns remove or minimise any scepticism about the product (a common reaction to advertising)," they write. "A form of seamless or hidden product association is created whereby such products come to be seen as integral to sport—the sports supplement or sports drink," they say, adding that celebrity endorsement helps to promote that idea.

"It is for good reason that nutritional supplement and sports drinks companies invest heavily in sports sponsorship," they write. "Such sponsorship—together with associated product endorsements and advertising—conveys the message that their products are integral to sporting engagement and achievement."

But they warn: "Sport may have found itself lending unwarranted credibility to products which would otherwise not necessarily be seen as beneficial for participation in sports and exercise or as inherently healthy products."

The issue has already prompted some degree of disquiet among sporting authorities about the perception that they might be seen to be endorsing nutritional supplements and sports drinks, suggest the authors.

The Australian Institute of Sports has voiced concerns about this, while the American Dietetic Association, Dieticians of Canada, and the American College of Sports Medicine have issued a joint statement, which among other things, questions the manufacturers' claims for the effectiveness of these products.

And the World Anti-Doping Agency has highlighted the potential inclusion of undeclared and banned substances in these products as a result of global differences in labelling and manufacture.
"If sport authorities, teams, and sports personalities distanced themselves from supplement and drinks company sponsorship, ways would have to be found to cover the financial gap created," admit the authors.

But they add: "Lessons can be learnt from the history of tobacco sponsorship and its gradual restriction, which did not lead to the wholesale collapse of sport."


Wednesday, September 17, 2014

Ja-mak-in me crazy : Fun fact of the day

Fun fact of the day: chocolate milk was invented in Jamaica in the 1400s, it wasn't introduced to the Europeans until it was brought back in the 1700s by explorers.

Monday, September 8, 2014

Food for Thought - Pregnancy

25-Aug-2014


Contact: Sonia Caprio
sonia.caprio@yale.edu
203-785-5692
Diabetologia

Ever growing number of women with gestational diabetes suggests future will be filled with children with early diabetes

New research published in Diabetologia (the journal of the European Association for the Study of Diabetes) shows that children exposed to gestational diabetes in the wombs of their mothers are themselves around six times more likely to develop diabetes or prediabetes than children not exposed. 

The research is by Dr Sonia Caprio, Yale University School of Medicine, New Haven, CT, USA, and colleagues.

With the increase in gestational diabetes (GDM), there is a growing need to understand the effects of glucose exposure on the newborn in the womb, at birth and later in life. The risk of developing impaired glucose tolerance (IGT) (prediabetes) in individuals exposed to diabetes in the womb has not, say the authors, been adequately investigated. Thus in this new study, the authors examined the risk in obese youths of developing IGT after exposure to GDM in the womb. The authors say: "We hypothesised that prenatal exposure to GDM in obese children with normal glucose tolerance (NGT) would be associated with development of altered glucose metabolism over time, driven by an impairment of beta cell secretion relative to the insulin sensitivity."

255 obese adolescents with a normal glucose tolerance were selected for the study. All of them were investigated for in utero exposure to GDM and underwent an OGTT, which was repeated after approximately 3 years. The authors found that 210 (82%) participants were not exposed to GDM (called the NGDM group), and 45 (18%) were exposed to GDM (the EGDM group). In the NGDM group, only 9% (n=18) developed either IGT or type 2 diabetes compared with 31% (n=14) of the EGDM group who developed either IGT or type 2 diabetes, with both results statistically significant.. "Exposure to GDM was the most significant predictor of developing IGT or type 2 diabetes, with an increased risk of almost six times for those children exposed to GDM in the womb," say the authors.
At baseline, the EGDM group showed a reduction in beta cell function (the cells that produce insulin), and, at follow-up, they also displayed a reduction in insulin sensitivity compared with the NGDM group.

"Our study demonstrates that obese normal glucose-tolerant children of GDM mothers have pre-existing defects in beta cell function," say the authors. "This is in turn a strong risk factor for these children to develop prediabetes or diabetes."

They add: "The ever growing number of women with gestational diabetes (18%) suggests that the future will be filled with children with early diabetes at a rate that far exceeds the current prevalence."

They conclude: " Offspring of GDM mothers ought to be screened for IGT and/or impaired fasting glucose (another form of prediabetes), and preventive and therapeutic strategies should be considered before the development of full clinical manifestation of diabetes. While we cannot use this analysis for development of definitive screening guidelines, we strongly suggest that, among obese children and adolescents exposed to GDM, specifically if additional risk factors are present—such as severe obesity or being of ethnicity minorities at higher risk—oral glucose tolerance tests should be performed at baseline (specifically in mid-pubertal adolescents) and potentially repeated based on clinical judgement. Furthermore, the need for studies aimed at unravelling the role of genetic or epigenetic factors and environmental postnatal factors that might be causing functional defects in the beta cell has never been more urgent."

Tuesday, August 26, 2014

Maui-ish Quinoa Salad

This dish is going to be a great source of protein from the bariatric friendly, Quinoa, but the produce part of this dish is about 50%, which gives an appropriate amount of carbohydrates for energy along side the protein for muscle sparing.

1 cup dry, quinoa - which ever color you prefer
1 cup fresh snow peapods, sliced
1/2 cup cucumber, peeled and diced
1/4 cup carrots, diced
1-8oz can diced pineapples in juice (not syrup!), strained
1 cup mango cubes (frozen are fine, but let them thaw before using)
1/2 cup fat free, plain yogurt (could also use 1/4 cup extra virgin olive oil and 1/4 cup rice vinegar instead)
1 tablespoon fresh chives, washed and chopped
salt and pepper

1. Cook quinoa to package directions (likely 2 cups water to 1 cup dry quinoa), once water is boiling will take about 10 minutes.
2. Mix all other ingredients together in a bowl. When quinoa is finished, stir it into the mixture. Serve immediately or chill and serve later.

ENJOY!