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Posts for tag: Nutrition

By contactus@allchildrenpeds.com
November 20, 2017
Category: Well Care
Tags: Nutrition  

Earlier this year my blog discussed various diets, their common characteristics and best current recommendations.  This month, I wanted to begin discussing the individual components and how much we need in our diets.

Protein

The first question onmivorous (eat everything) people ask vegetarians is "where do you get your protein?"  Most Hindus would beg to differ.  They are healthy and enjoy a vegetarian diet or a Lacto (milk products) vegetarian diet.  So maybe we don't have to eat meat protein; vegetables, dairy, legumes, eggs, grains and nuts can be rich sources of protein.  Humans need less than half a gram of protein per pound of their healthy weight daily or making it real, a 22 pound toddler needs about 8 grams of protein.  A single egg contains around 6, a piece of bread 2-4 or more, a 4 ounce glass of milk is 4 grams.  So that meal for breakfast would give the child all the protein or a minimum of 12 in that meal alone for the day. Recent studies have shown that children who eat an egg per day in the second year of life are taller generally (similar findings are out there about whole cow's milk vs. plant milks).  How should this information form our habits?  A typical 110 pound woman needs around 40 grams of protein per day.  If we take in about a third of that for breakfast, it will keep us satisfed until lunch compared to a similar breakfast in calories but without enough protein.

Some foods and their protein amounts:  Cooked meats and fish are about 7 grams per ounce, 1 egg is 6 grams, 8 ounce glass of milk is 8 grams, 1/2 ounce nuts is 6 grams, 1 tablespoon of peanut or other nut butter is 7 grams, 1/4 cup of cooked beans, peas or tofu is 7 grams, 1/3 cup of cottage or ricotta cheese is 10 grams, 1 cup of cooked oatmeal is 7 grams, 1 ounce of cheese (the harder tend to be higher) is 4-12 grams, breads or a bagel is 2.5 - 10 grams (variable), cerieals, cold per serving are very variable, pasta is 12.5 grams, Quinoa, teff, amaranth are variable but rich sources of protein.

I wrote about the toddler's breakfast; how about for grown ups?  If we try to get a quarter or a third of our protein for breakfast, how about a peanut butter sandwich on whole grain bread, an egg cheese and veggie omelet, greek yogurt with fruit, nuts or a quality granola topping, a breakfast burrito?  Cereals can be a good breakfast but many are short on protein.  Where are these gram amounts shown? On all food labels it's listed.  On another blog, I will discuss fats, carbohydrates, fiber and some of the micro nuturients we should get in a varied, balanced diet.  Remembering the 5-2-1-0 plan recommended for children (and adults) 5 servings of fruits and bvegetables per day, 2 hours max of screen time (except for school work), 1 hour of exercise and 0 sugared drinks, but getting a good breakfast with enough protein is an excellent start and enough protein the rest of the day is essential.

By contactus@allchildrenpeds.com
March 03, 2017
Category: Well Care
Tags: Nutrition  

Welcome to our March Blog post!

We are all bombarded with claims that this diet or eliminating that food will solve all of our overweight or chronic health problems.  I hope to clarify some of the current popular nutrition concepts and their common features.

What is Clean Eating?  This way of eating and drinking is about eating more of the best and healthiest foods and less of unhealthy processed ones.  Look at an ingredients list on an add-a-meat, all included box supper package.  If the list has ingredients you can't pronouce or don't know the reason for, stay away from it.  Like yougurt:  milk, the healthy bacteria that fermented it, perhaps fruit and some sweetner, perhaps vanilla makes sense.  But a list of strange thickeners and product stretchers does not.  Look at a hot dog vs. a sustainably sourced piece of beef, or a processed cheese vs. a block of real cheese without the hormone used to make cows make more milk, tater tots vs. real potatoes, peanut butter with sugar or corn syrup or a peanut butter made only of peanuts with salt.  Many packaged foods contain high sodium and sugar too.

Next opt for real fruits and vegetables.  As adults we need 4-5 cups daily of fruits and vegetables for optimal health.  For every serving of each I have read that we live longer.  Other recommendations are increasing whole grains, looking for whole wheat when buying bread and pasta and including some of the many other options like oats, quinoa and brown over white rice.  The processing strips away some essential nutrients like selenium, magnesium and fiber.  Try to eliminate packaged refined carbohydrate "foods" like cookies, cakes and pastries.  Try to decrease meats to reduce saturated fats and increase the nuts and plant proteins using meat as less a centerpiece and more of an ingredient.  So, upping the prominence of fruits and vegetables, depending when possible on fresh or frozen produce and less processed food:  These are the guidelines.  Eggs, fish, nuts, beans - these are great protein sources.

What is the 5-2-1-0 Plan?  This is a nutritional program to help prevent childhood obesity and you'll see posters in our exam rooms mentioning it.  I have read, and I think most agree that it is a healthy framework for all ages.

5 servings of fruits and vegetables (sound familiar?)

2 hours or less of screen time (other than computer homework)

1 hour of exercise

0 sugared drinks

I like to ask children at check ups who express dissatisfaction with their body when we discuss their growth chart, how they do on this list.  Usually we can identify a habit to change to feel better about their body image.

What is the Mediterranean Diet?  This is the diet most often cited by nutritionists to decrease heart disease, many chronic diseases, type 2 diabetes and perhaps even ADHD in children, according to a recent article in the publication Pediatrics.  Think of all the principles of clean eating above and add to that decreasing red meat and encouraging fatty fish several times per week and some poultry.  The ADHD findings may be an association with poor impulse control or the postivie effect of some of the micromutrients in fruits and vegetables or the Omega 3's which are good for the brain in certain fish like Salmon, Tuna and Makeral.

So, as I first asked, what should we eat?  Furthermore, how should feed our children?  Remember that our example and what we buy are how our children will choose their likes.  Remember that a toddler often has to taste a food ten times to get a taste for it and that infants are already accustomed to our "flavors" from their exposure to them in the womb via amniotic fluid and through breast milk.  The best diet is one rich in fruits, vegetables, whole grains, nuts, quality dairy, fish, poultry and eggs and avoiding processed foods and choosing healthy oils like olive and nut oils over saturated ones like hydrogenated oils, transfats and butter. Please ask any of our providers about your families diet if you would like to know more or have any questions.   Bon appetit!



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