A Younger Focus for the American Heart Association

In Dr. Fuhrman's books, he points to an emerging body of research showing that the diet of the very young is especially important in determining lifelong health, and the likelihood of getting many kinds of chronic diseaese.

It seems they must be reading some of the same studies at the American Heart Association, because they just announced a new initiative aimed at the very young. Here's how Reuters describes the decision:

Because there is now ample evidence that the process of heart disease begins at a young age, the new guidelines encourage parents and pediatricians to take a "primordial prevention" approach -- taking steps in a child's infancy to prevent heart disease risk factors from developing.

Previous dietary recommendations from AHA were not intended for children under age 2, who need a higher percentage of fat in their diet to support growth. The new guidelines, published online in the American Heart Association's journal Circulation, for the first time provide guidance for the under-2 set.


By no means am I suggesting that these are stolen from the pages of Disease-Proof Your Child. (It is a happy coincidence to find so many different experts agreeing, and in any case there are plenty of differences--for instance Dr. Furhman's book is much more in-depth and includes many more dietary disease prevention techniques.) But anyone who has read Disease-Proof Your Child will recognize almost all of the new AHA pointers, which include:
-feeding breast milk exclusively for the first four to six months and continuing through the first year
-taking care not to overfeed infants
-introducing healthy foods repeatedly even if they are refused at first
-avoiding feed high-calorie, low nutrient foods
-delaying the introduction of juice, and limiting quantities

Dr. Samuel Gidding, who was instrumental in creating the new AHA guidelines, is quoted by Reuters quoting some of Dr. Fuhrman's favorite statistics, including that many toddlers eat no fruit in a typical day, and that french fries are the most commonly consumed vegetables. Like Dr. Fuhrman, Dr. Gidding also asserts that parents must model healthy eating for their children.

Hopefully America is paying attention!

The AHA also have a practical list of ten things parents can do to encourage healthy hearts in their children.

Jamie Oliver is on the Case

Celebrity chef Jamie Oliver is trying to get children to eat healthier food in schools and at home. His campaign is called Feed Me Better, and has involved taking over school kitchens in England and making the food fresher and healthier. Today he was on the Today show, which I missed, but I'm told that at one point he was shown auditing the contents of one family's fridge. Every fresh vegetable they had was for their pets. None for the humans!

I can't quibble with Jamie Oliver's excellent efforts to encourage young people to eat better food. But be warned: he recommends a lot of things (pasta, cheese, and meat) that are not the absolute healthiest. He should really read Disease-Proof Your Child.

The Lancet: Breast Feeding Saves Lives

The benefits of breast feeding are many, varied, and (at least in some settings) profound. According to a recent paper, widespread breastfeeding could save millions of lives around the globe.

In the new issue of the medical journal The Lancet, Sonia Bechara Coutinho, Pedro Israel Cabral de Lira, Marilia de Carvalho Lima, and Ann Ashworth report on the "Comparison of the effect of two systems for the promotion of exclusive breastfeeding." In the article's introduction, they report some chilling numbers about how many child deaths would be prevented if mothers would breast feed.

Most of the 10*8 million child deaths during the year 2000 were from preventable causes... If 90% of infants were exclusively breastfed at 0-5 months and continued to be breastfed from 6 months to 11 months, there would be an estimated 13% reduction in child deaths worldwide.2 This potential reduction in mortality is higher than for any other level-1 intervention. Current rates of exclusive breastfeeding are far below 90% in most countries, and in some, for example in Latin America, even the duration of breastfeeding is short.

...We report a randomised trial comparing the effect on rates of exclusive breastfeeding of two systems to promote breastfeeding in northeastern Brazil. The interventions were a hospital-based system, in which maternity staff were trained with the course content for the Baby-Friendly Hospital Initiative (BFHI), and a combination of this hospital-based system and a community-based system providing ten postnatal home visits.


The study found that home visits significantly increased the chances that babies would be exclusively breast fed.
The patterns of exclusive breastfeeding in the two trial groups for days 10-180 differed significantly (p<0*0001), with a mean aggregated prevalence of 45% among the group assigned home visits compared with 13% for the group assigned none.

The Pressure to Eat "Normal" Food

For starters, please realize that I am not a medical doctor. My name is Henry Abbott, and I am a patient of Dr. Fuhrman's, and a father (and a professional blogger, part of the team who will contribute to DiseaseProof.com for Dr. Fuhrman).

My wife and I have a daughter who is about to turn two. Thankfully, she loves to eat lots of fresh fruits and vegetables and is a very healthy girl.

But as I'm sure a lot of you know, there are times when it seems the world just really wants you to feed your child a "normal" diet of soda, french fries, chicken strips, nachos, milkshakes, and cupcakes.

This can come up almost anywhere--at day care, schools, churches, birthday parties, holidays, on vacation, visiting family... When other kids are snacking on doughnuts, pizza, or Doritos, we are often handing our daughter cantaloupe, broccoli, or date nut pop-'ems. (Which is not to say she hasn't had her share of cake and pizza--"stuff" happens.)

Sometimes, though, it just feels a little weird to be so bothered about diet. What would be so bad about being mainstream? So what if she eats chicken fingers and french fries for dinner? What's wrong with a "normal" American child's diet?

If you're reading this, chances are you already know more about healthy eating than I do. So you probably don't need this information. But there's strength in numbers, so I'll trot out my theory for you all the same: Dr. Fuhrman's book Disease-Proof Your Child is essentially 254 pages of answer to that question. And I'm not going to re-hash it all for you here. But as a reminder, the simple answer is this: the "normal" diet is no good! In the quantities we eat them, sugar, fat, and other unhealthy foods lead to all sorts of diseases. What's more, that diet lacks lots of things--from fatty acids to flavinoids--that we really need to have a good shot at living a healthy and happy life.

It's a strange (and I'd wager temporary) reality that the diet most kids eat these days is extremely damaging to young people.

We have all heard about the obesity epidemic. But that's just the beginning. As Dr. Fuhrman explains in the book's introduction:

American children are the heaviest around the globe, and they are getting heavier at a faster rate than other children around the globe1. This spread of obesity foreshadows an explosion in degenerative diseases such as diabetes, heart disease, and cancer waiting to erupt on our children's future. Together we can stop this tragedy from ever happening.

Before I read Dr. Fuhrman's book Eat to Live, a year or so ago, I never really imagined that there was much evidence to support the idea that the junk food I eat today could become prostate cancer, diabetes, or a heart attack down the road. Sure, everyone tells you to eat a healthy diet to avoid such things, but it still seemed to be almost a random connection. The various nutrition coaches, talk show guests, and best-selling "experts" I had heard saying not to eat this or that always seemed a little unreliable, goofy, or too left-of-center to really be credible.

But it turns out there are studies upon studies from the most respected journals. Dr. Fuhrman's writing references hundreds upon hundreds of scientific studies that are published in the Journal of the American Medical Association, the Annals of Medicine, the British Medical Journal and hundreds more like them.

To my admittedly inexpert eyes, the evidence looks solid that the diet Dr. Fuhrman advocates does, in fact, seriously reduce the likelihood of any number of diseases. It also just makes me feel better--more energetic, focused, and happy. (And a piece of news from the new book is that the younger you are, the more a healthy diet can benefit you. No kidding: Dr. Fuhrman reports that pre-conception is the optimum time to start eating well to maximize the child's chance of good health.)

Other doctors I have talked to agree with the basics of his diet without reservation. I have talked to "normal" doctors about my diet, and they have nodded, and said, in essence "of course that's why you're so healthy." Dr. Fuhrman reports that other doctors tell him all the time they completely believe what he advocates works.

So why isn't every doctor telling every patient to eat this way? I assume it's because they simply don't have the nerve to ask their patients to eat that way. They don't want to rock the boat that much. They don't want to tell their patients, in great detail, what to eat.

But some of that is changing. For instance, Dr. Fuhrman is currently in California for a number of media appearances and talks about his new book. Tomorrow, he will address doctors at a large health insurance company. They have even been talking about including some of his dietary recommendations as standard operating procedure. It makes a lot of sense for a health insurance company to lead the charge--every disease they prevent saves them hundreds or thousands!

In any case, no matter what happens with the insurance company, my point is that the truth has a way of spreading. Everywhere you go these days people are talking about fatty acids and omega-3s. More and more people are avoiding refined wheats and sugars. Organic food consumption is up.

My hunch: we who believe in feeding our kids healthy food--if we hang in there, we won't be the oddballs with the cantaloupe in the corner for long. As the truth about "normal" food spreads through the media, schools, doctors, insurance companies, families, and by every other means imaginable--well eventually they'll put the cantaloupe on the table in the middle of the room, and a few outcast parents will be smuggling cupcakes in the corner.

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