Health Points: Friday

A study done by the doctors at Temple University in Philadelphia showed that music played during a colonoscopy procedure made some patients able to relax enough to require less sedation, without sacrificing comfort.
Researchers found that gaining weight during that interval — not during the pregnancy itself — raised the risk of such complications as diabetes and high blood pressure during the second pregnancy, and even stillbirth.
Believe it or not, it’s in her book, Confessions of an Heiress Paris Hilton her blonde girl teen diet advice. A die-hard fan of McDonald’s and Taco Bell, she recommends eating chocolate, fast food, lasagna, and Coca Cola.
The Culinary Institute [of America], which buys directly from about two dozen local farms, is among the many colleges providing healthier choices for their students while throwing a lifeline to farmers getting by on thin margins.
  • Do you know what “learned helplessness” is? Neither did I. Retired Doc discusses its origin and how its affecting doctors in The United Kingdom. Could it become a problem in the United States? Maybe:
Are U.S. physicians far behind in the areas of learned helplessness and diminishing professionalism? To not speak out against the practices and structures of managed care that clearly are detrimental to patient care, and to go along to get along would be about as antithecal to medical professionalism as anything I can think of.
The mumps outbreak at Wheaton College has grown to 37 cases, with three more under investigation, DuPage County health officials said Thursday.
At a press conference yesterday, he said, "If you want to eat fries, nobody's taking away your ability to eat fries. I love McDonald's fries." It's just that restaurants should use fatty oils that just don't have trans fats! We expect McDonald's to be sending a truck of fries to City Hall shortly.
A Craftster competition to produce edible, miniature food inspired a wife-and-husband team to prepare an incredibly tiny fast food meal, complete with miniscule fries and a tiny soft drink -- they also made a miniature tray, cup, and fries-bag.

Breast Cancer Causation Is Multi-Factorial

From Dr. Fuhrman's book Disease-Proof Your Child:

Worldwide, there is a linear relationship between higher-fat animal products, saturated fat intake, and breast cancer.1 However, there are areas of the world even today where populations eat predominantly unrefined plant foods in childhood and breast cancer is simply unheard of. Rates of breast cancer deaths (in the 50-to-70 age range) range widely from 3.4 per 100,000 in Gambia to 10 per 100,000 in rural China, 20 per 100,000 in India, 90 per 100,000 in the United States, and 120 per 100,000 in the United Kingdom and Switzerland.2

Experimental evidence suggests that the susceptibility of mammary tissue to carcinogens is greatest in the childhood and teenage years. The time during breast growth and development is a particularly sensitive period in a woman’s life, affecting the later development of breast cancer in adulthood. Teenagers who eat more high-fiber, high-antioxidant foods such as fruits, vegetables, and nuts have less occurrence of benign breast disease, the precursor marker of breast cancer.3

Of particular concern is the pattern linking breast cancer to the early age of puberty we are witnessing in modern times. The average age of onset of menstruation in the nineteenth century was seventeen, whereas in the last fifty years in Western industrialized countries, such as the United States, the average age of onset of menstruation is twelve. The over-nutrition and heightened exposure to animal products, oils, and saturated fats4 earlier in life induces a rapid earlier growth and an earlier puberty. Earlier age of puberty increases one’s lifetime exposure to estrogens and is associated with a higher incidence of breast cancer years later.

Cohort studies, which follow two groups of children over time, have shown that the higher consumption of produce and protein-rich plant foods such as beans and nuts is associated with a later menarche, and the higher consumption of protein-rich animal foods—meat and diary—is associated with an earlier menarche and increased occurrence of adult breast cancer.5

Early puberty is strongly associated with breast cancer, and the occurrence of breast cancer is three times higher in women who started puberty before age twelve.6

A recent intelligently devised study investigated all twin sisters in northern Europe and England where on developed breast cancer and the other did not. The researchers found 400 cases of breast cancer in only one twin occurring before the age of fifty. They concluded that childhood growth before puberty (the twin with cancer was most often taller at age ten) and developing breasts before her cancer-free sister was the primary marker of the increased risk.7

Another recent study published in the New England Journal of Medicine looked at 1,811 sets of twins and reported that for identical twins with cancer, the first twin to reach puberty was five times more likely to develop cancer at an earlier age.8 The link was even stronger when menstruation began before the age of twelve. Jo Ann Mason, M.D., of Harvard’s Brigham and Woman’s Hospital said the implications of the study are worrisome given the gradual decline in the age of puberty in the United States and the rise in childhood obesity.

Physicians are seeing more and more girls with precocious sexual development, even before today’s average age of twelve, and medical studies confirm that the trend is real and getting worse. How early are our children developing today? At age eight, almost half black girls and 15 percent of white girls start developing breasts or pubic hair. At age nine, those numbers change to 77 percent of black girls and a third of white girls.9

The critical questions, which our nation generally ignores, are how harmful is this and what can be done about it? Obviously, this anomaly in human history where girls mature so young is threatening. We will undoubtedly see breast cancer occurrence continue to climb as today’s children reach adulthood. Cancer occurrence has been shown to occur many years after dysplastic changes occur to the breast, and these changes are often viable in teenagers.

It is of particular importance to note the most significant age range where dietary intake most critically affects the age of puberty. A 1999 study published in the American Journal of Epidemiology followed children since birth and reported that the girls who consumed more animal products and fewer vegetables between ages one and eight were prone to early maturation and puberty, but the strongest predictor was a diet rich in animal protein before age five.10
Continue Reading...

A Different Take On Childhood Obesity

Diet-Blog kicked up a nice discussion about a recent story in The Australian-The Nation. In the piece Tim Olds, an associate professor of the University of South Australia’s Health Sciences School, blames the drop off in exercise as the reason why children are getting fatter and not increased consumption of junk foods. In fact, he believes kids are now eating less fat. Michelle Wiese Bockmann reports:
Dr Olds said he had reviewed 1700 published studies around the world researching children's diets over 30 years.

He discovered the data showed "a clear drop" in the energy intake of children today compared with up to 30 years ago.

He said he was shocked to find that even allowing for under-reporting of food eaten, children aged up to 20 today were eating less, not more - including less fat.

"I think it is the 'energy-out' side of the equation that's been affected," Dr Olds said. "No matter which way you turn the data, kids are eating less than they used to."

Two-year-olds in Australia ate 16 per cent less than a decade ago, while the energy intake of 11-year-olds was down 5.6per cent over the same period.

The inquiry into fast foods and obesity has previously heard that higher calorie intake, not less exercise, is the "main determination of weight gain in children".
The comments on Diet-Blog are really rolling. Check it out:
Leanne
“All my observations (watching people eat, watching people feed kids, watching sales figures of snacks, watching what people buy at supermarkets) tell me the exact opposite - people of *all ages* (especially children) are eating more and more. Not only more calories, but bigger portions, and more often. They're underestimating the size of their meals and the calorie content, and 'forgetting' to write things down when they are asked to keep food diaries.”

Spectra
“A lot of kids don't eat real breakfasts anymore either. That could be a problem, as kids will eat candy, pop tarts, soda, juice, etc. for breakfast and even though a candy bar may have fewer calories than bacon and eggs, it also has no nutrients and your body just feels hungry again later. Pair that with the fact that most parents do indeed feed their kids all kinds of processed crap...refined carbs, mac and cheese, hot dogs, sugared cereal, candy, juice boxes, etc. and you can see why kids are getting more obese. Not to mention that kids are supposed to be energy machines. I was a very active kid and my parents encouraged it...I was told to bike outside, jump rope, etc. to "wear myself out". Most kids nowadays just sit in front of their Xbox and computers and don't exercise much at all.”

Video: Techniques for Parents to Inspire Healthy Eating

Here’s a video from Montefiore Medical Center talking about how to get kids to eat better, i.e. more fruits and veggies. One of the experts they interview is William H. Dietz MD, PhD who advises parents to take charge of what their children are eating. If the child doesn’t want to eat the healthy food presented by parents, then that's OK, they don't have to eat it, but they don't get to have anything else. Hunger, he points out, is a powerful motivator. Dr. Fuhrman recommends a very similar approach to avoiding the food wars between parents and children. (For more on this check out what Dr. Fuhrman has to say in this podcast episode Dr. Fuhrman on Getting Children to Eat Well).

Dr. Dietz also touches on the importance of breastfeeding, describing its role in preventing childhood obesity and making kids more willing to try different foods.

Thoughts on Feeding Children

Adapted from Dr. Fuhrman’s book Disease-Proof Your Child:

It is fine to abandon the “three meals a day” tradition; it is okay to let children eat twice or six times a day. Let your children have a say in what and when they will eat. Abandon the myths, the traditions, and the difficulty in attempting to control your child’s biological drives.

Parents are entrusted with the responsibility of securing the selection of healthy foods for the family and preparing the food in a way that makes it desirable. Children are responsible for deciding how much they eat. If they are in an environmental of healthful foods they will have no problem regulating variety and timing. They can choose what they eat, when they eat, and if they will eat. Don’t use food as a reward or punishment. Don’t offer a treat because the child was good or ate well. Offer healthy treats as part of the normal well-balanced diet.

If the family is having an “outside,” more conventional treat on occasion, don’t teach your child that is because of an achievement. If children are rewarded and comforted with cookies and ice cream, it builds emotional attachments to these foods. Special foods should be for holidays and the outside-the-home special occasion, not as a prize.

If childhood memories of vegetables included being forced to choke down peas, it does not help to nurture positive feelings and an affinity toward the taste of peas. Children will learn to enjoy these foods best by watching adults appreciate the flavors and health benefits in a subtle manner, which will lead to a lifetime appreciation of vegetables prepared in a variety of interesting ways.

Here is the most important: No rules only for children. If the parents are not willing to follow the rules set for the house, they should not be imposed on the children. Don’t argue about what your children should and shouldn’t be eating; discuss this in private. As parents, we must be consistent, but not perfect. Likewise, it is okay for the children to be consistent, but not prefer either. For example, if the parents decide that an unhealthy food or a restaurant meal is acceptable for the children once per week, then that goes for the adults, too. Setting an example supported by both parents is the most important and most effective way for your children to develop a healthy attitude toward food.

Parents must decide on the standards they want to set in their home. They should educate themselves, then come to an agreement about which foods are permitted and which are not. Whenever possible, consider your children’s input. Menus, school lunches, and planning what foods to purchase at the market should all be decided in advance to accommodate the likes and food preferences of all in the family. When you work together for the same goal as a family unit, you can encourage and help each other to eat healthier. Children can help parents, too.