Rickets, Milk, and Lack of Exercise

New research claims not enough milk, exercise, and sunshine is causing rickets in some children. Lauran Neegaard of the Associated Press reports:
It's not just that they don't drink fortified milk. Bodies make vitamin D with sunlight. With teen computer use, urban youngsters without safe places to play outdoors and less school P.E., it's no wonder D levels are low. Because skin pigment alters sun absorption, black children are particularly at risk.


Rickets marks the worst deficiency, where bones become so soft that legs literally bow. Rickets was once thought to have been eradicated with milk fortification, but "I am now treating rickets in a way that I never treated it 20 years ago," says Tosi, who diagnoses rickets or super-low D levels in children every month at a bone clinic she runs for mostly inner-city children.

Doctors who've never seen rickets can miss it. Charlene Bullock repeatedly asked her 5-year-old's doctor why his leg was bending inward and he could no longer run with his playmates. It took a trip to Tosi's special clinic to learn Na-shun had rickets — the once energetic child had quit running because his bones ached like an old man's.

Fortunately, rickets caught early is easily cured with high-dose infusions of vitamin D and calcium, and Bullock's son quickly rebounded. "He's doing everything with that little leg."
I wasn’t sure how to approach this report. So, I asked Dr. Fuhrman for his input. Here’s what he had to say:
I saw plenty of kids with rickets in my medical school and residency days in the inner cities. Clearly, lack of exercise and sunlight, especially in those with darker skin is creating an epidemic of bone disease. Milk is fortified with Vitamin D, and can be the only D and calcium source in people who do not eat vegetables. I agree that the public needs to be better educated in these important nutritional issues.
Now, in regard to milk, exercise, and sunshine, these posts should explain things. Take a look:
Regular Exercise Pays Big Health Dividends
“As we condition our muscles and gain strength, our bones thicken and strengthen along with the muscle. Without regular exercise along the way, your bone structure can deteriorate as you get older. Some people survive with weak bones, but their quality of life suffers when they are immobilized by arthritis and osteoporosis.”


Cow's Milk and Kids Aren't Made for Each Other
“Milk, which is designed by nature for the rapidly growing cow, has about half its calories supplied from fat. The fatty component is concentrated more to make cheese and butter. Milk and cheese are the foods Americans encourage their children to eat, believing them to be healthy foods. Fifty years of heavy advertising by an economically powerful industry has shaped the public's perception, illustrating the power of one-sided advertising, but the reality and true health effects on our children is a different story.”

Importance of Vitamin D
“Sun exposure is perhaps the most important source of vitamin D because exposure to sunlight provides most humans with their vitamin D requirement. The further you live from the equator, the longer you need to be exposed to the sun in order to generate vitamin D. Season, time of day, cloud cover, smog, and sunscreen affect UV ray exposure and vitamin D synthesis.”
In a nut shell—good, bad, good.

ParentDish: Exercise Issues

Roger Sinasohn of ParentDish wants to exercise—he really does—but with the kids’ busy schedule he just can’t find the time. Here’s his dilemma:
After that, I would sit in the hot tub and kibitz for a bit and then walk home, often stopping at a coffee shop to drink a cup of joe and work on my novel.


I was down to my lowest adult weight ever and well on my way to hitting 200lbs. Then, we had kids. Rachel leaves very early in the morning, so I have to stay home with the kids until it's time for school or until someone is here to watch them. After work, I come straight home and get started on dinner, and cleaning up, and getting the kids to bed -- the whole nine yards. By the time they're in bed, and I'm working on stories for ParentDish, my vision is getting blurry and my brain starts shutting down for the night.
Well, if Roger figures out when to exercise, he might want to give this abdominal workout from The Detroit Free Press a try. Take a look:
Lie on a mat with your arms extended out and palms facing down. With your legs in the air directly over your hips, position a stability ball between your ankles. With your abs tight, squeeze the ball.


With your right shoulder pressed to the floor, rotate your legs to the left as close to the floor as possible. Then, engage your abs to raise the ball back to the starting position and repeat to the other side. Try 12 repetitions to each side.
I’ve used a ball before—it’s okay—more for beginners. How do you work your abs? Oh, and please head over to ParentDish and give Roger some exercise advice.

Cut Allergy Risk through Breastfeeding

New research has determined that breastfeeding during the first three months of life can protect children from developing food allergies. Robert Preidt of HealthDay News is on it:
That's just one of a number of findings on food allergies scheduled to be presented this week at the annual meeting of the American College of Allergy, Asthma and Immunology in Dallas.


Research has determined a possible role for food allergy prevention strategies in high-risk children, including maternal food avoidance in pregnancy, breast-feeding, maternal food avoidance while breast-feeding, use of hyper-allergenic formulas, delayed introduction of allergenic foods and probiotics, noted one expert.

"A review of 18 studies demonstrates a significant protective effect of exclusive breast-feeding for at least three months for children with high risk for atopy (genetic tendency to develop allergic diseases) against the development of atopic dermatitis and early childhood asthma-like symptoms," Dr. Robert Wood, international health director for pediatric allergy and immunology at Johns Hopkins School of Medicine, said in a prepared statement.
Important yes, but not exactly new news, in Disease-Proof Your Child Dr. Fuhrman insists breastfeeding is an important line of defense for young children. Here’s an excerpt:
The antibodies derived from mother’s milk are necessary for maximizing immune system function, maximizing intelligence, and protecting against immune system disorders, allergies, and even cancer. The child’s immune system is still underdeveloped until age of two, the same age when the digestive tract seals the leaks (spaces between cells) designed to allow the mother’s antibodies access to the bloodstream. So picking the age of two as the length of recommended breast-feeding is not just a haphazard guess, it matches the age at which the child is no longer absorbing the mother’s immunoglobulins to supplement their own immune system. Nature designed it that way.

Thursday: Health Points

In California, 86% of the women who gave birth in 2006 nursed their newborns in the hospital, according to a report being released today by the UC Davis Human Lactation Center and the California WIC Assn., a federally funded nutrition program for women, infants and children.

Half of them -- 43% of the total -- fed their newborns only breast milk. The other half supplemented with formula.

The gap between breast-feeding a little and breast-feeding exclusively in the first 24 to 48 hours that mothers typically spend in the hospital matters because that's when a mother's milk supply is established. The act of nursing causes milk-producing hormones to be released. The more the baby nurses, the more milk the mother will produce, and vice versa.
  • Lacks scientific evidence to support claims, instead relying on glowing testimonials (which may or may not be authentic)
  • Claims you can lose weight without exercising or making dietary modifications.
  • Claims to remove fat from certain areas of your body (can you say “thigh master?”)
  • Uses terms such as “miracle”, “scientific breakthrough”, “secret formula” and “revolutionary” to describe their product.
“The answer is no, because the risky fat is inside the abdominal wall, in and around the organs,” said Dr. Louis Aronne, director of the comprehensive weight management program at NewYork-Presbyterian Hospital/Weill Cornell Medical Center in New York.


A tummy tuck or liposuction “removes superficial, subcutaneous fat, which has little or no risk,” he said. “In such procedures, there is no change in what we call cardiometabolic risk factors, like insulin activity, blood sugar, triglycerides or any of the lipid parameters.”
Synthetic hormones have been used to improve milk production in cows for more than a decade. The chemical has not been detected in milk, so there is no way to test for its use, but more retailers have been selling and promoting hormone-free products in response to consumer demand.


State Agriculture Secretary Dennis Wolff said advertising one brand of milk as free from artificial hormones implies competitors' milk is not safe, and it often comes with what he said is an unjustified higher price.

"It's kind of like a nuclear-arms race," Wolff said. "One dairy does it, and the next tries to outdo them. It's absolutely crazy."
The CDC said about 20.8 percent of American adults are smokers, with 80 percent, or 36.3 million, of them smoking every day. That rate has been unchanged since 1984.


The county smoking rate was not available, but Health Director Dr. Bruce Dixon said he knows the problem of smoking and its effect on health remains a concern.

"We don't have really good numbers to say [how many county residents smoke], though we do look at high-risk groups, minorities, youth," he said, adding, "Sales to youth are off" but they still find ways to purchase.

"The marketing has not backed off ... I think we still have a disproportionate level of smoking among pregnant women and minority groups."
  • Staphylococcus seems to be the countries newest boogieman. Julie’s Health Club discusses an interesting way to stop it—garlic. Read on:
Garlic, well known for its natural antibiotic properties, contains an ingredient that has been shown to effectively kill methicillin-resistant Staphylococcus aureus (MRSA), a virulent microbe that wreaks havoc in skin and soft-tissue wounds, several studies have shown.


The nasty superbacterium that now defies most drug treatments infected more than 90,000 Americans last year and killed 19,000, making it a significant public health problem, according to a new federal report. Though 85 percent of the staph infections were in hospitals or other health-care facilities, MRSA also is marching into schools, health clubs and other crowded places.
After hearing that contestants on the recent series of The Biggest Loser have been advised to chew gum in a bid to suppress their appetites, I decided to look around to see if I could find a study to back it up. I couldn't find the actual details of the study but here is a section of a press release:

"A separate study, carried out by researchers at Glasgow Caledonian University and the Wrigley Science Institute, found that chewing gum can be a good appetite suppressant. The study found that by chewing gum before an afternoon snack, one would consume 25 less snack calories. While that is not a high number, according to nutritionists, even a slight reduction in caloric intake can have significant effects in the long term. This study was comprised of 60 adults between the ages of 18 and 54. Each participant consumed a sweet and salty snack after either chewing sweet gum or not chewing gum at all. Hunger, appetite, and cravings were then monitored throughout the remainder of the day. Along with reducing caloric intake, participants reported feeling an improved mood due to reduced anxiety and stress, and increasing contentment and relaxation. "
About three-quarters of the people of Utah are Mormons, and many of them fast for a day every month. Benjamin Horne from the Intermountain Medical Center in Salt Lake City, Utah, asked 515 elderly people undergoing X-ray examinations for suspected heart disease about their lifestyle. Those who fasted were 39 per cent more likely than non-fasters to have a healthy heart. The results were presented at the American Heart Association's Scientific Sessions in Orlando, Florida, on Tuesday.
The report, called Food, Nutrition, Physical Activity, and the Prevention of Cancer: A Global Perspective, urges people to stay at a healthy weight, which means having a body mass index (or BMI, a ratio of weight to height) between 18.5 and 24.9. And it recommends regular physical activity as a way to control weight.


"The recommendation reflects what the science is telling us today," says W. Phillip T. James, MD, DSc, a member of the panel that wrote the report. "Even small amounts of excess fat, especially if carried at the waist, increase risk."

The report also makes recommendations for eating more healthfully to reduce cancer risk. It says people should eat mostly foods from plants, limit red meat and alcohol, and avoid processed meats like bacon, sausage, and lunchmeat.

Fast Food Toy Store

ParentDish has got a gripe. Do some parents take their kids to McDonald’s because of the toys? Christina Sbarro is annoyed. Take a look:
I didn't need to read Fast Food Nation or watch Supersize Me to be convinced that nutrition at McDonald's is entirely lacking, albeit they have tried with their recent introduction of salads and such.


But the thing that really gets me is that the children want to go there not because of the french fries or the burgers. They go because of the toys. And their parents seem to take them, routinely buying the happy meals that come equipped with toys invariably linked to movies, in a genius marketing campaign.
Sounds like a great marketing slogan to me, “Come for the toys. Stay for the junk!”

Honey, They've Medicated the Kids

“Soon almost all kids will be on medications for something,” said Dr. Fuhrman when I asked him to comment on a report suggesting bipolar disorder may be over-diagnosed in youths. Kind of foreboding, when you read this article by Melissa Healy of The Los Angeles Times, “Are we too quick to medicate children?” Here’s a bit:
In 2005, the latest year for which statistics are available, at least 2.2 million American children over the age of 4 were being treated for serious difficulties with emotion, concentration, behavior or ability to get along with others. It's a figure mental-health professionals say has exploded in the last decade and a half, along with sales of a wide range of psychiatric medications for use by children.


A welter of studies has shown that kids are being diagnosed at younger ages, with a wider range of disorders and with more severe disorders than ever before. And in growing numbers, they are being medicated with drugs whose safety, effectiveness and long-range effects on children have not been demonstrated by extensive research.

A study published in September found that the diagnosis among children of bipolar disorder, a mental illness long thought not to exist in kids, grew 40-fold over the last decade. The prescribing to kids of antipsychotic drugs typically used to treat the symptoms of bipolar illness have soared as well, despite continuing concerns over side effects such as weight gain, metabolic changes that can lead to diabetes, and tremors.

Psychiatrists admit they haven't drawn clear lines between problem behaviors and mental illness, especially in kids, and they are debating future fixes. But until those fixes are made, parents -- with their kids' futures on the line -- are left with little to guide them when a child is tagged with a psychiatric label.
Who am I to say when kids—or any person for that matter—should be given the assistance of psychotropic medications, but at the very least, before we start prescribing kids pills willy-nilly, shouldn’t safer options be tried first. Consider this excerpt from Dr. Fuhrman’s book Disease-Proof Your Child concerning children and ADHD. Take a look:
What has been shown to be highly effective in some recent studies is high-nutrient eating, removal of processed foods, and supplementation with omega-3 fatty acids.1 The difference between my approach and others is that it changes a poor diet into an excellent one, supplying an adequate amount of thousands of important nutrients that work synergistically as well as removing those noxious substances such as chemical additives, trans fat, saturated fats, and empty-calorie food that place a nutritional stress on our brain cells. I believe this comprehensive approach is more effective; the scientific literature suggests this, and I have observed this in my practice with hundreds of ADHD children who have see me as patients.
Eh, I guess its just easier to prescribe some pills and get back to shopping at the mall.

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