Nutrition

Dr. M’s SPA Newsletter Volume 16 Issue 2 – School Food

School Based Nutrition – Why is it happening this way?

There is a quiet experiment happening in American childhood, and we should stop pretending it’s benign.

In the 1970s and 1980s, when I attended school, school food was far from perfect, but it existed in the context of something essential: it was mostly prepared on site, minimally processed (but changing in that direction) and not laden with additives and chemicals (Yet). Oh, and most children still ate meals prepared at home at almost every other occasion. Dinner wasn’t aspirational or Instagram-worthy, but it was routine. Real food. Cooked by someone who knew the child, at a table where nervous systems could downshift. School lunch was a supplement to that structure, not the metabolic foundation of a child’s life. That has all changed in a short 50 years. Mirroring the change in weight and childhood disease prevalence.

• 1970s – some processed foods begin to enter school cafeterias at scale
• 1980s – preservatives and additives become routine
• 1990s – ultra-processed foods dominate

In 1994, new standards were added: This table lays out how much of each food group schools were supposed to offer over a week under the 1994 standards. These were the first nutrition-focused meal standards the USDA put into place:

For Breakfast (all grades K–12):
Fruit: 2.5 cups/week
Vegetables: 0 cups/week
Grains/Bread: 0–10 oz equivalent/week (depending on combinations of grains and protein)
Meat/Meat-alternative: 0–10 oz equivalent/week
Milk: 5 cups/week

For Lunch (split by grade levels):
Fruit: K–3 also 2.5 cups; grades 4–12 get 3.75 cups/week
Vegetables: still 0 cups/week (no separate vegetable requirement yet)
Grains/Bread: at least 8 oz eq/week
Meat/Meat-alternative: 7.5 oz eq/week for breakfast; 10 oz eq/week for lunch
Milk: 5 cups/week

(Hopkins 2015)

What’s notable, reflected in the structure of this table, is that vegetables weren’t required at all yet, and the standards were very much food-group based, not ingredient-level nutrient quality checks. That created space for schools to rely on industrially produced entrées and sides that technically met volumes of grains or proteins but could still be ultra-processed products with long ingredient lists, many of these foods would meet a NOVA class 4 classification (the worst type). Think fruit cup in sugary syrup…..

Dr. M

Dr. M’s SPA Newsletter Volume 14 Issue 46

Lymphatics – Refresher

Lymphatics – a plumbing system that follows the circulatory system throughout the body including the brain where it is called the glymphatics. The function of these passively moving tubes is to transport fats around the body, clear cellular debris returning it to the liver and spleen, move fluid in and out of tissue to maintain fluid balance, transport and help immune cells function. By transporting fats , lymph is involved in vitamin movement to tissues and cells for Vitamins A, D, E, K. These are critical functions of metabolism, immunity and detoxification that when disrupted lead to chronic diseases of aging including edema, hypertension, autoimmunity and cardiovascular disease.

“Traditionally considered a passive route for transport of fluid, immune cells, and lipoproteins, lymphatics are now known to be active players in major physiological and pathophysiological processes. Until recently, lymphatic vessel dysfunction was mainly associated with primary and secondary lymphedema. Unexpectedly, however, lymphatic vascular defects have been uncovered in conditions such as obesity, cardiovas- cular disease, inflammation, hypertension, atherosclerosis, Crohn’s disease, glaucoma and various neurological disorders such as Alzheimer’s disease.” (Oliver et. al. 2021)…and a discussion on chemicals in school food.

Enjoy,

Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 14 Issue 16

Teenagers and tweens are a challenge to any parent as they embark on their identity development. These are years filled with angst, joy, love and pain, as our kids develop physically, mentally, and emotionally. As we attempt to guide but not control, we struggle watching them make and maybe repeat obvious mistakes. We, so dearly, want them to make the right choices (in our mind) and respect their bodies.
What can we do to help?
Dictating to teens will never work. They are more likely to sabotage their own lives in order to prove that they are in control. The tighter parents squeeze, the more the adolescent rebels.

I think of this stage of parenting as motivational interviewing…. and a literature review.

Enjoy,
Dr. M

Dr. M’s Women and Children First Podcast #31 – Dr. Sandra Hassink – Childhood Obesity

This weeks guest is Dr. Sandra Hassink, an expert in pediatric obesity.
Dr. Hassink has spent her career looking into the pathophysiology and social determinants of childhood obesity. Her career began at the Univeristy of Deleware where she studied Chemistry before heading off to Vanderbilt University to study medicine. After completing her training in Pediatrics at St Christopher’s Hospital in Philadelphia, Dr. Hassink began a long trailblazing road to treating childhood obesity, starting a weight management clinic in 1988 at Alfred I. duPont Children’s Hospital in Delaware well before most pediatricians even realized there was an issue to address.
She is now internationally recognized as an expert in childhood obesity prevention, testifying before Congress and serving as chair of the Delaware Governor’s council on Health Promotion and Disease Prevention and directing the AAP Institute for Healthy Childhood Weight. She has served as the president of the American Academy of Pediatrics, chaired the AAP Obesity Leadership Workgroup, the AAP Institute for Healthy Childhood Weight Advisory Committee, and the AAP Strategic Planning Committee. Dr.  Hassink is the chair of the Institute for Medicaid Innovation Child and Adolescent Subcommittee and a member of the  National Advisory Board. She authored numerous articles for parents and pediatricians and two books: “Pediatric Obesity: Prevention, Intervention, and Treatment Strategies for Primary Care” and “A Clinical Guide to Pediatric Weight Management.”
In a word, she is a teacher.
Today, we have the privilege of learning.
Dr. M

Dr. M’s Women and Children First Podcast – Putting It All Together #2

This week on the show, I sit down to put the recent four maternal/child health podcasts into perspective. How are these four experts tied together? We, again, examine the basic underpinnings of maternal health risks through the eyes of these thought leaders in preparation for the next series of discussions. Laying important foundations to build our health literacy upon, is critical in my mind. This show is also a way for the folks that are “on the go” to get a summary of the podcasts for their benefit.

Enjoy,

Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 11 Issues 48 and 50

Newsletter #48 – Biological Clock and Aging
What do we really know about aging?
We know that it accelerates under chronic unremitting stress of varied sources. Including – chronic high fat and sugar laden westernized diets, chronic chemical or drug exposure or acute if a toxic load, chronic sedentary behavior, chronic metal sadness or abuse, physical abuse, injury that is profound and much more.
It is no wonder looking at that list that we are aging poorly now despite high quality medical interventions that keep us alive. Thus, what is our biological clock say about our age versus the chronological clock of age. Think of this as how old do you appear biologically or cellularly versus how old you really are by days.
Newsletter #50 – Breastmilk is a Miracle of Evolution
After the birth of a child, a beautiful event occurs and provides a point of visceral connection physically and epigenetically between mom and her babe. That event is breastfeeding. Mother’s milk is an evolutionary marvel whereby a mother dedicates part of her energy stores to her offspring for survival. She gives of herself literally and figuratively even during periods of food scarcity. Over thousands of years, humans have evolved this dynamic and rich fluid to promote species survival in the context of our dependent selves as babies. We have massive brains needing large amounts of energy to grow and mother’s milk is the culmination of the species learned process of survival. Human milk is the perfect dynamic personalized food for an infant to thrive. It is different for each mother child dyad. It changes based on environmental and human flux. It is in simple terms the best food for a newborn while simultaneously being the best medicine for all that ails a newborn.
Enjoy,
DR. M
For the written newsletter visit: https://www.salisburypediatrics.com/patient-education/dr-magryta-s-newsletter

Dr. M’s SPA Newsletter Volume 11 Issue 27 Covid Update #38

Just when you think that the information on SARS2 Covid19 is slowing to a crawl with new discovery, a favorite researcher publishes a truly remarkable bit of scientific discovery. Dr. Alessio Fasano is featured below in Number 6 and his work is really important. A little science heavy but critical for children. There is a take home summary as well. Don’t miss this information.
Quick hits
1) CDC data on adolescent hospitalizations: COVID-19 adolescent hospitalization rates from COVID-NET peaked at 2.1 per 100,000 in early January 2021, declined to 0.6 in mid-March, and rose to 1.3 in April. Among hospitalized adolescents, nearly one third required intensive care unit admission, and 5% required invasive mechanical ventilation; no associated deaths occurred….. Read more at this link: https://www.salisburypediatrics.com/patient-education/dr-magryta-s-newsletter/964-volume-11-letter-27-coronavirus-update-38

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