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 Audiocast Volume 14 Issue 36

Section I

Literature Review

1) Long Covid in children – the symptoms are getting more clarity in who has what . From JAMA: 898 school-age children (751 with previous SARS-CoV-2 infection and 147 without) and 4469 adolescents (3109 infected and 1360 uninfected) were included in the analysis. The time between infection and symptom analysis was 1.5 years. In models adjusted for sex and race and ethnicity, 14 symptoms in both school-age children and adolescents were more common in those with SARS-CoV-2 infection history compared with those without infection history, with 4 additional symptoms in school-age children only and 3 in adolescents only. These symptoms affected almost every organ system. The cumulative data shows us that neurocognitive (Headache, attention concerns, sleep dysregulation), pain, and gastrointestinal symptoms in school-age children were common, but changed to loss of smell and/or taste, body aches and pain, focus struggles and fatigue related symptoms in adolescents. (Gross et. al. 2024) Age has a huge effect on these outcomes as the older population has more frequent and problematical disease findings. Mood disorder is highly associated with worsened findings. I suspect from the historical data set over the last four years that children with chronic mental stress, poor quality diets, sleep issues, and poor activity levels at baseline have worsened acute and long term prognosis.

Plus a section on a book review for Change Your Genes, Change Your Life.

Enjoy,

Dr. M

Dr. M’s Women and Children First Podcast #65 – Mark Houston, M.D. – Cardiovascular Health

Dr. Mark Houston is a thinker and researcher into the root causes of cardiovascular disease and metabolism. He graduated from Rhodes College in Memphis, Tennessee summa cum laude in Chemistry before graduating with honors from Vanderbilt Medical School. He completed his medical internship and residency at the University of California, San Francisco, then returned to Vanderbilt Medical Center where he was chief resident in medicine and served on the full- time faculty until 2012. He is the current director of the hypertension Institute where he and his team develop novel approaches to hypertension and ASCVD by attending to root biological causes of disease. He also has a Master’s degree in Human Nutrition from the University of Bridgeport, Connecticut, and a Masters of Science degree in Functional and Metabolic Medicine from the University of South Florida in Tampa Florida. He has written hundreds of papers, books and chapters on cardiovascular disease. He is one of the top researchers in the preventative cardiology space and he is here today to share his wisdom.
His book credits:
Handbook of Antihypertensive Therapy
Vascular Biology for the Clinician
What Your Doctor May Not Tell You About Hypertension
Hypertension Handbook for Students and Clinicians
The Hypertension Handbook
What Your Doctor May Not Tell You About Heart Disease.
Please enjoy my conversation with Dr. Mark Houston,
Dr. M
Hypertension Institute

Dr. M’s SPA Newsletter Audiocast Volume 13 Issue 14

Cholesterol Part V – What to do?
I hope that over the last four weeks I have sufficiently laid the case for heart disease as a complex disorder that is far from just a cholesterol/lipoprotein issue. It is vastly more complex than this especially with the new emerging data on the actions of high density lipoproteins, HDL, in reverse cholesterol and other molecule removal from circulation. In the next weeks newsletter, we will look at HDL. Somewhere in the near future, I will synthesize further recent work linking CVD, immunobiology and obesity.
Also, GLP Obesity drugs for teens and others….
Enjoy,
Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 13 Issue 7

This week we look at the quick hits related to Covid science. This information stream is fading, however, I am still finding some important science worth sharing in the literature. We also look at the disease underpinnings from the perspective of Marty Makary. Finally, we finish up with the micronutrient selenium.

 

Enjoy,

Dr. M

Dr. M’s Women and Children First Podcast #35 Sheila Kilbane, MD – Healthy Kids

This weeks guest is my good friend Dr. Sheila Kilbane. She is a fellow pediatrician and onion peeler of root causes of children’s diseases. Her background found her studying Zoology at Miami University before attending The Ohio State University College of Medicine. After completing her Pediatric training she went on to obtain a Fellowship in Integrative Medicine at the University of Arizona Center for Integrative Medicine. We share many desires to help families achieve immune and health solvency through upstream target manipulation that leads to happiness. Today we discuss Dr. Kilbane’s view of this world as well as her book, Healthy Kids, Happy Moms.

Enjoy,

Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 12 Issue 40

Dr. Katz – “Human offspring come into this world much like the young of all other mammals, and like all the others, within minutes of our arrival, we are hungry. Food figures prominently in our lives ever after, but never is it more important than in childhood, when it serves as the literal construction material of those growing bodies and brains. The initial food choice for human babies should be self-evident, as it is for all other baby mammals: the milk of their mothers. The provision of that milk is among the defining characteristics of the mammalian class; it is part of what makes us what we are….

Also, we discuss marijuana and vaping as well as new work by Derek Sivers.

Enjoy,

Dr. M

1 2 6