Focus on the Food – Not the Delivery Method

by Dr.Dolgoff

While it’s true, more women today are opting for C-sections than in previous generations, they may be contributing to their child’s risk of obesity. A new study reports babies born via Caesarean section are twice as likely to become obese by age 3 as infants delivered vaginally. If you have no specific medical need for a C-section, choosing one may do more harm than good.

This is an important element for women to consider if they are contemplating an “elective” C-section for convenience. However, if a section is medically necessary, the increased risk of obesity is not enough to override the need for surgery.

The study included more than 1,250 mother-child pairs admitted to the Massachusetts hospital between 1999 and 2002. Twenty-five percent of babies were delivered by C-section, the rest were delivered vaginally. The babies were measured at birth, 6 months and again at 3 years old.

Nearly 16 percent of children delivered via C-section were Obese by the age of 3, while only 7.5 percent of those delivered vaginally. Also, about 19 percent of the C-section kids were overweight compared to just less than 17 percent of the others.

As usual, further research is needed to confirm these findings. What is causing the increased risk is not quite clear, however, researchers and physicians believe that the different modes of delivery may influence the gut bacteria at birth. According to the researchers, the gut bacteria may influence obesity by affecting the calories and nutrients absorbed from the diet and may also stimulate cells in a way that boosts insulin resistance, inflammation and fat.

While C-sections may be associated with increased risk of obesity, it is not the cause of the obesity epidemic. We still need to focus on what we are feeding our children, regardless of mode of delivery.

What this study failed to consider is the types of foods these kids were being raised on and the amount of physical activity they did or did not participate in. It’s no secret that American children are getting heavier, but taking the responsibility away from the parents and placing blame on the way in which the mother gave birth is crippling our children even further.

With so many resources at our fingertips it’s easy to get lost in the hustle and bustle forgetting what really needs to be taken care of – our health. Today’s generation wants everything now and that may not be the healthiest choice when it comes to our diet. Processed foods and fast food restaurants are filled with excess sugars, fat and calories contributing to our kids [and our own] expanding waistlines and increasing stress levels. While time and convenience rule over other considerations when making a decision, it’s usually not the right choice. Taking the time to prepare a nutritious meal for you and your family will get you further in all aspects of your life.

Whether or not you deliver your baby via C-section, we as parents need to teach our children how to lead a healthy lifestyle and eat right from day 1. Starting early with your kids will empower them to be in charge of their own weight and health related destiny providing them with the tools to keep them out of risk of becoming overweight or obese as an adult. If you’re unsure of what to do, start by introducing nutritious foods early and focus on making food fun. Choose fruits and vegetables from all colors of the rainbow and get your kids involved in planning the weekly menu, grocery shopping and preparing foods. If your kids are having fun with food their mind will be open to eating [and liking] a wider variety of nutritious options.

Hi! My name is Joanna Dolgoff, M.D. and I am a pediatrician and child obesity specialist. My child weight loss program, Red Light, Green Light, Eat Right and I have been featured on The Today Show, The Early Show, GMA Health, Good Day, NY, CNN, MSNBC, Discovery Health, WABC News, WNBC News, Fox 5 Morning Show, My9 News, and WPIX News. I am a contributing blogger to the Huffington Post and Lifetime Television. My biography is included below. My book, Red Light, Green Light, Eat Right, (Rodale, 2010) is available wherever books are sold. Children from 46 states have lost weight with my online weight loss program (http://www.DrDolgoff.com).
I believe you may be interested in the article that I have attached to this e-mail. Please let me know if you are interested in using it for your website or blog. If you have other topics you would like me to write about, please also let me know and I would be happy to write something up! You can also respond if you are not interested in receiving further submissions as I only want to be helpful, not spamful!

Dr. Dolgoff’s Biography:
Joanna Dolgoff, M.D. is a Pediatrician, Child Obesity Specialist, Official Spokesperson for the American Academy of Pediatrics, and Author of Red Light, Green Light, Eat Right (Rodale, 2010). Dr. Dolgoff has been featured on Today, The Early Show, Nightline, CNN, MSNBC, GMA Health, 700 Club, Extra, Lifetime, Discovery Health, America’s Newsroom, and most major news outlets. She is the Official Doctor for Camp Shane, the nation’s longest-running weight loss camp and an Official Blogger for the Huffington Post and Lifetime Television. Children and teens from 46 different states and 4 countries have lost weight with her online weight loss program (http://www.DrDolgoff.com). Dr. Dolgoff has offices in Manhattan, Queens and throughout Long Island, NY.
For more information: e-mail info@drdolgoff.com or call 516-801-0022.


Pizza Sauce Wins The Food Fight

by Dr.Dolgoff

Journalists, bloggers and comedians have had a field day with the headlines over a Congressional bill that would count the tomato paste used on pizza as a school lunch vegetable. However, the news was really about a much larger issue: the U.S. Department of Agriculture‘s efforts to improve the nutritional quality of federally funded school lunches.

The current nutrition standards for school lunches are based on federal dietary guidelines from 1989. After the guidelines were updated in 2005, the USDA developed a plan to bring the school lunch program in line with them. The plan included:

  • Cutting back on ingredients like salt and potatoes; It called for a gradual reduction over 10 years; in elementary school lunches, for instance, the average level would fall from 1,377 milligrams per week now to a maximum of 640 mg per week in 2021.
  • Reducing saturated fats and total calories; For saturated fat, the USDA recommends it contribute less than 10% of total calories.
  • B oosting fresh fruits and vegetables; they specified that once a week, lunches offer at least one half-cup serving of each of the following items: dark green vegetables (such as spinach or broccoli), orange vegetables (carrots, squash), legumes (chickpeas, kidney beans), starchy vegetables (white potatoes, corn) and “other” vegetables, including tomatoes.
  • Increasing whole grain servings; They want to see at least half of the grain servings be whole grain; in two years, all grain servings should be “whole-grain rich.”

What about tomato paste?

Under current regulations, an eighth of a cup of tomato paste is considered the nutritional equivalent of a half-cup serving of vegetables, since that’s how much tomato it takes to make it. But the USDA noted in its proposal that other pastes and purees don’t get the same treatment — they get credit only for the “actual volume as served.” That “loophole” is what makes it possible for a slice of pizza to count as a serving of vegetables.

The USDA acknowledges that one-eighth of a cup of paste contains half a cup’s worth of tomato solids. And that one-eighth cup is a nutritional match for some half-cup servings of other produce items. For example, an eighth cup of tomato paste has more vitamins A and C than a half cup of canned green beans, as well as similar calcium levels and about half the iron and fiber — all for a similar calorie count.

Despite the Department of Agriculture’s good intent, let’s be honest, no one is going to eat half of a cup of tomato paste on pizza or as a side serving.  Children need to eat more vegetables, and we should push for increased intake of conventional vegetables and not look towards pizza as providing a satisfactory substitute.

Although it takes a lot of exposure before children will start accepting new foods, the introduction needs to start somewhere. This doesn’t mean pizza should be taken off the menu, but what’s wrong with adding veggies to it?

Vegetable and fruit consumption is important for children for a variety of reasons. For instance, it gives children the essential vitamins and nutrients they need to grow and helps them establish healthy eating habits at an early age. In fact, the Red Light Green Light Eat Right Program requires that a fruit of vegetable serving be eaten with each meal and snack.

If your child’s school lunch isn’t making the grade, talk to your school food service director and share your concerns. We need to make our voices heard if we are going to boost the nutrition being served to our children.

Hi!  My name is Joanna Dolgoff, M.D. and I am a pediatrician and child obesity specialist.  My child weight loss program (http://www.DrWeigh.com) and I have been featured on The Today Show, GMA Health, Good Day, NY, WABC News, WNBC News, Fox 5 Morning Show, My9 News, and WPIX News.  I am also a contributing blogger to the Huffington Post.  My biography is included below.  My book, Red Light, Green Light, Eat Right, (Rodale, 2010) is available wherever books are sold.  Children from 45 different states are losing weight with my online weight loss program (http://www.DrDolgoff.com).

I believe you may be interested in the article that I have attached to this e-mail.  Please let me know if you are interested in using it for your website or blog.  If you have other topics you would like me to write about, please also let me know and I would be happy to write something up!  You can also respond if you are not interested in receiving further submissions as I only want to be helpful, not spamful!

 

Dr. Dolgoff’s Biography:

Joanna Dolgoff, M.D. grew up in Roslyn, New York. Dr. Dolgoff attended Princeton University where she graduated Cum Laude with a degree in Molecular Biology. She was elected to the Sigma Chi International Research Honor Society based on scientific research done at Princeton. Dr. Dolgoff earned her Reebok fitness instructor certification during this time. She taught fitness classes at Princeton University and at various gyms in the Princeton area.

Dr. Dolgoff continued her education at the NYU School of Medicine, earning the award for Outstanding Student in Pediatrics and serving as president of the NYU Chapter of the Alpha Omega Alpha National Medical Honor Society. She also founded and ran the NYU School of Medicine Step Aerobics Fitness Program and taught at Synergy Fitness Clubs in Manhattan.

Dr. Dolgoff completed her Pediatric Residency training at Columbia Presbyterian’s Children’s Hospital of New York. She has previously worked as a private practice pediatrician and is a Board Certified Fellow of the American Academy of Pediatrics.

Dr. Dolgoff’s Weigh: Child and Adolescent Weight Management practice boasts a 96% weight loss success rate.  There are offices in Manhattan, N.Y. and Roslyn Heights, N.Y.  There is also a national online component (www.DrWeigh.com) to the program which children all over the country have been using to lose weight.

For more information: e-mail info@drweigh.com or call 516-801-0022.

Joanna Dolgoff, M.D.
Red Light, Green Light, Eat Right!
Child and Adolescent Weight Management

Phone:                  516-801-0022

E-Mail:       info@drdolgoff.com
Website:    http://www.DrDolgoff.com
Blog:         http://www.DrDolgoff.com/blog
Facebook: http://www.facebook.com/DrDolgoff
Twitter:      http://www.twitter.com/JoannaDolgoffMD

YouTube:  http://www.youtube.com/jodoug
Linked In:  http://www.linkedin.com/in/joannadolgoff

 

For Laura Ashley Baby Bedding, go to  BabysNursery-BeddingandMore.com

 

 

 


It’s Cool to BYOL (Bring Your Own Lunch) To School

by Dr.Dolgoff
A picture of a collection of healthy (low-calo...

Image via Wikipedia

School lunches generally receive poor grades when it comes to their nutrition content and are typically short on fresh fruits and vegetables, and heavy on processed, breaded, and fried entrees. Take, for example,  the study of sixth graders recently published in the American Heart Journal found that students were 29% more likely to be obese if they ate school lunches.

 

Most parents appreciate the importance of good nutrition and aim to provide healthy food choices for their children. After all, good nutrition helps provide them with the energy required to function effectively in the classroom. Also, children that have a more substantial lunch at school are less likely to graze on high calorie, high fat snack foods when they get home.

 

As parents, we know that good nutrition will help our children grow-up healthy, but what foods comprise a healthy meal? Here are some “good nutrition” guidelines for you to follow when your kids BYOL:

 

  • Lean Meat/Protein Substitutes– Such as chicken or turkey breast, tuna packed in water, eggs, beans, fat-free cheese, fat-free cottage cheese or yogurt
  • Whole Grains – Such as a100% whole grain bread, crackers, English muffins, pitas, tortillas, or cereals
  • Fruits and Vegetables – At least one portion each of a fruit and vegetable (children tend to prefer it sliced which is easier to handle – for cut fruit that tends to go brown i.e. Apples – squeeze lemon juice)
    • Beverage – low in sugar and preferably without artificial ingredients, such as infused water or lightly sweetened iced tea
    • Optional: Healthy Green Light Snack – such as air-popped popcorn, trail mix, dried fruit bars (like Trader Joes Fiberful bars)

 

This balanced lunch will provide your child with a variety of nutrients, including fiber, calcium, protein, and iron.

 

Read labels: Avoid foods with unhealthy food additives and other ingredients such as:

  • partially hydrogenated oils
  • saturated fats
  • nitrates
  • artificial colors and flavorings
  • high sodium
  • excess sugar
  • MSG – look for glutamic acid or glutamate on the ingredients list

 

Tip – Choose natural and organic foods as much as possible.

 

With a clearer sense of what to include, it should be easier to prepare healthy lunches. But what about getting your kids to eat the lunches you prepare? These tips can help you pack wholesome meals that your kids are likely to eat and enjoy.

 

Involve your child – Children often like to help their parents and are more likely to eat foods that they choose and make. So let them help you make the shopping list, look through recipes and help prepare their lunches (to whatever extent their skills allow). The kitchen can become a place where you can bond with your children over food and educate them in a fun atmosphere.

 

Portion appropriately – Offer more foods in smaller serving sizes versus large quantities of fewer foods so that larger portions do not overwhelm your child.

 

Create variety – Don’t get into the rut of serving only the foods your child says he will eat. The wider the range of colors a meal offers, the more varied nutrients it contains. If your children are interested in trying new foods, suggest that they keep a log of new foods and what they think about them.

 

Add visual appeal – Presentation can make lunch fun and interesting for kids. Use cookie cutters to cut fruits, veggies and sandwiches in fun shapes. Choose lunch containers in their favorite colors and let them decorate the outside.

 

Transform old favorites – For example, take the usual ham and cheese sandwich and use whole-wheat bread
instead of white, and substitute organic ham.

 

Creating a week’s worth of lunches that are diverse and delicious is a challenge. To help you break a monotonous routine, we have created the RLGLER Healthy Lunch Planning Grid, complete with creative lunch ideas. Just pick one item from each column to create each day’s lunch meal.

 

 

Main Dish – Lean Protein + Whole Grains Fruit/Vegetable Side Beverage Healthy Snack
Grilled chicken fajita in a whole wheat tortilla with onions and peppers Apple slices with 1 tbsp almond butter Water Whole grain or fruit and nut bar
Organic turkey on multigrain bread with mustard Side salad with 

lettuce, tomato

and fat free mozzarella

Lemon infused water Organic fruit leather
Whole wheat pasta with tomato sauce, chick peas and grated parmesan Diced peaches or strawberries Sparkling water Trail mix made with whole grain cereal, dried fruit, nuts
Yogurt Parfait: Light yogurt with whole grain cereal Fresh blueberries Lightly sweetened iced tea Air popped popcorn
Vegetarian or turkey chili Frozen grapes Low-sodium tomato juice Soy crisps, veggie chips or baked chips

 

Hi!  My name is Joanna Dolgoff, M.D. and I am a pediatrician and child obesity specialist.  My child weight loss program (http://www.DrWeigh.com) and I have been featured on The Today Show, GMA Health, Good Day, NY, WABC News, WNBC News, Fox 5 Morning Show, My9 News, and WPIX News.  I am also a contributing blogger to the Huffington Post.  My biography is included below.  My book, Red Light, Green Light, Eat Right, (Rodale, 2010) is available wherever books are sold.  Children from 45 different states are losing weight with my online weight loss program (http://www.DrDolgoff.com).

I believe you may be interested in the article that I have attached to this e-mail.  Please let me know if you are interested in using it for your website or blog.  If you have other topics you would like me to write about, please also let me know and I would be happy to write something up!  You can also respond if you are not interested in receiving further submissions as I only want to be helpful, not spamful!

 

 

Dr. Dolgoff’s Biography:

Joanna Dolgoff, M.D. grew up in Roslyn, New York. Dr. Dolgoff attended Princeton University where she graduated Cum Laude with a degree in Molecular Biology. She was elected to the Sigma Chi International Research Honor Society based on scientific research done at Princeton. Dr. Dolgoff earned her Reebok fitness instructor certification during this time. She taught fitness classes at Princeton University and at various gyms in the Princeton area.

Dr. Dolgoff continued her education at the NYU School of Medicine, earning the award for Outstanding Student in Pediatrics and serving as president of the NYU Chapter of the Alpha Omega Alpha National Medical Honor Society. She also founded and ran the NYU School of Medicine Step Aerobics Fitness Program and taught at Synergy Fitness Clubs in Manhattan.

Dr. Dolgoff completed her Pediatric Residency training at Columbia Presbyterian’s Children’s Hospital of New York. She has previously worked as a private practice pediatrician and is a Board Certified Fellow of the American Academy of Pediatrics.

Dr. Dolgoff’s Weigh: Child and Adolescent Weight Management practice boasts a 96% weight loss success rate.  There are offices in Manhattan, N.Y. and Roslyn Heights, N.Y.  There is also a national online component (www.DrWeigh.com) to the program which children all over the country have been using to lose weight.

For more information: e-mail info@drweigh.com or call 516-801-0022.

Joanna Dolgoff, M.D.
Red Light, Green Light, Eat Right!
Child and Adolescent Weight Management

Phone:                  516-801-0022

E-Mail:       info@drdolgoff.com
Website:    http://www.DrDolgoff.com
Blog:         http://www.DrDolgoff.com/blog
Facebook: http://www.facebook.com/DrDolgoff
Twitter:      http://www.twitter.com/JoannaDolgoffMD

YouTube:  http://www.youtube.com/jodoug
Linked In:  http://www.linkedin.com/in/joannadolgoff

 

For Laura Ashley Bedding, visit our selections at BabysNursery-BeddingandMore.com

 

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Top 9 Things I Wish I Had Known Before Having Kids

by Lori
Thomas the Tank Engine''.
Image via Wikipedia

Posted: Jun 6, 2010 at 9:00 AM [Today]

Mona Shand with baby Cecilia, 6/23/09
It was the kind of news so good it brings a tear to your eye: word that a childhood friend and her husband were expecting their first child. We’ve shared so many special times, from middle school sleepovers to European adventures, from caps and gowns to wedding veils and gowns. Now we’d share this as well. Given that our 20th high school reunion is right around the corner, we also share the fact that we both waited until a wee bit later in life to take this step. But despite advanced degrees and successful careers, nothing makes you feel like an imbecile like your first child. So in honor of my dear friend, here are the Top Nine Things I Wish I Had Known Before Having Kids (feel free to add your own #10).

1. Leaving the hospital will be awful. When you’re surrounded by a round-the-clock staff of doctors and nurses, caring for that wriggly, needy creature seems almost doable. But without them? At home? It hardly seems legal, much less possible. But just remember: you have everything you need. And…

2. You don’t need much. Babies R Us is a terrifying place, filled with 8,000 varieties of sippy cups and strollers with more options than my first car. Or my current car. You really don’t need every gadget and gizmo that happens to be branded “baby.” Save your money for diapers because…

3. Poop will consume you. And I don’t just mean quantity-wise. Who knew that when color, consistency and frequency all align it could be such a truly beautiful thing? You will likely find yourself obsessing over the contents of each diaper, and if things stray from the gold standard of mustard yellow, cottage cheese, 6-8 times/day it can be panic-inducing. You may even find yourself Googling “7-week old baby poop brown with flecks of green” at 4am. And you may find comfort in the 3,095,726 results that match your search.

4. You’ll want to unpack your baggage. Do what you can to check your emotional past at the door and start fresh. So you didn’t get hugged enough as a child? Heal yourself by doing better with your own children. Mend what fences you can. Forgive, and be forgiving. Your kids deserve it, and so do you.

5. Time doesn’t always fly. Sometimes it drags, sometimes it leaps out of control. Take for instance the 27 minutes of an episode of Thomas the Tank Engine which seem to last 8 years. But then one day you will look down and all of a sudden that floppy little head will be holding itself upright and before you know it the head is yelling “Look at me, Mom!” as it attempts to cannonball off the couch and then you’re signing it up for preschool. It’s probably best to just take off your watch and go with it.

6. Not all help is created equal. My extended family greeted our first child with a huge vegetable tray, 6 pounds of apricots and a 4-pack of pita chips with a giant tub of hummus. As I clumsily tried to nurse my son, hormones surging, I looked out over his fuzzy little head at a hospital picnic. The subsequent offers of “help” I received all came in edible form, usually on gigantic platters, which for someone with a history of disordered eating is not particularly helpful. Food is their love language, but it isn’t mine. I am a confessed control freak, and getting back in the kitchen after the baby was born was one of the few things that made me feel like myself. Real help should make your life better, not someone else’s. It’s taken 3 years but I now know what I most need help with: the ability to go for a daily run, the chance to occasionally drink a cup of tea in peace, and one hour once a week to lie in bed alone and watch The Real Housewives of New Jersey.

7. You will pray. If you’re a person of faith, nothing will strengthen it more than that tiny, innocent, baby-shaped blessing. And nothing will test it like taking that blessing to church when that blessing hits about 18 months old and runs up and down the pews, shouting “YAY!!!!” at the end of each solemn hymn.

8. You will find your own voice. Cloth vs. disposable? Breast vs. bottle? Pacifier vs. thumb? Everyone (family, friends, strangers) will have an opinion, but ultimately yours is the only one that matters.

9. Everything really does change. Post-pregnancy my shoe size increased to 7.5, and we won’t discuss my waist size. That much I expected, but I didn’t know how much my capacity to love would grow as well. The night before my son was born I stayed up all night, worrying about what was about to happen. Did I really have the ability to nurture another human being? Could I possibly offer him the emotional nourishment he needed to grow, to develop, to thrive? And then two years later, the night before his sister was born I worried once again: could I ever love another child as much as I’d come to adore that little boy? Was there room in our hearts for another child? I still don’t know much when it comes to raising children, but this I am sure of: the heart is so very, very flexible. It is everything you need.

Mona Shand is a radio and TV news reporter and the mother of two. You can read more on her blog.

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Top 10 Ways to Get Your Kids to Eat New Foods

by Dr.Dolgoff
Various fruits, vegetables, nuts, and grains; ...
Image via Wikipedia

by Joanna Dolgoff, M.D.

Kids should be taught to eat a variety of foods from an early age. Children who are exposed to various foods during childhood are more likely to learn to enjoy those foods in adulthood, even if they don’t like them while they are young.

The mistake parents often make is giving up on a new food after just one trial. It typically takes at least six to eight exposures of a new food before children will accept it. Sometimes it can even take ten to fifteen trials before children develop a liking for a new food. Eating a variety of different foods ensures your children are getting all the nutrients they need to grow.

Tips to Introducing New Foods:

1. Lead by example. Try new foods yourself.
2. Don’t let your children know that you don’t like certain foods. If you tell your children that you hate broccoli, it is unlikely that they will give it a fair chance.
3. Institute Dr. Dolgoff’s “Two Bite Rule”. Children must try two bites of each new food they are served. If they don’t like the food, they do not have to eat the rest. However, they do need to eat two bites of it each time it is served. It is likely that with time, your children will learn to like it. It is advised to wait at least one week before serving the same food again.
4. Do not force feed your children. Two bites is all you should insist they eat.
5. Continue to encourage your child to try new foods, different tastes and textures.
6. Introduce new foods with a variety of other foods, such as a casserole or a stir-fry dish, which may disguise a particular taste they may not like.
7. Don’t expect children to eat all foods offered to them; encourage tastings at first.
8. Select foods that are healthy and are already varied, such as multi-grain breads or cereals.
9. Serve a variety of foods from an early age. For example, expose your toddler to fish (besides shellfish) early on so he develops a taste for it from the beginning.
10. If your child still does not like a particular food after twenty or more tastes, you may move on. Your child may truly dislike the food.

~Reminder~

Asian styled stir fry ipomoea aquatica served ...
Image via Wikipedia

• Parents decide on what foods will be eaten and when meals will be served.
• Serve meals at the same time every day, if possible, to create patterns.
• Eliminate distractions during meal times. Turn off the television and computer. All attention should be focused on the meal.
• Expect rejection to new foods; continue to try again.

Did You Know?

Children are much more sensitive than adults to four sensations: Sweet, Sour, Bitter, and Salty. Children have five times more taste buds than adults.

Exercise for this week:

Bring the kids to the supermarket for a special trip. Walk through the fruit and vegetable section and have them pick out a new fruit or a vegetable that looks fun and interesting, such as a mango, pomegranate, papaya, apricot, escarole, swiss chard or Chinese eggplant. Then go home and research together on how to prepare the food item of the week!

Joanna Dolgoff, MD is a pediatrician, child obesity expert, and author of Red Light, Green Light, Eat Right. Kids from 45 states and Canada are losing weight with DrDolgoff.com, her online child and adolescent weight management program. Dr. Dolgoff sees patients in her Roslyn Heights and New York City locations.


Joanna Dolgoff, M.D.
Red Light, Green Light, Eat Right
Child and Adolescent Weight Management

www.DrDolgoff.com

Blog: www.DrDolgoff.com/blog
FB: www.facebook.com/DrDolgoff
Tw: www.twitter.com/JoannaDolgoffMD

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