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The advantages and disadvantages of organic foods

A recent trip to supermarket left me feeling better than usual about my family’s grocery shopping habits.

I made my way to the dairy aisle armed with new and must-have information from a recent American Academy of Pediatrics (AAP) report. The topic: Advantages and disadvantages of organic foods.

As someone whose family consumes about six gallons of milk every week, I’ve questioned whether my desire to save a not insignificant amount of money buying non-organic milk might be putting my three children at risk. And I’m fairly sure I’m not the only mom who has had this internal debate. After all, according to the report, as of 2010 the U.S. organic food industry was estimated to be over worth over $28 billion. And on average, organic products cost anywhere from 10 to 40 percent more than those that are non-organically produced.

So I was relieved, and albeit a bit surprised, to learn that the AAP committee (comprised of experts in both nutrition and environmental health) concluded, “There is no evidence of clinically relevant differences in organic milk and conventional milk.”

That’s right, no evidence that organic milk has less bacteria in it. No evidence that conventional milk has any worrisome bovine growth hormones. And few, if any, nutritional differences of any significance.

While not only renewing my confidence in my longstanding milk purchase habits, the report went one step further noting that organic foods are not nutritionally superior to their traditional counterparts. This isn’t to say the two are created equal, because organic foods do contain fewer pesticides. It’s just not yet clear whether the reduced pesticide exposure makes any difference to our health.

So with new information in hand, as a consumer, pediatrician and parent, my stance is simple: Until we know more, err on the side of caution. Limiting pesticide exposure, especially in pregnant women, infants and young children, isn’t a bad idea considering the potential risky effects these chemicals may have on brain development.

Another big take away from the AAP report was that, above all else, we should focus on eating plenty of fresh fruits and vegetables. More importantly than the organic vs. non-organic debate is the conversation about simply eating fruits and veggies in the first place. The average American diet is lacking in fresh produce, so any, organic or not, is better than none. If cost isn’t a concern to your family, then by all means, feel free to buy organic. But if it is, don’t let that keep you away from the produce section or feel guilty when grabbing your next gallon of milk.

Other links of interest:

2008 Consumer Reports Article: Fruits and Vegetables, When to Buy Organic

Environmental Working Group’s “Shopper’s Guide to Pesticides”

Originally posted on Omaha World Herald’s Live Well Nebraska

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Feeding Children: Palatable Strategies for Winning the Nutritional Challenges of Parenthood

Whether you’re an Omaha parent or the First Lady of the United States, it has become all too clear that childhood obesity is a large and growing problem that warrants it’s current spot at the top of our collective parenting priority lists (not to mention our country’s). Sure, there are some bigger-picture issues at stake here than whether or not you are successful in your attempts to get your child to eat green vegetables. And yes – it can easily seem like some of the root causes of the obesity epidemic fall far outside of our parental control – from the multi-billion dollar a year business of marketing unhealthy foods to children to the concerning inadequacies of lunch programs and drastically cut physical education activities in schools. In other words, we have our work cut out for us.

I remain convinced, however, that as parents, we all still have the ability to significantly shape our children’s eating habits, teach them an healthier approach to food, and ultimately impact their overall health and nutrition. I don’t hold any misperceptions about the fact that it will take quite a bit of parental effort and commitment. But it’s well worth the effort.

Okay, so I imagine that very few, if any, parents would disagree with me thus far. And there’s certainly a cornucopia of nutrition resources out there custom-designed to make it exceedingly easy to figure out exactly how much calcium or vitamin D your child needs in any given day, what types of fats to avoid, and even how to serve your child’s nutrition up on a proportionally pleasing plate.

The problem is that few things are harder than getting a child to open his mouth when he doesn’t want to. Instilling healthy eating habits in our children isn’t just about knowing what we should be serving our kids – an admittedly very important first step in the right direction – but figuring out how to get them to play along. In other words, it’s one thing to know what it is we’re supposed to be doing and feeding our children. It’s altogether another to know how to go about doing it.

And that’s why I want to share with you several of the ten overarching peacekeeping strategies my Food Fights co-author and I distilled in order to arm all parents with the skills and approaches necessary to wage war on the childhood obesity epidemic – one French fry, grocery store meltdown, or food refusal at a time.

  1. Don’t fight over food. Mealtime was never meant to be contentious, and no matter how much you commit yourself to instilling in your child healthy eating habits, vow never to turn the dinner table into a battlefield. In short, this means committing to some basic ground rules about how you’re going to approach food (including those listed below), and then applying them calmly and consistently.
  2. Never let them see you sweat. In other words, don’t let your child know just how much parental self-worth you have resting on whether or not he eats a bite of broccoli. Studies show that the more you blatantly “push” healthy foods, the more likely your child is to resist. Conversely, I might add, the more that foods are restricted, the more likely children are to want them (and eat more when given the chance). It’s simply your job to place healthy foods in front of your child, and your child’s job to decide how much to eat.
  3. Try, try…try, try again. If I were really to make this point, I would write out the word “try” ten to fifteen times to add greater emphasis to the number of times it can take for a child to try a new food before accepting it. I know it may seem a bit shocking. But once you understand that calmly offering new and healthy foods on a regular and repeated basis makes a very real difference, it is usually much easier to swallow the many predictable rejections. In particular, I like taking the low-key approach of teaching children to ask for “No thank you” bites. Children get to retain a sense of control, know that they will not be forced to eat, and you accomplish your goal of exposing them to new foods.
  4. Out of sight, out of mind. This may seem like stating the obvious, but when it comes to your child wanting, begging, and/or whining for unhealthy foods in lieu of healthier ones, let me remind you that it is under your complete control to regulate what foods come into your homes. If you don’t want your child begging for it, then don’t buy it. Of course trips to the grocery store, visits to the grandparents, and child care (all topics addressed in detail in Food Fights) can all pose more of a challenge and will require additional consideration.
  5. Eat by example. I would be remiss if I didn’t make the closing (and perhaps most important) point that all the nutrition resources, no thank you bites, and dietary directives in the world won’t stand nearly the chance they would otherwise if you don’t eat by the same principles. From the time you enter parenthood, your children will be watching you, and they’re far more likely to eat as you do than as you say.

With that said, I wish you and your entire family good health and a lifetime of “peas and homini!”

Originally posted on Omaha World Herald’s Live Well Nebraska

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Applying the “Kohlrabi Principle” to Practical Parenting

I recently made it out to Midtown Crossing. This was actually the first chance I had to see it since it’s completion, and I was quite impressed with the family-friendly atmosphere, the Jazz on the Green’s outdoor festivities, the whole layout, the convenient free parking, and the wide array of stores and restaurants.

As a LiveWell Nebraska blogger, I also enjoyed the opportunity to spend time at the Omaha World Herald’s booth and meet those of you who chose to stop by and say hello. As is often the case, I was asked what I thought the secret was to getting people – parents and children alike – to change their ways and live healthier, safer lives. While this is clearly a subject I spend a lot of time thinking about, I don’t presume to have the one right answer. In fact, I don’t believe that there is one, single cure-all answer to the question of how to get people to change their behaviors. But for the sake of today’s blog, I’m going to go with kohlrabi.

That’s right, kohlrabi (pronounced “cole – rah – bee”)

For those of you who have never heard of kohlrabi, much less know what it means or how to pronounce it, you have to admit that the word itself has a way of catching your attention. Try teaching your preschooler the word, or better yet – reading aloud the ever-popular Eating the Alphabet book – and you’re sure to find that children are easily intrigued with an impressively wide range of fruits and vegetables.

Okay, so reading about (and hopefully popularizing) kohlrabi, along with other fruits and vegetables, is a big step in the right direction towards better health. But better yet is when you’re able to translate linguistic & literary intrigue into dietary practice.

This noble goal brings me back to the subject of kohlrabi. Prior to three years ago, I knew nothing about it beyond the fact that it had helped round out the “K” page of Lois Ehlert’s bestselling book. Until my 8-year-old son and I came across kohlrabi at the Village Pointe farmer’s market, it had never occurred to me to actually buy or try kohlrabi (or jicama or boysenberries, for that matter).

Before deciding to buy one, we first had to ask what one was supposed to do with a kohlrabi. Not unlike an artichoke, kohlrabi can admittedly be somewhat intimidating if one doesn’t know what to do with it. Fortunately, all it takes is simply cutting off the outer “rind” and cutting up the white, crunchy interior.

Billed by wikipedia as “a low, stout cultivar of the cabbage that will grow almost anywhere,” the taste and texture are said to be “similar to those of a broccoli stem or cabbage heart, but milder and sweeter.” My kids and I think it’s better described as more like the cross between a radish and a cucumber – with the crunch of a radish, but a more mild taste. Cut it up like a carrot stick and it can be dipped in ranch dressing or hummus. Dice it up and you can sprinkle it on a salad. Google it and you’ll find that you can also season, sauté, bake, or puree it.

So back to my initial conclusion that part of the answer to getting people to live healthier lives involves kohlrabi. No, your family’s discovery of the existence of kohlrabi won’t rival Alexander Fleming’s discovery of penicillin. But I am convinced that if we all committed to applying some basic “kohlrabi principles” like those I’ve listed below to how we feed our children (and ourselves), we might all be a bit healthier for it.

  • Read all about it. It’s no secret that I’m an outspoken advocate for early literacy and reading books to kids (and babies). And there’s certainly no shortage of books with positive, healthy messages. Eating the Alphabet will get you off to a good start, but there are many, many more that stand to get your children interested in a much broader range of fruits and vegetables. Check out How Are You Peeling?, for example, and you’ll see what I mean.
  • Paint a positive picture. Books can paint a positive picture, but so can you. Rather than taking a “you have to eat your vegetables” approach, remember to put a more positive spin on it. You’ve got plenty of shapes, sizes and colors to choose from and work with as you expand your family’s palette.
  • Reach for the unknown. Given that people don’t tend to buy what they don’t know, I like to think of this as taking the kohlrabi challenge. Whether you go to a local farmer’s market or take a closer look at what the produce department in your grocery store has to offer, challenge yourself and your children to find a fruit or vegetable you’ve never had or heard of before… and then buy it.
  • Challenge yourself in the kitchen. Like I said before, I am not a kohlrabi expert. I simply asked a few questions of a friendly kohlrabi farmer and made good use of Google. Fast forward three years and our refrigerator is frequently stocked with cut-up kohlrabi, which now plays a role in helping my family meet the latest MyPlate recommendations (which include the challenge of consistently filling half the plate with fruits and vegetables).

Originally posted on Omaha World Herald’s Live Well Nebraska

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From Pyramid to Plate – What Parents Need to Know about Healthy Eating

If you didn’t catch last week’s long awaited reveal, you missed some big news….at least in the world of obesity prevention and healthy living. That’s because as of last week, it’s now out with the Food Pyramid and in with a fresh new USDA MyPlate. This fresh-faced picture of nutritional health comes in the form of a simplified icon illustrating what we all should be eating: fruits and vegetables filling half the plate, with the other half dedicated to grains (preferably whole) and protein. Ever since the plate’s big reveal, I’ve heard the question of whether this noble effort will make a difference in our big-picture fight against obesity.

In order to answer this question, we should first address the fact that just about everyone – parents and professionals alike – found the Food Pyramid (and it’s many pyramid permutations) more than a bit perplexing. Sure, in all of our heart of hearts we already know that we should be eating lots more fruits and vegetables interspersed with some whole grains and lean protein. But there’s no denying that a picture speaks a thousand words. Given that the recently retired pyramid icon typically required nearly that many words of explanation, the overall lack of understanding posed a pretty big problem. In other words, I hope the fact that we now have something far more visually appealing in MyPlate will make the nutritional message it serves much easier to digest.

That said, there’s a very big difference between knowing what we should be doing (or in this case, eating) and what we actually do or eat. When it comes to MyPlate, we therefore need to make sure to look beyond the colorful picture and commit to taking a closer look at other plate-related problems that are negatively contributing to our nutritional state of well-being.

This includes acknowledging the fact that far too many meals are eaten without even using a plate! Recent studies support the disturbing statistic that children get more than a quarter of their daily calories from snacking. And what they snack on is typically high-density, unhealthy foods. For anyone not up-to-speed on the terminology of poor nutrition, this translates into Cheetos and Big Gulps. Now before you shake your head in dietary disgust and then decide this doesn’t apply to you, I’m willing to bet that the eating and snacking habits of most adults aren’t much better. That applies not only to snacking, but to the huge number of Americans who consume fast food meals so often that they get by without plates altogether.

Although there are a few scattered efforts in the fast food industry to offer an healthier item or two on the menu, when we’re talking fast food, we’re almost always talking about the likes of French fries and bacon double cheeseburgers. When it comes to the problem of snacking and fast food alike, I think that even just requiring the use of a plate, and making it a rule that your children (and you) have to sit down to eat off of it could improve the situation. Combine that with a sincere effort to meet the new MyPlate recommendations and you’ll find that there’s absolutely no place on the plate for most fast food fare (or Cheetos).

Moving on to another super-sized plate problem, it’s worth pointing out that our eyes are not the only things that tend to be bigger than our stomachs. For those who do a good job of making a point to use a plate, you’ll want to be aware that there have been some pretty big changes made to plates over recent years….as in they’ve gotten bigger and bigger (right along with everything from soda bottles and bagels to mugs and bowls). And whether you believe it or not, studies show that the bigger the serving dish, the bigger the serving is likely to be. And the more we heap on our plates, the more likely we are to overeat. My suggestion? Try eating off a smaller plate, or at least resist the urge to fill it.

And finally, lets get to the substance at hand. What I really like about the new plate illustration is that it makes it much easier to compare it to one’s own plate full of food and in most cases, recognize the distinct lack of fruits and vegetables. It also has the added benefit of opening up new dietary possibilities. In my experience, most people seem to have quite a few preconceived notions about what’s appropriate to eat for breakfast, lunch and dinner. I’m willing to bet that even those who eat the recommended proportions of fruits, vegetables, grains and protein at dinner (and maybe even lunch) may not have previously consider serving up this balanced approach at breakfast.

So there you have it – a more detailed look at the implications of a plate than I ever thought I’d write, but one that I am convinced is well worth it. Both for your sake, and for your children’s, I hope all of you will give MyPlate the consideration it deserves. Whether you choose to plant a garden, take a trip to one of Omaha’s many farmer’s markets or spend more time in your local grocery store’s produce department, please don’t forget to consider that not everyone is fortunate to have access to affordable and readily available fresh fruits and vegetables (or whole grains or lean protein, for that matter).

If you’re interested in looking beyond your own family’s plate, consider checking out the Omaha Food Bank’s program that makes use of a produce truck (that looks convincingly like an ice cream truck) to deliver fresh produce to parts of Omaha with the greatest need. I’m sure they won’t mind me suggesting you call them up if you have produce to share or financial support to help further their worthwhile work.

Originally posted on Omaha World Herald’s Live Well Nebraska