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March 4, 2010

Childhood Obesity Prevention: The Power of Moms-to-Be

I think it’s wonderful that Michelle Obama has taken up the cause of ending childhood obesity, but as a dietitian and mother, it makes me wonder: isn’t the horse already out of the barn?

After all, while important and necessary, trying to reverse the trend of overweight kids is far more difficult than preventing an unhealthy weight in the first place.

If you don’t have children yet, you may be wondering what all this talk of warding off excess weight in kids has to do with you. Plenty.

Future mothers, listen up.  It’s possible to influence your child’s weight well before you get pregnant.  Your body weight at conception may affect your child’s well-being for his entire lifetime.

Research shows that overweight moms tend to deliver babies with more fat. In addition, children of overweight moms tend to become overweight during their early years.

A recent study in the March 1 issue of Pediatrics found that when mom is overweight at the time of conception, the risk of obesity in her toddler and preschooler increases.

A December, 2005 study, also in Pediatrics, concluded that mom’s weight within a month of conceiving had the greatest influence on a child’s weight at ages 3, 5, and 7.  If a woman was overweight before pregnancy occurred, her son or daughter was up to three times more likely to be overweight (overweight was defined as having a Body Mass Index greater than or equal to the 95th percentile) by age 7 compared to a child whose mother was of normal weight. The more overweight the mom, the greater the chance of overweight and obesity at a young age for a child.

Not surprisingly, in the 2005 Pediatrics study, 75% of the children who were at a normal weight at age 7, the last time the children were weighed, had always been at a normal weight.  The 2010 research linked a poor diet, including fast food and sugar-sweetened beverages, insufficient sleep and televisions in childrens’ bedrooms to children becoming overweight during early childhood.

So, what’s a potential mom to do? First find out if your weight is within a normal range. See my post about body weight before pregnancy and weight gain when expecting.

Already pregnant? Not to worry.  Talk with your doctor or midwife about the Institute of Medicine’s guidelines for weight gain and work out a weight gain plan that’s right for you.

Have you seen my other blog at USAToday.com?  It features tips for feeding your family healthy foods, and offers a weekly recipe that I prepare with my children as part of Cooking With My Kids.  This week’s recipe is Corn Chowder. It’s wonderful for cool Spring evenings, and so easy to make.  Check out the recipe at http://tinyurl.com/4×2e5x.

February 26, 2010

A Fish Tale: Why You Should Eat Seafood

Filed under: Nutrition During Pregnancy — Tags: , , , — Elizabeth Ward @ 1:04 pm

Pregnancy & Newborn magazine has a great story about what fish to eat, and why, during pregnancy. Check it out at www.pnmag.com/prenatal-health/fish-food-0.

February 20, 2010

Mom, Drink Your Milk!

If you’re reading this, you want the best for your baby, so you’ll be interested to know that recent research from the Harvard School of Public Health suggests that drinking milk during pregnancy may protect against multiple sclerosis (MS) decades later in daughters.

MS is an autoimmune disease that attacks the nerves.  MS causes fatigue, vision loss, tingling, and numbness, among other problems.  Most victims of MS are adult women.

Researchers analyzed data from a 16-year period of the Nurses’ Mothers’ Study, which included nearly 36,000 nurse-mother pairs.   They found that, overall, higher consumption of milk, which is particularly rich in vitamin D,  during pregnancy was related to a lower risk of having a daughter who went on to develop MS.

The potential protective relationship between vitamin D intake and a lower risk of MS is not new, but this is the first time that the protective effects of vitamin D on developing babies has been demonstrated.  While the news about milk’s potential protection against MS is positive, it’s inconclusive. The study showed an association between milk drinking and MS prevention, but it did not prove a cause-and-effect relationship.

According to the American Academy of Pediatrics (AAP), there is a strong link between a baby’s blood levels of vitamin D and mom’s vitamin D intake. In the Harvard study, mothers with the highest levels of vitamin D in their blood - supposedly because they drank the most milk - had a lower risk of having a daughter who developed MS.

Vitamin D is necessary for the absorption of the bone-building mineral calcium, and for maintaining proper levels of calcium in the blood. Vitamin D is good for mom, too: it’s been linked to a lower risk for breast and ovarian cancer, and a stronger immune system.

Pregnant women need 200 International Units (IU) of vitamin D daily, and possibly, much more: there’s a good chance that the suggested levels will increase when the Institute of Medicine releases revised guidelines for vitamin D later this year.

In the Harvard study, women who got the equivalent of at least 400 IU of vitamin D daily from milk had the lowest risk of having daughters with MS.  Most prenatal vitamins and regular multivitamins contain 400 IU. Don’t worry about getting more than 200 IU a day, but do limit your intake of vitamin D to 2,000 IU from foods and supplements, combined.

With the exception of seafood and eggs, few foods naturally contain vitamin D.  Three and a half ounces of cooked salmon offers 360 IU; three ounces of canned tuna, 200 IU; and a large, cooked egg, 20 IU.  Fortified milk is perhaps the most commonly-consumed highly concentrated food source of  vitamin D. Eight ounces of fortified milk supplies 100 IU of vitamin D. (Fortified orange juice has the same amount.)

If you’re not a fan of milk “straight up,” add milk to your diet with these tips:

• Prepare instant oatmeal and other cooked cereals in the microwave with milk instead of water. Do the same for condensed soups.

• Snack on cereal and low-fat milk.

• Make Creamy Sweet Potato Soup, found in Expect the Best, Your Guide to Healthy Eating Before, During, & After Pregnancy.

• Whip up a delicious dessert by blending 1 medium banana, 1 cup milk, 2 tablespoons chocolate syrup, and one ice cube in a food processor or blender for 1 to 2 minutes or until frothy. Drink immediately.

Lactose intolerant? Try Lactaid milk; it’s 100% lactose-free.

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