Tag Archives: nutrition

Healthy back to school, part 2

Last week I wrote about the importance of physical activity and good nutrition for growth, learning, and development. However, most schools do little to provide meaningful opportunities for activity during the day. Similarly, nutrition education is lacking and the quality of food provided in most schools is poor.

To be clear, this is not the fault of teachers or individual school leaders, who are limited in what they can do by local, state, and federal requirements. Knowing that good nutrition and physical activity support health and academic success, families are held responsible for teaching these topics at home. Here are a few suggestions from my Health & Fitness column in the Aiken Standard to help make everyone happier and healthier this school year.

Make sure everyone in the family is active every day. Physical activity is critical for good health for everyone. Importantly, it can improve your immune system, helping you fight viruses of all kinds. Beyond that, being active can help you perform better at work and school and make it easier to do things you enjoy in your leisure time. Adults should be active for a minimum of 30 minutes per day. Everything from taking the dog for a walk to a fitness class at the gym counts. For children, the goal is 60 minutes per day through PE class, sports, and play. As a bonus, you can do at least some of the activity together to make activity a family event!

Make healthy eating a family project. There is a lot of confusion about what makes a healthy diet, but there are a few guidelines almost everyone agrees on. First, eat more fruits and vegetables. At a minimum, eat at least five servings each day, but try for twice that. Second, limit added sugars and salt. This is tricky since salt, sugar, and other sweeteners are added to most processed foods. Eating too much sugar is known to contribute to obesity, heart disease, and some cancers, so this is among the smartest nutrition moves you can make. Salt, by itself, isn’t necessarily harmful, but less salt almost always means less processed food and more “real” food. Finally, be mindful of portion sizes. Super-sized servings and second (and third) helpings are the primary reason why people gain weight over time.

Plan to eat at least one meal together each day. Most experts agree that family dinners are important for promoting good communication and healthy eating habits. Given that our days are busy with work, school, and other activities, eating dinner together every night is unrealistic for many families. So, start with planning at least one family dinner at home each week. This is also a good opportunity to teach children about food and cooking, so it is even better if you prepare the meal together.

Make getting enough sleep a priority. Many American adults and children don’t get enough sleep. Many American adults and children don’t get enough sleep. Lack of sleep can affect children’s growth, development, and learning.  It can also have an impact on an adult’s productivity at work. The effect of chronic stress on health is well known and we should recognize a lack of sleep as a form of stress. A good goal for adults is 7–9 hours of sleep each night. School-aged children need 8–12 hours, with younger kids requiring more. As difficult as it may be, earlier bedtimes can benefit everyone in the family. Limiting screen time (TV, computer, tablet) before bed can help improve sleep, too.

Obviously, these ideas are easier read than done, especially for busy families. But moving more, eating better, and getting more sleep—especially if it is done together—can help your family enjoy a happier and healthier year.

On second thought: Nutrition advice that seemed like a good idea at the time.

If you follow nutrition news you have no doubt noticed that recommendations change over time. Foods you thought were good for you can suddenly show up on a “never eat” list and foods you had learned to avoid might be recommended as healthy. This makes it challenging to follow a healthy diet, for sure. It may also make you question the advice of nutrition experts, who seem to change their minds periodically.

This is the topic of my Health & Fitness column in the Aiken Standard this week.


There are several reasons for this. First, carefully designed long-term studies of food and health are difficult to conduct. This means that small differences can appear to be more important than they really are, and meaningful effects may not be statistically significant.

Additionally, it is unreasonable to carefully control what people eat over years or decades, so “proving” that a food is either beneficial or harmful to health is almost impossible. This leads to health claims that probably shouldn’t be made as well as missed opportunities to make useful recommendations.

There are also political reasons why nutrition advice can change over time. The long-held belief that eating fat causes obesity and heart disease was largely based on decisions made by politicians. Importantly, these decisions were not based on good research. This led to a recommendation to eat more carbohydrates instead, something the food industry embraced.

Low-fat foods that were high in sugar became known as health food, despite evidence to the contrary. Even as research linking sugar intake with poor health accumulated, Congress forbid U.S. dietary guidelines to include an “eat less” recommendation. Only now are we changing our thoughts and behaviors to consume less added sugar and be less fearful of fats in our diet.

Here are two examples of nutrition advice that was well-meaning at the time but didn’t work out in the long run. In fact, these recommendations may actually have made us less healthy.

Low-Fat and Fat-Free Foods

The recommendation to eat less fat resulted in foods that normally would contain fat to be reformulated to have less, or no, fat. The fat was replaced by sugar and other additives leading to ingredient lists that read more like a chemistry experiment than food. We know now that these highly-processed foods were no healthier and are thought to be a major cause of the obesity epidemic.

Sugar Free foods

Now that we have embraced the idea that we should eat less added sugar, there are sugar-free alternatives to most foods and beverages. The problem is that foods containing sugar are meant to taste sweet, so something must be added to replace the sugar. More often than not, the sugar is replaced by artificial sweeteners that contain no calories but still add sweetness.

There are two problems with this. First, although these foods may be calorie-free, they are still associated with weight gain. Second, they may be sweeter than the food they replace and alter our expectation of what food should taste like. This is especially true for children, who learn to expect that all food should be sweet. Furthermore, the alternative sweeteners used to replace sugar may not be as safe as we initially thought.

The bottom line is that all nutrients—carbohydrates, fat, and protein—are healthy within relatively broad ranges. And getting these nutrients, fats and sugar included, from real food is always preferable to eating processed foods.

The key to good health is to balance what you eat with daily physical activity at work, at the gym, or at home. And remember that nutrition researchers and experts are doing their best to bring you reliable recommendations, even if it doesn’t come across that way in the news!


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Summer gains and losses: Maintaining good health and academic success over summer vacation.

The school year has ended for kids in our area. Long summer days to play, sleep in, and relax are an important part of growing up. But many educators and health professionals are concerned about what gets lost, and what gets gained, when kids are away from school. This is especially true in a year when many kids missed at least some opportunities due to the coronavirus pandemic. It’s also the topic of my Health & Fitness column in the Aiken Standard this week.

kids-jumping


Summer learning loss is a real concern. It is estimated that children lose, on average, two months of reading skills and one month of overall learning over summer break. Those losses must be made up when school starts again in the fall, so teachers spend about six weeks re-teaching material that was covered in the previous grade. That is six weeks that children are not learning at grade level, which certainly has an impact on achievement over time.

Not all kids are affected equally. Much of the disparity in summer learning losses falls along socioeconomic lines. Some children have more opportunities than others to continue learning over the summer through formal educational programs and camps and informal encouragement to read.

To address this issue, many institutions implement summer “school” through classes, on-line learning programs, and encouraging reading at home. Some target the students who need them the most while other programs are instituted for all children. In fact, all three of my kids completed online learning programs last summer.

Learning losses are not the only concern with an extended break from school. Many children gain more weight over the summer than during the rest of the year. Furthermore, fitness gains made during the school year are frequently lost over the summer.

While poor nutrition and a lack of activity in schools is a real concern, many children get more exercise and eat better at school than they do at home. Being at home over the summer can lead to poor eating habits—too much unhealthy food or not enough food in general—and lack of chances to be active.

This is important because the combination of poor nutrition, physical inactivity, and obesity has physical, psychological, and social consequences for children that frequently persist into adulthood. Overweight and obese children, especially those who are inactive, are at increased risk for type 2 diabetes, high blood pressure, heart disease, and even stroke – conditions usually associated with adulthood.

Even if an overweight child does not have these conditions now, he or she is likely on that path. In fact, many experts predict that children born today will be the first generation in history to have a shorter lifespan than their parents due to obesity-related diseases that begin in childhood.

Children who are overweight are also more likely to suffer other consequences including lower self-esteem, social functioning, and academic performance. Overweight children are also less likely to play sports or participate in other forms of physical activity, which creates a cycle leading to poorer health and, potentially, poorer academic success.

Now that school is almost out for the summer, this is a critical time of year to focus on good nutrition, physical activity, and continued reading and learning to help prevent a summertime slump in health and academics.

Schools can only do so much, so adults should model good diet, activity, and reading behaviors themselves. A good place to start is by turning off the TV and reading a book or going outside to play. It’s something all of us—adults and children—will benefit from.


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Let’s Agree to Agree About Food

March is National Nutrition Month, an annual event created by the Academy of Nutrition and Dietetics to focus on developing healthy eating and physical activity habits. The Academy of Nutrition and Dietetics represents Registered Dietician Nutritionists and other nutrition professionals and is an excellent source for information about food, nutrition, and health.

I will share some general advice about healthy eating here but remember that a Registered Dietician is your best resource for evaluating your diet and making changes to meet your individual needs for health and performance.

Here are five ways to improve your diet almost everyone agrees on, from my Health & Fitness column in the Aiken Standard this week.

Group of people eating

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Are those chocolate hearts you got for Valentine’s Day healthy?

Today is Valentine’s Day so you may have been the lucky recipient of a box of chocolates. Hopefully you enjoyed it! Of course, eating too many sweets, including chocolate, isn’t a good idea. But eating certain types of chocolate has been linked to some health benefits.

The idea that chocolate may be healthy is no doubt welcome news for chocoholics. But it may leave you wondering if eating chocolate really is healthy. The answer depends on what you mean by chocolate and what you mean by healthy.

chocolate hearts

Photo by RODNAE Productions from Pexels

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Be thankful for family, friends, and food— real food—this Thanksgiving​.

Happy Thanksgiving week! While this Thanksgiving may different when it comes to gathering together with family and friends, food will certainly be a part of the holiday. Even though many of our favorite dishes are not the healthiest choices, they make an appearance on the table each year. For many of us, Thanksgiving dinner is a day marked by overindulgence and poor nutrition choices.

In an effort to make Thanksgiving dinner healthier, recommendations for modifying or replacing traditional dishes are a common theme in magazines, on the morning TV shows, and on the web. While these suggestions are meant to be helpful, I’m not sure they actually serve to make a significant impact on health. In fact, the foods we eat and the way we eat them may be the healthiest part of a traditional Thanksgiving dinner. This is the topic of my Health & Fitness column in the Aiken Standard this week.



Photo by Karolina Grabowska from Pexels

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That’s not coffee! It’s your morning milkshake.

Breakfast is often thought of as the most important meal of the day, for good reason. Eating a healthy breakfast provides energy to start the day and can be helpful for weight control. In children, a healthy breakfast is essential for proper growth and development and is linked to improved attention and learning in school. Unfortunately, many common breakfast foods are more like candy and soda than a healthy meal to start the day.

This is also true for breakfast drinks, including coffee drinks. Many popular coffee drinks are more similar to a milkshake than to actual coffee!

Take, for example, the grande (16 oz) Mocha Frappuccino blended coffee drink from Starbucks. This drink has 410 calories, 15 grams of fat, 61 grams of sugar, and 5 grams of protein. To put this in perspective, 61 grams of sugar is more than most people should have in an entire day!

You could order this drink with nonfat milk and no whipped cream. That’s a good idea, but it will still have 270 calories, 1 gram of fat, and 59 g sugar. That’s still a lot of sugar!

Let’s compare that to a small (16 oz.) McCafe Mocha Frappé from McDonald’s, which is essentially a coffee milkshake. It has 500 calories, 20 grams of fat, 66 grams of sugar, and 8 grams of protein.

Sure, the calories and sugar in the coffee drink aren’t quite as outrageous as the milkshake, but it’s close. This is especially clear when you compare the coffee drink to actual coffee. A grande (16 oz.) Pike Place Roast from Starbucks has 5 calories and no fat or sugar. If you like cream and sugar in your coffee, that adds 5 grams of sugar, 3 grams of fat, and about 50 calories, still way less than either “coffee” drink.

If you don’t want plain coffee a better choice might be a grande Starbucks Cappuccino, which has 140 calories, 7 g fat, and 10 g sugar. Get one with nonfat milk and you cut out 60 calories from fat. If you are worried about how much sugar you consume and how many calories you drink (you probably should be!), this is a much better coffee drink choice than a milkshake!

This isn’t specific to Starbucks. A medium (16 oz.) iced coffee at Dunkin’ Donuts has 130 calories and 28 grams of sugar. And that doesn’t include a donut.

Does this mean you can’t enjoy a delicious coffee drink? Of course not. But don’t try to fool yourself by calling it coffee. Depending on what you order, it may essentially be a milkshake! I think we can all agree that is not part of a healthy breakfast.

I call this idea that unhealthy food makes its way onto our breakfast table Candy & Soda for Breakfast. Foods like donuts and pastries are often topped with icing and it would be difficult to distinguish many muffins from cupcakes. Many “fruit” drinks contain little to no juice but plenty of added sugar, so they are essentially soda without bubbles.

And it’s not just breakfast, either. Lunch, dinner, and snacks frequently include foods that look like a healthy choice—yogurt, nuts, and granola bars are a few examples—but really are candy and soda in disguise.

Staying healthy when going back to school, part 2

Last week I wrote about how to make returning to school healthier for children and families. The focus was on preventing the spread of COVID through vaccinations and mask use. Unfortunately, schools in our community cannot require children and teachers to wear masks and be vaccinated when eligible, so many schools are already seeing outbreaks leading to quarantines, closure of some schools, and some serious illnesses and deaths. Keeping children and families safe from COVID remains the top priority when it comes to making this school year a healthy one.

But there is more we all should do to stay healthy this year.  Here are a few suggestions to improve the health and wellbeing of our children and families.

 Make sure everyone in the family is active every day. Physical activity is critical for good health for everyone. Importantly, it can improve your immune system, helping you fight viruses of all kinds. Beyond that, being active can help you perform better at work and school and make it easier to do things you enjoy in your leisure time. Adults should be active for a minimum of 30 minutes per day. Everything from taking the dog for a walk to a fitness class at the gym counts. For children, the goal is 60 minutes per day through PE class, sports, and play. As a bonus, you can do at least some of the activity together to make activity a family event!

Make healthy eating a family project. There is a lot of confusion about what makes a healthy diet, but there are a few guidelines almost everyone agrees on. First, eat more fruits and vegetables. At a minimum, eat at least 5 servings each day, but try for twice that. Second, limit added sugars and salt. This is tricky since salt, sugar, and other sweeteners are added to most processed foods. Eating too much sugar is known to contribute to obesity, heart disease, and some cancers, so this is among the smartest nutrition moves you can make. Salt, by itself, isn’t necessarily harmful, but less salt almost always means less processed food and more “real” food. Finally, be mindful of portion sizes. Super-sized servings and second (and third) helpings are the primary reason why people gain weight over time.

Plan to eat at least one meal together each day. Most experts agree that family dinners are important for promoting good communication and healthy eating habits. Given that our days are busy with work, school, and other activities, eating dinner together every night is unrealistic for many families. So, start with planning at least one family dinner at home each week. This is also a good opportunity to teach children about food and cooking, so it is even better if you prepare the meal together.

Make getting enough sleep a priority. Many American adults and children don’t get enough sleep. Many American adults and children don’t get enough sleep. Lack of sleep can affect children’s growth, development, and learning.  It can also have an impact on an adult’s productivity at work. The effect of chronic stress on health is well known and we should recognize a lack of sleep as a form of stress. A good goal for adults is 7–9 hours of sleep each night. School-aged children need 8–12 hours, with younger kids requiring more. As difficult as it may be, earlier bedtimes can benefit everyone in the family. Limiting screen time (TV, computer, tablet) before bed can help improve sleep, too.

Obviously, these ideas are easier read than done, especially for busy families. But moving more, eating better, and getting more sleep—especially if it is done together—can help your family enjoy a happier and healthier year.

Summer gains and losses: Maintaining good health and academic success over summer vacation.

The school year has ended for kids in our area. Long summer days to play, sleep in, and relax are an important part of growing up. But many educators and health professionals are concerned about what gets lost, and what gets gained, when kids are away from school. This is especially true in a year when many kids missed at least some opportunities due to the coronavirus pandemic. It’s also the topic of my Health & Fitness column in the Aiken Standard this week.

kids-jumping


Summer learning loss is a real concern. It is estimated that children lose, on average, two months of reading skills and one month of overall learning over summer break. Those losses must be made up when school starts again in the fall, so teachers spend about six weeks re-teaching material that was covered in the previous grade. That is six weeks that children are not learning at grade level, which certainly has an impact on achievement over time.

Not all kids are affected equally. Much of the disparity in summer learning losses falls along socioeconomic lines. Some children have more opportunities than others to continue learning over the summer through formal educational programs and camps and informal encouragement to read.

To address this issue, many institutions implement summer “school” through classes, on-line learning programs, and encouraging reading at home. Some target the students who need them the most while other programs are instituted for all children. In fact, all three of my kids completed online learning programs last summer.

Learning losses are not the only concern with an extended break from school. Many children gain more weight over the summer than during the rest of the year. Furthermore, fitness gains made during the school year are frequently lost over the summer.

While poor nutrition and a lack of activity in schools is a real concern, many children get more exercise and eat better at school than they do at home. Being at home over the summer can lead to poor eating habits—too much unhealthy food or not enough food in general—and lack of chances to be active.

This is important because the combination of poor nutrition, physical inactivity, and obesity has physical, psychological, and social consequences for children that frequently persist into adulthood. Overweight and obese children, especially those who are inactive, are at increased risk for type 2 diabetes, high blood pressure, heart disease, and even stroke – conditions usually associated with adulthood.

Even if an overweight child does not have these conditions now, he or she is likely on that path. In fact, many experts predict that children born today will be the first generation in history to have a shorter lifespan than their parents due to obesity-related diseases that begin in childhood.

Children who are overweight are also more likely to suffer other consequences including lower self-esteem, social functioning, and academic performance. Overweight children are also less likely to play sports or participate in other forms of physical activity, which creates a cycle leading to poorer health and, potentially, poorer academic success.

Now that school is almost out for the summer, this is a critical time of year to focus on good nutrition, physical activity, and continued reading and learning to help prevent a summertime slump in health and academics.

Schools can only do so much, so adults should model good diet, activity, and reading behaviors themselves. A good place to start is by turning off the TV and reading a book or going outside to play. It’s something all of us—adults and children—will benefit from.


drparrsays blog footer

Let’s Agree to Agree About Food

Eating a healthy diet is a goal for many people to help them treat or prevent disease, improve exercise performance, or maintain a healthy body weight. If you pay attention to news about food and nutrition you have probably noticed that there is a great deal of controversy about what constitutes a healthy diet. It’s easy to find lists of foods to avoid and things to eat every day. Unfortunately, lists from different sources may not be the same or, worse, a food that is on one “never eat” list is on another “always eat” list.

There is a different approach you could take to plan the foundation for a truly health way to eat. Instead of focusing on what is different, think about what recommendations are shared among most “healthy” diets. Here is some diet advice that almost everyone agrees on. This is the topic of my Health & Fitness column in the Aiken Standard this week.

Group of people eating

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