How Are We Teaching Our Children to Eat? Some Comments on McDonald's

Unfortunately, eating fast food regularly is a reality for many families 

I'm not quite sure what to think about McDonald's pledge to improve the nutritional offerings of their trademark Happy Meal. By the end of 2012 all Happy Meals will automatically include apple slices and the calorie content will be decreased by 20%. This is good, but will it really make a difference in battling childhood obesity? The bottom line for me is that allowing your kids to grow up eating McDonald's food (or any fast food) is like throwing them in a swimming pool without lessons and expecting them to know what to do. Let me explain.

When my kids were young, I would meet other mothers at a Maryland McDonald's so our kids could play. Our local McD's had a Playplace for the kids to climb and run. After an hour of play, we would buy the children Happy Meals. I noticed that my kids and my friend's kids would eat only a very little bit. We ended up throwing at least half of the meal away. The kids were little (under 5 years) so of course they couldn't eat the whole meal. We did this a few times and there were times that I did this with my kids alone. Despite being in the metropolitan Washington DC area, I was lonely and isolated from my friends because it took at least an hour to get anywhere. Letting my children play at McDonald's got us out of the house.

When I moved to Rochester, NY my two older children were 4 and 2 years old. I began stopping in at the corner McDonald's at lunch time on occasion. As I sat watching my kids barely eat their meals I finally got some sense. By continuing to take my kids to McDonald's I was teaching them to like fast food. In the world of nutrition and health, I was teaching them how to drown.

McDonald's will most likely benefit from all the hoopla surrounding their recent press release. Consumers will view the company as caring and wanting to improve the health of children. I don't believe it! Large companies care about their finances. If they truly cared about childhood obesity, they wouldn't market their foods to children with toys. The toys in Happy Meals will still be offered. McDonald's wants your children to learn how to like their food so that they will continue to eat it as they grow up.

I read through several comments at the end of one of the online articles about this topic. One reader suggested that McDonald's trash should be evaluated for all the wasted Happy Meal produce. I'm sure that there are a lot of wasted hamburgers, chicken nuggets and French fries in that trash too. We give up so easily when teaching our children how to eat better. We stop offering vegetables because they won't eat them not knowing that the simple act of consistently offering healthy foods is important.

My question to those who give up trying to feed their kids healthy foods; would you stop teaching them math just because they are having difficulty with subtraction? The way to work towards combating childhood obesity is to feed your children lots of vegetables, not buying them the "healthier" Happy Meal.

I'm giving away the family cookbook No Whine with Dinner by fellow RD's Janice Newell Bissex and Liz Weiss. Comment on this blog post by August 31st, 2011 and you will be entered to win this cookbook to help your kids eat healthier (just in time for the new school year)!

Nutritionists Blog About MyPlate

A more simple model for healthy eating 

MyPlate is barely a week old and the nutrition world is buzzing about it. If you are curious about what this new icon is and what it might might mean to you, read on.

I'm happy to share a link with you that is a collection of blog posts written by dietitians (myself included) on the new MyPlate. Much thanks goes the Janet Helm of Nutrition Unplugged for organizing this list. Enjoy reading the various comments on MyPlate from nutrition professionals and add to the discussion with your own comments if you feel so moved. We'd love to hear your voice!

MyPlate Blog Link

Keeping Your Food Focus in an Attention-Grabbing World

Isn't all yogurt probiotic? 

It seems that almost every month there is some new concept in nutrition that seeks to grab our attention. Many eating styles and food products are developed to help people adopt these "new" eating principles. Some examples of these are the Paleo Diet, Atkin's Diet, glycemic index, raw foods diet, gluten-free diet, juicing and super foods (this list goes on and on). There is a lot to grab our attention and the end result for many people is not better health and vitality, but a short stint following an unmanageable eating pattern, a little weight loss, and more weight gain down the road. All of this is for the privilege of spending a small fortune.

I'm not saying that diet and nutrition principles don't have merit. A gluten-free diet is vital for people with celiac disease and the rest of us could probably stand to consume less refined wheat products. Rather, I think we lose our focus on eating a healthy diet by being drawn into food fetishes that may not make any sense for us. As an example, I've heard many people claim that they won't eat carrots, grapes or watermelon because they contain sugar. To equal the amount of sugar in a 12-oz can of Coca Cola Classic you would need to eat 4 cups of watermelon, 10 large carrots, and 45 grapes. Some people might be able to eat this much, but I'm sure that they would be quite full and not able to eat much for a period thereafter which is not the case when you drink a can of Coke. Also, consider that natural foods such as carrots, grapes and watermelon contain nutrients that promote health.

I was recently asked my opinion about Joe the Juicer who has a website called Fat Sick and Nearly Dead. Joe found "religion" (health) through juicing and now is on a crusade to transform the world. There is some sensible nutrition advise promoted on Joe's website and it is this advise that is responsible for transforming lives. Juicing is the vehicle that is used to promote a more plant-based diet. If you can live on juice, then this is the diet regimen for you. If not, then you better pay attention to adopting healthy lifestyle habits that you can maintain, and forget the juice.

When adopting a healthy lifestyle, ask your self this question: Can I maintain this change over my lifetime? If the answer is no, figure out what you can do to be healthier and establish SMART goals for yourself. A SMART goal is specific, measurable, attainable, realistic and time-lined. A SMART goal will lead you to the healthy lifestyle you are seeking, one goal at a time.

My kids often joke about being distracted by shiny objects. There is a lot of "nutritional glitter" out there vying to take your attention away from more sensible practices. Trust in your common sense and your ability to stay the course. It may not be as dramatic as juicing, buying amped up yogurt or getting your stomach stapled. But it is what works. Slow and steady wins the race, as long as you stay on the course.

MyPlate Introduced. Now What?

The endless junk food aisle 

Yesterday was a big day in the world of nutrition. The 20 year old Food Pyramid was retired by the USDA and the new MyPlate was unveiled. The new food guide shows a plate with four sections for the basic food groups: grains, fruits, vegetables and protein. To the side is a cup of dairy. The new food icon was introduced by USDA Secretary Tom Vilsack, US Surgeon General Regina Benjamin and First Lady Michelle Obama at a press conference yesterday morning. Vilsack commented that the personal health of the nation is as important to the wellbeing of the country as its fiscal and economic health. It is an issue of national security when many youth are too overweight and unfit to protect the country. Dr. Benjamin concurred that childhood obesity is one of the greatest challenges facing our nation. She stated that the goal of the new food icon is to provide clear and simple information based on science to guide the American people to make healthier food choices. First Lady Michelle Obama commented, "What is more simple than a plate?"

Michelle Obama goes on to say that there is still work to be done in leading our nation toward health. I can't agree more! I like the simplicity of the icon and the message to the American people to eat less that is a central tenet of the Dietary Guidelines. But I wonder if this new food guide will have any impact upon the way that Americans eat?

At the Future of Food Conference in Washington, DC last month, Secretary Vilsack commented that the way farm subsidies are appropriated will change with the new Farm Bill. He hopes to empower more small family operated farms which means decreasing (or ending) the subsidies paid to larger agribusinesses. To me, this is a more important step in changing the US food and health environments than the combined efforts of the new MyPlate, Dietary Guidelines and universal health insurance. The endless aisles of junk foods, cereals and beverages are directly related to subsidies paid to grow corn, wheat and soy which allowed the creation of cheap processed foods. Cheap processed foods are bad for health for many reasons, one of which is that they displace healthier foods such as vegetables, fruits and whole grains. When soft drinks and junk foods are more expensive and vegetables and fruits are less expensive, Americans will buy less junk. When we see smaller displays of junk foods at the grocery store, then we'll know that we are moving in the right direction.

Vilsack goes on to say at the MyPlate press conference yesterday that you have to walk the talk. He tells a story of how the new icon influenced him recently at a dinner where he was served a piece of steak that covered more than half his plate. He purposefully didn't eat it all. I hope Congress has the same good sense when it comes to passing a Farm Bill that will change the US food and health environments. Congress will have to turn a deaf ear to the wealthy and powerful food lobbies and do the right thing for the American people by voting to reduce subsidies to large agribusiness. Our national security depends upon it.

Moving Beyond SAD: Embrace the Mediterranean Lifestyle

The Mediterranean Diet Pyramid

The standard American diet is often referred to as the acronym SAD. The SAD is indeed sad when we consider the impact that it has upon the health and wellbeing of Americans. The increase in chronic diseases such as heart disease, cancer and diabetes is of great concern. Lifestyle choices have a large impact on the development of chronic illnesses. In 2005, one of every two adults had at least one chronic illness. With the current increasing trend in obesity, this number is expected to rise with serious social and economic outcomes.

The SAD is a result of US farm and economic policies. Laws were created throughout our history that gave advantage to companies. These companies in turn controlled what crops farmers would grow and how food was developed from them. High fructose corn syrup and soy protein isolate are two examples of food additives cheaply created from subsidized corn and soy crops. Processed foods flooded the markets and Americans responded by buying them up. It appears that now the devil is collecting what is due. What is truly sad is that our children won't even have a chance. Obesity rates in children have skyrocketed with a concomitant increase in chronic diseases. Many healthcare professional are expecting children born today to have shorter lifespans than their parents.

Across the globe, people developed eating patterns that were consistent with their natural environments. This way of eating offered people the greatest advantage for survival. The Mediterranean diet is a prime example of this. I can wax poetic on the benefits of following a Mediterranean diet pattern, but there are wonderful resources that already exist. Instead, I'd like to focus on a few of the Mediterranean eating and lifestyle habits that Americans can easily follow in their natural environments.

1. Tend a garden: This is not a foreign concept in American history. Most families used to have to grow their own food. Gardening has become almost quaint with our busy lifestyles and the greater availability of convenience foods. If gardening is too challenging you can frequent farmer's markets weekly or join a Community Supported Agriculture group. Either way, you'll be connected to the land and the life-giving foods that come from it.

2. Plants, plants and more plants: Place focus on eating more plant-based foods. We certainly aren't lacking for protein in the US. What we are lacking is eating more plants. Every meal and snack of the day should contain plant food. We can explore eating a wide variety of fruits, vegetables and whole grains that offer a bounty of nutrients.

3. Go fishing: I mean this metaphorically, but if you actually can go fishing more power to you! Replace eating beef and pork with fish. The fish in the market today is fresher than ever and there are many wonderful options that come from our lakes, rivers and oceans.

4. Be a little nutty: Nuts are a plant-based source of protein and healthy fats. Many nuts such as almonds, pistachios, walnuts, pecans and peanuts are cultivated in the US. Nuts can be used to enhanced the flavor of recipes or they can be a satisfying and nutritious snack when paired with a fruit or vegetable.

5. Cook and eat together: Nurturing is an innate human instinct, although some are more in tune with it than others. Our convenience-oriented environment has made it more difficult to become in tune with our more natural nurturing instincts. Cooking food to share with your family and friends is a great bonding activity. It is part of being human. Get everyone involved and enjoy the experience!

6. Get on your feet: Gardening, cooking, and walking to the market are all activities that support health. Life used to be very physical and now we have to exercise to replicate what we used to do on a daily basis for survival. An interesting thing is that all the exercise in the world won't save you if you sit for hours on end in a day.

A new US Food Guide will be unveiled June 2nd, 2011. Word has it that it will be very different from the Food Guide Pyramid of the last decade. A new icon was developed to more simply help Americans adopt the Dietary Guidelines into their lives. Whether or not the Food Guide is wonderful, all Americans can make little changes to move them to a healthier and closer relationship with the land that they live on.

How to Mindlessly Eat Better



Arrange your home and work environments
 to help you to make healthy food choices 


The food industry knows what we like. Sugar, fat, and salt have incredible power over us, and for a very good reason—survival. I recently had an opportunity to interview and attend a lecture by Brian Wansink, PhD, behavioral psychologist and author of Mindless Eating: Why We Eat More Than We Think. We are programmed to love the taste of sugar, salt and fat according to Wansink. Our ancestors knew that sweet berries were safer to eat than bitter ones, and that they supplied us with much needed quick energy to help us build civilizations and flee danger. Fatty foods provided energy reserves to help us through periods of famine. Salt helped our active forbearers to retain water and prevent dehydration. Finding convenient food was also important for survival. The less time prehistoric humans spent in the pursuit of food, the less risk they had of encountering something that would pursue them as food. The concerns that our ancient ancestors had for survival are not as relevant to us today, but our preferences for sugar, fat, salt and convenience persist. Do not blame the food industry for the overabundance of convenient foods loaded with sugar, salt and fat. Dr. Wansink contends that the food industry’s only concern is to sell you the foods that you want. “They could care less if you eat it” he claims.

Our desire for sugar, salt, fat and convenience paired with a very marketing savvy food industry are a part of the reason we have become the fattest nation on earth. We make over 200 food decisions in a day, and many of those decisions are mindless. Dr. Wansink’s research shows that calorie consumption is greater when we are cued to eat mindlessly. He also discovered that no one is immune to it. Wansink studied graduate students who were trained to understand the concept of mindless eating, and found that they were just as likely to engage in eating mindlessly as anyone else. Education and intelligence do not prevent mindless eating.

It seems the answer to mindless eating would be to become more mindful of what we put into our mouths. However, Wansink believes that mindfulness requires too much energy to maintain. Instead he believes that we should adjust our environment to allow us to mindlessly eat better.

Eating Cues

There are many cues that promote mindless eating and they very often trump hunger. The cues around us suggest when it is time for us to eat; we may habitually eat at a certain time or take a specific amount of food because that is what we are used to doing. We develop unhealthy habits that we engage in frequently simply because they have become normal. Wansink has discovered that we can eat on average 20% more or less without being aware of it. He calls this the mindless eating margin. Big portion sizes and giant-sized packages have helped us to become accustomed to eating more. Making a few small changes can help us to eat less. The following is a list of cues that promote mindless eating with suggestions how we can re-engineer our environment to mindlessly eat better.

• Dish and Utensil Size: Larger plates, bowls and serving spoons can encourage us to eat about 25-30% more food.
Mindlessly Eat Better: Use smaller plates, bowls and spoons when serving and eating food.

• Glass Shape: We pour a greater volume of beverage in short wide glasses than in tall narrow ones. A study conducted on bartenders showed that they over poured beverages an average of 37% in short wide glasses.
Mindlessly Eat Better: Drink only from tall thin glasses.

• Food Package Size: The larger the food package, the more we tend to eat.
Mindlessly Eat Better: When buying larger packages for value repackage the food into smaller portions at home right away and hide the extras.

• Variety: When presented with a greater variety of food we will eat more total food than when we are given fewer food choices.
Mindlessly Eat Better: Provide a greater variety of healthy foods during meals such as offering two vegetables and/or a piece of fruit every time you eat.

• Visibility: If we see food we will most likely eat it. In one study, participants ate 71% more candy when the candy in the dish was visible.
Mindlessly Eat Better: Place healthier foods in visible locations and less healthy foods in less visible locations in your workplace and home.

• Family-Style Meals: We tend to take more food per serving and take additional servings of food when it is offered family-style.
Mindlessly Eat Better: Serve foods such as vegetables and fruits family style and serve entrées and bread, rice or pasta from the counter. Having to get up from the table to serve more food provides enough pause for us to determine if we are still hungry.

• Distractions: Eating while doing other activities such as reading, working on the computer, watching TV or eating with other people promotes mindless eating.
Mindlessly Eat Better: Eat only fruits and vegetables when doing other activities. When eating with other people, pace yourself to be the last one to start eating and the last one to finish eating to avoid taking extra food.

Wansink says that, “it is easier to change your environment than to change your mind.” He is currently involved in a program called The Smarter Lunchroom Initiative whose mission is “to design sustainable research-based lunchrooms that subtly guide smarter choices.” Most lunchroom changes cost less than $50. By making healthy foods more visible (serving fruit in a nice bowl in a well-lit area) and offering a greater variety of healthy choices (two vegetables instead of one) schools can significantly promote healthier eating among students.

These strategies can also be used in home and work environments. Anyone can make two easy changes to eat better. You will hardly notice that you are hungry with a daily decrease of about 100-200 calories, but you will be establishing new eating patterns that will lead to significant weight loss and improved health over time. Don’t let another day, month or year go by without making a consistent change. Think about it, in a year you could be ten pounds heavier if you do nothing or ten pounds lighter if you change your environment.

This article will be published in Rochester Healthy Living.

Note to Americans: Celebrate National Nutrition Month All Year Long

Define yourself as a healthy eater 

March is National Nutrition Month. This is a big deal to dietitians and those who work in the field of nutrition and aspire to help Americans to adopt healthier eating and lifestyle habits. I wonder, has the rest of America received the memo?

Nutrition impacts so many aspects of health. What we eat deserves the greatest of care and attention the whole year, not just on one designated month of the year. What is it going to take to finally get Americans moving in the right direction to make healthy food decisions most of the time?

Eating healthy is not an all or nothing proposition and perhaps dispelling this myth is the first place to start. Let's embrace food for its nourishing properties and celebrate its flavors, textures and aromas for what they are, delicious! Eating healthfully does not mean that you can never eat pepperoni pizza (or cake or whatever your favorite food might be). In fact, including your less healthy favorite foods in your diet from time to time may be helpful in actually adopting a healthier diet overall.

This brings me to my next point; our skewed taste perception. Many of the foods that are sold in grocery stores and restaurants in America are loaded with fat, sugar and salt. Our tastes veer naturally toward these compounds in foods, but what we taste most often are not the naturally occurring elements in foods, rather the concocted flavors created by food engineers. The politics behind this is enmeshed in our agricultural system (farm subsidies), and food industry (food lobbies) and presents a huge hurdle for Americans to jump over in order to make healthy eating easier. I don't have a clear solution for this problem, other than to encourage Americans to go back to what is natural (unfortunately, the definition of natural is meaningless on food packages) and naked, food in its natural state prepared with ingredients that were not created in a lab. There is hope that we can regain our taste for real food. Taste perception is not static, it changes over time. I can attest to this myself as I have worked to wean my taste away from sweet and salty foods. I can now barely tolerate these flavors in most manufactured foods. I would much rather add my own sweetness to oatmeal with raisins than eat sweetened packaged oatmeal and I notice how salty most foods taste in restaurants.

Nutrition should be on our mind every day as we choose what we eat. The nutritious foods that we eat are also delicious, from the whole wheat cinnamon toast with butter and a full bowl of berries that I ate for breakfast this morning; the homemade pea soup I'm having for lunch with an over-sized red delicious apple; to the red beans and brown rice, pecan cornbread (from a package with ingredients that are foods, not chemicals) and roasted asparagus that I am making for dinner tonight.

Upon learning that I was a dietitian, a gentleman once commented that he felt sorry for my husband. I replied back, "My husband is the luckiest man in the world. He gets to eat the most delicious and nutritious food!" Our perception of healthy foods should stress how wonderfully delicious they truly are so that we celebrate National Nutrition Month all year long!