I moved!

My blog is now at www.miltonstokes.com. Have a look.

Rudd Center

Check out Yale's Rudd Center:

http://www.yaleruddcenter.org/front_burner_news.aspx?id=206

"The Rudd Center for Food Policy & Obesity is a non-profit research and public policy organization devoted to improving the world’s diet, preventing obesity, and reducing weight stigma. The Rudd Center serves as a leader in building broad-based consensus to change diet and activity patterns, while holding industry and government agencies responsible for safeguarding public health. Our Center serves as a leading research institution and clearinghouse for resources that add to our understanding of the complex forces affecting how we eat, how we stigmatize overweight and obese people, and how we can change."

How Dietitians Keep Fit

Check out Melinda Johnson's blog at RDs Weigh In : http://rdsweighin.typepad.com/my_weblog/2009/07/5-ways-dietitians-motivate-themselves-to-exercise.html

Reform - from American Dietetic Association

Statement by Registered Dietitian and American Dietetic Association President Jessie M. Pavlinac on Health Reform and Conservation of Natural Resources

FOR RELEASE JULY 9, 2009

Media Contact: Jennifer Starkey800/877-1600, ext.4802media@eatright.org

CHICAGO – In these amazing times, with real reform of the nation’s health-care system a clear possibility, opportunities are endless for registered dietitians in keeping the public we serve healthy.

One of the American Dietetic Association’s key tenets is that every American has a fundamental right to the best quality of health care available, and that this right includes access to healthy food from a sustainable food supply. ADA takes this stance seriously and it forms the basis of much of our policy work. ADA has been continuously active in the health reform debates in Congress and throughout our country, delivering the message that nutrition is the foundation of health and the cornerstone of prevention.

The American Dietetic Association is focusing new attention on nutrition by addressing topics at the cutting edge of the field, including nutrigenomics, obesity prevention, and issues of food systems and sustainability. ADA believes strongly it can achieve the vision of a healthier nation by ensuring its registered dietitians are well trained and actively working in these areas.
In addition, ADA’s position paper, Food and Nutrition Professionals Can Implement Practices to Conserve Natural Resources and Support Ecological Sustainability, strongly encourages environmentally responsible practices that conserve natural resources, minimize the quantity of waste generated, and support the ecological sustainability of the food system-the process of food production, transformation, distribution, access and consumption.

While the American Dietetic Association welcomes the involvement of other health associations in this area, it is not a new arena for ADA. As Congress debated and designed current food and agricultural policies, ADA endorsed changes which would benefit Americans and people worldwide. ADA has supported new approaches in the development, production and marketing of food that better satisfies and sustains human health, addresses hunger and malnutrition, and seeks to improve food safety, environmental quality, and resource conservation and protection.
In addition, the American Dietetic Association is a champion for food, nutrition and agricultural research. As a nation, we need to invest now in federal research so that we have knowledge and solutions to keep people and our planet healthy. ADA advocates for U.S. food and agricultural policies to ensure a sustainable food supply that is safe, nutritious, affordable and better suited for the health of Americans and the planet.

The nation’s natural resource base should remain viable for use and capable of meeting peoples’ food and water needs far into the future. To make tangible progress, ADA supports stronger, more effective food assistance programs, additional food and agricultural research, reforms in food safety and inspection, investment in public nutrition information and education, and the removal of farm program barriers to better diets.

The American Dietetic Association is the world’s largest organization of food and nutrition professionals. ADA is committed to improving the nation’s health and advancing the profession of dietetics through research, education and advocacy. Visit the American Dietetic Association at http://www.eatright.org/.

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Crossing the Line: From Health to Hurt

In the United States, approximately 10 million females are fighting a life and death battle with eating disorders. Cultural and media influences, such as T.V, magazines and movies, reinforce the belief that women should concern themselves with appearance over ideas or achievements.

While most of our eating disorder clients have a preoccupation with food and weight, the underlying problem is about much more than food. Eating disorders are real, complex, and devastating conditions that can have serious consequences for health, productivity, and relationships.

The most commonly known eating disorders are anorexia nervosa, nulimia nervosa, and binge eating disorder. On the rise: exercise bulimia, diabulimia, pregorexia and orthorexia.

Orthorexia is characterized by excessive focus on eating healthy foods. In rare cases, this focus may turn into a fixation so extreme that it can lead to severe malnutrition or even death. The orthorexic may avoid certain foods, such as those containing fats, perservatives and animal products, or other ingredients considered by the orthorexic to be unhealthy. The orthorexic’s intent is to feel pure, healthy, and natural.

Diabulimia refers to an eating disorder in which people with diabetes deliberately give themselves less insulin than they need for the purpose of weight loss. This seems to be prevalent in young teens and women. The severe consequences of possible diabetic coma or death do not deter them from furthering their drive for thinness.

Exercise bulimia is a subset of bulimia in which a person is compelled to exercise in an effort aimed at burning the calories of food enery and fat reserves to an excessive level that negatively affects their health. The damage normally occurs through not giving the body adequate rest for athletic recovery compared to their exercise levels, leading to increasing levels of disrepair. If the person eats a normally healthy and adequate diet but exercises in levels she knows require higher levels of nutrition, this can also be seen as a form of anorexia.

The phenomenon of pregorexia is a term coined by the media. The intense need to remain slim and sculpted during pregnancy is a growing concern among the medical profession.

Eating disorders arise from a variety of physical, emotional, social, and familial issues, all of which need to be addressed for effective prevention and treatment. For additional information, visit http://www.eatright.org/, http://www.edreferral.com/, and http://www.nationaleatingdisorders.org/.

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Terri L. Mozingo, RD, CDN

D. Milton Stokes, MPH, RD, CDN

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This post is part of the Women's Health Blogfest. Here are links to posts from other Women's Health bloggers.

Update 7/16/09: The links below may not work. In the meantime, view http://nurturingnotes.blogspot.com/2009/07/busy-busy-woman.html to access all the other links.

Angela White at Blisstree’s Breastfeeding 1-2-3 – Helpful Skills of Breastfeeding Counselors
Angie Tillman, RD, LDN, CDE – You Are Beautiful Today
Anthony J. Sepe – Women’s Health and Migraines
Ashley Colpaart – Women’s health through women
Charisse McElwaine – Spending too much time on the “throne?”
Danielle Omar – Yoga, Mindful Eating and Food Confidence
Diane Preves M.S.,R.D – Balance for Health
Joan Sather – A Woman’s Healthy Choices Affect More Than Herself
Laura Wittke – Fibro Study Recruits Participants
Liz Marr, MS, RD – Reflecting on Family Food Ways and Women’s Work
Marjorie Geiser, MBA, RD, NSCA-CPT – Healthy Women, Healthy Business: How Your Health Impacts a Powerful Business
Marsha Hudnall – Breakfast Protein Helps Light Eaters Feel Full
Michelle Loy, MPH, MS, RD – A Nutritionista’s Super Foods for Super Skin
Monika Woolsey, MS, RD – To effectively work with PCOS is to understand a woman’s health issues throughout her life
Motherwear Breastfeeding Blog – How breastfeeding helps you, too
Rebecca Scritchfield, MA, RD, LD – Four Keys to Wellness, Just for Women
Renata Mangrum, MPH, RD – The busy busy woman
Robin Plotkin, RD, LD – Feeding the Appetites of the Culinary, Epicurious and Nutrition Worlds-One Bite at a Time
Sharon Solomon – Calories, longevity and do I care
Wendy Jo Peterson, RD – Watch Your Garden Grow

Cancer Nutrition

Check this out for helpful information: http://www.curetoday.com/index.cfm/fuseaction/magazine.show/id/15.

I'm on the editorial board and would appreciate your feedback.

Lose 10 lbs Eating Fast Food! - Healthy Eating - Health.com

Lose 10 lbs Eating Fast Food! - Healthy Eating - Health.com

Shared via AddThis

What's Your Diet Type? -- Find Yours Today!

Common Weight Loss Mistakes

Registered Dietician Gives the Skinny on Getting Thin

Heather Jones R.D., has some startling news: your plans to lose pounds could actually make you not only gain weight, but also make you less healthy.  Jones, author of the new book What’s Your Diet Type?, points out the key ways to stay slim and healthy with her list of the top eight most common mistakes made by dieters.   

 

Not eating enough:  Drastically cutting calories sends your body into starvation mode. The “starving” body actually slows down its metabolism so it can maintain its weight.  The trick is to reduce your calories enough to lose weight, but not so much that you negatively affect your metabolism.

 

Not exercising: Diet and exercise go together like Ginger and Fred and peanut butter and jelly.  Both are good parts that, together, make an even better pair. In fact, studies show that weight loss results are much more effective with a combo of decreased calories and increased physical activity.

 

Completely cutting out favorite foods:  No food or drink is so high in calories, fat, or sugar that including it on occasion within overall healthy eating habits is going to cause a problem.  It’s better to moderate than to try to eliminate.

 

Changing what you eat, but not what you drink: Drinks (alcoholic and non-alcoholic) are an easy way to load you diet with extra calories. Sodas, coffee drinks, cocktails, and even nutritious drinks—like milk and 100% juice—can spell trouble for your caloric bottom-line. 

 

Skipping meals: When you skip meals, your metabolism drops and you may also tend to overeat at your next meal. Research show people who eat breakfast (the most commonly skipped meal) are more successful at weight loss then people who ditch their morning meal.

 

Following the latest fad diet: Fad diets, which usually promise speedy weight loss and insist you cut out certain foods or even entire food groups, are not long-term solutions.  Not only are these unbalanced diets unhealthy, dieters regain any weight lost more often than not.

 

Taking diet pills: Diet pills don’t teach you how to make long-term, healthy changes, and they don’t build fat-burning muscle.

 

Forgetting about your own wants and needs:  Research shows that a moderate weight loss of around two pounds per week through healthy, varied food choices, physical activity and permanent lifestyle solutions is the best (and only way) to lose the weight and keep it off.  Bottom line: You have to find lifestyle solutions that work for you and your own unique personality. 

 

Learn more about dieting do’s and don’ts in What’s Your Diet Type? available on Amazon.com, Hatherleighpress.com, and all other major book retailer websites and stores. 

 

What’s Your Diet Type? by Heather K. Jones R.D., Mary Miscisin M.S. and Ed Redard M.D will help you find a weight loss approach that will work for you—for good. With a short, simple Quiz based on the Myers-Briggs Type Indicator® (MBTI®), the world’s most trusted and widely used personality type assessment, you can match your personality to one or more of the four Diet Types: the Diet Planner, Diet Player, the Diet Feeler, and the Diet Thinker. Then, learn how to take advantage of your personality’s unique strengths to lose weight and keep it off—forever.  You’ll learn the basics of nutrition and diet and you’ll find solutions that will work for YOU, including healthy eating strategies and quick tips.

 

 

# # #

What’s Your Diet Type?

Use the Power of Your Personality to Discover Your Best Way to Lose Weight

A Hatherleigh Book, Distributed by Random House

978-1-57826-287-8, cloth $19.00

# # #

 

For interview requests, review copies, or additional information, please contact Mary Woodward at 718-786-5338, ext. 207 or mary@hatherleighpress.com.

 

Volunteers Needed for Diet Test Panel in NYC

Prevention Magazine is looking for men 35 to 65 who want to drop pounds and inches around the midsection with a new, flexible meal plan. The plan comprises 2 phases. The first is 4 days of structured meals and snacks to jumpstart your weight loss. The second phase is 28 days of eating 5 mini-meals from a host of quick meal ideas and easy-to-follow recipes. Your meal plan will provide adequate calories and a balance of protein, carbohydrate, fat and fiber.

If you meet ALL of the following criteria:

Age 35 to 65
Have 15 to 50 pounds to lose
Physician clearance to lose weight
Are willing/able to follow the plan for a month (32 days)
Are willing to be interviewed and have your photo in a book and/or national magazine
Are willing to come to New York City for a meeting in mid June and once in mid July
Are willing to maintain brief daily communication (i.e., email, one-on-one e-chat, or phone) with a registered dietitian during the month

If you're interested, please send a digital full body photo to Milton Stokes, MPH, RD, CDN at miltonstokes@gmail.com by May 27, and include the following information:Name Email address Phone number (daytime & evening) Age Occupation Current Weight Height
Highest adult weight
Lowest adult weight
Desired weight
What is your weekly exercise schedule?Have you lost weight in the past? If so, how much? How did you do it?

Toddler Nutrition

A post I did for Toddler's Dad blog:

Question: My child is underweight. How can I get him to eat more?

Answer:
Underweight could be related to medical problems or just to a restricted diet. Either way, I make sure each pediatric patient’s growth is charted on a growth chart. We need to monitor trends and patterns. Sometimes underweight really isn’t a problem; trending positively in the right direction matters more. Provided there are no medical abnormalities, then we can quite simply address diet.

What parent hasn’t experienced concern and frustration when a toddler doesn’t eat what we think they should eat. But take note: A little one’s ability to regulate dietary intake is in fact as close to perfection as it’ll ever be for his entire life. Yes! They may not finish everything on their plate or eat their cruciferous veggies. This is normal. Children are true experts at regulating their intakes: one meal might be scant; another quite large. The result is ideal balance. Overall intake is what matters most. It’s not until well-intentioned adults (i.e., grandparents?) who interject insisting a child clean his plate that problems arise. This teaches the child to override his inherent ability to regulate dietary intake. In my practice, I insist families eliminate membership in the Clean Plate Club. Eat when hungry; stop when full.

Another consideration for a child’s eating pattern is that introducing new, unfamiliar foods takes time and patience. Research and my professional experience confirms that what a parent does—role modeling during meals—is the most important way to encourage healthful eating. Avoid food fights and food struggles. Gentle episodes of exposure to new foods—as many as to or more separate occasions—may be required ten successfully expand a child’s intake.

Happy eating!

Eating Healthfully on a Budget

A Low-Cost Bill Of Health

Dietitians Dish Out Advice On Filling Your Plate Without Emptying Your Pockets

By THERESA SULLIVAN BARGER
Special to The Courant

March 19 2009

If you're looking to stretch your grocery dollars, the freezer is your friend. So are store brands, sales, grocery-store circulars, unit prices and shopping lists.

The complete article can be viewed at:http://www.courant.com/features/food/hc-nutrition-budget.artmar19,0,2356253.story

Visit Courant.com at http://www.courant.com

10 Reasons to see a Registered Dietitian

American Dietetic Association’s Top Ten Reasons Why Consulting with a Registered Dietitian Can Benefit You

You have diabetes, cardiovascular problems or high blood pressure. An RD serves as an integral part of your health-care team by helping you safely change your eating plan without compromising taste or nutrition.

You are thinking of having or have had gastric bypass surgery. Since your stomach can only manage small servings, it’s a challenge to get the right amount of nutrients in your body. An RD will work with you and your physician to develop an eating plan for your new needs.

You have digestive problems. A registered dietitian will work with your physician to help fine-tune your diet so you are not aggravating your condition with fried foods, too much caffeine or carbonation.

You’re pregnant or trying to get pregnant. A registered dietitian can help make sure you get nutrients like folate, especially during the first three months of pregnancy, lowering your newborn’s risk for neural tube or spinal cord defects.

You need guidance and confidence for breastfeeding your baby. A registered dietitian can help make sure you’re getting enough iron, vitamin D, fluoride and B vitamins for you and your little one.

Your teenager has issues with food and eating healthfully. A registered dietitian can assist with eating disorders like anorexia, bulimia and overweight issues.

You need to gain or lose weight. A registered dietitian can suggest additional calorie sources for healthy weight gain or a restricted-calorie eating plan plus regular physical activity for weight loss while still eating all your favorite foods.

You’re caring for an aging parent. A registered dietitian can help with food or drug interaction, proper hydration, special diets for hypertension and changing taste buds as you age.

You want to eat smarter. A registered dietitian can help you sort through misinformation; learn how to read labels at the supermarket; discover that healthy cooking is inexpensive, learn how to eat out without ruining your eating plan and how to resist workplace temptations.

You want to improve your performance in sports. A registered dietitian can help you set goals to achieve results — whether you’re running a marathon, skiing or jogging with your dog.

To locate a registered dietitian in your area, visit the American Dietetic Association at www.eatright.org/.

Doing Dietetics Right

Writing. Editing. Counseling. Teaching. Speaking. Managing. Volunteering.

Just a brief list of some of the wonderful opportunities afforded me as a Registered Dietitian (RD)!

Many people think, "Dietitians work in hospitals." And yes, that's true. But we also work in all aspects of public health, including health promotion, wellness, research, and service. Furthermore, we have private nutrition counseling practices (view mine at http://www.onesourcenutrition.net/); write freelance articles for magazines, such as Men's Health, Cooking Light, and Prevention; edit culinary nutrition textbooks, like The Art of Nutritional Cooking (3rd edition, Pearson/Prentice Hall 2008); and serve as media spokespeople for profit and non-profit groups.

These things I have done, and more!

In nearly 10 years I've enjoyed a career comprising wonderful experiences. Whether helping a patient improve her weight and cholesterol, writing an article for a consumer magazine, teaching a nutrition class to graduate school students, or educating and training under-served populations at health fairs, it's all fulfilling. Few careers allow so much flexibility and variety. I owe it all to obtaining my RD credential.

If you'd like to learn more about RDs and "doing dietetics right," visit http://www.eatright.org/ and email me at info@onesourcenutrition.net. From high school student to career changer, I'm happy to field your questions about nutrition and dietetics.

Salmonella, Again! -- 2009

Many people are concerned about the recent salmonella scare.

Stay in the know via www.fda.gov or http://www.fda.gov/oc/opacom/hottopics/salmonellatyph.html.

NEW Practice Location

I have opened a new office in Connecticut!

7 Hillside Drive
South Windsor, CT 06074

Same phone and fax numbers. Same email and Web site. Just another locale. And the space is wonderful!

Carb Cravings & Mood

Some of my patients report a strong urge to eat carbohydrate-containing foods, such as sweet, sugary things, especially when they feel blue, down, or depressed. This is generally thought to be the carbohydrate-craving syndrome. Eating carbs helps increase serotonin in the brain, which is a feel-good hormone. A study published in the journal Eating Behaviors in October 2008 lends more support to this carb theory linking food and mood. Study participants were able to choose a carb-laden beverage over the protein beverage. Both beverages were designed to look and taste the same, so there was no overt difference detectable. In the end, the carb cravers were more likely to select the beverage with more carbs than protein.

Complementary & Alternative Medicine Use

Interestingly the Chicago Tribune reported today on a study showing how complementary and alternative medicine (CAM) therapies--aka integrative medicine--rank in popularity. The top source: "natural" products, like supplements in pill form or oils. Diet was in the top 10, but down at the 7th slot.

Great Snacks -- Try These!

Want to serve treats that taste great, are wholesome, and include people with food allergies and other dietary needs? HomeFree cookies are made in a dedicated bakery free of peanuts, tree nuts, eggs and dairy (and most people with wheat and soy allergies can eat them too!), and they are certified whole grain, kosher pareve, and organic. You can find HomeFree baked treats, allergen free baking cookbook, and allergen tested baking ingredients at their web site www.homefreetreats.com. The boxed cookies are increasingly available at stores including Shaw’s (Wild Harvest section) and a number of Whole Foods Markets.

New Eating Disorder Book -- Starving For Affection

Dr. Bausch shares:

"Starving for Affection-a journey of eating disorders, drugs, and sex by Nancy Lee Bausch, PhD is based on a true story. Using a first-person narrative, it covers the period from a young girl’s adolescence to her early twenties. It is a vivid retelling of how she dealt with being a fat girl in a society that celebrated thinness. Bulimia and amphetamines were her solution for over 15 years. They are graphically described and include the causes and effects of the twin addictions. Her secret has cost her years of her life. Her personal story is a cautionary tale for girls who will do anything to fit in, to be accepted, to be included in today’s world of slender bodies. Perhaps her story will help others. She feels strongly that this book can help teens and adults who struggle with their eating disorders and also help those who live and guide those individuals."

And her bio:

"Dr. Bausch is currently an Adjunct Professor of Psychology at Arizona State University—West Campus. She has specialized in depression and eating disorders for over 18 years in her clinical practice and worked in counseling and education for more than 35 years. In addition to psychotherapy, she is also a certified hypnotherapist. Nancy Bausch has worked in Europe and has five university degrees. Her home is currently in Glendale, Arizona where she lives with her husband and two sons."

You can visit www.starvingforaffection.com for more information.

Is Your Diet Making You Gain - Prevention.com

Tips to help manage your weight.

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