Weekly Meal Plan: Monday May 17th

by Maryann Tomovich Jacobsen, MS, RD on May 17, 2010

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Last week turned hectic because my daughter’s sickness spread to the rest of us.  It wasn’t as bad as last time but it still threw the whole week off.  I never got to the Red Beans and Rice but I did make the Chicken Pesto Parm.  I haven’t had much success with producing tasty and moist baked chicken, but the mixture of parmesan and pesto worked beautifully.  I know I’ll make this one again soon. 

I’m looking forward to this week’s meals because I have an incredible new cookbook to try.  I’m going to review it soon but first want to test a few recipes.  For Wednesday slow-cook day, I’m going to make my favorite stew-like meals before the weather gets too hot.  I’m usually not a fan of stews but this one rocks. 

For more meals plans go to Org Junkie.

What’s Cooking This Week

Monday:  Black Bean Burritos, guacamole and toppings

Tuesday: Ravioli with Spinach and Sun-dried Tomatoes, bread and salad (new cookbook — recipe forthcoming).

Wednesday: Italian Chicken with White Beans, Parmesan Crusted Asparagus and bread.

Thursday: Potluck/leftovers

Friday: Roasted Vegetable, Feta Cheese and Basil Pizza

Will have salmon/tuna for lunch to make up for this week’s fish deficit.

News

Three months ago news of the Let’s Move campaign to fight childhood obesity, and Michelle Obama’s leading role, took center stage.  The new White House Task Force on Childhood Obesity promised the public a “plan of action” in 90 days.

And they delivered on that promise.

Last week the Task Force revealed their 124-page report to the President: Solving the Problem of Childhood Obesity within a Generation. 

I did not read the entire document word for word (but you can!) but concentrated more on the recommendations. 

The five areas the taskforce focus on include Early Childhood, Empowering Parents and Caregivers, Healthy Food in Schools, Increasing Access to Healthy and Affordable Food and Increasing Physical Activity. 

The Early Childhood section includes ways to increase breastfeeding, improve the quality of prenatal care and childcare settings and make the American Academy of Pediatrics screen time guidelines (2 hours or less) more available.

Empowering Parents and Caregivers focuses on ways to disseminate the 2010 Dietary Guidelines (out soon) and to improve food labels and food at restaurants (with calorie counts for both vending machines and establishments). 

Marketing unhealthy foods took center stage in this section.  The taskforce recommends no advertising to kids, even in-store.  They recommend media and licensing of popular characters only be allowed for healthy food.  And if this doesn’t work they recommend the FCC consider new rules all together.

There will also be a heavy focus on BMI at pediatrician offices and at schools.  This means weight is likely to be checked at schools and kids would go home with a note for parents. 

Pediatricians and schools will provide tips to parents on ways they can help their overweight children.  If things don’t improve more intense treatments may be recommended.

Healthy Food in Schools covers the importance of nutrition education, improving resources for healthy meals, establishing farm-to-school programs and updating nutrition standards for meals and expanding them to a la carte and vending. 

In order to improve Access to Healthy Affordable Food, the taskforce recommends a multi-year, multi-agency healthy food financing initiative to improve the food at underserved urban and rural communities.  They also recommend incentives to grocery stores to include more healthy food as well as wellness policies at public and provide facilities that serve children.

The last one, Increasing Physical Activity, includes ways to decrease the cost of sports, increase recess and physical education classes and make “active transport” a reality for more kids.  Basically active transport is walking or biking to school.  According to the report, 13% of kids currently walk to school compared to 44% in 1969.   Some ideas including walking school buses with adults walking kids to school.

What I don’t like

I’m having trouble with the Empowering Parents and Caregivers section.  Not much of what they recommend is empowering at all, especially the concentration on marketing to children.

Don’t get me wrong, I’m not a proponent of marketing to kids.  But how do these messages empower parents?  Instead of telling parents they are powerless to advertising, let’s tell them they are the biggest influence on their kids’ eating.  A study published in the British Journal of Developmental Psychology showed that parents who talked to their kids about the nature of advertising and provided limits/structure on such foods, had kids that were less impacted by advertising.  Restricting advertising only worked for young children (<8 years).

And there is no mention of family meals or how to feed kids.  How can this message not be included when study after study shows the benefits of family meals on weight, fruit and vegetable intake and disordered eating?  Instead it’s the same old focus on the “what” of eating, telling parents of overweight children to eat healthy.  Don’t they already know that? 

I’m still concerned how this focus on weight will play out.  How will pediatricians counsel families?  Maybe having a dietitian on staff would help?  And they don’t mention anything about making health tips a family affair.  Successful childhood weight management programs that have been shown to effective, such as Shapedown, include the whole family in the process. 

I could go on but I won’t.  I just know that information alone will not motivate people to change.  We need to remove their barriers.  They will take the note and tips from the doctor and go home to the same roadblocks.  When I first started working as a dietitian, I counseled patients this way and most never returned for follow up.

What I like

I like the increasing physical activity section, especially the idea on active transport.  Finding ways kids can have activity naturally built into their environment is key. And making exercise a regular part of their school day is vital.

I also hope that schools get more resources to help them expand their nutritious meals.  And the ideas for increasing healthy foods in more communities sound pretty good. 

I’m curious what you all think about this.  As a parent, do you think much about this obesity epidemic?  Sometimes I think this “childhood obesity” conversation is only being had by health professionals, policy makers and food enthusiasts.

Have a great week and let me know your thoughts!

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Weekly Meal Plan: Monday May 24th
May 24, 2010 at 6:23 pm

{ 8 comments… read them below or add one }

Lori H May 17, 2010 at 11:59 am

Here are my thoughts on this program: In general, I like the heightened awareness of healthy eating habits. However, over all, this plan has too much government involvement and control. The government needs to “butt out” with their constant intrusions in family lives. Before you know it, they will be mandating what I can feed my kids. I also think the emphasis on weight is wrong, because even girls as young as elem age are “dieting”. With my kids, we always emphasized healthy eating and exercise because it’s good for their hearts, or for their bodies, not a number on a scale. BMI has been questioned as a proper measurement too.

FoodontheTable May 17, 2010 at 12:04 pm

Great idea for kid’s asparagus. Parm is so flavorful, it just takes a little!

Candace May 17, 2010 at 12:52 pm

I really like the physical activity parts too. But, I agree with the weight issues Lori H. brought up. While we do have a problem with childhood obesity, we also have a problem with eating disorders and chronic dieting. Similar to what you said, sometimes I think all the healthy advice and news is getting read by the people who are already moderately healthy. And then maybe they feel guilty that they aren’t doing enough and try to do more. But the people with actual solvable problems that are causing obesity either don’t listen or they crash diet, which is just about the worst thing you can do. And doesn’t Ellyn Satter say that dieting is pretty much worthless before you are fully grown?

Elizabeth Ward, MS, RD May 17, 2010 at 1:11 pm

You say you didn’t read the whole report, but it seems like you did! I agree with your opinion about the empowering parents and other caregivers section. Study after study proves that the home environment, especially mom’s eating habits, shapes food preferences and choices. We need strategies to drive that idea “home.” In addition, many parents are unsure what healthy eating is, and there is a world of opportunity to educate them on that score.

Maryann Tomovich Jacobsen, MS, RD May 17, 2010 at 2:33 pm

Liz, you are so right about good habits starting in the home. I also think many poeple believe healthy eating has to take more time and money when a few simple changes can make a big difference, even if that’s just eating together as a family at first.

Lori, I agree that too much government involvement doesn’t sit right with me. And many health professionals question BMI as an accurate way to measure health risk due to weight.

Candace, Satter says diets are never good but especially backfire in children as research shows restricting children’s intake leads to increased food intake and higher weights. Many of the adults I see struggling with weight started dieting as children.

Eszter May 18, 2010 at 1:28 pm

I would even make a stronger statement! Say that the plan is a great first step in raising awareness but does nothing to help parents overcome the complex and numerous barriers they have every day in their attempt to feed their children any healthier. This is not simply an income issue, children whose parents would have the means to provide fresh meals and a balanced diet also exist on a strictly limited range of foods, undernourished and overfed, and are more often than not described as picky eaters.
I see a contradiction in the attitude expressed by Lori about personally always emphasizing healthy eating ( I assume she did this by consciously ignoring or circumventing the poisonous food environment her children are surrounded with, including but not limited to not buying processed food, not eating at fast food restaurants and diners, opting out of the school lunch, not using school vending machines, cooking from scratch) but disliking the government living up to those values collectively in providing access to better nutrition whether via school lunches, grocery stores or regulations. The comment http://www.fooducate.com had on this fear is right on target: if you are afraid that the government is going to tell you what food you can eat do not fear, it is just that the junk’s pricing should reflect their marginal contribution to the cost of the triple bypass surgery you or your child will have 15 years down the line from eating them. (I am paraphrasing here) The baseline is that no food provider in the existing “market” has the goal of your child’s health, to fight against this and popular culture requires an uncommon attitude, education and persistence. If you apply this attitude, education and persistence for your own kid’s benefit, why are you afraid of his/her classmates having access to it too? Go Mrs. Obama, go much further.

Heidi May 22, 2010 at 5:42 pm

I also have a big problem with the emphasis of bmi on school and in doctor’s offices. My daughter is four years old and somewhat overweight. She is involved in swimming, gymnastics, pre-school exercise classes and the like. I’m afraid she will feel like it is pointless to continue these healthy behaviors if she keeps on being told that her bmi is to high. She at four and a half is already begning to make comments about her friends being skinier and more blond than she is. I really don’t want this to turn into an eathing disorder issue.

Maryann Tomovich Jacobsen, MS, RD May 23, 2010 at 2:27 pm

Heidi,

I agree that this focus on weight can make things worse. I still believe parents have the strongest influence so keep talking to your daughter. If you haven’t checked it out, we have an eating-disorder prevention series. This article may be especially helpful http://www.raisehealthyeaters.com/2010/03/eating-disorder-prevention-part-2-how-to-raise-kids-who-love-their-bodies-and-dont-diet/

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