Showing posts with label breastfeeding. Show all posts
Showing posts with label breastfeeding. Show all posts

Monday, December 3, 2007

Fathead

I've long been fascinated by fat; apparently, as a child I used to sneak sticks of butter instead of cookies. My prescient brothers used to call me Fathead.

There's no way to miss the basic message that's out there about fats (they're no longer all bad! hydrogenation is really, really bad!) but I've been hankering for an easy-to-understand summary of the role of fats in our diet, a reference guide, if you will. There's good info out there:

The Philly science museum has a great educational piece that takes on both the impact of dietary fats on health and how fat consumption affected brain size from an evolutionary perspective. First off, it gives the basic lowdown about what's what. Eating ALAs (alpha-linolenic acids) found in dark green leafy veggies and flaxseeds, gives our bodies the building blocks for omega-3 fatty acids. Eating LAs (linoleic acids) found in safflower, corn, and soybean oils helps our bodies form omega-6 fatty acids. You want to have ALAs and LAs around to make DHA (docosahexaenoic acid) and AA (arachidonic acid) -- the long-chained fatty acids that make up the membranes of our neurons and the protective myelin sheaths covering them. Your body cannot make ALAs or LAs; you have to obtain them from food. (DHA and AA you can make or get directly from food sources.) Apparently, the balance between omega-3s and omega-6s is important, as well. You want about a 1:1 balance between the two, and our modern diets tend to heavily tilt towards omega 6s. Diets rich in DHA may help prevent the onset of Alzheimer's and may help combat depression and ameliorate developmental delays in kids.

  • Eat ALAs and LAs to make omega-3s and omega-6s. Eat lots of omega 3s directly. Don't eat too many omega-6s! The more DHA and AA the better.
Apparently, scientists think that the reason some humans were able to make the leap to higher cognitive function was the combination of omega-6 (via plant sources) and omega-3 (seafood sources) of fatty acids in their diet that allowed them to increase the amount of available DHA. Our brains are 2/3 fat! And they need precise lipids for the brain to develop to its greatest potential. The slow-mo Neanderthals, btw, were limited to a red meat diet. Ruh roh, burger lovers. Eating omega-3s in fish and shellfish helped the human species become the devious little critters we want our babies to be...

Echoing the evolutionary advantage of DHA, it appears that babies also benefit greatly from the right types of fat. Lise Eliot's fantastic book about brain development traces an overview of the role of fats in both neuron myelination and the creation of new brain membranes, both of which happen primarily in the first two years of life. Apparently, human babies need specific lipids (fats) for these brain-growing processes. Some must come from dietary sources, and some are fats that humans can produce later in life but are difficult for babies to produce on their own (hence the evolutionary need for these lipids in breastmilk).

Researchers' close attention to the lipids in human milk (which differs greatly from cow's milk) has resulted in DHA being added to infant formula, but the exact composition of breast milk is still being scrutinized. The lipid content of mother's milk changes over the course of time and even over the course of the day. Good dietary sources (for nursing mothers and for all of us) of DHA and AA (those beneficial long chain fatty acids) are: cold-water fish, shellfish, egg yolks, liver, and organ meats. Soooo...we don't totally understand all of the component parts of breastmilk, but the fats we do know are beneficial point again to eating foods that will help us produce DHA and AA.

How, you might, ask, can we figure out which foods to eat? Harvard School of Public Health's guide to fats and cholesterol has a handy chart that notes the importance of choosing fats wisely rather than avoiding fat altogether and provides actual foods along with definitions (smile). It advocates a shift from "bad" fats to good: from saturated/trans fats (bad) to unsaturated fats (good), which basically entails eating only fats that are liquid at room temperature, along with a soft margarine-type fat that doesn't have trans fats or hydrogenated fats on the label.
  • Saturated fats=animal fats (all dairy/meat)
  • Trans fats=margarine/shortening, other hydrogenated fats ie frying oil used in fast food, lots of commercial baked goods
  • Monounsaturated fats=olive, canola, peanut oils
  • Polyunsaturated fats=sunflower, soy, corn oils, fish (includes omega-3s and omega 6s, fyi)
Cook everything in olive oil like my grandmother, even (especially) your eggs. And eat your sardines (mmmm).

I must caveat all of this info by saying that there is a dissenting point of view, in the person of Sally Fallon and the Weston A. Price Foundation, who believe that animal fats are a healthy part of a traditional diet -- if the animals are treated properly and allowed to eat grass. I won't go into their ideas in great depth but if you haven't read Nourishing Traditions, it's fascinating. They are proponents of fermented foods and raw milk as well. Fallon and Mary Enig have written extensively about fats and Enig's got a book out; I want to read more of both. They have long been suspicious of trans fats -- long before the current labels -- and they, too, support the consumption of omega-3s via fatty fish. It's the saturated fat they're not willing to condemn....

I'm no scientist, and the argument that people for thousands of years have lived well off animal fats rings true, except that our ancestors knew scarcity and moderation as we'll never experience it and had a far lower bar for their dreams of longevity. That said, I *am* a butter lover, and I don't regret dodging the sticks of oleo in my mom's fridge. Research bears out the Fallonites' claims that grass-fed beef is healthier; its ratio of omega-6s to omega-3s is 2:1 rather than the 4:1 ratio found in conventional grain-fed beef.

One final note about fats, per Sandra Steingraber who wrote in Having Faith about the breastfeeding conundrum we face in this day and age: persistent organic pollutants (POPs) like dioxin bind to fat molecules. Many toxins are fat-soluble and concentrate as you head up the food chain, which is why we must buy organic everything that contains fat (dairy, meat, oils), and it's why you should predominantly eat lower on the food chain. Avoiding the toxins altogether seems impossible, because organic or not, pollutants are everywhere. The hope is to make strategic choices when moving up the food chain, as we do with salmon (ie wild over farmed) and to continue getting the fats we need to keep our brains alert enough to choose wisely. Ahem.

Speaking of fats, a quick shout out to Mrs. G at Derfwad Manor, who hooked me for life with this commentary on New Zealand's refusal to allow a woman with (ahem) larger-than-optimal BMI to emigrate, and also turned me on to Saturday's baby laughing video. Thank you, ma'am!
Read more!

Tuesday, November 20, 2007

Hairy, Hot Mamas Hoarding Health

Hard to believe study showing that hairless, cold mice produced more breastmilk (and therefore fatter babies) than their hairy-backed, hot mouse brethren. Awesome! Forget the fenugreek and hospital-grade pumps. Hit the spa, crank the ac, and nurse in the buff, mamas!

Sounds like a male fantasy if I have ever heard one. Really, it's best for the children if you wear that bikini, ma'am. And the prospectus for that study? I want to see it...

On a serious note, this may have ramifications for warm-blooded mammals in the context of global warming... Read more!

Sunday, November 11, 2007

Sleeping Like A Neurologically Impaired Baby: Holy Mackerel! Eat Herring Instead

Well, the experts have been flopping a bit on this issue but the basic gist is that there is mercury in the really healthy deep sea fish that have high levels of beneficial omega-3s in them. And since mercury's particularly damaging for small people, pregnant or nursing women and children have had to closely watch their fish intake. (Which is a bummer, since among other benefits it seems that a high intake of the DHA fatty acids in fish could account for better sleep in infants, no small feat.) There are handy lists of fish to avoid, mercury calculators like those here and here, and lists of fish that are safe to eat. Recently it seemed like the evidence weighed in favoring eating more fish over avoiding it for groups watching mercury exposure, but research showing that it's better to consume fish than not while pregnant may have been funded by -- surprise -- the fish industry. So we're back to the longstanding advice that women of childbearing/nursing age should eat 2 servings/week of fish and limit their consumption to specific species (the fish industry study recommended greater consumption without regard to species). One fish that's been hotly debated because it's a beloved kid sandwich food is tuna, which the research shows you should probably limit no matter the type (albacore vs. light).

Testing of fish oil has shown that most is not contaminated with mercury (your grandmother was right about that cod liver oil!) but since supplements aren't heavily regulated you have to choose brands carefully. American Heart has helpful guidelines on supplementing with fish oil.

In a parallel vein, lots of enviro organizations have lists of what's sustainably fished. This site helpfully lets you track down environmentally conscious restaurants serving sustainably harvested fish. And Environmental Defense has a downloadable pocket reference guide to enviro choices re sustainably fished species. But my favorite is the NRDC guide, which combines the mercury warnings with the sustainability info in their wallet card.

The bottom line? Avoid tuna, shark, tilefish (golden bass or snapper), swordfish, orange roughy, bluefish, and sea bass. Eat as much as you want of catfish, anchovies, clams, crabs, pollock, oysters, wild salmon (not farmed, which has PCBs), sardines, sole, herring, tilapia and trout. Also, try to eat lots of fish high in omega-3s like herring, sardines, oysters and salmon. Check out the lists for further fine-tuning of this advice, and try to eat a variety of the safe fish. Read more!

Saturday, November 10, 2007

Less Excema for Organic Milk Drinkers

A recent study showed that infants who consumed organic milk (and whose mothers consumed org milk while pregnant/bfeeding) were 36% less likely to have excema than those mom/infant pairs consuming conventional milk. Read more!

Breasteeding Only Makes *Some* Kids Smarter

Can I get a gene analysis on the side for my 10 month old? Because if he doesn't have the right fatty acid gene control going on, then I just endured 6 weeks of breastfeeding with thrush, aka baby sucking milk through broken glass, for nothing. Not to mention the 2+ years my little girl practiced Kama Sutra nursing in her playgroup while the other parents (ok, dads in particular) squirmed politely. Interesting Duke Univ. study about how only kids with a particular version of a gene showed an IQ boost with breastfeeding. Now *that* info would be worth a needle stick at birth! Not that the all-night snack bar isn't beautiful in a Sears and Sears treasure-every-bonding-moment kind of way...and I know, I know, there are a myriad of other benefits (economic, immunological, developmental). Good to know that (as usual) some benefits of nursing involve a toss of the coin, though.... Read more!