childhood obesity | Slow Food Fast

Frittata on the Rebound

Posted on July 14, 2015 by DebbieN

Dr. Lustig’s “Teaching Breakfast” clinical teaching program for families with obese or diabetic children posed a question for me that I didn’t get a chance to test out until this morning. If something with balanced protein and vegetables–say, an omelet–is a better choice than most breakfast cereal, or poptarts, or doughnuts, or whatever most kids are eating before they go to school, how do you get that to be affordable and quick to prepare on a schoolday?

The easiest way to do eggs for several people at a time without overdoing the cholesterol is probably to do a big omelet or scramble and take out some of the yolks. But you might not have time to do it at the optimal time for the gourmet–that is, right before you’re going to eat it. Not if you’re heading your kid(s) out the door with the daily litany to grab socks, shoes, homework and lunches and not to worry about what color lipstick (or hairstyle, or comic book, depending on age and taste) because you’re going to be late and come on, already.

We didn’t have this problem in my childhood; you either got out to the bus stop on time by yourself or you walked to school in disgrace, because my mother was not going to make our breakfast or lunch (for which we were immensely grateful), or do any big rescues for “emergencies” based on footdragging. And staying home was not an option we wanted to explore. My sister and I could count on the other one telling on us, not to mention the prospect of running into Mom if she came home early or picked up a phone call from the school attendance clerk. Motivation is everything…

But grownups have these dilemmas too. Who wants to be messing about with a frying pan and washing up when you’re trying to get to work? So many of my daughter’s teachers last year could be spotted out in the parking lot of the school right before the first bell, standing by their cars and bolting down an egg mcmuffin-type thing from a fast food drive-through (drive-thru? hate that commercial spelling) with a cup of coffee in the other hand. Quick, seemingly nutritious, but actually horribly high-salt-and-fat-and-calorie-for-what-it-is, and quite expensive too. Not a good daily habit. If you can do eggs and coffee from scratch at home, you’re bound to do them better and a lot cheaper. You could probably save up for a new tablet or pair of theater tickets within weeks, and you might even lose a bit of weight.

So eggs. A frittata has a lot more vegetation in it than a classic French-style omelet, and it’s more sturdy–look at the very solid, nearly stiff Spanish potato-filled version; always served at room temperature in cubes or wedge slices, almost as some kind of potato kugel.

Well, okay, you don’t want a potato frittata if you’re trying to get the nutrition up to snuff without tons of calories or grams of carb. You want some lighter but substantial vegetables so you don’t end up feeling like you swallowed a lead balloon for the rest of the day.

But the good news is that you don’t have to cook and serve it right on the spot. You can do it ahead and stick it in the fridge. If you do it the night before, you can cut it into wedges and microwave one on a plate for 15-30 seconds and you’re ready to go. Or, of course, you can serve it cold–kind of like the classic cold pizza for breakfast, only better balanced. And most frittatas go well with salsa.

I am not a fan of the kind of isn’t-it-rustic-Italian-or-Provençal glossy magazine frittata instructions that call for frying first and then running under a broiler or what have you. That takes time and heats up the house ( bad in Los Angeles) and probably calls for expensive stovetop-to-oven-friendly cookware, which is usually not [sorry, forgot the “not” when I first posted this] nonstick. A lot of excess fuss for an effect you can perfectly well achieve in an ordinary nonstick frying pan in a couple of minutes on the stovetop, which is how most people who make frittatas at home “authentically” in tiny Italian or Provençal kitchens actually make them. Unless you’re doing a fancy brunch service for 20 diners at a time, in which case it might actually be quicker to do a baked eggs thing in a big casserole and skip the frying. But then I’d hope you were getting paid through the nose for that. Little chance of collecting caterer’s fees at home.

As for the vegetables, cauliflower and zucchini are both very good low-carb, low-calorie stand-ins for potato, and they’re pretty inexpensive and easy to prepare, especially if you have a microwave so you can parcook them on a plate for a minute or so before adding them to the frying pan. That gives you a chance to soften them through quickly and at the same time drain off some of the liquid–they’ll fry faster and won’t make the frittata soggy.

Cauliflower has more fiber, vitamin C and calcium than zucchini, and it’s a bit firmer as well. Zucchini is milder and easier for kids (or adults) who aren’t yet used to eating a variety of vegetables. A frittata like this is also the ideal way to use up that scary-big overgrown zucchini your enthusiastic gardening neighbor gifted you with. Or that someone anonymous parked on your doorstep in the middle of the night.

…It is getting to be the season for that sort of reverse larceny, now that I think about it. Someday I feel it would be right to invent a spring-loaded, siren-enhanced trap for stealth zucchini donors. Something involving on-the-spot forced acceptance of a large cafeteria-style green or orange jello mold with canned fruit cocktail floating in it, faded-pink “cherries” and all, as the price of escape… Or maybe I’ve just been watching too much “Big Bang Theory” with my daughter this weekend and have started to channel my inner Sheldon. And really, I don’t mind stealth zucchini nearly as much as gifted Meyer lemons.

Okay. Back to the frittata–after all, if you already know how to make a basic omelet, this post is mostly just for entertainment, a mere vehicle for shocking photos of various vegetables that have been foisted off on us by well-meaning friends. It’s enough to make you feel like Wallace & Grommit in “The Curse of the Were-Rabbit”:

Monster zucchini. This is a dinner plate and steak knife we’re talking about here. And only half the zucchini. The other half of which I’m sure is still stalking the neighborhood in the wee hours of the night.

Breaking down a zucchini (well, how would YOU go about it? I didn’t have a wooden stake or silver bullet or anything) for a monster omelet.

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Filed under: cooking, DASH Diet, Diabetes, frugality, kid food, nutrition, Vegetabalia | Tagged: breakfast, childhood obesity, diabetes, eggs, food, omelet, recipes, vegetable recipes, zucchini | Comments Off on Frittata on the Rebound

Starting with Breakfast

Posted on February 24, 2014 by DebbieN

“The Well” blog at the New York Times has posted a new interview with pediatric endocrinologist Dr. Robert Lustig about his new book, the Fat Chance Cookbook, and about the possibilities for treating obesity in children with a better, less processed diet.

Two or three takeaways from the interview surprised me by echoing things I’ve either thought or written about here since my daughter became a Type I diabetic four years ago.

Almost always, we see an obese kid come in with an obese parent. And when the kid loses weight, the parent loses weight, because the parent actually changed what’s going on in the home.

We do something called “the teaching breakfast.” Every kid comes in fasting because we’re drawing blood. So they’re all hungry. They go to the teaching breakfast with their parents – it’s six families all at a communal table – and our dietitian spends an hour with them. The dietitian narrates exactly what’s on the table and teaches the parent and the kid at the same time….We make sure four things happen. No. 1, we show the parent the kid will eat the food. No. 2, we show the parent that they will eat the food. No. 3, we show the parent that other kids will eat the food, because they have other kids at home and they have to be able to buy stuff that they know other kids will eat. And No. 4, we show them the grocery bill, so they see that they can afford the food. If you don’t do all four of those, they won’t change.

Also, and I think this is my favorite:

…my wife is Norwegian… When she’s mad at me, she bakes…My wife has learned by experimenting that she can take any cookie recipe, any cake recipe, and reduce the amount of sugar by one third, and it actually tastes better…. And you can taste the chocolate, the nuts, the oatmeal, the macadamia – whatever is in it.

Right on!

Back to the top, though, I’ve got to say I love the idea of the teaching breakfast. My one concern is the reality of time cost for families with school-aged children, because eggs and vegetables, two of the (sometimes) inexpensive staples of the UCSF clinic’s teaching breakfast, take more time to prepare than a bowl of cereal, and require more cleanup. On weekdays, that might be a real challenge, especially for families with two working parents and/or long drives to school. A lot of the families I know in this situation (long drives and no school buses being a common problem in Southern California) are used to tossing their kids in the car with some kind of makeshift breakfast to eat on the way–often resorting to bagels, pop tarts, or bananas, none of which are great choices.

Perhaps if the dietician showed some simple microwaveable 5-minute meals like oatmeal or an easy vegetable-filled frittata (with some of the yolks left out) that can be made the night before and refrigerated? The plain yogurt with fresh fruit idea is also quick and simple but not especially cheap–these days a quart of plain non-Greek yogurt goes for $2.50 at Trader Joe’s, almost the same as a gallon of milk, and costs even more at the local Ralph’s (west coast Kroger affiliate), but it serves only 4 if each serving is a whole cup. Cereal with milk is a lot cheaper–but it could certainly be better cereal, high in fiber and low in sugar and salt, and measured by the cup or on a scale before pouring it into the bowl to make sure you don’t get more than you think you’re getting.

Cutting up fruit and vegetables takes time that parents usually feel they don’t have. And berries, which don’t need cutting up, are relatively expensive fruits, even when frozen. So showing parents a couple of “instantly grabbable” ways to serve the less expensive fresh (or fresh-frozen) fruits and vegetables instead of Froot Loops might be key.

A simple “just wash and nosh” approach would probably be a good start. I know I generally rail against buying precut, expensive little baggies of manicured (and dried out) vegetables in the supermarket, but the big bags of “baby carrots” that don’t require peeling and are finger-food size would be an okay starting point to get kids and parents to think about vegetables as a good snack or even breakfast choice. My daughter lived on them for lunches (along with a PBJ on whole wheat and an apple) for most of her grade school years, and even though she has (and will probably always have) a mean sweet tooth, she still seeks out raw green beans, wedges of red cabbage, roma tomatoes and broccoli or cauliflower branches to break off, rinse under the tap and nosh on after school.

Filed under: books, breakfast, cooking, Dairy, DASH Diet, Diabetes, frugality, kid food, nutrition, shopping, Vegetabalia | Tagged: breakfast, childhood diabetes, childhood obesity, dietetics, Dr. Robert Lustig, healthy kids, nutrition, pediatric endocrinology, UCSF, vegetables | Comments Off on Starting with Breakfast

LA County gets school lunch program wrong

Posted on December 29, 2011 by DebbieN

The LA Times recently reported that the public school cafeteria revamp the county worked so hard on for this year is a dead flop; kids are dumping whole trays of the healthier dishes they approved of in focus groups over the summer.

But there’s a catch: the dishes, which replace the concession-stand burgers-fries-pizza formula, were prepared well over the summer. The students say a lot of the stuff they’re being served now in the guise of “healthy” whole-grain salads and so on in the actual cafeterias is inedible: undercooked or burnt rice and other grains, undercooked meat, moldy bread, milk and other sealed cartons past their due dates, and so on. And when the students brought it to media attention, some of the cafeterias responded by removing the due dates.

The story was so eye-catching the New York Times picked it up last week to throw the issue to its own readers for comment. (Or you could say it regurgitated it–near the truth; the major newspapers seem to be following each other a little too closely these days. What is this, Reader’s Indigestion? what’s the nation coming to???)

The comments–well, as always for newspaper free-for-alls, they’re not generally on the ball. Most bashed the school board for being too liberal and trying to shove ethnic variety dishes like pad thai down the throats of poor kids trained on burgers and fries and pizzas. A lot of them were bemoaning the complete success of the fast food concessionaires in conditioning our kids not to like or even tolerate real food. A few–those who can read and think?– pointed out the spoiled or miscooked food problems mentioned in the LA Times but not in the NY Times digest version.

They all seem to have missed the most serious point, though: the school district may have retooled the menus, but they haven’t restored proper working kitchens to the school cafeterias. There’s no proper cooking facility behind that wall–certainly not for a thousand or so kids in each school. A lot of the new dishes are still being prepared offsite, just as the pizzas and burgers and fries were. Those prepared onsite are handled by staff used to doing nothing more complicated than heating up a bunch of frozen boxes from a concession company using minimal “kitchen” facilities.

The fault in the LA Unified School District healthy food menu plan lies partly in its complexity and partly in its execution. Upscale restaurant-style dishes might not be the best way to go for a first run at better food, and not just because they might repel students used to commercial stodge. They’re a bad starting choice because they’re more complex than the minimally experienced and underequipped cafeteria workers can handle on site, and the facilities that produce them clearly haven’t got their protocols down for “quinoa salads for 1000”.

The freshness factor is another problem. With “just reheat” trays of frozen pizzas, burgers and fries, no one has to think about sell-by dates. Heck, the sodium level is so high they probably don’t even need to freeze the meals. We’ve all seen the blog post where the woman let a Happy Meal sit on one of her shelves for an entire year…and nothing appeared to have changed in all that time. Real food with expiration dates? The school cafeterias are now out of their depth.

But by the same token, the schools shouldn’t have to throw in the towel so easily and go back to pizza, burgers and fries.

What would have been easier to get right–better balanced, and with better buy-in from the students–might have been “build your own” sandwich and/or salad bars.

You see the complicated versions at any Whole Foods or Souplantation. But pick one theme per day–brown-bag sandwiches, Italian subs or hoagies, felafel and pita, soft tacos… Offer two or three nutritious and fairly familiar choices for protein fillings, one of them vegetarian. Two or three raw, fresh vegetables as accompaniment and a choice of sauces or toppings, and fairly simple bread. Then you’ve got the makings of something students can deal with and find appetizing as well as nutritious, but without a lot of complicated prep.

You don’t have to provide a zillion choices for lunch every day. You don’t have to salt or bread the dickens out of the fillings, and you don’t have to provide sweetened, oversalted sauces for them. Fewer ingredients and processes are better. Just make sure the food is fresh.

I wish to god the school cafeterias and the board members who debate what they serve would stop trying to imitate the chain restaurants or the upscale restaurants–or indeed any restaurants. It’s lunch, not a field trip downtown to the California Science Center, where the brand-name burger chain running its concession stand/cafeteria sends the smell of frying grease wafting up to every one of the exhibits to make sure you know what you’re really supposed to be paying attention to.

Why don’t school cafeterias do regular sandwiches anymore?

Filed under: cooking, Eating out, Food Politics, frugality, kid food, nutrition, unappetizing | Tagged: childhood obesity, LAUSD, Los Angeles schools, school cafeterias, school nutrition | Comments Off on LA County gets school lunch program wrong

Big Food mobilizes against child marketing guidelines

Posted on July 10, 2011 by DebbieN

This Washington Post article isn’t the absolute clearest–looks like it was written as a last-minute rush piece, actually, but it’s worth getting to the end.

The basic idea is that in 2009 Congress demanded the CDC, FDA, USDA and FTC come up with a coherent set of voluntary nutrition guidelines for what the food industry can market directly to kids.

I’m not a big fan of voluntary nutrition or safety compliance guidelines for the food industry–mostly because industry players generally feel free to ignore or toy with them and then claim some kind of advertising advantage they haven’t earned. Voluntary guidelines also come with all kinds of soft landings and easy outs, and the proposed guidelines here are no great exception.

But in any case, now the four agencies have done it, and the food and restaurant industry is doing the predictable–throwing big lobbying bucks into a disinformation campaign-slash-tantrum.

How big? The campaign manager won’t say, but the preliminary guidelines report that US food industry marketing to kids 2-17 years old is currently something over $1 billion in three key categories (breakfast foods, restaurant chain food, and snacks).

So it probably won’t surprise you that companies like General Mills, Kellogg, and Pepsico have teamed up with ad-carrying media partners like Viacom (read: Nickelodeon) and Time Warner to try and quash the voluntary industry guidelines. Figure on the campaign to be spending in the mid-millions or more. They’d rather “salt and burn” instead of “cut the salt and learn.” And what a waste.

What will probably surprise you is just who this coalition–calling itself the “Sensible Food Policy Coalition”–?!!–hired to handle the campaign: Anita Dunn, a former Obama communications director whose husband, Robert Bauer, is still White House counsel. Not a really lovely mashup, there.

Why she’s taking on the food industry campaign so they can keep protecting their ability to market garbage to the young and vulnerable is one question. Why the FDA and FTC, which have the power to decide what nutritional and medical claims, among other criteria, are valid and can be used in advertisements to adults, let alone kids and teens, are bothering with a voluntary measure instead of doing a proposed regulation to limit such marketing to youth is another.

In both cases, the answer is almost certainly money. The food and media industries have it, the federal agencies don’t.

[As it turns out, the FDA and FTC don’t have power to restrict Big Fo0d’s marketing to the under-17 crowd after all. They lost that specific ability in 1981–start of the Reagan administration… Reagan’s “ketchup is a vegetable” declaration was the beginning for drastically lowered nutritional standards and branded fast food concession contracts for public school lunches.]

So the right question under these circumstances is, where do you want to put YOUR money? How about this, if the federal agencies can’t get a decent result and the lobbies are buying off everyone else:

Boycott the Boxes. Hit ’em where it hurts.

Box 1–TV: If you have kids, limit their access to TV, and teach them to turn off the sound during the ads. Do it yourself. Treat the ads like the silly nuisance they are from the minute your kids are old enough to watch. Tell your kids the truth: most of the products advertised on kids’ shows are too shoddy–and overpriced–to market to grownups. The companies make them bright and loud and cheesy because they think kids can be fooled easier (your kids should be beautifully insulted at that if they’re about six or seven years old). Go with PBS and videos you approve rather than commercial TV as much as you can.

Box 2–Packaged stuff parading as food: Skip almost everything that comes in a cardboard box or a plastic overwrap, or in a can. You can do this. You’ll save an awful lot of money by buying store brands only and cutting out the most pernicious items–sugared and high-salt packaged breakfast cereals, bags of starchy snack extras, and sodas, at least on an everyday basis. Save sodas and chips for parties, not for school lunch or part of dinner.

You’d do even better to go with fresh vegetables and whole fruits for most snacks and make a good habit for relatively cheap. They taste pretty good, don’t take long to fix, last at least a week in the fridge, and your kids won’t get sick overeating them.

There’s a reason the Pringle’s slogan is the very smug “Betcha can’t eat just one.” No one says that about carrots or broccoli, or even about apples. Ever eaten too many of those in one sitting? Didn’t think so. Vegetables and whole fruits keep you satisfied longer, don’t hyperstimulate your appetite for snacks, and they don’t put on pounds that take a long time to work back off. They don’t promote cavities, either. Even nonsweet junk foods do–all that processed starchy stuff sticks to your molars like glue.

Filed under: breakfast, Eating out, Food Politics, Food TV, kid food, nutrition, shopping, unappetizing | Tagged: Anita Dunn, child nutrition, childhood obesity, FDA, food ads, food marketing to kids, Food Politics, FTC, General Mills, Kellogg, Nickelodeon, nutrition labeling, PepsiCo, Sensible Food Policy Coalition, Time Warner, Viacom, voluntary nutrition guidelines | Comments Off on Big Food mobilizes against child marketing guidelines

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