 Jason Block, MD, MPH More than 40% of all food consumed in the United States is prepared, or ready-to-eatfood. Widespread policy change is underway, including calorie labeling and enhancements to the Nutrition Facts panel, to guide customers to healthier choices when dining in restaurants or buying prepared food. But convincing customers to make changes in fast-paced settings is difficult. Price and taste often quickly overtake health concerns. Why can’t we just change the default options to be healthier?
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 Sheryl Rifas-Shiman, MPH In the August 2017 issue of Pediatrics, several colleagues and I reported that mothers who consumed more sugary beverages – including sugary soda and fruit drinks – in mid-pregnancy had children with higher amounts of body fat in mid-childhood, even when we considered the children’s own intake of sugary beverages. We also examined the effect of drinking water and 100% fruit juice during the same time period, and found no associations between these drinks and children’s later body fat. We hypothesized that the second trimester of pregnancy may be a sensitive period with regards to children’s body fat deposits, and that avoiding high intake of sugary beverages during pregnancy may reduce the risk of childhood overweight and obesity.
Click on the Read More button for the Pediatrics’ press release…  Karen Switkowski, MPH, PhD Most parents, nutritionists and educators will agree that it’s not easy to get kids to eat fruits and vegetables, especially in school. In this earlier blog post, Dr. Jenn Woo explained the importance and effects of improved school meal standards, which have since been changed again by the Trump administration. It is well-established that providing nutritious, affordable school meals is important in controlling childhood obesity and there is broad support for this initiative from physicians, and former First Lady Michelle’s Obama’s Let’s Move campaign. However, the best way to implement improved standards is controversial. There’s also the important question, raised in Dr. Woo’s post, of whether kids will actually eat these healthier meals and learn to appreciate fresh, nutritious food.
 Kristina Lewis, MD, MPH, SM Despite a good run of over 50 years in the business, McDonald’s decided late in 2016 that the services of its friendly, funny clown, Ronald McDonald, were no longer required. The clown, it seems, had become a threat to public health. Why? Not because he was pushing trans fats on toddlers, selling sodas to six-year-olds, and hawking hamburgers to high-schoolers. Rather, this sudden call to action by McDonald’s execs was out of grave concern that Ronald might be.......scaring people (Gasp!!) After a series of creepy clown sightings across the United States last fall, it was felt that Ronald’s continued presence as a McDonald’s ambassador might be upsetting to children.
 In Michael Pollan’s book, In Defense of Food: An Eater’s Manifesto, he laid out 12 Commandments for Serious Eaters. The first commandment is “Don’t eat anything your grandmother wouldn’t recognize as food.” This makes sense, given evidence that processed, hard-to-digest, chemical-ridden foods are a large contributor to our expanding waistlines and declining health. I’ve always thought that this was a good rule to follow. After all, it’s hard to argue with the fact that my grandmother, who eats lots of steamed veggies, fruits, and wild poultry, would likely not identify Cheetos, Hot Pockets, Power Bars, or Lunchables as food. As it turns out, there is yet another reason why we should eat what our grandparents eat: evolution!
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