Re: lactating mom question

[Guest guest]

What did the peadiatrician say? It sounds like a possible metabolic disorder.

" Sue Nichols, RD/CDE/CDN " wrote:

Hi all, looking for any information for a woman who

had an almost 10 baby boy recently, exclusively

breastfeeding, baby gained no weight first week, and

lost weight second week. The grandmother, a

RD, is wondering if there are any suggestions for

supplementing mothers/baby's breastfeeding to promote

weight gain. I work with the geriatric population, so

this is out of my practice areas. thanks. Sue Nichols,

MS/RD/CDE/CDN

--- " Ortiz, R.D. " wrote:

> A prospective cohort study of more than 40,000

> people in Japan has shown that drinking green tea

> can significantly cut deaths from cardiovascular

> disease (CVD) as well as all-cause mortality,

> particularly in women. There was no beneficial

> effect of green tea consumption on cancer mortality,

> however.

>

http://www.medscape.com/viewarticle/544569?sssdmh=dm1.213424 & src=nldne

> Shinichi Kuriyama, MD, from Tohuku University

> Graduate School of Medicine in Miyagi, Japan, and

> colleagues, report their findings in the September

> 13 issue of JAMA. Kuriyama told heartwire: " I think

> our study provides strong evidence regarding the

> benefits of drinking green tea in humans on CVD, but

> not cancer, with a large sample size. "

>

> " The reason for the discrepancy between effects on

> CVD and on cancer deaths in our study is uncertain.

> Substantial evidence from in vitro and animal

> studies indicates that green tea preparations can

> inhibit both CVD and carcinogenic processes.

> However, recent epidemiological studies have

> indicated that green tea consumption is associated

> with reduced cardiovascular risk profiles but have

> demonstrated almost null data regarding the

> association between green tea consumption and cancer

> at various sites. Our results are almost consistent

> with those of the recent epidemiologic studies. "

>

> Green Tea Has Largest Effect on Stroke

> Dr. Kuriyama and colleagues explain that almost all

> Japanese people consume green tea as one of their

> favorite beverages. They designed their prospective

> analysis to examine the association between green

> tea consumption and mortality due to all causes,

> CVD, and cancer within a large population-based

> cohort study of 40,530 people in Miyagi Prefecture

> in northeastern Japan.

>

> For 11 years (follow-up rate for all-cause

> mortality, 86.1%), 4209 participants died, and for

> up to 7 years, (follow-up rate for cause-specific

> mortality, 89.6%), 829 people died of CVD, and 1134

> died of cancer.

>

> Compared with participants who drank less than 1 cup

> of green tea per day, those who consumed 5 or more

> cups had a risk for all-cause and CVD mortality that

> was 16% lower (during 11 years of follow-up) and 26%

> lower (during 7 years of follow-up), respectively.

>

> The inverse association with CVD mortality was

> stronger than that with all-cause mortality, and

> among the types of CVD, the strongest inverse

> association was seen for stroke mortality.

>

> Table. Proportional Hazard Ratios (HRs) Among

> All Participants for 7-Year Mortality Due to CVD by

> Green Tea Consumption in Japanese Adults*

> Mortality Outcomes Green Tea Consumption,

> Cups/Day P for Trend

> < 1 1 - 2 3 - 4 ? 5

> CHD, No. of deaths 58 47 43 61

> CHD, multivariate HR 1.00 1.04 0.90 0.86 0.34

> Stroke, No. of deaths 145 99 102 126

> Stroke, multivariate HR 1.00 0.84 0.78 0.63

> <0.001

> Cerebral infarction, No. of deaths 65 41 48 43

>

> Cerebral infarction, multivariate HR 1.00 0.77

> 0.81 0.49 0.001

> Cerebral hemorrhage, No. of deaths 34 30 33 40

>

> Cerebral hemorrhage, multivariate HR 1.00 1.10

> 1.15 0.98 0.94

> Subarachnoid hemorrhage, No. of deaths 21 13

> 12 26

> Subarachnoid hemorrhage, multivariate HR 1.00

> 0.71 0.57 0.78 0.42

> *CVD, indicates cardiovascular disease; and

> CHD, coronary heart disease. Multivariate HR

> adjusted for age; sex; job status; years of

> education; body mass index; physical activity,

> history of hypertension; diabetes; gastric ulcer;

> smoking status; alcohol consumption; total energy

> intake per day; daily consumption of rice, miso,

> soybean products, total meat, total fish, total

> dairy, and total fruits and vegetables; and

> consumption of oolong tea, black tea, and coffee.

>

> Source: JAMA. 2006;296:1255-1265.

>

> Green Tea Effect on CVD, All-Cause Mortality

> Stronger in Women

> The inverse association between green tea

> consumption, CVD, and all-cause mortality was

> stronger in women than in men (P = .08 for

> interaction with sex). In women, the multivariate

> hazard ratios of CVD mortality across increasing

> green tea consumption categories (cups/day) were

> 1.00, 0.84, 0.69, and 0.69, respectively (P = .004

> for trend).

>

> " The reason for the discrepancy between men and

> women for the association of green tea consumption

> and risk of all-cause and CVD mortality is

> uncertain, " say the researchers.

>

> " One possibility is residual confounding by

> cigarette smoking [as] men were more likely to

> smoke, and the inverse associations between green

> tea consumption and CVD mortality appeared to be

> more pronounced in participants who had never

> smoked. These results suggest that higher rates of

> smoking may mask the association of green tea

> consumption with CVD mortality among men. "

>

> The authors add that the effect of green tea

> " appears to be a threshold effect rather than a

> dose-response relationship, such that persons who

> consume at least 1 cup a day may receive some

> benefit. "

>

> A number of biological mechanisms, including radical

> scavenging and antioxidant properties, have been

> proposed for the beneficial effects of green tea.

> The authors note that previous studies have

> suggested that green tea favorably affects

> hypertension, low-density lipoprotein cholesterol

> levels, and atherosclerosis.

>

> However, " clinical trials are ultimately necessary

> to confirm the protective effect of green tea on

> mortality, " the authors conclude.

>

> JAMA. 2006;296:1255-1265.

>

> The complete contents of Heartwire, a professional

> news service of WebMD, can be found at

> www.theheart.org, a Web site for cardiovascular

> healthcare professionals.

> Learning Objectives for This Educational Activity

> Upon completion of this activity, participants will

> be able to:

>

> a.. Describe the effect of green tea consumption

> on all-cause mortality in men and women.

> b.. Compare the effect of green tea consumption on

> CVD vs cancer mortality.

> Clinical Context

> Tea is the most consumed beverage in the world aside

> from water and is generally consumed as green,

> oolong, or black tea. Among teas, green tea

> polyphenols have been extensively studied as

> preventive agents for CVD and cancer, which are the

> leading causes of mortality worldwide. The mechanism

> of protection offered by green tea is unclear, and

> the current authors propose that the radical

> scavenging and antioxidant properties of polyphenols

> may be responsible.

>

> Because green tea consumption is high in Japan, this

> study was conducted on 40,530 persons in a

> prefecture in Japan in which 80% of the population

> drinks tea and more than half consume 3 or more cups

> a day. The purpose of the prospective cohort study

> was to examine the effect of different amounts of

> daily green tea consumption on all-cause, CVD, and

> cancer mortality.

>

> Study Highlights

> a.. The national insurance cohort, aged 40 to 79

> years and living in one public health catchment

> area, was delivered a self-administered

> questionnaire, including a 40-item food frequency

> questionnaire (FFQ), for a 2-month period.

> b.. Excluded were participants who died before the

> collection of insurance withdrawal files; those with

> baseline history of cancer, stroke, or myocardial

> infarction; and those with missing data on green tea

> consumption or improbable daily caloric intakes.

> c.. The frequency of recent daily consumption of 4

> beverages (green, oolong, black tea, and coffee),

> alcohol, and tobacco were elicited with demographic

> data.

> d.. In a validation of the FFQ, the rank

> coefficient for correlation between the FFQ and

> daily food diary was 0.71 for men and 0.53 for

> women, and reliability 1 year apart was 0.63 for men

> and 0.64 for women.

> e.. Those who said they never drank green tea or

> drank occasionally were collapsed into 1 category:

> less than 1 cup daily.

> f.. The categories were less than 1 cup, 1 to 2

> cups, 3 to 4 cups, and more than 5 cups daily.

> g.. Endpoints were all-cause mortality and

> cause-specific mortality.

> h.. All-cause mortality was obtained monthly using

> national health insurance withdrawal files, and

> follow-up continued for 11 years.

> i.. Cause-specific mortality was obtained yearly

> by

=== message truncated ===

NOTICE: This confidential message/attachment contains information intended

for a specific individual(s) and purpose. Any inappropriate use, distribution

or copying is strictly prohibited. If received in error, notify the sender and

immediately delete the message.

Sue Nichols, MS/RD/CDE/CDN

Stuart J.

http://Nutra-Smart.net

http://nutra-smart.blogspot.com

[Guest guest]

Any diarrhea or projectile vomiting, etc.? Still early in the " game " to start

worrying...big baby (perfect baby since I weighed 10 lbs. 3 oz. when I was

born).

Plus how much weight loss? Minor or major?

Have mom hand pump so see if milk appears adequate.

Check Nutrition at:

Nutrition.teach-nology.com

Ortiz, RD

nrord@...

If you want breakfast in bed, sleep in the kitchen.

lactating mom question

Hi all, looking for any information for a woman who

had an almost 10 baby boy recently, exclusively

breastfeeding, baby gained no weight first week, and

lost weight second week. The grandmother, a

RD, is wondering if there are any suggestions for

supplementing mothers/baby's breastfeeding to promote

weight gain. I work with the geriatric population, so

this is out of my practice areas. thanks. Sue Nichols,

MS/RD/CDE/CDN

--- " Ortiz, R.D. " wrote:

> A prospective cohort study of more than 40,000

> people in Japan has shown that drinking green tea

> can significantly cut deaths from cardiovascular

> disease (CVD) as well as all-cause mortality,

> particularly in women. There was no beneficial

> effect of green tea consumption on cancer mortality,

> however.

>

http://www.medscape.com/viewarticle/544569?sssdmh=dm1.213424 & src=nldne

> Shinichi Kuriyama, MD, from Tohuku University

> Graduate School of Medicine in Miyagi, Japan, and

> colleagues, report their findings in the September

> 13 issue of JAMA. Kuriyama told heartwire: " I think

> our study provides strong evidence regarding the

> benefits of drinking green tea in humans on CVD, but

> not cancer, with a large sample size. "

>

> " The reason for the discrepancy between effects on

> CVD and on cancer deaths in our study is uncertain.

> Substantial evidence from in vitro and animal

> studies indicates that green tea preparations can

> inhibit both CVD and carcinogenic processes.

> However, recent epidemiological studies have

> indicated that green tea consumption is associated

> with reduced cardiovascular risk profiles but have

> demonstrated almost null data regarding the

> association between green tea consumption and cancer

> at various sites. Our results are almost consistent

> with those of the recent epidemiologic studies. "

>

> Green Tea Has Largest Effect on Stroke

> Dr. Kuriyama and colleagues explain that almost all

> Japanese people consume green tea as one of their

> favorite beverages. They designed their prospective

> analysis to examine the association between green

> tea consumption and mortality due to all causes,

> CVD, and cancer within a large population-based

> cohort study of 40,530 people in Miyagi Prefecture

> in northeastern Japan.

>

> For 11 years (follow-up rate for all-cause

> mortality, 86.1%), 4209 participants died, and for

> up to 7 years, (follow-up rate for cause-specific

> mortality, 89.6%), 829 people died of CVD, and 1134

> died of cancer.

>

> Compared with participants who drank less than 1 cup

> of green tea per day, those who consumed 5 or more

> cups had a risk for all-cause and CVD mortality that

> was 16% lower (during 11 years of follow-up) and 26%

> lower (during 7 years of follow-up), respectively.

>

> The inverse association with CVD mortality was

> stronger than that with all-cause mortality, and

> among the types of CVD, the strongest inverse

> association was seen for stroke mortality.

>

> Table. Proportional Hazard Ratios (HRs) Among

> All Participants for 7-Year Mortality Due to CVD by

> Green Tea Consumption in Japanese Adults*

> Mortality Outcomes Green Tea Consumption,

> Cups/Day P for Trend

> < 1 1 - 2 3 - 4 ? 5

> CHD, No. of deaths 58 47 43 61

> CHD, multivariate HR 1.00 1.04 0.90 0.86 0.34

> Stroke, No. of deaths 145 99 102 126

> Stroke, multivariate HR 1.00 0.84 0.78 0.63

> <0.001

> Cerebral infarction, No. of deaths 65 41 48 43

>

> Cerebral infarction, multivariate HR 1.00 0.77

> 0.81 0.49 0.001

> Cerebral hemorrhage, No. of deaths 34 30 33 40

>

> Cerebral hemorrhage, multivariate HR 1.00 1.10

> 1.15 0.98 0.94

> Subarachnoid hemorrhage, No. of deaths 21 13

> 12 26

> Subarachnoid hemorrhage, multivariate HR 1.00

> 0.71 0.57 0.78 0.42

> *CVD, indicates cardiovascular disease; and

> CHD, coronary heart disease. Multivariate HR

> adjusted for age; sex; job status; years of

> education; body mass index; physical activity,

> history of hypertension; diabetes; gastric ulcer;

> smoking status; alcohol consumption; total energy

> intake per day; daily consumption of rice, miso,

> soybean products, total meat, total fish, total

> dairy, and total fruits and vegetables; and

> consumption of oolong tea, black tea, and coffee.

>

> Source: JAMA. 2006;296:1255-1265.

>

> Green Tea Effect on CVD, All-Cause Mortality

> Stronger in Women

> The inverse association between green tea

> consumption, CVD, and all-cause mortality was

> stronger in women than in men (P = .08 for

> interaction with sex). In women, the multivariate

> hazard ratios of CVD mortality across increasing

> green tea consumption categories (cups/day) were

> 1.00, 0.84, 0.69, and 0.69, respectively (P = .004

> for trend).

>

> " The reason for the discrepancy between men and

> women for the association of green tea consumption

> and risk of all-cause and CVD mortality is

> uncertain, " say the researchers.

>

> " One possibility is residual confounding by

> cigarette smoking [as] men were more likely to

> smoke, and the inverse associations between green

> tea consumption and CVD mortality appeared to be

> more pronounced in participants who had never

> smoked. These results suggest that higher rates of

> smoking may mask the association of green tea

> consumption with CVD mortality among men. "

>

> The authors add that the effect of green tea

> " appears to be a threshold effect rather than a

> dose-response relationship, such that persons who

> consume at least 1 cup a day may receive some

> benefit. "

>

> A number of biological mechanisms, including radical

> scavenging and antioxidant properties, have been

> proposed for the beneficial effects of green tea.

> The authors note that previous studies have

> suggested that green tea favorably affects

> hypertension, low-density lipoprotein cholesterol

> levels, and atherosclerosis.

>

> However, " clinical trials are ultimately necessary

> to confirm the protective effect of green tea on

> mortality, " the authors conclude.

>

> JAMA. 2006;296:1255-1265.

>

> The complete contents of Heartwire, a professional

> news service of WebMD, can be found at

> www.theheart.org, a Web site for cardiovascular

> healthcare professionals.

> Learning Objectives for This Educational Activity

> Upon completion of this activity, participants will

> be able to:

>

> a.. Describe the effect of green tea consumption

> on all-cause mortality in men and women.

> b.. Compare the effect of green tea consumption on

> CVD vs cancer mortality.

> Clinical Context

> Tea is the most consumed beverage in the world aside

> from water and is generally consumed as green,

> oolong, or black tea. Among teas, green tea

> polyphenols have been extensively studied as

> preventive agents for CVD and cancer, which are the

> leading causes of mortality worldwide. The mechanism

> of protection offered by green tea is unclear, and

> the current authors propose that the radical

> scavenging and antioxidant properties of polyphenols

> may be responsible.

>

> Because green tea consumption is high in Japan, this

> study was conducted on 40,530 persons in a

> prefecture in Japan in which 80% of the population

> drinks tea and more than half consume 3 or more cups

> a day. The purpose of the prospective cohort study

> was to examine the effect of different amounts of

> daily green tea consumption on all-cause, CVD, and

> cancer mortality.

>

> Study Highlights

> a.. The national insurance cohort, aged 40 to 79

> years and living in one public health catchment

> area, was delivered a self-administered

> questionnaire, including a 40-item food frequency

> questionnaire (FFQ), for a 2-month period.

> b.. Excluded were participants who died before the

> collection of insurance withdrawal files; those with

> baseline history of cancer, stroke, or myocardial

> infarction; and those with missing data on green tea

> consumption or improbable daily caloric intakes.

> c.. The frequency of recent daily consumption of 4

> beverages (green, oolong, black tea, and coffee),

> alcohol, and tobacco were elicited with demographic

> data.

> d.. In a validation of the FFQ, the rank

> coefficient for correlation between the FFQ and

> daily food diary was 0.71 for men and 0.53 for

> women, and reliability 1 year apart was 0.63 for men

> and 0.64 for women.

> e.. Those who said they never drank green tea or

> drank occasionally were collapsed into 1 category:

> less than 1 cup daily.

> f.. The categories were less than 1 cup, 1 to 2

> cups, 3 to 4 cups, and more than 5 cups daily.

> g.. Endpoints were all-cause mortality and

> cause-specific mortality.

> h.. All-cause mortality was obtained monthly using

> national health insurance withdrawal files, and

> follow-up continued for 11 years.

> i.. Cause-specific mortality was obtained yearly

> by

=== message truncated ===

NOTICE: This confidential message/attachment contains information intended for

a specific individual(s) and purpose. Any inappropriate use, distribution or

copying is strictly prohibited. If received in error, notify the sender and

immediately delete the message.

Sue Nichols, MS/RD/CDE/CDN

------------------------------------------------------------------------------

No virus found in this incoming message.

Checked by AVG Free Edition.

Version: 7.1.405 / Virus Database: 268.12.4/449 - Release Date: 9/15/2006

[Guest guest]

Hi, interestingly enough, the baby's mom IS a

pediatrician! She was asking her mom, who is a RD, but

works mostly in management in an elderly meals

program, as do I, what she thinks and for suggestions.

The grandmother is pushing for adding cereal, I

cautioned against this, and suggested to supplement

with formula instead. thanks for your response. Sue

--- Stuart wrote:

> What did the peadiatrician say? It sounds like a

> possible metabolic disorder.

>

> " Sue Nichols, RD/CDE/CDN "

> wrote:

> Hi all, looking for any information for a woman

> who

> had an almost 10 baby boy recently, exclusively

> breastfeeding, baby gained no weight first week,

> and

> lost weight second week. The grandmother, a

> RD, is wondering if there are any suggestions for

> supplementing mothers/baby's breastfeeding to

> promote

> weight gain. I work with the geriatric population,

> so

> this is out of my practice areas. thanks. Sue

> Nichols,

> MS/RD/CDE/CDN

>

> --- " Ortiz, R.D. "

> wrote:

>

> > A prospective cohort study of more than 40,000

> > people in Japan has shown that drinking green

> tea

> > can significantly cut deaths from cardiovascular

> > disease (CVD) as well as all-cause mortality,

> > particularly in women. There was no beneficial

> > effect of green tea consumption on cancer

> mortality,

> > however.

> >

>

>

http://www.medscape.com/viewarticle/544569?sssdmh=dm1.213424 & src=nldne

> > Shinichi Kuriyama, MD, from Tohuku University

> > Graduate School of Medicine in Miyagi, Japan,

> and

> > colleagues, report their findings in the

> September

> > 13 issue of JAMA. Kuriyama told heartwire: " I

> think

> > our study provides strong evidence regarding the

> > benefits of drinking green tea in humans on CVD,

> but

> > not cancer, with a large sample size. "

> >

> > " The reason for the discrepancy between effects

> on

> > CVD and on cancer deaths in our study is

> uncertain.

> > Substantial evidence from in vitro and animal

> > studies indicates that green tea preparations

> can

> > inhibit both CVD and carcinogenic processes.

> > However, recent epidemiological studies have

> > indicated that green tea consumption is

> associated

> > with reduced cardiovascular risk profiles but

> have

> > demonstrated almost null data regarding the

> > association between green tea consumption and

> cancer

> > at various sites. Our results are almost

> consistent

> > with those of the recent epidemiologic studies. "

> >

> > Green Tea Has Largest Effect on Stroke

> > Dr. Kuriyama and colleagues explain that almost

> all

> > Japanese people consume green tea as one of

> their

> > favorite beverages. They designed their

> prospective

> > analysis to examine the association between

> green

> > tea consumption and mortality due to all causes,

> > CVD, and cancer within a large population-based

> > cohort study of 40,530 people in Miyagi

> Prefecture

> > in northeastern Japan.

> >

> > For 11 years (follow-up rate for all-cause

> > mortality, 86.1%), 4209 participants died, and

> for

> > up to 7 years, (follow-up rate for

> cause-specific

> > mortality, 89.6%), 829 people died of CVD, and

> 1134

> > died of cancer.

> >

> > Compared with participants who drank less than 1

> cup

> > of green tea per day, those who consumed 5 or

> more

> > cups had a risk for all-cause and CVD mortality

> that

> > was 16% lower (during 11 years of follow-up) and

> 26%

> > lower (during 7 years of follow-up),

> respectively.

> >

> > The inverse association with CVD mortality was

> > stronger than that with all-cause mortality, and

> > among the types of CVD, the strongest inverse

> > association was seen for stroke mortality.

> >

> > Table. Proportional Hazard Ratios (HRs)

> Among

> > All Participants for 7-Year Mortality Due to CVD

> by

> > Green Tea Consumption in Japanese Adults*

> > Mortality Outcomes Green Tea Consumption,

> > Cups/Day P for Trend

> > < 1 1 - 2 3 - 4 ? 5

> > CHD, No. of deaths 58 47 43 61

> > CHD, multivariate HR 1.00 1.04 0.90 0.86

> 0.34

> > Stroke, No. of deaths 145 99 102 126

> > Stroke, multivariate HR 1.00 0.84 0.78

> 0.63

> > <0.001

> > Cerebral infarction, No. of deaths 65 41

> 48 43

> >

> > Cerebral infarction, multivariate HR 1.00

> 0.77

> > 0.81 0.49 0.001

> > Cerebral hemorrhage, No. of deaths 34 30

> 33 40

> >

> > Cerebral hemorrhage, multivariate HR 1.00

> 1.10

> > 1.15 0.98 0.94

> > Subarachnoid hemorrhage, No. of deaths 21

> 13

> > 12 26

> > Subarachnoid hemorrhage, multivariate HR

> 1.00

> > 0.71 0.57 0.78 0.42

> > *CVD, indicates cardiovascular disease;

> and

> > CHD, coronary heart disease. Multivariate HR

> > adjusted for age; sex; job status; years of

> > education; body mass index; physical activity,

> > history of hypertension; diabetes; gastric

> ulcer;

> > smoking status; alcohol consumption; total

> energy

> > intake per day; daily consumption of rice, miso,

> > soybean products, total meat, total fish, total

> > dairy, and total fruits and vegetables; and

> > consumption of oolong tea, black tea, and

> coffee.

> >

> > Source: JAMA. 2006;296:1255-1265.

> >

> > Green Tea Effect on CVD, All-Cause Mortality

> > Stronger in Women

> > The inverse association between green tea

> > consumption, CVD, and all-cause mortality was

> > stronger in women than in men (P = .08 for

> > interaction with sex). In women, the

> multivariate

> > hazard ratios of CVD mortality across increasing

> > green tea consumption categories (cups/day) were

> > 1.00, 0.84, 0.69, and 0.69, respectively (P =

> .004

> > for trend).

> >

> > " The reason for the discrepancy between men and

> > women for the association of green tea

> consumption

> > and risk of all-cause and CVD mortality is

> > uncertain, " say the researchers.

> >

> > " One possibility is residual confounding by

> > cigarette smoking [as] men were more likely to

> > smoke, and the inverse associations between

> green

> > tea consumption and CVD mortality appeared to be

> > more pronounced in participants who had never

> > smoked. These results suggest that higher rates

> of

> > smoking may mask the association of green tea

> > consumption with CVD mortality among men. "

> >

> > The authors add that the effect of green tea

> > " appears to be a threshold effect rather than a

> > dose-response relationship, such that persons

> who

> > consume at least 1 cup a day may receive some

> > benefit. "

> >

> > A number of biological mechanisms, including

> radical

> > scavenging and antioxidant properties, have been

> > proposed for the beneficial effects of green

> tea.

> > The authors note that previous studies have

> > suggested that green tea favorably affects

>

=== message truncated ===

NOTICE: This confidential message/attachment contains information intended for

a specific individual(s) and purpose. Any inappropriate use, distribution or

copying is strictly prohibited. If received in error, notify the sender and

immediately delete the message.

Sue Nichols, MS/RD/CDE/CDN

[Guest guest]

She shouldn't start cereal until 4-6 months - the baby isn't ready for that and

could choke...

..

Check Nutrition at:

Nutrition.teach-nology.com

Ortiz, RD

nrord@...

If you want breakfast in bed, sleep in the kitchen.

Re: lactating mom question

Hi, interestingly enough, the baby's mom IS a

pediatrician! She was asking her mom, who is a RD, but

works mostly in management in an elderly meals

program, as do I, what she thinks and for suggestions.

The grandmother is pushing for adding cereal, I

cautioned against this, and suggested to supplement

with formula instead. thanks for your response. Sue

--- Stuart wrote:

> What did the peadiatrician say? It sounds like a

> possible metabolic disorder.

>

> " Sue Nichols, RD/CDE/CDN "

> wrote:

> Hi all, looking for any information for a woman

> who

> had an almost 10 baby boy recently, exclusively

> breastfeeding, baby gained no weight first week,

> and

> lost weight second week. The grandmother, a

> RD, is wondering if there are any suggestions for

> supplementing mothers/baby's breastfeeding to

> promote

> weight gain. I work with the geriatric population,

> so

> this is out of my practice areas. thanks. Sue

> Nichols,

> MS/RD/CDE/CDN

>

> --- " Ortiz, R.D. "

> wrote:

>

> > A prospective cohort study of more than 40,000

> > people in Japan has shown that drinking green

> tea

> > can significantly cut deaths from cardiovascular

> > disease (CVD) as well as all-cause mortality,

> > particularly in women. There was no beneficial

> > effect of green tea consumption on cancer

> mortality,

> > however.

> >

>

>

http://www.medscape.com/viewarticle/544569?sssdmh=dm1.213424 & src=nldne

> > Shinichi Kuriyama, MD, from Tohuku University

> > Graduate School of Medicine in Miyagi, Japan,

> and

> > colleagues, report their findings in the

> September

> > 13 issue of JAMA. Kuriyama told heartwire: " I

> think

> > our study provides strong evidence regarding the

> > benefits of drinking green tea in humans on CVD,

> but

> > not cancer, with a large sample size. "

> >

> > " The reason for the discrepancy between effects

> on

> > CVD and on cancer deaths in our study is

> uncertain.

> > Substantial evidence from in vitro and animal

> > studies indicates that green tea preparations

> can

> > inhibit both CVD and carcinogenic processes.

> > However, recent epidemiological studies have

> > indicated that green tea consumption is

> associated

> > with reduced cardiovascular risk profiles but

> have

> > demonstrated almost null data regarding the

> > association between green tea consumption and

> cancer

> > at various sites. Our results are almost

> consistent

> > with those of the recent epidemiologic studies. "

> >

> > Green Tea Has Largest Effect on Stroke

> > Dr. Kuriyama and colleagues explain that almost

> all

> > Japanese people consume green tea as one of

> their

> > favorite beverages. They designed their

> prospective

> > analysis to examine the association between

> green

> > tea consumption and mortality due to all causes,

> > CVD, and cancer within a large population-based

> > cohort study of 40,530 people in Miyagi

> Prefecture

> > in northeastern Japan.

> >

> > For 11 years (follow-up rate for all-cause

> > mortality, 86.1%), 4209 participants died, and

> for

> > up to 7 years, (follow-up rate for

> cause-specific

> > mortality, 89.6%), 829 people died of CVD, and

> 1134

> > died of cancer.

> >

> > Compared with participants who drank less than 1

> cup

> > of green tea per day, those who consumed 5 or

> more

> > cups had a risk for all-cause and CVD mortality

> that

> > was 16% lower (during 11 years of follow-up) and

> 26%

> > lower (during 7 years of follow-up),

> respectively.

> >

> > The inverse association with CVD mortality was

> > stronger than that with all-cause mortality, and

> > among the types of CVD, the strongest inverse

> > association was seen for stroke mortality.

> >

> > Table. Proportional Hazard Ratios (HRs)

> Among

> > All Participants for 7-Year Mortality Due to CVD

> by

> > Green Tea Consumption in Japanese Adults*

> > Mortality Outcomes Green Tea Consumption,

> > Cups/Day P for Trend

> > < 1 1 - 2 3 - 4 ? 5

> > CHD, No. of deaths 58 47 43 61

> > CHD, multivariate HR 1.00 1.04 0.90 0.86

> 0.34

> > Stroke, No. of deaths 145 99 102 126

> > Stroke, multivariate HR 1.00 0.84 0.78

> 0.63

> > <0.001

> > Cerebral infarction, No. of deaths 65 41

> 48 43

> >

> > Cerebral infarction, multivariate HR 1.00

> 0.77

> > 0.81 0.49 0.001

> > Cerebral hemorrhage, No. of deaths 34 30

> 33 40

> >

> > Cerebral hemorrhage, multivariate HR 1.00

> 1.10

> > 1.15 0.98 0.94

> > Subarachnoid hemorrhage, No. of deaths 21

> 13

> > 12 26

> > Subarachnoid hemorrhage, multivariate HR

> 1.00

> > 0.71 0.57 0.78 0.42

> > *CVD, indicates cardiovascular disease;

> and

> > CHD, coronary heart disease. Multivariate HR

> > adjusted for age; sex; job status; years of

> > education; body mass index; physical activity,

> > history of hypertension; diabetes; gastric

> ulcer;

> > smoking status; alcohol consumption; total

> energy

> > intake per day; daily consumption of rice, miso,

> > soybean products, total meat, total fish, total

> > dairy, and total fruits and vegetables; and

> > consumption of oolong tea, black tea, and

> coffee.

> >

> > Source: JAMA. 2006;296:1255-1265.

> >

> > Green Tea Effect on CVD, All-Cause Mortality

> > Stronger in Women

> > The inverse association between green tea

> > consumption, CVD, and all-cause mortality was

> > stronger in women than in men (P = .08 for

> > interaction with sex). In women, the

> multivariate

> > hazard ratios of CVD mortality across increasing

> > green tea consumption categories (cups/day) were

> > 1.00, 0.84, 0.69, and 0.69, respectively (P =

> .004

> > for trend).

> >

> > " The reason for the discrepancy between men and

> > women for the association of green tea

> consumption

> > and risk of all-cause and CVD mortality is

> > uncertain, " say the researchers.

> >

> > " One possibility is residual confounding by

> > cigarette smoking [as] men were more likely to

> > smoke, and the inverse associations between

> green

> > tea consumption and CVD mortality appeared to be

> > more pronounced in participants who had never

> > smoked. These results suggest that higher rates

> of

> > smoking may mask the association of green tea

> > consumption with CVD mortality among men. "

> >

> > The authors add that the effect of green tea

> > " appears to be a threshold effect rather than a

> > dose-response relationship, such that persons

> who

> > consume at least 1 cup a day may receive some

> > benefit. "

> >

> > A number of biological mechanisms, including

> radical

> > scavenging and antioxidant properties, have been

> > proposed for the beneficial effects of green

> tea.

> > The authors note that previous studies have

> > suggested that green tea favorably affects

>

=== message truncated ===

NOTICE: This confidential message/attachment contains information intended for

a specific individual(s) and purpose. Any inappropriate use, distribution or

copying is strictly prohibited. If received in error, notify the sender and

immediately delete the message.

Sue Nichols, MS/RD/CDE/CDN

------------------------------------------------------------------------------

No virus found in this incoming message.

Checked by AVG Free Edition.

Version: 7.1.405 / Virus Database: 268.12.4/449 - Release Date: 9/15/2006

[Guest guest]

It can take a couple of weeks for the weight gain to happen. It is

not uncommon for baby to lose some weight in the first week.

Current recommendations include providing small amounts of formula

until mom has an adequate supply of milk. Lactating is work for mom

and baby. The baby will have an easier time getting the formula and

may reject working so hard for breast milk.

Good luck and God bless mom and baby. Raphaela

> >

> > > A prospective cohort study of more than 40,000

> > > people in Japan has shown that drinking green

> > tea

> > > can significantly cut deaths from cardiovascular

> > > disease (CVD) as well as all-cause mortality,

> > > particularly in women. There was no beneficial

> > > effect of green tea consumption on cancer

> > mortality,

> > > however.

> > >

> >

> >

> http://www.medscape.com/viewarticle/544569?

sssdmh=dm1.213424 & src=nldne

> > > Shinichi Kuriyama, MD, from Tohuku University

> > > Graduate School of Medicine in Miyagi, Japan,

> > and

> > > colleagues, report their findings in the

> > September

> > > 13 issue of JAMA. Kuriyama told heartwire: " I

> > think

> > > our study provides strong evidence regarding the

> > > benefits of drinking green tea in humans on CVD,

> > but

> > > not cancer, with a large sample size. "

> > >

> > > " The reason for the discrepancy between effects

> > on

> > > CVD and on cancer deaths in our study is

> > uncertain.

> > > Substantial evidence from in vitro and animal

> > > studies indicates that green tea preparations

> > can

> > > inhibit both CVD and carcinogenic processes.

> > > However, recent epidemiological studies have

> > > indicated that green tea consumption is

> > associated

> > > with reduced cardiovascular risk profiles but

> > have

> > > demonstrated almost null data regarding the

> > > association between green tea consumption and

> > cancer

> > > at various sites. Our results are almost

> > consistent

> > > with those of the recent epidemiologic studies. "

> > >

> > > Green Tea Has Largest Effect on Stroke

> > > Dr. Kuriyama and colleagues explain that almost

> > all

> > > Japanese people consume green tea as one of

> > their

> > > favorite beverages. They designed their

> > prospective

> > > analysis to examine the association between

> > green

> > > tea consumption and mortality due to all causes,

> > > CVD, and cancer within a large population-based

> > > cohort study of 40,530 people in Miyagi

> > Prefecture

> > > in northeastern Japan.

> > >

> > > For 11 years (follow-up rate for all-cause

> > > mortality, 86.1%), 4209 participants died, and

> > for

> > > up to 7 years, (follow-up rate for

> > cause-specific

> > > mortality, 89.6%), 829 people died of CVD, and

> > 1134

> > > died of cancer.

> > >

> > > Compared with participants who drank less than 1

> > cup

> > > of green tea per day, those who consumed 5 or

> > more

> > > cups had a risk for all-cause and CVD mortality

> > that

> > > was 16% lower (during 11 years of follow-up) and

> > 26%

> > > lower (during 7 years of follow-up),

> > respectively.

> > >

> > > The inverse association with CVD mortality was

> > > stronger than that with all-cause mortality, and

> > > among the types of CVD, the strongest inverse

> > > association was seen for stroke mortality.

> > >

> > > Table. Proportional Hazard Ratios (HRs)

> > Among

> > > All Participants for 7-Year Mortality Due to CVD

> > by

> > > Green Tea Consumption in Japanese Adults*

> > > Mortality Outcomes Green Tea Consumption,

> > > Cups/Day P for Trend

> > > < 1 1 - 2 3 - 4 ? 5

> > > CHD, No. of deaths 58 47 43 61

> > > CHD, multivariate HR 1.00 1.04 0.90 0.86

> > 0.34

> > > Stroke, No. of deaths 145 99 102 126

> > > Stroke, multivariate HR 1.00 0.84 0.78

> > 0.63

> > > <0.001

> > > Cerebral infarction, No. of deaths 65 41

> > 48 43

> > >

> > > Cerebral infarction, multivariate HR 1.00

> > 0.77

> > > 0.81 0.49 0.001

> > > Cerebral hemorrhage, No. of deaths 34 30

> > 33 40

> > >

> > > Cerebral hemorrhage, multivariate HR 1.00

> > 1.10

> > > 1.15 0.98 0.94

> > > Subarachnoid hemorrhage, No. of deaths 21

> > 13

> > > 12 26

> > > Subarachnoid hemorrhage, multivariate HR

> > 1.00

> > > 0.71 0.57 0.78 0.42

> > > *CVD, indicates cardiovascular disease;

> > and

> > > CHD, coronary heart disease. Multivariate HR

> > > adjusted for age; sex; job status; years of

> > > education; body mass index; physical activity,

> > > history of hypertension; diabetes; gastric

> > ulcer;

> > > smoking status; alcohol consumption; total

> > energy

> > > intake per day; daily consumption of rice, miso,

> > > soybean products, total meat, total fish, total

> > > dairy, and total fruits and vegetables; and

> > > consumption of oolong tea, black tea, and

> > coffee.

> > >

> > > Source: JAMA. 2006;296:1255-1265.

> > >

> > > Green Tea Effect on CVD, All-Cause Mortality

> > > Stronger in Women

> > > The inverse association between green tea

> > > consumption, CVD, and all-cause mortality was

> > > stronger in women than in men (P = .08 for

> > > interaction with sex). In women, the

> > multivariate

> > > hazard ratios of CVD mortality across increasing

> > > green tea consumption categories (cups/day) were

> > > 1.00, 0.84, 0.69, and 0.69, respectively (P =

> > .004

> > > for trend).

> > >

> > > " The reason for the discrepancy between men and

> > > women for the association of green tea

> > consumption

> > > and risk of all-cause and CVD mortality is

> > > uncertain, " say the researchers.

> > >

> > > " One possibility is residual confounding by

> > > cigarette smoking [as] men were more likely to

> > > smoke, and the inverse associations between

> > green

> > > tea consumption and CVD mortality appeared to be

> > > more pronounced in participants who had never

> > > smoked. These results suggest that higher rates

> > of

> > > smoking may mask the association of green tea

> > > consumption with CVD mortality among men. "

> > >

> > > The authors add that the effect of green tea

> > > " appears to be a threshold effect rather than a

> > > dose-response relationship, such that persons

> > who

> > > consume at least 1 cup a day may receive some

> > > benefit. "

> > >

> > > A number of biological mechanisms, including

> > radical

> > > scavenging and antioxidant properties, have been

> > > proposed for the beneficial effects of green

> > tea.

> > > The authors note that previous studies have

> > > suggested that green tea favorably affects

> >

> === message truncated ===

>

> NOTICE: This confidential message/attachment contains information

intended for a specific individual(s) and purpose. Any inappropriate

use, distribution or copying is strictly prohibited. If received in

error, notify the sender and immediately delete the message.

>

> Sue Nichols, MS/RD/CDE/CDN

>

>

>

>

>

>

> --------------------------------------------------------------------

----------

>

>

> No virus found in this incoming message.

> Checked by AVG Free Edition.

> Version: 7.1.405 / Virus Database: 268.12.4/449 - Release Date:

9/15/2006

>

>

>

[Guest guest]

Hello,

I certainly agree that a baby so young should not get cereal!

Before you start talking about supplementing, you might want to

consider bringing baby and mom to a Lactation consultant to make

sure that the baby is latched on correctly, swallowing, all of that

good stuff. Sometimes the baby is just napping at the breast, or

they may not be transferring milk well. A good LC should be able to

help with any of that.

Babies should not lose more than 10% of their birth weight, and

should be back up to their birth weight by 2 weeks at the latest.

if the baby needs to be supplemented, mom may consider pumping and

supplementing with breast milk. Otherwise, formula is always an

option, and much safer than beginning solids.

All the best to the new mom and baby!

Cheryl , MPH, RD, LD

Public Health Nutritionist/Breastfeeding Coordinator

D.C. WIC State Agency

2100 Luther King Jr. Ave, SE, Suite 409

Washington, DC 20020

Breastfeeding...the normal way to feed babies.

> > >

> > > > A prospective cohort study of more than 40,000

> > > > people in Japan has shown that drinking green

> > > tea

> > > > can significantly cut deaths from cardiovascular

> > > > disease (CVD) as well as all-cause mortality,

> > > > particularly in women. There was no beneficial

> > > > effect of green tea consumption on cancer

> > > mortality,

> > > > however.

> > > >

> > >

> > >

> > http://www.medscape.com/viewarticle/544569?

> sssdmh=dm1.213424 & src=nldne

> > > > Shinichi Kuriyama, MD, from Tohuku University

> > > > Graduate School of Medicine in Miyagi, Japan,

> > > and

> > > > colleagues, report their findings in the

> > > September

> > > > 13 issue of JAMA. Kuriyama told heartwire: " I

> > > think

> > > > our study provides strong evidence regarding the

> > > > benefits of drinking green tea in humans on CVD,

> > > but

> > > > not cancer, with a large sample size. "

> > > >

> > > > " The reason for the discrepancy between effects

> > > on

> > > > CVD and on cancer deaths in our study is

> > > uncertain.

> > > > Substantial evidence from in vitro and animal

> > > > studies indicates that green tea preparations

> > > can

> > > > inhibit both CVD and carcinogenic processes.

> > > > However, recent epidemiological studies have

> > > > indicated that green tea consumption is

> > > associated

> > > > with reduced cardiovascular risk profiles but

> > > have

> > > > demonstrated almost null data regarding the

> > > > association between green tea consumption and

> > > cancer

> > > > at various sites. Our results are almost

> > > consistent

> > > > with those of the recent epidemiologic studies. "

> > > >

> > > > Green Tea Has Largest Effect on Stroke

> > > > Dr. Kuriyama and colleagues explain that almost

> > > all

> > > > Japanese people consume green tea as one of

> > > their

> > > > favorite beverages. They designed their

> > > prospective

> > > > analysis to examine the association between

> > > green

> > > > tea consumption and mortality due to all causes,

> > > > CVD, and cancer within a large population-based

> > > > cohort study of 40,530 people in Miyagi

> > > Prefecture

> > > > in northeastern Japan.

> > > >

> > > > For 11 years (follow-up rate for all-cause

> > > > mortality, 86.1%), 4209 participants died, and

> > > for

> > > > up to 7 years, (follow-up rate for

> > > cause-specific

> > > > mortality, 89.6%), 829 people died of CVD, and

> > > 1134

> > > > died of cancer.

> > > >

> > > > Compared with participants who drank less than 1

> > > cup

> > > > of green tea per day, those who consumed 5 or

> > > more

> > > > cups had a risk for all-cause and CVD mortality

> > > that

> > > > was 16% lower (during 11 years of follow-up) and

> > > 26%

> > > > lower (during 7 years of follow-up),

> > > respectively.

> > > >

> > > > The inverse association with CVD mortality was

> > > > stronger than that with all-cause mortality, and

> > > > among the types of CVD, the strongest inverse

> > > > association was seen for stroke mortality.

> > > >

> > > > Table. Proportional Hazard Ratios (HRs)

> > > Among

> > > > All Participants for 7-Year Mortality Due to CVD

> > > by

> > > > Green Tea Consumption in Japanese Adults*

> > > > Mortality Outcomes Green Tea Consumption,

> > > > Cups/Day P for Trend

> > > > < 1 1 - 2 3 - 4 ? 5

> > > > CHD, No. of deaths 58 47 43 61

> > > > CHD, multivariate HR 1.00 1.04 0.90 0.86

> > > 0.34

> > > > Stroke, No. of deaths 145 99 102 126

> > > > Stroke, multivariate HR 1.00 0.84 0.78

> > > 0.63

> > > > <0.001

> > > > Cerebral infarction, No. of deaths 65 41

> > > 48 43

> > > >

> > > > Cerebral infarction, multivariate HR 1.00

> > > 0.77

> > > > 0.81 0.49 0.001

> > > > Cerebral hemorrhage, No. of deaths 34 30

> > > 33 40

> > > >

> > > > Cerebral hemorrhage, multivariate HR 1.00

> > > 1.10

> > > > 1.15 0.98 0.94

> > > > Subarachnoid hemorrhage, No. of deaths 21

> > > 13

> > > > 12 26

> > > > Subarachnoid hemorrhage, multivariate HR

> > > 1.00

> > > > 0.71 0.57 0.78 0.42

> > > > *CVD, indicates cardiovascular disease;

> > > and

> > > > CHD, coronary heart disease. Multivariate HR

> > > > adjusted for age; sex; job status; years of

> > > > education; body mass index; physical activity,

> > > > history of hypertension; diabetes; gastric

> > > ulcer;

> > > > smoking status; alcohol consumption; total

> > > energy

> > > > intake per day; daily consumption of rice, miso,

> > > > soybean products, total meat, total fish, total

> > > > dairy, and total fruits and vegetables; and

> > > > consumption of oolong tea, black tea, and

> > > coffee.

> > > >

> > > > Source: JAMA. 2006;296:1255-1265.

> > > >

> > > > Green Tea Effect on CVD, All-Cause Mortality

> > > > Stronger in Women

> > > > The inverse association between green tea

> > > > consumption, CVD, and all-cause mortality was

> > > > stronger in women than in men (P = .08 for

> > > > interaction with sex). In women, the

> > > multivariate

> > > > hazard ratios of CVD mortality across increasing

> > > > green tea consumption categories (cups/day) were

> > > > 1.00, 0.84, 0.69, and 0.69, respectively (P =

> > > .004

> > > > for trend).

> > > >

> > > > " The reason for the discrepancy between men and

> > > > women for the association of green tea

> > > consumption

> > > > and risk of all-cause and CVD mortality is

> > > > uncertain, " say the researchers.

> > > >

> > > > " One possibility is residual confounding by

> > > > cigarette smoking [as] men were more likely to

> > > > smoke, and the inverse associations between

> > > green

> > > > tea consumption and CVD mortality appeared to be

> > > > more pronounced in participants who had never

> > > > smoked. These results suggest that higher rates

> > > of

> > > > smoking may mask the association of green tea

> > > > consumption with CVD mortality among men. "

> > > >

> > > > The authors add that the effect of green tea

> > > > " appears to be a threshold effect rather than a

> > > > dose-response relationship, such that persons

> > > who

> > > > consume at least 1 cup a day may receive some

> > > > benefit. "

> > > >

> > > > A number of biological mechanisms, including

> > > radical

> > > > scavenging and antioxidant properties, have been

> > > > proposed for the beneficial effects of green

> > > tea.

> > > > The authors note that previous studies have

> > > > suggested that green tea favorably affects

> > >

> > === message truncated ===

> >

> > NOTICE: This confidential message/attachment contains

information

> intended for a specific individual(s) and purpose. Any

inappropriate

> use, distribution or copying is strictly prohibited. If received

in

> error, notify the sender and immediately delete the message.

> >

> > Sue Nichols, MS/RD/CDE/CDN

> >

> >

> >

> >

> >

> >

> > -----------------------------------------------------------------

---

> ----------

> >

> >

> > No virus found in this incoming message.

> > Checked by AVG Free Edition.

> > Version: 7.1.405 / Virus Database: 268.12.4/449 - Release

Date:

> 9/15/2006

> >

> >

> >